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: 1920A24899 Classified As: New

DELACRUZ JOHNVINCE USON

LAST NAME FIRST NAME MIDDLE NAME

HOME ADDRESS
1144 unida baclaran Parañaque City Pangasinan
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 Technology

Bachelor in Graphics Technology Bachelor of Engineering Technology major in Railway
Mechanical Drafting Technology Technology (Non-STEM)
Industrial Design Bachelor of Science in Food Technology
Architecture Technology Bachelor of Science in Food Technology (Non-STEM)
Bachelor of Fine Arts Bachelor of Science in Hotel and Restaurant Management
Bachelor of Science in Hotel and Restaurant
COLLEGE OF INDUSTRIAL EDUCATION Management (Non-ABM)
Bachelor of Technology major in Apparel and Fashion
Bachelor of Science in Industrial Education
Technology
Information and Communication Technology Bachelor of Technology major in Mechanical Technology
Home Economics (Non-STEM)
Industrial Arts Bachelor of Technology major in Nutrition and Food
Bachelor of Technical Teacher Education Technology
Bachelor of Technical Vocational Teacher Education Bachelor of Technology major in Print Media Technology
Automotive
Beauty Care and Wellness COLLEGE OF LIBERAL ARTS
Electronics Bachelor of Arts in Management major in Industrial
Electrical Management
Food Service Management Bachelor of Arts in Management major in Industrial
Animation Management (Non-ABM)
Fashion and Garments Technology 1 Bachelor of Science in Entrepreneurship Management
(ABM)
Computer Programming
Bachelor of Science in Entrepreneurship Management
Heating Ventilation and Air Conditioning Technology (Non-ABM)
COLLEGE OF INDUSTRIAL TECHNOLOGY COLLEGE OF SCIENCE
Bachelor of Engineering Technology Bachelor of Applied Science in Laboratory Technology
Electronics Technology Bachelor of Applied Science in Laboratory Technology
Mechanical Technology option in Foundry Technology (Non-STEM)
Mechanical Technology option in Welding Technology Bachelor of Science in Computer Science
Mechanical Technology option in Automotive Bachelor of Science in Computer Science (Non-STEM)
Technology Bachelor of Science in Environmental Science
Mechanical Technology option in Heating Ventilating Bachelor of Science in Environmental Science (Non-
and Air-Conditioning/Refrigeration Technology STEM)
Mechanical Technology option in Power Plant Bachelor of Science in Information System
Technology Bachelor of Science in Information System (Non-STEM)
Mechanical Technology option in Dies and Moulds 2 Bachelor of Science in Information Technology (Non-
Technology (Non-STEM) STEM)
Electronics Technology (Non-STEM)
Mechanical Technology option in Heating Ventilating
and Air-Conditioning/Refrigeration Technology (Non-
STEM)
Mechanical Technology option in Automotive
Technology (Non-STEM)
Mechanical Technology option in Power Plant
Technology (Non-STEM)
Mechanical Technology option in Welding
Technology (Non-STEM)
Mechanical Technology option in Foundry
Technology (Non-STEM)
Bachelor of Engineering Technology major in
Civil/Construction Technology (Non-STEM)
Bachelor of Engineering Technology major in Computer
Engineering Technology
Bachelor of Engineering Technology major in Computer
Engineering Technology (Non-STEM))
Bachelor of Engineering Technology major in Electrical
Technology
Bachelor of Engineering Technology major in Electrical
Technology (Non-STEM)
Bachelor of Engineering Technology major in Electronic
Communications Technology (Non-STEM)
Bachelor of Engineering Technology major in Electronics
Communications Technology
Bachelor of Engineering Technology major in
Instrumentation and Control Technology
Bachelor of Engineering Technology major in
Instrumentation and Control Technology (Non-STEM)
Bachelor of Engineering Technology major in Mechanical
Technology
Bachelor of Engineering Technology major in
Mechatronics Technology
Bachelor of Engineering Technology major in
Mechatronics Technology (Non-STEM)
Bachelor of Engineering Technology major in Railway
 PERSONAL DATA

Last Name DELACRUZ Sex Male Civil Status Single

First Name JOHNVINCE Contact no. +63 948-7084-058
Middle Name USON Extension Name(Jr., III): E-mail add: johnvincedc23@gmail.com
Citizenship FILIPINO Facebook Account: d.johnvince@yahoo.com
Religion Roman Catholic Place of Birth pangasinan
Date of Birth 09/23/2000 Height 170 Weight 57
Permanent Address 1144 unida baclaran Parañaque City Pangasinan
Means of financial Support: Parents Scholarship Others

FAMILY BACKGROUND

Father's Name jhonny u delacruz Mother's Name vilma u delacruz

Contact No. +63 929-6077-271 Contact No. +63 961-3586-962
Occupation government employee Occupation government employee

Name of Guardian jhevie delacruz

Complete Address 1144 unida interior baclaran paranaque
Contact No. +63 905-8988-492
Relationship sister

EDUCATIONAL ATTAINMENT

School Last Attended (Secondary/Tertiary): ABE International Business College

School Address: Mayapis St., San Antonio Village, Makati
Exclusive Years/Attended 2018 2019 Honor/Distinction
Grade 11/12 GWA: 87.00 MATH: 84.00 SCIENCE: 85.00 ENGLISH: 84.00
TRACK: Accountancy, Business and Management
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

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

Course Code BSEM-ABM Application No. 1920A24899
Date of Examination Official Receipt
Time Room O.R. Date