Staple 2 pieces
College of Engineering Passport Size
University of the Philippines, Diliman Picture here
1101 Quezon City
Application for Admission to Graduate Program (Master of Science in Computer Science Only)
APPLICATION FOR ADMISSION TO GRADUATE PROGRAM (MS CS ONLY)
Last Name First Name Middle / Maiden Name
Instructions
1. Request former professors or experts in the field as references (2 for the diploma and master's; 3 for the doctoral
degree) to accomplish the recommendation forms and enclose/seal these envelopes with their signature across the
seal. These may be returned to the applicant or sent directly by mail to the Graduate Office.
2. Pay a non-refundable application fee of PhP100.00 for Filipino citizens or PhP200.00 for resident foreign applicants at
the Cashier's Office, UP Campus. For non-resident foreign applicants, send a check of US $25.00 payable to the
“University of the Philippines”. Please check for announcements at the College of Engineering website.
3. Submit to the Graduate Office the following requirements with your application fee receipt on or before April 30 for
the 1st semester, or September 30 for the 2nd semester admission.
Accomplished Application Form
Transcript of Records: 1 official copy bearing the school seal and the registrar's signature, and 2 photocopies.
2 recent passport size photo
Certificate of English Proficiency - TOEFL Official score (For Foreign Applicants only whose native language or
medium of instruction in secondary school and college is not English)
A score of at least 500 (paper-base) or 173 (computer-based) in the Test of English as a Foreign Language
(Education Testing Service, Princeton, New Jersey, 08540 USA) is required.
4. Wait for the action on your application which will be communicated to you by email and/or phone.
For Department Use Only
Date of Submission O.R. Number
Received by
SCHOOL AVERAGE
BS
MS
The undersigned recommends that the applicant be
admitted as a degree student
admitted as a non-degree student (probationary admission) subject to the following condition(s):
Math 157 CS 150
CS 135 CS 165
CS 140 CS 192
Others : ______________________________________________
refused admission
Printed Name & Signature of Dept. Chairman or Date
Program Coordinator
PROGRAM OF STUDY
Degree program applied for: ______________________________________________________
Major, if applicable: _____________________________________________________________
Start of graduate study: 1st semester 2nd semester AY _______-_______
Full-time Part-time If full-time, source of funding: _______________________
Thesis Non-Thesis
Area of Specialization:
Information and Software Systems Computer Systems Software Engineering
Intelligent Systems Theoretical Computer Science
PERSONAL DETAILS
Male Female
Last Name First Name Middle / Maiden Name Sex
Date of Birth (mm/dd/yyyy) Place of Birth Citizenship
Postal address
(Do not use P.O.
box)
Permanent address
in home country
Telephone Facsimile E-mail
Information on nearest relative (Father / Mother / Spouse if married / Guardian)
Name Relationship
Address Tel. No.
ACADEMIC QUALIFICATIONS
Verified copies of academic documents must be attached to this application.
Filipino or English translations are required. Your application cannot be processed without this documentation.
Secondary Education (High School)
Name of last school attended
Address of last school attended
Inclusive years attended
Tertiary Education
Degree Years Enrolled
Institution Location
Received From To
Scholastic Honors or Prizes Received
Award Institution Date
Details of Other Qualifications Held
(E.g. Membership in professional bodies, eligibilities/certificates)
PROFESSIONAL EXPERIENCE
Dates of (F)Full/
Employment (P)Part- Employer Job Title
From To time
F P
F P
F P
F P
F P
ENGLISH LANGUAGE PROFICIENCY
What is your first language? __________________________________________
Language of instruction used in tertiary education: _____________________________________________________
For candidates whose degree is from a university or institution of higher learning, where the medium of instruction
is English language for that degree, a certification from that university or institution must be submitted.
Certificate of English proficiency (attach documentation)
Test name: ____________________________________________
Test score: ____________________________________________ Test date: _____________________
PROGRAMMING LANGUAGE PROFICIENCY
List the programming languages (E.g. Pascal, C, C++) you are proficient in and the projects/applications completed
using these languages.
Level of Proficiency Level of Proficiency
Programming Language Programming Language
(1 Lowest, 5 Highest) (1 Lowest, 5 Highest)
1 2 3 4 5 1 2 3 4 5
1 2 3 4 5 1 2 3 4 5
1 2 3 4 5 1 2 3 4 5
1 2 3 4 5 1 2 3 4 5
1 2 3 4 5 1 2 3 4 5
Projects / Applications
REFERENCES
List your former professors or experts in your fields as references.
Name Address Telephone
APPLICANT’S DECLARATION
I declare that the information supplied in this application and the documentation supporting it
is true and complete. I acknowledge that the provision of incorrect information or
documentation relating to my application may result in cancellation of admission or enrolment.
If admitted to the College of Engineering, I agree to abide by the rules and regulations of the
University of the Philippines and the College.
Signature Date
College of Engineering
University of the Philippines, Diliman
1101 Quezon City
Letter of Recommendation for Admission to Graduate Studies*
LETTER OF RECOMMENDATION
FOR ADMISSION TO GRADUATE STUDIES
To be completed by applicant (Please type or Print)
Name: ______________________________________________________
Current Address: ______________________________________________________
Degree program applied for: ______________________________________________________
Start of graduate study: 1st semester 2nd semester AY _______-_______
Note to applicant: Ask your recommender to enclose this form in an envelope, seal the envelope, and sign across the
seal. Submit the envelop with its seal unbroken with the rest of your application materials to the Graduate Office,
Rm. 119, College of Engineering, U.P. Diliman.
To be completed by recommender
Any pertinent information regarding the applicant and your evaluation of the applicant’s ability to undertake
graduate studies and research will be held in strict confidence.
How long have you known the applicant? _______________________________________________________________
In what capacity have you known the applicant? _________________________________________________________
If the applicant was a student in some of your classes, what were these subjects? ______________________________
____________________________________________________________________________________________________
What do you consider as the applicant’s outstanding talents or strengths in relation to graduate study? ____________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
What do you consider as his/her weakness or deficiencies in relation to graduate study? _________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
* (This form also serves as Letters of Recommendation for NGSE Scholarship)
Please rate the applicant on the following characteristics in comparison with other students in the same disciplines
who are known to you and who have had more or less the same amount of training and experience. (Indicate size of
group with which applicant is being compared _____________________ and its educational level _________________).
Inadequate
Above Below
Excellent Average basis for
Average Average
judgment
1. Intellectual ability
2. Academic preparation for proposed field of study
3. Motivation for proposed field of study
4. Originally, creativity & imagination
5. Analytical & problem-solving ability
6. Initiative and independence
7. Honesty & integrity
8. Conscientiousness & ability to work independently
9. Ability to work with others
10. Oral communication skills
11. Written communication skills
12. Emotional maturity
13. Potential as a researcher in the discipline
14. Potential as a teacher in the discipline
Additional information and comments about the applicants (please use a separate sheet of paper, if necessary).
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
I therefore strongly recommend recommend recommend with reservations do not recommend the
applicant for admission to graduate studies in your college.
Recommender’s Printed Name: _________________________________________________________________________
Recommender’s Signature: _____________________________________________ Date: ______________________
Position: ________________________________________ Highest Educational Attainment: _____________________
Name and Address of Organization: _____________________________________________________________________
____________________________________________________________________________________________________
Note to recommender: Please enclose this form in an envelope, seal the envelope, sign across the seal, and
return sealed envelope to applicant.