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TUP FORM 1-A (revised Aug 2014)

Technological University of the Philippines


OFFICE OF ADMISSIONS AND REGISTRATIONS
Manila

PICTURE
1x1

APPLICATION FOR TUP COLLEGE ADMISSION TEST


Course Code _______
Date of Examination _______________________
Time _______________ Room __________

Application Form No. ______________________


Official Receipt No. _______________________
O.R. Date ______________________________

PRINT LEGIBLY
_____________________________________________________________________________________________________________
SURNAME
FIRST NAME
M.I.
HOME ADDRESS
______________________________________________________________________________________________________________
No.
Street
Barangay/District
Municipality/City
* Please write 1 if it is your 1st choice and 2 if it is your 2nd choice.

COLLEGE OF ARCHITECTURE and FINE ARTS

COLLEGE OF INDUSTRIAL TECHNOLOGY

_____ Bachelor of Science in Architecture (BSA)


_____ Bachelor of Fine Arts (BFA) major in Advertising)
_____ Bachelor in Graphics Technology major in:
Architecture Technology (AT)
Mechanical Drafting Technology (MDT)
Industrial Design (ID)

_____ Bachelor of Science in Food Technology (BSFT)


_____ Bachelor of Science in Hotel & Restaurant Management (BSHRM)
_____ Bachelor of Technology in Mechatronics (BTMT)
_____ Bachelor of Technology in Information Technology (BTIT)
_____ Bachelor of Technology major in:
Automotive Engineering Technology (AET)
Apparel and Fashion Technology (AFT)
Civil Engineering Technology (CET)
Electrical Engineering Technology (EET)
Electronics Engineering Technology (EsET)
Electronic Communications Engineering Technology (ECET)
Foundry Engineering Technology (FET)
Graphics Arts and Printing Technology (GAPT)
Instrumentation and Control Engineering Technology (ICET)
Mechanical Engineering Technology (MET)
Nutrition and Food Technology (NFT)
Power Engineering Technology (PET)
Railway Engineering Technology (RET)
Refrigeration and Air-Conditioning Engineering Technology (RACET)
Tool and Die Engineering Technology (TDET)
Welding Engineering Technology (WET)

COLLEGE OF ENGINEERING
_____ Bachelor of Science in Civil Engineering (BSCE)
_____ Bachelor of Science in Electrical Engineering (BSEE)
_____ Bachelor of Science in Electronics Engineering (BSECE)
_____ Bachelor of Science in Mechanical Engineering (BSME)

COLLEGE OF INDUSTRIAL EDUCATION


_____ Bachelor of Science in Industrial Education (BSIE) major in:
Art Education
Electrical Technology
Computer Education
Home Economics
Electronics Technology
Industrial Arts
_____ Bachelor of Technical Teacher Education (BTTE) (Ladderized)

COLLEGE OF SCIENCE
_____Bachelor of Science in Computer Science (BSCS)
_____ Bachelor of Science in Information Technology (BSIT)
_____ Bachelor of Science in Information System (BSIS)
_____ Bachelor of Science in Environmental Science (BSES)
_____ Bachelor of Applied Science in Laboratory Technology (BAS-LT)

COLLEGE OF LIBERAL ARTS


_____ Bachelor of Science in Entrepreneurial Management (BSEM)
_____ Bachelor of Arts in Management (BAM) major in
Industrial Management (Ladderized)

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TEST PERMIT

PICTURE
1x1

Technological University of the Philippines


OFFICE OF ADMISSIONS AND REGISTRATIONS
Manila

Course Code __________


Application No.
Official Receipt No
O.R Date

_______________________________
_______________________________
_______________________________

This is to certify that _______________________________________________ whose photo and signature appears


herein is allowed to take the College Admission test at the TUP, Ayala Blvd., Manila on _______________________________
Room__________________Time____________________

Head

PERSONAL DATA
Last Name _________________________
Sex _________ Age ________ Civil Status ______________
First Name___________________________
Contact no. ____________________________________
Middle Name_________________________ Extension Name(Jr.,III): ______
E-mail add/ facebook account: ___________________________
Date of Birth ________________________________________
Place of Birth _______________________________________
No. of Brothers _____________ No. of Sisters ____________
Birth Order 1 2 3 4 5 6 7 8 9 1 0
Citizenship___________________
Height ____________ Weight _______________
Religion _____________________
Permanent Address: _________________________________________________________________________________________________________
Means of Financial Support:
Parents
Scholarship
Others ___________________

FAMILY BACKGROUND
Fathers Name _______________________________________
Contact No. ______________________________________
Occupation _______________________________________

Mothers Name _____________________________________


Contact No. _______________________________________
Occupation ________________________________________

EDUCATIONAL ATTAINMENT
School Last Attended (Secondary/Tertiary): __________________________________________________________________________________
School Adress:_________________________________________________________________________________________________________
Third Year General Average: __________
Number of Graduating Class: _________
What are your current grades in the following subjects?
SUBJECT
FIRST GRADING
MATHEMATICS
SCIENCE
ENGLISH

SECOND GRADING

THIRD GRADING

G.W.A.________
PLEDGE
I HEREBY AFFIRM THAT ALL THE ANSWERS GIVEN HERE ARE TRUE AND CORRECT. I UNDERSTAND THAT GIVING FALSE
INFORMATION WILL AUTOMATICALLY DISQUALIFY ME FOR ADMISSION OR SUBJECT TO DISMISSAL BY COMPETENT AUTHORITIES.
IF ADMITTED, I WILL ABIDE AND COMPLY WITH ALL THE POLICIES, RULES AND REGULATIONS OF THE TECHNOLOGICAL
UNIVERSITY OF THE PHILIPPINES.

CERTIFIED CORRECT:

_________________________

Signature of Student

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STEPS IN TUP ADMISSION


1. Accomplish this application form with 2 ID pictures (1 X 1 ) and submit to the Office of Admissions for evaluation.
2. Pay the non-refundable testing fee (P400.00) at the Cashiers Office.
3. Secure your test permit by submitting your accomplished application form and O.R. of testing fee.
4. Take the TUP Admission Test on the specified date, time, and room. Bring with you your test permit and 2 pencils with eraser.
5. Release of test result will be posted on ________________ at the CLA Building lobby or visit our website www.tup.edu.ph.
6. Report on the specified date for your interview and submit the following documents for enrollment.
a. Test permit
b. Original copy of Form 138/137 or transcript of Records
c. Certificate of good moral character
d. Xerox copy of NSO Birth certificate
*Failure to report on the specified date will mean forfeiture of Admission slot.
7. Secure your Notice of Admissions and proceed to the University Clinic for medical examination
8. Report to your respective course adviser/dean for enrolment.

Note:

Applicants for Engineering, Architecture and Science courses should have a grade of 80% or better in Math, Science and English.
For transferee applicants, NO FAILING GRADES
Enrollment will be on a FIRST COME FIRST SERVED basis.
For more inquiries, call the Office of Admission at telephone trunkline:301-3001 loc 603 or 301-3042

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