Republic of the Philippines

TECHNOLOGICAL UNIVERSITY OF THE PHILIPPINES TAGUIG

Office of the Registrar Km. 14 East Service Rd. South Superhighway, City of Taguig
No: ____________

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APPLICATION FOR ADMISSION TO THE LADDERIZED DEGREE PROGRAM

NAME: LAST NAME FIRST NAME MIDDLE NAME AGE: GENDER: STATUS: NATIONALITY: TEL. NO.: MOBILE NO.: EMAIL ADDRESS: DATE OF BIRTH: PLACE OF BIRTH: CITY RESIDENCE ADDRESS: ZIP CODE: PROVINCIAL ADDRESS: FATHERS NAME: MOTHERS NAME: NAME OF SPOUSE: OCCUPATION: ADDRESS OF PARENT/GUARDIAN/SPOUSE: NAME OF EMPLOYER: DATE EMPLOYED: ADDRESS OF EMPLOYER: POSITION: EMPLOYEES CONTACT NO.: 3-YEAR TECHNICIAN COURSE: DATE OF GRAD.: SCHOOL LAST ATTENDED: ADDRESS OF SCHOOL: HONORS / AWARDS RECEIVED: SCHOLARSHIP GRANT:
COURSE PREFERRED (PLS. CHECK): ( ) BS in Civil Engineering (Additional 3 Years) ( ) BS in Electrical Engineering (Additional 3 Years) ( ) BS in Electronics Engineering (Additional 3 Years) ( ) BS in Mechanical Engineering (Additional 3 Years) ( ( ( ( ) Bachelor of Engineering (Additional 2 Years) ) Bachelor of Technology in Information Technology (Additional 1 Year) ) Bachelor of Technology (Additional 1 Year) ) Bachelor of Technical Teacher Education (Additional 1 Year)

ADMISSION REQUIREMENTS (BSCE, BSECE, BSEE, BSME): 1. Must be a 3-Year Engineering Technology Course Graduate; 1.1 For Graduates of the TUP System: a. Must have a GPA of 2.25 or higher, and b. Must have NO failing grade If GPA is lower than 2.25; a. must have NO failing grade, and 2 must have one year work experience in the area of specialization he/she wants to pursue 1.2 For Graduates of Other Schools: a. Must have a GPA of 2.25 or higher b. Must have NO failing grade b. Must pass entrance exam c. If GPA is lower than 2.25 may take the entrance exam only if; 1. there is/are NO failing grade/s 2. there is one year work experience in the area of specialization he/she wants to pursue 2. Must be physically fit; 3. Must be of good moral character ADMISSION REQUIREMENTS (BACHELOR OF ENGINEERING, BACHELOR OF TECHNOLOGY IN INFORMATION TECHNOLOGY, BACHELOR OF TECHNOLOGY, & BACHELOR OF TECHNICAL TEACHER EDUCATION: 1. Must be a 3-year Engineering Technology Course Graduate 2. Must be physically fit 3. Must be of good moral character REQUIREMENTS FOR ENROLLMENT: 1. Transcript of Records (Photocopy) 2. Certification of General Point Average (Applying for BS Courses)** 3. Honorable Dismissal or Transfer Credential ** 4. Certificate of Employment 5. Certificate of Good Moral Character ** 6. Two Long, Brown Envelopes ** Not Required For TUP-Taguig Graduates ACTION TAKEN (To Be Filled Up By the Office of the Registrar) 7. Four (4) pcs. 1x1 Colored ID Pictures (Recent) 8. Chest X-Ray Result (Most Recent) or Authenticated Medical Cert. From Company Physician 9. Drug Test Result (Shabu & Marijuana) Most Recent 10. Complete Blood Count (CBC) (Most Recent) 11. In Case of Diseases/Abnormalities, Bring Medical Certificate No._________________

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_____________ For Evaluation; Please Come Back On ____________________________________________________________________________ _____________ For Testing: Date: _________________________________________________________ Time: ______________ Rm. No. ________ _____________ Ok for Enrollment _____________________________________________________________________________________________ _____________ Not Qualified to Enroll (Applicant must attach Photocopy of TOR/Certification of Grades for Evaluation Purposes) Name of Applicant: _________________________________________________________________________________________________________ School Where Graduated (Technician Course): ___________________________________________________________________________________ Official Receipt No. ___________________________________