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Reymark Pantoja applied for admission to Technological University of the Philippines in Taguig. He is a 17-year-old single male from Ligao City, Albay. He lists his parents and cousin as his family. Reymark's most recent education was at Amtic Ligao City in 2021 where he attained a general weighted average of 81 and intends to pursue his preferred course through the university's online admission process. In his application, he pledged that all his answers are true and he will comply with all university policies if admitted.
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0% found this document useful (0 votes)
85 views2 pages

Application Form - New

Reymark Pantoja applied for admission to Technological University of the Philippines in Taguig. He is a 17-year-old single male from Ligao City, Albay. He lists his parents and cousin as his family. Reymark's most recent education was at Amtic Ligao City in 2021 where he attained a general weighted average of 81 and intends to pursue his preferred course through the university's online admission process. In his application, he pledged that all his answers are true and he will comply with all university policies if admitted.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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TUP FORM 1-A (revised Aug 2017)

Technological University of the Philippines


OFFICE OF THE REGISTRAR
Taguig

APPLICATION FOR ADMISSION / SCHOLASTIC AND TECHNICAL APTITUDE TEST

Applicant Number: 2223A15522 Classified As:

CAO REYMARK PANTOJA


LAST NAME FIRST NAME MIDDLE NAME

HOME ADDRESS
24 Miranda 24 Miranda St. zone 2 Central Signal Central Signal Taguig City Albay
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.

TUP-TAGUIG
1 PREFERRED COURSE/PROGRAM WILL BE CHOSEN
THRU TUPT ONLINE ADMISSION &
ASSESSMENT (TUPTOAA)
PERSONAL DATA

Last Name CAO Sex Male Civil Status Single


First Name REYMARK Contact no. +63 995-3977-042
Middle Name PANTOJA Extension Name(Jr., III): E-mail add: [email protected]
Citizenship FILIPINO Facebook Account: Reymark Pantoja
Religion Roman Catholic Place of Birth Ligao, Albay City
Date of Birth 10/27/2002 Height 170.688 Weight 108.027
Permanent Address 24 Miranda 24 Miranda St. zone 2 Central Signal Taguig City Central Signal Taguig City Albay
Means of financial Support: Parents Scholarship Others

FAMILY BACKGROUND

Father's Name Ricardo C. Cao Mother's Name Mhelienor P. Cao


Contact No. NA Contact No. +63 965-6523-531
Occupation Farmer Occupation House wife

Name of Guardian Jerrymie B. Pantoja


Complete Address 24 Miranda St. zone 2 Central Signal
Contact No. +63 915-7748-650
Relationship Cousin

EDUCATIONAL ATTAINMENT

School Last Attended (Secondary/Tertiary): Amtic Ligao city


School Address: Ligao City, Albay
Exclusive Years/Attended 2021 Honor/Distinction
Grade 11/12 GWA: 81.00 MATH: 84.00 SCIENCE: 75.00 ENGLISH: 76.00
TRACK: Home Economics
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 WAIVER01 Application No. 2223A15522
Date of Examination Official Receipt
Time Room O.R. Date

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