TUP FORM 1-A (revised Aug 2017)

Technological University of the Philippines

OFFICE OF ADMISSIONS
Manila

APPLICATION FOR SCHOLASTIC AND TECHNICAL APTITUDE TEST

Applicant Number: 1819A6131 Classified As: New

GALVEZ GLECELYN MATEO

LAST NAME FIRST NAME MIDDLE NAME

HOME ADDRESS
B16 L56 Vallejo Subd. Pelican St. Brgy. Pasong Buaya 2 Imus
No. Street Barangay/District Municipality/City Province/State

Direction: On the space provided, please write 1 if it is your 1st choice and 2 if it is your 2nd choice.

COLLEGE OF ARCHITECTURE AND FINE ARTS

Bachelor in Graphics Technology Bachelor of Science in Information System
Architecture Technology Bachelor of Science in Information Technology
Mechanical Drafting Technology
Industrial Design
Bachelor of Fine Arts
Bachelor of Science in Architecture

COLLEGE OF ENGINEERING
Bachelor of Science in Civil Engineering
Bachelor of Science in Electrical Engineering
Bachelor of Science in Electronics Engineering
1 Bachelor of Science in Mechanical Engineering

COLLEGE OF INDUSTRIAL EDUCATION

Bachelor of Science in Industrial Education
Computer Education
Industrial Arts
Home Economics
Bachelor of Technical Teacher Education
Bachelor of Technical Vocational Teachers Education
Information and Communications Technology
Food Preparation
Electronics
Cosmetology
Automotive
Electrical

COLLEGE OF INDUSTRIAL TECHNOLOGY

Bachelor of Engineering Technology
Mechanical Technology option in Welding Technology
Mechanical Technology option in Foundry Technology
Mechanical Technology option in Dies and Moulds
Technology
Electronics Technology option in Industrial
Automation Technology
Electronics Technology option in Industrial
Engineering Maintenance
Mechanical Technology option in Automotive
Technology
Mechanical Technology option in Heating Ventilating
and Air-Conditioning/Refrigeration Technology
Mechanical Technology option in Power Plant
Technology
Bachelor of Engineering Technology major in Computer
Engineering Technology
Bachelor of Engineering Technology major in
Construction Technology
2 Bachelor of Engineering Technology major in Electrical
Technology
Bachelor of Engineering Technology major in Electronic
Communications Technology
Bachelor of Engineering Technology major in
Instrumentation and Control Technology
Bachelor of Engineering Technology major in Mechanical
Technology
Bachelor of Engineering Technology major in
Mechatronics Technology
Bachelor of Engineering Technology major in Railway
Technology
Bachelor of Science in Food Technology
Bachelor of Science in Hotel and Restaurant Management
Bachelor of Technology in Nutrition and Food Technology
Bachelor of Technology major in Apparel and Fashion
Technology
Bachelor of Technology major in Print Media Technology

COLLEGE OF LIBERAL ARTS

Bachelor of Arts in Management major in Industrial
Management
Bachelor of Science in Entrepreneurial Management

COLLEGE OF SCIENCE
Bachelor of Applied Science in Laboratory Technology
Bachelor of Science in Computer Science
Bachelor of Science in Environmental Science
 PERSONAL DATA

Last Name GALVEZ Sex Female Civil Status Single

First Name GLECELYN Contact no. +63 926-5916-915
Middle MATEO Extension Name(Jr., III): E-mail add: galvezglecelyn@gmail.com
Citizenship FILIPINO Facebook Account: Glecelyn Galvez
Religion Catholic Place of Birth Sampaloc, Manila
Height 170 Weight 105
Permanent Address B16 L56 Vallejo Subd. Pelican St. Brgy. Pasong Buaya 2 Imus
Means of financial Support: Parents Scholarship Others

FAMILY BACKGROUND

Father's Name Glenn Jose M. Galvez Mother's Name Jocelyn D. Mateo

Contact No. NA Contact No. NA
Occupation CADD Engineer Occupation N/A

Name of Guardian Jocelyn D. Mateo

Complete Address B16 L56 Pelican St. Vallejo Place Subd.
Contact No. +63 927-7169-061
Relationship Mother

EDUCATIONAL ATTAINMENT

School Last Attended (Secondary/Tertiary):

School Address:
Exclusive Years/Attended Honor/Distinction
Grade 11/12 GWA: MATH: SCIENCE: ENGLISH:
TRACK:
Category: K-12 Old Curriculum With College Background

EMPLOYMENT BACKGROUND

Name of NA
Position: NA Inclusive Dates: 0

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.
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

============================================= Do not write on this area =============================================

Course Code BSME Application No. 1819A6131
Date of Examination Official Receipt
Time Room O.R. Date