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Reference No.: BatStateU-FO-CEAFA-02 Effectivity Date: April 23, 2019 Revision No.

: 00

Republic of the Philippines


Batangas State University
Pablo Borbon Main II, Alangilan Batangas City
College of Engineering, Architecture and Fine Arts
(043) 425-0139 local 118, batstateu.ceafadean@gmail.com
GRADUATE SCHOOL OF ENGINEERING

APPLICATION FOR ADMISSION


To the Applicant:
1. Fill in all information needed. TYPE in all caps in all entries.
2. Attach a 2”x2” photograph taken within the last six months on this form.
3. Submit this form together with the following requirements: 2” x 2” picture
a. Original and one certified true copy of official Transcript of Record
(TOR)
b. Two sealed Letters of Recommendation (for MS and PhD applicants)
c. Personal Statement Containing Academic & Career Objectives
d. Original NSO/PSA Birth Certificate
e. Photocopy of NSO/PSA Marriage Certificate for female applicants
f. Transfer Credentials or Honorable Dismissal
g. Photocopy of research outputs (for PhD applicants)

Are you applying for scholarship? Yes ✔ No


If yes, please specify:_______________________________________________________________________________
Application for: First Semester
✔ Second Semester Midterm 2019-2020
School Year: _____________________
Degree Program Applied For: Master of Engineering
______________________________________ Full-Time Student
MECHANICAL ENGINEERING
Intended Major: _________________________________________________ ✔ Part-Time Students

PERSONAL INFORMATION

Last Name CALDEA Nickname STEPH


Date of Birth
First Name STEPHEN REY (mm/dd/yyyy) 03/11/1989
Middle Name DELA CRUZ Place of Birth ROXAS CITY, CAPIZ
Name Extension (Jr., Sr.) Age 30
Civil Status ✔
Single Married Widowed Sex ✔
Male Female
Citizenship FILIPINO Religion ROMAN CATHOLIC
Home Address LIAN BATANGAS Phone No.
Email Address strey_2013@yahoo.com Mobile No. 09178935680
Office Address LIAN BATANGAS Phone No.

ACADEMIC EXPERIENCES

Period of Scholarship /
Attendance Year Academic
Level Name of Institution / Location Degree Awarded
Graduated Honors
From To Received
Elementary DON MANUEL ARNALDO MEMORIAL SCHOOL 1995 2001 2001
Secondary CAPIZ NATIONAL HIGH SCHOOL 2001 2005 2005
Vocational
Reference No.: BatStateU-FO-CEAFA-02 Effectivity Date: April 23, 2019 Revision No.: 00

College CAPIZ STATE UNIVERSITY 2005 2010 BSME 2010


Graduate
Studies

WORK EXPERIENCES

Name of Company Inclusive Date (mm/yyyy)


Location Position
(starting with the most recent) From To

ABSOLUT DISTILLERS, INC. BRGY. MALARUHATAN, LIAN, BATANGAS DEPARTMENT MANAGER 07/2018 PRESENT
ABSOLUT DISTILLERS, INC. BRGY. MALARUHATAN, LIAN, BATANGAS SUPERVISOR 05/2012 07/2018
ABSOLUT DISTILLERS, INC. BRGY. MALARUHATAN, LIAN, BATANGAS CADET ENGINEER 10/2011 05/2012
EEI CONSTRUCTION AND MARINE BAGUMBAYAN QUEZON CITY CADET ENGINEER 05/2011 10/2011
OLEO FATS, INC. BAGUMBAYAN, QUEZON CITY CADET ENGINEER 10/2010 03/2011
*please attach additional sheets, if necessary

PERSONAL STATEMENT CONTAINING ACADEMIC & CAREER OBJECTIVES

Address the following statements on a separate sheet and attach it to this application form.

1. Write about how you see yourself five (5) years from now in terms of career and profession.
2. State your reason for pursuing graduate studies.
3. Explain the potentials that you have to deserve to be admitted to the program.
4. Set out the area(s) that you want to examine or the central theme that you wish to consider in your industry
research/ thesis / dissertation.

I certify that all information contained in this application are true and correct to the best of my knowledge. I understand
that all credentials submitted in support of this application become the property of the university and are not returnable.
I understand that any misrepresentation may cause denial of admission or expulsion from the University.

_________________________________ ______________________________
Signature over printed name Date

FOR CEAFA OFFICE USE ONLY

Recommendation

To take an entrance exam


For interview ________________________________ _____________
Not Admitted Department Chair/Program Coordinator Date
Reason:
______________________________________
______________________________________ ________________________________ _____________
______________________________________ College Dean Date

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