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: 2021A21581 Classified As:

BUSTAMANTE RICA BENCIO

LAST NAME FIRST NAME MIDDLE NAME

HOME ADDRESS
#3 Begonia 199 Pasay City Nueva Ecija
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

Bachelor in Graphics Technology Bachelor of Science in Hotel and Restaurant Management
Mechanical Drafting Technology Bachelor of Technology
Industrial Design Mechanical Technology (Non-Stem)
Architecture Technology Mechanical Engineering Technology
Bachelor of Fine Arts Electrical Engineering Technology
Bachelor of Graphics Technology Bachelor of Technology major in Apparel and Fashion
Architecture Technology Technology
Industrial Design Bachelor of Technology major in Nutrition and Food
Bachelor of Science in Architecture Technology

COLLEGE OF ENGINEERING COLLEGE OF LIBERAL ARTS

Bachelor of Science in Civil Engineering Bachelor of Arts in Management (Laderized Program)
Bachelor of Science in Civil Engineering (Non-STEM) Industrial Management
Bachelor of Science in Electrical Engineering Bachelor of Arts in Management major in Industrial
Bachelor of Science in Electrical Engineering (Non-STEM) Management
Bachelor of Science in Electronics Engineering Bachelor of Science in Entrepreneurship (ABM)
Bachelor of Science in Electronics Engineering (Non Bachelor of Science in Entrepreneurship (Non ABM)
Stem)
Bachelor of Science in Mechanical Engineering COLLEGE OF SCIENCE
Bachelor of Science in Mechanical Engineering (Non- Bachelor of Applied Science in Laboratory Technology
STEM) Bachelor of Applied Science in Laboratory Technology
(Non-STEM)
COLLEGE OF INDUSTRIAL EDUCATION Bachelor of Science in Computer Science
Bachelor of Science in Industrial Education Bachelor of Science in Computer Science (Non-STEM)
Information and Communication Technology Bachelor of Science in Environmental Science
Home Economics Bachelor of Science in Environmental Science (Non-
STEM)
Industrial Arts
Bachelor of Science in Information System
Bachelor of Technical-Vocational Teacher Education
Bachelor of Science in Information System (Non-STEM)
Electrical Technology Bachelor of Science in Information Technology
Computer Programming Bachelor of Science in Information Technology (Non-
Animation STEM)
Animation
Electronics Technology UNDER EXPANDED TERTIARY EDUCATION AND
Heating, Ventilation and Air Conditioning/Refrigeration EQUIVALENCY ACCREDITATION PROGRAM
Food Service Management Bachelor of Science in Computer Science (ETEEAP)
Beauty Care and Wellness BSCS-ETEEAP
Fashion Garments Technology Bachelor of Science in Industrial Education major in
Certificate Program for Professional Teacher Computer Education (ETEEAP)
Bachelor of Science in Information Technology(ETEEAP)
COLLEGE OF INDUSTRIAL TECHNOLOGY Bachelor of Technology (ETEEAP)
Bachelor of Engineering Technology Electronics Engineering Technology
Mechanical Technology Refrigeration and Air-Condition Engineering
Railway Technology Technology
Mechanical Technology option in Automotive Graphic Arts and Printing Technology
Engineering Technology Nutrition and Food Technology
Mechanical Technology option in Heating, Ventilation
and Air Conditioning/Refrigeration
Mechanical Technology option in Power Plant
Engineering Technology (Non-Stem)
Mechanical Technology option in Power Plant
Engineering Technology
Mechanical Technology option in Heating, Ventilation
and Air Conditioning/Refrigeration (Non-Stem)
Mechanical Technology option in Automotive
Technology (Non-Stem)
Construction Technology
Construction Technology (Non-Stem)
Electronics Technology
Electronics Technology (Non-Stem)
Electronic Communications Technology
Electronic Communications Technology (Non-Stem)
Computer Engineering Technology
Computer Engineering Technology (Non-Stem)
Print Media Technology (Non-Stem)
Print Media
Bachelor of Engineering Technology major in Electrical
Technology
Bachelor of Engineering Technology major in Electronics
Communications Technology
Bachelor of Engineering Technology major in
Instrumentation and Control Technology
1 Bachelor of Science in Food Technology
Bachelor of Science in Food Technology (Non-Stem)
 PERSONAL DATA

Last Name BUSTAMANTE Sex Female Civil Status Single

First Name RICA Contact no. +63 950-6254-234
Middle Name BENCIO Extension Name(Jr., III): E-mail add: [email protected]
Citizenship FILIPINO Facebook Account: [email protected]
Religion Roman Catholic Place of Birth Manila
Date of Birth 04/18/2000 Height 152.4 Weight 60
Permanent Address #3 Begonia 199 Pasay City Nueva Ecija
Means of financial Support: Parents Scholarship Others

FAMILY BACKGROUND

Father's Name Rey Bustamante Mother's Name Corazon Bustamante

Contact No. +63 951-7607-987 Contact No. +63 946-2285-434
Occupation Welder Occupation Housewife

Name of Guardian Ma. Felisa Bustamante

Complete Address #3 begonia strt. Brgy.199 NAIA pasy city
Contact No. +63 951-4984-733
Relationship Sister

EDUCATIONAL ATTAINMENT

School Last Attended (Secondary/Tertiary): Carlos botong V francisco memorial national highshool
School Address: Angono, Rizal
Exclusive Years/Attended 2018-2019 Honor/Distinction None
Grade 11/12 GWA: 85.00 MATH: 88.00 SCIENCE: 81.00 ENGLISH: 85.00
TRACK: Home Economics
Category: K-12 Old Curriculum With College Background

EMPLOYMENT BACKGROUND

Name of Vernisse grill catering

Position: Food handler Inclusive Dates: 2018

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 BSFT Application No. 2021A21581
Date of Examination Official Receipt
Time Room O.R. Date