UNIVERSITY OF MAKATI

OFFICE OF THE VICE PRESIDENT FOR ACADEMIC AFFAIRS

CENTER FOR ADMISSION AND SCHOLARSHIPS
J.P. Rizal Extension, West Rembo, Makati City
Tel. No. 883-1860

Date: January 26, 2022

Registration Number: 2022030955

Dear AMOS, CARLA JOSEPHINE TERENIA

You have successfully accomplished your online application form for College admission! Your next step is to
prepare and submit the COMPLETE and CLEAR scanned/captured copy of the requirements below, compiled
in one (1) PDF file through this link Online Submission of Requirements for College Admission.

1. Duly filled-out Application Form

2. Recent 2"x2" ID Picture with Applicant's Name Tag, White Background
3. PSA Birth Certificate of Student Applicant
4. Front and Back Copy of Report Card/Rating Form/Transcript of Records (TOR)

4.1. Grade 11 (for Graduating Senior High School students)

4.2. Grade 12 (for Grade 12 graduates)
4.3. Certificate of Rating indicating "Eligible for College Admission" (For ALS Passers)
4.4. Transcript of Records (for Transferees/2nd Coursers)

5. For Transferees, Second Coursers, and Makati residents who are NOT a student/graduate of
any Makati Public Senior High School

5.1. Personal Latest Voter's Certification (for applicants who are 18 years old and above before
September 2021)
5.2. Parent's Latest Voter's Certification or sibling’s Latest Voter's Certification and PSA birth
certificate (for applicants who are 17 years old and below)

APPLICATIONS WITH INCOMPLETE AND UNCLEAR REQUIREMENTS WILL NOT BE

PROCESSED
 UNIVERSITY OF MAKATI
OFFICE OF THE VICE PRESIDENT FOR ACADEMIC AFFAIRS
CENTER FOR ADMISSION AND SCHOLARSHIPS

APPLICATION FORM FOR COLLEGE

REGISTRATION NUMBER : 2022030955
ACADEMIC YEAR : 2022-2023 Date: January 26, 2022
LAST NAME FIRST NAME MIDDLE NAME
AMOS CARLA JOSEPHINE TERENIA
CHOICE OF COURSE PROGRAM:
1st Choice: COLLEGE OF TOURISM AND HOSPITALITY MANAGEMENT Attach one 2x2 ID
BACHELOR OF SCIENCE IN TOURISM MANAGEMENT (2020-2021) picture with name tag.

2nd Choice: COLLEGE OF ARTS AND LETTERS

BACHELOR IN MULTIMEDIA ARTS MAJOR IN FILM PRODUCTION REV. 19-20

TYPE OF STUDENT SENIOR HIGH SCHOOL TRACK or PREVIOUS COURSE/PROGRAM

NEW ABM
Grade 11 General Weighted/Point Average
87.00

GRADE IN
Subject Description Grade
Oral Communication 89.00
Reading and Writing Skills 98.00
General Mathematics 85.00
Probability and Statistics 88.00
Earth and Life Science 88.00
Physical Science or Disaster Risk Management 93.00

PERSONAL INFORMATION
DATE OF BIRTH PLACE OF BIRTH AGE GENDER CITIZENSHIP RELIGION
04/03/2004 MANDALUYONG CITY 17 F FILIPINO CATHOLIC
MEDICAL CENTER

COMPLETE ADDRESS
No. / STREET / VILLAGE / SUBDIVISION BARANGAY CITY ZIP CODE
BLK 4 LOT 4 SAGRADO AVEN BARANGAY 167 CALOOCAN CITY 1400
STUDENT'S MOBILE No.: 09277721197 STUDENT'S E-MAIL ADDRESS: amoscarla666@gmail.com

EDUCATIONAL BACKGROUND
NAME AND ADDRESS OF SCHOOL GRADUATED YEAR GRADUATED AWARDS/RECOGNITION
RECEIVED
Grade School JUAN SUMULONG ELEMENTARY SCHOOL - 73 J. SUMULONG ST. 2016 NONE
ANTIPOLO CITY
Junior High School SAN JOSE NATIONAL HIGH SCHOOL - SEN. LORENZO 2020 NONE
SUMULONG MEM CIRC. ANTIPOLO CITY
Senior High School ACLC ANTIPOLO - M.L QUEZON ST. BRGY SAN ROQUE 2022 NONE
ANTIPOLO CITY
Vocational School N.A - N.A N.A N.A

IN CASE OF EMERGENCY, IF UNABLE TO CONTACT PARENT, CONTACT

FATHER JOSE BOBBY AMOS PHONE No. 09210801548
 HOME ADDRESS DASMARINAS CAVITE, LAKLAKAN E-MAIL ADDRESS
OCCUPATION PRIVATE MONTHLY BELOW P5000.00
MOTHER MERLINDA AMOS PHONE No. 09210801548
HOME ADDRESS BLK 4 LOT 4 SAGRADO AVEN E-MAIL ADDRESS
OCCUPATION SELF-EMPLOYED MONTHLY BELOW P5000.00
GUARDIAN ESTRELLA PALENZUELA PHONE No. 09277721197
HOME ADDRESS BLK 4 LOT 4 SAGRADO AVEN E-MAIL ADDRESS imnayeon915@gmail.com
OCCUPATION PRIVATE MONTHLY BELOW P5000.00

Special Accommodation
Do you need Special Accommodation NO List of Disability
PWD ID

UNTRUTHFUL INFORMATION AND FALSIFIED DOCUMENTS WILL

DISQUALIFY YOUR APPLICATION

I DECLARE THAT THE INFORMATION PROVIDED HEREIN ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.
If admitted, I agree to abide by the policies, rules or regulation of the University. I understand that giving false information will make me
ineligible for admission. I also allow the University to release and use information I provided for admission purposes. Lastly, I
understand that all documents presented will become property of the University of Makati Admissions Office and are not to be
returned.

_________________________________ _________________________________
Signature over printed name Signature over Printed Name of Parent /
Guardian and Date

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