Republic of the Philippines Document Code: ARO-FRM-208

UNIVERSITY OF ANTIQUE Revision No. 02

Office of Admission/Registrar
Sibalom, Antique Effectivity Date: November 13, 2018
Tel. No. (036) 543 8161
E-Mail: [email protected] Page: 1 of 1
ADMISSION APPLICATION FORM

ADMISSION NO.:
LAST NAME: VALENZUELA FIRST NAME: ANTONIETTE
MIDDLE NAME: PONCE SEX: FEMALE TEL. NO. / CELL PHONE: 09557789137
DATE OF BIRTH: 11/23/1999 PLACE OF BIRTH: CABLEWAY EXT. SAN JUAN, DARANGAN, BINANGONAN, RIZAL
HOME ADDRESS: PIAPI 1, HAMTIC, ANTIQUE
SCHOOL LAST ATTENDED: ANTIQUE NATIONAL SCHOOL PRIVATE ✔ PUBLIC YEAR GRAD.: 2018-2019
ACADEMIC AWARD RECEIVED: VALEDICTORIAN SALUTATORIAN WITH HONORS/HONORABLE MENTION ✔ NONE
IS YOUR FAMILY A 4Ps RECIPIENT? ✔ YES NO
DO YOU HAVE PRIOR ENROLMENT IN COLLEGE/TERTIARY EDUCATION?: YES ✔ NO
IF YES, AT WHAT SCHOOL & COURSE?: YEAR: SEM.: -
FINAL GRADES:
MATH: SCIENCE: ENGLISH: GEN. AVERAGE: 81
FATHER: ANTONIO M. VALENZUELA SR. WORK: DECEASED MONTHLY INCOME:
MOTHER: CARMENCITA P. VALENZUELA WORK: YAKULT LADY (DELIVERY) MONTHLY INCOME: 5,000.00

COURSE PREFERENCES (Please click the arrow and select your preferred course from the given choices):
1ST PREFERENCE: Bachelor of Elementary Education
2ND PREFERENCE: Bachelor of Secondary Education
3RD PREFERENCE: others

I HEREBY CERTIFY TO THE CORRECTNESS OF THE INFORMATION GIVEN.

______________________________
Applicant’s Signature / Date

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Republic of the Philippines Document Code:
UNIVERSITY OF ANTIQUE Revision No. 02
Office of Admission/Registrar
Sibalom, Antique Effectivity Date: November 13, 2018
Tel. No. (036) 543 8161
E-Mail: [email protected] Page: 1 of 1
TEST RESULT
AY 20_____ - 20_____
ADMISSION NO.:
NAME: Differential Aptitude Test:
Last Name, First Name Middle Name Date Taken:

Examinee No.:

% Rank Stanine Qualified to the Course:

Verbal Reasoning (VR) ⎕ 1st Preference Bachelor of Elementary Education
Numerical Ability (NA) nd
⎕ 2 Preference Bachelor of Secondary Education
VR + NA ⎕ 3rd Preference others

⎕ others
% Rank Stanine
Abstract Reasoning
Mechanical Reasoning
Clerical Speed & Accuracy
DARIUS E. MONTAÑO .
Guidance Counselor III

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Republic of the Philippines Document Code:
UNIVERSITY OF ANTIQUE Revision No. 02
Office of Admission/Registrar
Sibalom, Antique Effectivity Date: November 13, 2018
Tel. No. (036) 543 8161
E-Mail: [email protected] Page: 1 of 1
EXAMINATION PERMIT

ADMISSION NO.:
NAME:
SEAT NO: EXAMINATION DATE: TIME:
OFFICIAL RECEIPT NO.:

_______________________________ ______________________________
Guidance / Date Applicant’s Signature / Date
 DOWNLOAD THIS AS YOUR GUIDE FOR ADMISSION AND ENROLMENT

College of Arts & Sciences (CAS)

BSCD (BS in Community Development) BSCRIM (BS in Criminology)
AB ENG (AB English) ABCOM (AB Communication)
ABPSYCH (AB Psychology) ABPOLSC (AB Political Science)
 College of Business and Accountancy (CBA)
DPA (Doctor of Public Administration) MPA (Master of Public Administration)
MBA (Master of Business Administration)  BSENTREP (BS in Entrepreneurship)
BSACCTY (BS in Accountancy) BSMA (BS in Management Accounting)
BSOADM (BS in Office Administration) BSCM (BS in Cooperatives Management)
BSHM (BS in Hospitality Management)formerly BSHRM BSTM (BS in Tourism Management)
BS in Business Administration (Marketing Management)
 College of Computer Studies (CCS)
BSCS (BS in Computer Science - Digital Arts and Animation (DAA), Intelligent Systems(INS)
BSINFOTECH (BS in Information Technology- Network and Security (NAS), Human Computer Interaction (HCI)
BSINFOSYS*(BS in Information System) (at TLMC Only)
 College of Engineering and Architecture (CEA)
BSEE (BS in Electronics Engineering) BSARCH (BS in Architecture)
BSCE (BS in Civil Engineering) BSME (BS in Mechanical Engineering)
BSCOMPE(BSin Computer Engineering-Embedded Systems (ES), BSEE (BS in Electrical Engineering)
Software Development (SD), System and Network Administration (SNA)
 College of Maritime Studies (CMS)
BSMARE (BS in Marine Engineering) ESLPMD(Enhance Support Level Program in Marine Deck)
BSMT (BS in Marine Transportation) ESLPME (Enhance Support Level Program in Marine Engine)
 College of Technology (COT)
BAT(Bachelor in Automotive Technology) BAT (Bachelor in Industrial Technology)
BET(Bachelor in Electronics Technology) •Construction and Civil Technology (CCT) •Food Service Technology (FST)
BELT (Bachelor in Electrical Technology) •Fashion, Design and Apparel Technology (FDAT)•Drafting Technology (DT)
•Heating, Ventilation, Air- Conditioning, and Refrigeration Technology (HVARCT)
 College of Teacher Education (CTE)
PHD(Doctor of Philosophy- •Educational Management (EM)
MED(Master of Education- •Educ’lMgt (EM) •Curriculum &Instruction (CI)•Vocational Technology(VT)
MAED (Master of Arts in Education- •English•Filipino•Biological Science•Social Studies• Reading)
MAT(Master of Arts in Teaching - •Mathematics•Physical Science)
BEED (Bachelor of Elementary Education- •General)
BSED (Bachelor of Secondary Education- •English•Filipino•Mathematics •Science•Social Studies)
BTVTED (Bachelor of Technical and Vocational Teacher
Education
•Construction and Civil Technology (CCT) •Food Service Management (FSM)• Automotive Tech (AT)
•Garments, Fashion, and Design (GFD) • Electrical Technology (ET)
•Heating, Ventilation, Air-Conditioning, &Refrigeration Tech (HVARCT) •Electronics Technology (ELT)
BSNED (Bachelor of Special Needs Education (formerly SPED)
BECED (Bachelor of Early Childhood Education) BPED Bachelor in Physical Education
CIT(Certificate in Teaching) DECE (Diploma in Early Childhood Devt)
BTLED*(Bachelor of Technology &Livelihood Education-Home Economics (HE), Agri-Fishery Arts (AF) (at Hamtic Only)
 College of Fisheries (COF - TLM Campus)
BSNED BSin Fisheries
 College of Agriculture, Forestry, and Food Sciences (CAFFS- Hamtic Campus)
BSDT (Bachelor of Dairy Technology BSFO (BS in Forestry)
BSAGRI (BS in Agriculture- Crop Science (CROP), Animal Science (ANSCI) BSFT (BS in Food Technology)

Instruction to the applicants:

1. Download the Admission Application Form and accomplish the form correctly and completely by supplying the necessary information on the shaded boxes.
2. Present to the MIS office the accomplished form in order for you to be officially registered as an applicant, given your official Examinee Number/Admission Number, and have
your picture taken as printed in the Admission Form.
3. Proceed to the Guidance Office for your examination schedule. Present your Admission Form so you can be issued your Examination Permit identifying your schedule and
room number.
4. Take the examination on the specified date and time. Be sure to follow the proper dress code. Bring along with you your Examination Permit and 2 pieces of pencils (no. 2).
5. Check the examination result on the scheduled date of its publication. Personally present your examination permit at the Guidance Office in order for you to be issued the
official result of your entrance examination. Results WILL NOT BE ISSUED to anybody other than the applicant. Verify in which college or course you are qualified to enroll and
return on the scheduled date for your enrolment.
6. Report to the college where you want to enroll to verify if you are qualified or not based on you examination result and Senior High School grade point average (GPA). Bring
with you your examination result and HS Card (Form 137). For certain courses, applicants may be further required to undergo, Physical Fitness test, Ishihara test, qualifying
examination, and interview.

ENROLMENT PROCEDURE:

• Appraisal of students’ record Venue: Deans’ Office

• Identifying students’ schedule Documents: (photocopy)
Academic Advising and Encoding
• Filling out the Pre-Registration Form and • HS Form 137/TOR (for transferee) • Birth Certificate
(Enrollment Committee)
Encoding of subjects • Honorable Dismissal (for transferee)
• Medical certificate • Entrance Examination Test
Result •2 pcs. 2x2 ID Picture

• Assessment of Fees Venue: Cashier’s Office/HRM Hall/

Assessment(Cashier) • Printing of RF Convention Center

• Confirmation of Enrollment Venue: Registrar’s Office

Registration for Official Enrollment
• Issuance of students’ copy of RF Documents: (Original copy of documents submitted to the
(Registrar’s Office)
Dean’s Office)