REPUBLIC OF THE PHILIPPINES Reference Number:

POLYTECHNIC UNIVERSITY OF THE PHILIPPINES 2019-0010-8430

ADMISSION SERVICES Scheduled Date of Credential Processing, Interview,
LOPEZ, QUEZON and Enrollment:
MAY 28 2019 8:00AM
SAR-FORM 1 FIRST-COME-FIRST-SERVED basis subject to the
availability of slots
WITH CONFIRMATION DOCUMENTS Selected NSTP: ROTC
Confirmation Slip (For a 4 or 5-year degree, or 3-year diploma program)

This University Admission Committee Attach

recent 2x2" photo
here
ROYANDOYAN, GWYNETH JAN CARELO
I am _________________________________________________________________________________________________________________________

69 and graduated in ______________________________

who obtained a PUPCET Score of ____________ SY 2018-2019
LOPEZ NATIONAL COMPREHENSIVE HIGH SCHOOL
from ________________________________________________________________________________________________________________________________________________________________
would like to confirm my interest to be interviewed, admitted, and enrolled this First Semester, Academic Year 2019-2020 in a program where I am qualified
based on the Specific Branch Criteria.

I understand that my admission in the University shall be based on passing the interview and satisfying the University and Branch requirements on
a FIRST-COME-FIRST-SERVED basis subject to the availability of slots on the scheduled dates of enrollment according to PUPCET Score/Percentile
Rank. By signing this document, I hereby agree to the terms and conditions stated above.

Respectfully yours,

ROYANDOYAN, GWYNETH JAN CARELO

Signature over Printed Name of Applicant Note: Read carefully the freshman admission and enrollment procedure


REPUBLIC OF THE PHILIPPINES Reference Number:
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES 2019-0010-8430
ADMISSION SERVICES Scheduled Date of Credential Processing, Interview,
LOPEZ, QUEZON and Enrollment:
MAY 28 2019 8:00AM
SAR-FORM 1 FIRST-COME-FIRST-SERVED basis subject to the
availability of slots
WITH CONFIRMATION DOCUMENTS Selected NSTP: ROTC
Confirmation Slip (For a 4 or 5-year degree, or 3-year diploma program)

This University Admission Committee Attach

recent 2x2" photo
here
ROYANDOYAN, GWYNETH JAN CARELO
I am _________________________________________________________________________________________________________________________

69 and graduated in ______________________________

who obtained a PUPCET Score of ____________ SY 2018-2019
LOPEZ NATIONAL COMPREHENSIVE HIGH SCHOOL
from ________________________________________________________________________________________________________________________________________________________________
would like to confirm my interest to be interviewed, admitted, and enrolled this First Semester, Academic Year 2019-2020 in a program where I am qualified
based on the Specific Branch Criteria.

I understand that my admission in the University shall be based on passing the interview and satisfying the University and Branch requirements on
a FIRST-COME-FIRST-SERVED basis subject to the availability of slots on the scheduled dates of enrollment according to PUPCET Score/Percentile
Rank. By signing this document, I hereby agree to the terms and conditions stated above.

Respectfully yours,

ROYANDOYAN, GWYNETH JAN CARELO

Signature over Printed Name of Applicant Note: Read carefully the freshman admission and enrollment procedure
 ROUTE AND APPROVAL SLIP
ACADEMIC YEAR 2019-2020
(To be accomplished by the Enrolling Officer. Please write legibly)
ROYANDOYAN, GWYNETH JAN CARELO
Name of Applicant: _________________________________________________________________________________________________________________________
2019-0010-8430
Reference Number: ______________________________________________ MAY 28 2019 8:00AM
Date of Enrollment: _____________________________________________________
SCIENCE, TECHNOLOGY, ENGINEERING AND MATHEMATICS
SHS Track/Strand: _________________________________________________________________________________________________________________________
The application for admission and enrollment shall be processed and approved only upon compliance to the following requirements:
Remarks:
Step1: Admission Services West Wing G/F Rm. 107
SHS Strand: ___________________________________________  Non-SHS
Processed by: Admission Status:
 PUPCET PASSER

___________________________________ ______________________
Signature over Printed Name Date

Step 1.A For English Placement Test (EPT) Remarks:

Room: _______________
 To take EN 0 (NON-SHS APPLICANTS)
English Placement Test Result:  Passed  Failed

Administered by: _______________________________ ______________________

Signature over Printed Name Date

Step 2: College Interview Dean’s Office / ICT Office (For interviewer) Do not fill out this space if applicant is disqualified from
admission based on the college/department criteria.
Interviewed by/date: Processed by/date:
Selected NSTP:  CWTS  ROTC

_______________________________ _________________________________
Signature over Printed Name Signature over Printed Name
Program: _____________________ Section: ____________________

Step 3: Medical Clinic, PUP Lopez, Quezon Date:

Submission of Chest X-ray with film and medical examination Remarks:
Examined by:

___________________________________ ______________________
Signature over Printed Name Date

Tagging of Medical Clearance (Medical Clinic) Remarks:

Processed by:

___________________________________ ______________________
Signature over Printed Name Date

Step 4: Issuance of Registration Certificate Admission Office Date:

Issued by: Remarks:

Student Number: _________________________________________________

___________________________________ ______________________
Signature over Printed Name Date

WELCOME TO THE PUP COMMUNITY

Your admission in the University is valid and official if you have complied with all the admission requirements
and have been acknowledged by the Office of the Admission Services.

The first day of classes is on Monday, June 17, 2019

No Student will be allowed to attend classes without the Registration Certificate
 Republic of the Philippines
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES
OFFICE OF THE VICE PRESIDENT FOR BRANCHES AND SATELLITE CAMPUSES
Admission and Registration Office
Lopez, Quezon Branch

FRESHMAN ADMISSION AND ENROLLMENT PROCEDURE

ACADEMIC YEAR 2019-2020

Step 1. SUBMISSION OF ALL REQUIRED CREDENTIALS FOR ADMISSION

Submit all the REQUIRED CREDENTIALS FOR ADMISSION to the Admission Officer, Admission and Registration Office
(ARO),PUP Lopez, Quezon Branch, on the date of your scheduled processing of credentials, interview and enrollment as
reflected in your SAR Form 1.

 Only applicants with complete credentials required for admission will be accommodated and shall go through the
admission process.

 Freshman applicants are advised to come for interview in appropriate attire and proper grooming (with collar and
sleeves; no rubber slippers, ‘tokong’/shorts; and no earrings for male).

 Non-appearance on your scheduled date of interview would mean automatic forfeiture of your priority
slot in the course of your choice, or even forfeiture of the slot in the University depending on the turnout of
PUPCET qualifiers. Admission of qualified applicants is on first come, first served basis. However, late applicants
may be re-scheduled or put on the waiting list subject to availability of slots.

 For applicants whose High School/ Senior High School English final grade is below 80%, PEPT and ALS A &
E Test qualifier, proceed to the Office of the Head, Academic Programs, 2nd Floor, Administration Building, PUP,
Lopez, Quezon Branch to be scheduled for the English Placement Test (EPT). A fee of P150.00 for the English
Placement Test shall be paid to the PUP Cashier.

Step 2. COLLEGE INTERVIEW AND REGISTRATION

Proceed to the College offering the program of your first choice for interview by the Curriculum Adviser. In case you are
not qualified or there is no more available slot in your first choice, you can go to the college of your second or third choice
until you get the approval for acceptance in your desired program.

Choice of Intended Course

Admission in PUP is on a FIRST-COME-FIRST –SERVED basis subject to the availability of slots.

In addition to the general criteria set by the University, admission program depends on the satisfaction of the specific
criteria set by the Colleges for AY 2019-2020:

Minimum
Other Requirements
High School
Minimum (Minimum High School
College/Academic Program General Where to Go/
PUPCET Score Final Rating
Offerings Weighted Interviewer
Required Requirement in
Average
Selected HS Subjects)
Requirement
HS Average Grade in
Bachelor of Science in English (85%); Math LQ 117
75 88%
Accountancy (BSA) (85%) Prof. Maribel D.
Passed the Interview Chan_______

Page 3 of 6
 Minimum
Other Requirements
High School
Minimum (Minimum High School
College/Academic Program General Where to Go/
PUPCET Score Final Rating
Offerings Weighted Interviewer
Required Requirement in
Average
Selected HS Subjects)
Requirement
HS Average Grade in
Math (87%)/Science LQ 205
Bachelor of Science in Civil 87%
72 (87%)/ Engr. Nelson N.
Engineering (BSCE)
English (87%) Entienza
Passed the Interview.
HS Average Grade in
Math (83%)/Science LQ 206
Bachelor of Science in Electrical 83%
72 (83%)/ Engr. Cesar S.
Engineering (BSEE)
English (83%) Perion
Passed the Interview.
4th Year HS/SHS
Average Grade in
Drafting Room
English (83%), Math
Bachelor of Science in 70 Arch. Riza Rizalina
Architecture (BS ARCH)
86% (83%), Physics (83%);
A. Quincina
Passed the interview
and Drawing Aptitude
Test
HS Average Grade in
Bachelor of Science in Agri-
English 83%) Math (85%) LQ 115
Business Management and 70 85%
Science (85%) Prof. Leilidyn Y.
Entrepreneurship (BSAME)
Passed the Interview Zurbano

HS Average Grade in
Bachelor of Secondary LQ 108
Education (BSEd), Major: 70 85% English 83%) Math (85%)
Prof. Thelma D.
Mathematics Science (85%)
Olaivar___________
Passed the Interview

Bachelor of Science in Business HS Average Grade in

LQ 119
Administration (BSBA) Major: 65 82% English (82%) Passed the
Prof. Altagracia A.
Marketing Management Interview.
Silaya
Pleasing personality;
physically fit. Female at
Bachelor of Science in least 5’2” in height, Male
LQ 118
Hospitality Management 65 82% at least 5’4” in height ,
Prof. Lesley Ann H.
(BSHM) Minimum Grade in
Chan
English (82%). Passed
the Interview
4th Year HS/SHS
Average Grade in
LQ 107
Bachelor of Science in 85% English (85%), Math
65 Prof. Marie Andrea
Information Technology (BSIT) (85%), Science (85%): E. Zurbano
Passed the
Department interview
Bachelor of Science in Office HS Average Grade in
LQ 105
Administration (BSOA) Major: 65 82% English (82%) Passed the
Prof. Elenita R
Corporate Transcription Interview
Portez

HS Average Grade in LQ 213

Bachelor in Public English (82%), Math Prof. Salvador U.
65 82%
Administration (BPA) (82%) Passed the Barros II
Interview

Page 4 of 6
 Minimum
Other Requirements
High School
Minimum (Minimum High School
College/Academic Program General Where to Go/
PUPCET Score Final Rating
Offerings Weighted Interviewer
Required Requirement in
Average
Selected HS Subjects)
Requirement
Diploma in Office Management Senior High LQ 106
Technology (DOMT) 60 School Passed the Interview Prof. Dionysius A.
Graduate Velasquez
Diploma in Electrical LQ 206
Senior High
Engineering Management Engr. Cesar S.
60 School Passed the Interview
(DEET) Perion
Graduate

Diploma in Information LQ 107

Senior High
Communication Technology Prof. Marie Andrea
60 School Passed the Interview
(DICT) E. Zurbano
Graduate

Diploma in Computer Senior High TBA

Engineering Technology (DCET) 60 School Passed the Interview
Graduate

Step 3. MEDICAL EXAMINATION

Proceed to the PUP Lopez, Quezon Branch Medical Clinic and present your Student Admission Record Form 1 (SAR F1) to
secure a medical clearance.

Step 4. ISSUANCE OF REGISTRATION CERTIFICATE

Submit your accomplished SAR Form 1 on the schedule date to PUP Lopez, Quezon Branch Admission Office to get the
printed copy of your Registration Certificate to be announced during the enrollment period.

NOTE: Present your Registration Certificate to your teachers during the first day of classes.

First Semester Classes start on June 17, 2019.

Congratulations and welcome to the PUP Community!

Page 5 of 6
 Republic of the Philippines
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES
OFFICE OF THE VICE PRESIDENT FOR BRANCHES AND SATELLITE CAMPUSES
Admission and Registration Office
Lopez, Quezon Branch

FRESHMAN ADMISSION AND ENROLLMENT PROCEDURE

ACADEMIC YEAR 2019-2020

WHAT ARE THE ADMISSION REQUIREMENTS TO BE SUBMITTED?

A. Required Credentials:

When applicant passed the PUPCET, he/she must submit an original copy and photocopies of the following documents to
the Office of Admission Services:

For Graduating Senior High School Student

 Original or certified true copy of Grade 10 & 11 high school card with school dry seal.
 Original Senior High School Card (F138) with school dry seal.
 Certificate of Completion for high school/ senior high school.
 Original PSA Birth Certificate.
 Certification of Good Moral issued by the HS/SHS Principal/or Guidance Counselor with school dry seal.
 Duly authenticated copy of the PEPT/ALS A&E Test Certificate of Rating, certified by the DepEd-NETRC -BALS
 School ID (for currently enrolled students) or any valid ID with picture (for previous SHS graduates)
 Current Chest X-Ray (PA) result with film (6 months validity from schedule date of medical clearance)
 Medical Clearance issued by the PUP Medical Clinic.
 Two (2) pcs. 2 in. x 2 in. colored picture with white background with applicant's name on the photo.

For High School/Senior High School Graduates of Past School Year/s

In addition to the above admission requirements:
 Certification from high school/senior high school registrar with school dry seal and noted by the Principal that no
copy of F137A has been sent to other college or university.
 Notarized certification of non-enrollment for high school/senior high school graduates who have not enrolled in
any technical/diploma/degree program immediately after graduation with "waiver" that if there is concealment of
previous enrollment, PUP enrollment becomes null and void.
 For PEPT qualifier, a duly authenticated or verified copy of the Certificate of Rating and a Certification issued by
the Department of Education (CMO No.15, s. 2003)
 Duly authenticated copy of the PEPT/ALS A&E Test Certificate of Rating, certified by the DepEd-NETRC–BAL for
secondary level.

B. Other Requirements:

1. One (1) piece long, brown envelope.

2. For applicants whose Senior High School English final grade is below 80%, PEPT and ALS A & E Test qualifier,
proceed to the Office of the Head, Academic Programs to be scheduled for English Placement Test (EPT). A fee of
P150.00 for the English Placement Test shall be paid to the PUP Cashier.

Page 6 of 6