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PONTIFICAL AND ROYAL

UNIVERSITY Attach one (1)


2x2 recent picture

OF SANTO TOMAS with white background,


name and signature
at the back
THE CATHOLIC UNIVERSITY OF THE PHILIPPINES

OFFICE FOR ADMISSIONS

COLLEGE APPLICATION FORM


FURTHER INSTRUCTIONS GENERAL GUIDELINES
1. After accomplishing the Application and Grades Form, with the reference 1. Only applicants who are currently enrolled in Grade 12 may apply.
number, proceed to any Metrobank or BPI branch to pay the non-refundable 2. The following applicants must secure clearance from the UST
application fee in cash over the counter. Office of the Registrar before paying the application fee:
2.1 Passers of the Philippine Educational Placement Test (PEPT)
2. Keep a photocopy of all the documents before you proceed to step 3. and Alternative Learning System Accreditation and Equivalency
3. Forward the following documents to the Office for Admissions (OFAD) through (ALS A & E) – present the certificate of passing
LBC only: 2.2 Applicants who are graduates of previous school years
- present original Form 138 (Report Card)
3.1 Signed Application Form 2.3 Candidates for graduation from foreign schools
3.2 Accomplished Grades Form – present Form 137(Transcript of Records)
2.4 Foreigners graduating from local schools – present passport
3.3 Clear Photocopy of: and Alien Certificate of Registration
PSA Birth Certificate or passport APPLICATION FEES
BPI/Metrobank payment slip (do not send the original copy) UST & PROVINCIAL TESTING CENTERS:
Php 600.00 - Filipinos studying in the Philippines
Php 1,000.00 - Filipinos studying abroad
4. Keep track of your documents with LBC. Please visit your Activity Log to view Php 1,000.00 - Foreigners studying in the Philippines
the notification five (5) working days after we receive your documents. USD 30.00 - Foreigners studying Abroad
Php 3,600.00 - LEAPMed Applicants
International Testing Centers: USD 100.00
5. Upon receiving the notification of OFAD, download and print the TEST Through International Qualifications: USD 50.00
PERMIT. Take note of your USTET schedule. Reference Number:
2019002014
Legal Name (Name in Birth Certificate)

CAMACHO F
Last Name Auxiliary Name (e.g. Jr., II, etc.) Gender

SAMANTHA NICOLE
Given Name Landline Number

DE LLORO 09308167065
Middle Name Mobile Number

02 / 26 / 2000 FILIPINO CHRISTIAN (CATHOLIC) sammy.camacho18@gmail.com


Date of Birth (MM/DD/YYYY) Citizenship Religion E-mail Address

63 SAN GABRIEL TERESA, RIZAL 1880


Permanent Mailing Address Zip Code

Name of present Senior High School Track/Strand

SYSTEMS TECHNOLOGY INSTITUTE SCIENCE, TECHNOLOGY, ENGINEERING & MATHEMATICS - STEM


Address of Senior High School

ORTIGAS AVE. EXIT, CAINTA, 1900 RIZAL

PRIORITY PROGRAM (College / Faculty / Institute and Program) ALTERNATIVE PROGRAM (College / Faculty / Institute and Program)
CIVIL - FACULTY OF ENGINEERING ARCHITECTURE - COLLEGE OF ARCHITECTURE AND FINE ARTS

Note: Whatever program you have specified in your application form can no longer be changed or altered.
Testing Center:
IMPORTANT REMINDERS
1. To avoid problems in the release of your USTET results, please forward University of Santo Tomas ( Manila )
the complete set of documents to the Office for Admissions (OFAD)
throughh LBC only.
I certify and fully understand that:
2. Payments will only be accepted at any Metrobank and BPI branches. 1. I have not withheld any information that might affect my admission.
3. Please take note of the USTET schedules and their corresponding 2. The priority and alternative programs stated herein can no longer be changed or
deadlines for the payment of the non-refundable application fee and altered.
submission of documents. 3. I have not been admitted to and /or debarred from any other tertiary school.
FOR APPLICANTS who wish to take the USTET in the MANILA CAMPUS: 4. My final admission will also depend on the submission of my official documents
COLLEGE USTET SCHEDULE Deadline of Payment and and the grades.
Submission of Documents 5. All submitted documents will become properties of OFAD and can no longer be
September 23, 2018 September 14, 2018 retrieved by me.
6. Passing the USTET is not the sole basis for admission to some colleges. Some
October 14, 2018 October 5, 2018
colleges may require additional entry assessment in the form of an interview,
December 2, 2018 November 16, 2018 talent test and other similar activities.
FOR APPLICANTS who wish to take the USTET in the PROVINCIAL 7. All information in this Application form, Grades Form, and Information Survey
TESTING CENTERS: are complete and correct to the best of my knowledge and belief.
Complete set of documents should be received by the UST Office 8. I authorize further that results and other data herein contained may be used for
for Admissions (OFAD) one (1) week before the USTET schedule. research purposes.
FOR APPLICANTS who wish to take the USTET in the MIDDLE EAST 9. I authorize the Office for Admissions (OFAD) of the University of Santo Tomas
TESTING CENTERS: to verify all data that I have provided.
Complete set of documents should be received by the UST Office
for Admissions (OFAD) on or before September 21, 2018.
4. The following are grounds for forfeiture of the right to enrol or
debarment in the succeeding semester if discovered in the current
semester. Signature Date
4.1 Misrepresentation of information entered in the Application and
Grades Form/Information Survey CONTACT INFORMATION
4.2 Misrepresentation during the examination; Office for Admissions (OFAD)
Rm 104, Tan Yan Kee Student Center
4.3 Any violation of the instructions given
Telephone: +632 406.1611 loc 8276 Website: ofad.ust.edu.ph
4.4 Other acts not in conformity with the university’s policy. +632 310.7211 E-mail: ofad@ust.edu.ph
5. Visit the OFAD website (ofad.ust.edu.ph) and the activity log in your Mobile: +639053521252 Facebook, Twitter, @USTofad
Applicant Admission Account every Friday for any announcement. Tele-fax: +632 310.7214 and Instagram:

UST:SO24-00-FO01 rev02 6/25/2018


DOCUMENT CHECKLIST (Applicant's Copy)
(UST College Application Requirements)
To the LBC Representative:
Kindly place a check ( ✓ ) mark on the box if the proper document was submitted.
Place an X on the box if the applicant did not submit the proper document.

Reference Number: 2019002014


Applicant Name: SAMANTHA NICOLE DE LLORO CAMACHO

Signed Application Form

Accomplished Grades Form

Clear photocopy of PSA Birth Certificate or passport

Clear photocopy of BPI/Metrobank payment slip

Received and Checked by LBC personnel:


(printed name and signature)
[This document must be returned to the applicant after signing.]

UST:SO24-00-FO01 rev02 6/25/2018