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: 1819A1724 Classified As: New

PALLEGA JOMAR B
LAST NAME FIRST NAME MIDDLE NAME

HOME ADDRESS
#38 Bucandala 1 Bucandala 1 Cavite City
No. Street Barangay/District Municipality/City

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 Communications Technology

Bachelor in Graphics Technology Bachelor of Engineering Technology major in
Architecture Technology Instrumentation and Control Technology
Mechanical Drafting Technology Bachelor of Engineering Technology major in Mechanical
Industrial Design Technology
Bachelor of Fine Arts Bachelor of Engineering Technology major in
Bachelor of Science in Architecture Mechatronics Technology
Bachelor of Engineering Technology major in Railway
COLLEGE OF ENGINEERING Technology
Bachelor of Science in Food Technology
1 Bachelor of Science in Civil Engineering
Bachelor of Science in Hotel and Restaurant Management
Bachelor of Science in Electrical Engineering
Bachelor of Technology in Nutrition and Food Technology
Bachelor of Science in Electronics Engineering
Bachelor of Technology major in Apparel and Fashion
Bachelor of Science in Mechanical Engineering
Technology
Bachelor of Technology major in Print Media Technology
COLLEGE OF INDUSTRIAL EDUCATION
Bachelor of Science in Industrial Education COLLEGE OF LIBERAL ARTS
Computer Education Bachelor of Arts in Management major in Industrial
Industrial Arts Management
Home Economics 2 Bachelor of Science in Entrepreneurial Management
Bachelor of Technical Teacher Education
Bachelor of Technical Vocational Teachers Education COLLEGE OF SCIENCE
Information and Communications Technology Bachelor of Applied Science in Laboratory Technology
Food Preparation Bachelor of Science in Chemistry
Electrical Bachelor of Science in Computer Science
Cosmetology Bachelor of Science in Environmental Science
Automotive Bachelor of Science in Information System
Electronics Bachelor of Science in Information Technology

COLLEGE OF INDUSTRIAL TECHNOLOGY

Bachelor of Engineering Technology
Mechanical Technology option in Dies and Moulds
Technology
Mechanical Technology option in Mechanical
Technology
Mechanical Technology option in Foundry Technology
Electronics Technology option in Industrial
Engineering Maintenance
Mechanical Technology option in Welding Technology
Mechanical Technology option in Automotive
Technology
Mechanical Technology option in Heating Ventilating
and Air-Conditioning/Refrigeration Technology
Mechanical Technology option in Power Plant
Technology
Electronics Technology option in Industrial
Automation Technology
Bachelor of Engineering Technology major in Computer
Engineering Technology
Bachelor of Engineering Technology major in
Construction Technology
Bachelor of Engineering Technology major in Electrical
Technology
Bachelor of Engineering Technology major in Electronic
 PERSONAL DATA

Last Name PALLEGA Sex Male Civil Status Single

First Name JOMAR Contact no. +63 915-7143-401
Middle B Extension Name(Jr., III): E-mail add: pallegajomar42@gmail.com
Citizenship FILIPINO Facebook Account: pallega.jomar@yahoo.com
Religion Catholic Place of Birth Trece Marteres Cavite
Height 167 Weight 115
Permanent Address #38 Bucandala 1 Bucandala 1 Cavite City
Means of financial Support: Parents Scholarship Others

FAMILY BACKGROUND

Father's Name Joseph M. Pallega Mother's Name Maricel B. Pallega

Contact No. NA Contact No. +63 921-7331-568
Occupation Business Man Occupation Business Woman

Name of Guardian Maricel B. Pallega

Complete Address Bucandala 1 #38 Imus Cavite
Contact No. +63 921-7331-568
Relationship Mother

EDUCATIONAL ATTAINMENT

School Last Attended (Secondary/Tertiary): University of Perpetual Help Rizal

School Address: Molino 3, Bacoor, Cavite
Exclusive Years/Attended 2017-2018 Honor/Distinction
Grade 11/12 GWA: 0.00 MATH: 0.00 SCIENCE: 0.00 ENGLISH: 0.00
TRACK: Science, Technology, Engineering and Mathematics (STEM)
Category: K-12 Old Curriculum With College Background

EMPLOYMENT BACKGROUND

Name of
Position: Inclusive Dates:

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