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,
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)
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,
___________________________________ ______________________
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: ____________________
___________________________________ ______________________
Signature over Printed Name Date
___________________________________ ______________________
Signature over Printed Name Date
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.
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.
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
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
NOTE: Present your Registration Certificate to your teachers during the first day of classes.
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
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:
B. Other Requirements:
Page 6 of 6