Please answer all questions. 1. What is your academic status?
I am a graduating High School student this school year 2012-2013 I already graduated from High School 2. Are you a Filipino citizen? Yes No
3. Are you currently living in the Philippines? Yes No
4. Have you been enrolled (or currently enrolled) in a College Degree/Non-Degree Program in PUP or other schools? Yes No
5. Is this your first time to take the PUP College Entrance Test (PUPCET) ? Yes No
6. Which PUP Testing Center are you applying for?
Reset
First Name: Type your complete first name here based on your NSO-copy of birth certificate Middle Name: Type your complete middle name here based on your NSO-copy of birth certificate Last Name:
Type your last name here (including name extensions like Jr., III, etc. if applicable) based on your NSO-copy of birth certificate Gender: Male Civil Status:
Single
Female
Birth Date: ,
2000
Select the month, day and year of your birth Birth Place: Select the place where you were born; For applicants born outside the Philippines, just select the country: Country:
PHILIPPINES
Region:
NCR - National Capital Region
Province/Metropolitan Area:
Metropolitan Manila
City/Municipality:
Manila, City of
Contact Information Contact Number/s: (Optional) Type your landline number here (example: 1118899); supply area codes for areas outside Metro Manila (example: 462228899); Separate each contact number with a comma or semi-colon (example: 8881234, 7338888) Mobile Number/s:
(Optional) Type your mobile number here (example: 0931888000); Separate each mobile number with a comma or semi-colon (example: 09685553333; 09187770000) E-mail Address: Please type a valid e-mail address, which you can access anytime; We will be sending important notices to your e-mail account; You can only use one (1) e-mail address per online registration in PUP iApply Permanent Address: Country:
PHILIPPINES
Region:
NCR - National Capital Region
Province/Metropolitan Area:
Metropolitan Manila
City/Municipality:
Manila, City of
Unit, Number, Street, and Subdivision/Barangay:
Type here the address including Unit, Number, Street, and Subdivision/Barangay (Example: Unit 101 #88 Teresa St., Sta. Mesa) Mailing Address: Same as Permanent Address Country:
PHILIPPINES
Region:
NCR - National Capital Region
Province/Metropolitan Area:
Metropolitan Manila
City/Municipality:
Manila, City of
Type here the address including Unit, Number, Street, and Subdivision/Barangay (Example: Unit 101 #88 Teresa St., Sta. Mesa) In Case of Emergency Contact Person: Type here the full name of the person to contact in case of emergency, which can either be one of your parents or your legal guardian Permanent Address: Same as my Permanent Address Country:
PHILIPPINES
Region:
NCR - National Capital Region
Province/Metropolitan Area:
Metropolitan Manila
City/Municipality:
Manila, City of
Type the complete address of the person to contact in case of emergency (Example: Unit 101 #88 Teresa St., Sta. Mesa) a)
Contact Number/s: Same as my Contact Number/s (Optional) Type the landline and/or mobile number of the person in case of emergency; Separate each contact number with a comma or semi-colon Academic Information Elementary School School Name: Type the complete name of the school where you attended elementary Complete Address:
Type the complete address of the school where you attended elementary, including Street, Subdivision/Barangay, City/Municipality, Province, and Region. Please include Country if you attended Elementary education outside the Philippines. This school is: Select the category of your elementary school Year Graduated:
2009
Select the year you graduated from elementary High School Same as my Elementary School School Name: Type the complete name of the school where you attended high school Complete Address:
Type the complete address of the school where you attended high school, including Street, and Subdivision/Barangay, City/Municipality, Province, and Region.
Please include Country if you attended High School education outside the Philippines. This school is: Select the category of your high school Year of Graduation:
Select the year you graduated from high school Course Preferences You are applying for: PUP College Entrance Test (PUPCET) Selected campus: Sta. Rosa, Laguna First Choice:
Second Choice:
Third Choice:
Submission of incorrect information will invalidate your admission in PUP. Be sure you have checked your complete name based on your National Statistics Office (NSO) copy of birth certificate.
First Name: Middle Name: Last Name: Gender: Civil Status:
Birth Date: Birth Place:
Contact Information
Contact Number/s: Mobile Number/s: E-mail Address: Permanent Address: Mailing Address:
In Case of Emergency
Contact Person: Permanent Address: Contact Number/s:
Academic Information
Elementary School: School Name: Complete Address: Year Graduated: School Type: High School: School Name: Complete Address: Year Graduated: School Type:
Course Preferences
First Choice Second Choice: Third Choice:
Entrance Scholarship
Type of Scholar: