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G E N E R A L G U I D E L I N E S1. Only candidates for high school graduation of the current school year are qualified

to take the UST Entrance Test (USTET)

2. The following applicants must secure clearance from the UST Registrar's Office beforesubmitting their Application and Grades form:

a. Passers of the Philippine Educational Placement Test (PEPT) and the Non-FormalEducation Accreditation and Equivalency (NFEA&E)

b. Students who are graduates of previous school yearsc. Candidates for graduation from foreign schoolsd. Foreigners graduating from local schools

A P P L I C A T I O N P R O C E D U R E S

c.

Applicants may apply on site or online (ofad.ust.edu.ph).

Clear photocopy of NSO birth certificate

2.

Non-refundable application fee

b. Two (2) 2" x 2" recent identical pictures with white background andwith name and signature at the back

a.

Submit the following together with the accomplished Application andGrades Form:

1.

3. Applicants who wish to apply online may visit our website (ofad.ust.edu.ph)for further instructions.

Pontifical and Royal

The Catholic University of the PhilippinesUNIVERSITY OF SANTO TOMAS

(Please bring original academic records, certification for passing PEPT/NFEA&E andalien certificate of registration papers or passport, when

3. Application fees of candidates for high school graduation belonging to the top 5 of theirbatch, (based on the third year final grading period) may be waived upon presentation ofa certification from the high school principal indicating their Reference No.: 20140000077582

OR No.:Applicant

A P P L I C A T I O N F O R M

Year of Graduation

2014

RegionCAGAYAN VALLEY

Address of High School

CORDON, CORDON, ISABELA

School Type (e.g. Public, Private, etc.)PRIVATE SCHOOLS

Name of High School (Do not abbreviate)

ST. JOHN BERCHMAN HIGH SCHOOL

Contact Number

3312Zip Code

AB IN LEGAL MANAGEMENT - FACULTY OF ARTS AND LETTERS

AB IN POLITICAL SCIENCE - FACULTY OF ARTS AND LETTERS

PROGRAM PREFERENCES

This form may be photocopied/reproduced UST: S024-00-FO01

1st YEAR

2nd YEAR

3rd YEAR

ENGLISH MATH SCIENCE

Note: General weighted average is required for all subject grades. School Seal(Not valid without school seal)

Certified by:

Principal/Registrar(Signature over printed name)

H I G H S C H O O L G R A D E S F O R M

GRADE DETAILS GUIDELINES1.

A portion of your USTET result is made up of your high school grades. Therefore, Grade Details with incompleteinformation will not be recorded.

4.

Affix the school seal for validation. In the absence of a school seal, please attach clear photocopy of Form 137A (Transcript ofRecords).

2.

e.g. 85. 00, 88. 50

Record the final average grade for each year level in English, Mathematics and Science in the appropriate boxes.e.g. [ Earth Science (85.00) + Science and Technology (87.00) ] / 2 = Science grade (86.00)Compute for the average of all interrelated subjects taken up within the same school year.

State the grades in standard quantitative equivalent.

5.

Only the School Registrar or Principal may certify the Grade Details portion of the form.

3.

MANANTANMiddle Name

KELLY IRISHGiven Name

COAuxiliary Name (e.g. Jr., II, etc.)Last Name

078 6949068Landline Number

0926 547 8637Mobile Number

02 / 24 / 1998Date of Birth

FGender

FILIPINONationality

[email protected] Address

3312Zip Code

8 NATIONAL HIGHWAY, BRGY. TARINGSING, CORDON, ISABELAPermanent Mailing Address

JEHOVAH'S WITNESSReligion

*Please use ballpen and write in block letters only

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Checker

I N F O R M A T I O N S U R V E YBelow are some survey questions. Please answer them as truthfully as you can by placing a check mark. Your response to these questions willhelp us a lot in our decision making activities.

Do you have family members who are graduates of or are currently enrolled in UST?1.Name Relationship College/Course Batch Contact No.

How did you learn about UST?2.

01

Trimedia (TV, Newspaper, Radio)Family

0

0

Friends

Others (Please specify):

Teachers0

0 School Career Orientations

Guidance Counselors

Are you a school varsity player?3.

1

0

Yes (proceed to no. 4)

No (proceed to no. 5)

What is your sport?4. Volleyball

Are you planning to pursue a graduate program after finishing your bachelor'sdegree?

5.

1

0Yes (proceed to no. 6)No (proceed to no. 7)

Which of the following program are you planning to pursue after college?6.

1

0

Civil Law

Medicine

Graduate School, please specify:

What is your declared Monthly Family Income (Php)? Please check.7.

0

0

Below 10,000

10,001-20,000

0

0

20,001-30,000

30,001-40,000

140,001-50,000

050,001-60,000

80,001-90,000

0

0

70,001-80,000

0

0

100,001-Above

0 60,001-70,000

90,001-100,000

Will you need financial assistance?8.

1

0

Yes

No

What is your religion?9.

0 Catholic

Jehovah's WitnessNon-Catholic, please specify:

Are you a member of any cultural, civic, or church organizations?10.

0

1



What is the name of the organization?11.

Are you a member of any fraternity/sorority?12.

0

1



What is the name of the fraternity/sorority?13.

Have you applied for or are you planning to apply also in other schools?14.

0

1



IMPORTANT REMINDERS1.

4.

Enrollment in any program or vocational course prior to the release of the USTET result shall lead to the nullification of the examination taken.The fees paid for the USTET shall be forfeited in favor of the University.

2.

foreigners graduating from local schools must secure clearance from the UST Registrar's Office (Mondays to Fridays only).

Submitted documents become property of UST - Office for Admissions (OFAD).Your USTET schedule will depend on the earliest testing date available upon the submission of your requirements.

PEPT and NFEA&E passers, students who are graduates of previous school years, candidates for graduation from foreign schools

5.

Applicants with incomplete requirements will not be entertained.

3.

6. Any misrepresentation of information written on this form, or any violation of the instructions given above shall be grounds for forfeiture of rightto enroll, or debarment in the succeeding semester if discovered in the current semester.

Please write the name of the school and the programs applied for.15.Name of School Program

Are your parents/siblings or other relatives currently employed at UST?16.

0

1



Please write the name, department and position in UST.17.Name Relationship Department Position

Are you willing to enroll in the new UST campuses outside Manila?18.0

1

Yes (proceed to nos. 19, 20 and 21)


Which campus is more accessible to you?19.

0

0

UST, Sta. Rosa (Laguna)

UST, General Santos City (South Cotabato)

What degree program do you plan to take if you enroll in a UST Campusoutside Manila?

20.

Would you be willing to stay in the student dormitory located inside the

new UST Campus outside Manila?

21.

0

1

Yes

No

If you passed the USTET but will not enroll in UST, what could be apossible reason?

22.

0

1

Other school preference

Financial

Others, please specify:

I certify that:

1.

4.

2.

and correct to the best of my knowledge and belief.

My final admission will also depend on the submission of myI have not been admitted to and/or debarred from any other school.

All information in this Application and Grades Form are complete

I have not withheld any information that might affect my admision.

3.

I authorize the Office for Admissions (OFAD) of the University of Santo Tomasto verify all data that I have provided.

official documents and the grades.

Signature Date

Documents

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