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APPLICATION FORM
NATIONAL GRADUATE SCHOOL OF ENGINEERING (NGSE) ADMISSION
ENGINEERING RESEARCH AND DEVELOPMENT FOR TECHNOLOGY (ERDT) SCHOLARSHIP
LAST NAME
GIVEN NAME
INSTRUCTIONS
1.
2.
3.
4.
5.
Must be a Filipino citizen not over 45 years of age at the time the student is admitted to the ERDT Scholarship Program
Must have a BS degree in engineering or related field (for MS applicants)
Must have a MS degree in engineering or related field (for PhD applicants)*
Must be in good health condition
Must NOT have a criminal or administrative case
* Ph.D. program straight from Bachelor of Science degree is possible. For more details, please inquire at the NGSE Office Rm. 119
Melchor Hall, UP Diliman.
FORM GPC-02
Date of Submission
Received by
O.R. Number
SCHOOL
AVERAGE
BS
MS
Name of Applicant:
refused admission
FORM GPC-02
I.
1.a.
PROGRAM OF STUDY
Degree Program. Choose only one degree and one graduate program.
Date
Master of Science
CE
Doctor of Philosophy
Master of Engineering
CE
Doctor of Engineering
1.b.
ChE
CS
ChE
EE
EE
EEE
EgyE
EnE
EnE
EgyE
GmE
IE
ME
MetE
MSE
IE
ChE
EEEE
EgyE
Choice of Research Field. Answer only for the degree program you have chosen above.
Rank your first 3 choices by writing numbers 1 to 3 in the boxes (1 being the highest priority)
Geotechnical
Structural
Transportation
Water Resources
Biological
Environmental
Materials &
Process Systems
Engineering
Engineering
Thermal Systems
Catalysts
Engineering
Scientific Computing
Computer Security
Network &
Machine Intelligence
Distributed Systems
Web Science
Computers &
Instrumentation
Power Systems
Communications
& Control
Microelectronics
MSE
Renewable Energy
Energy Storage
Biofuels
Resource Assessment
Energy Planning
Energy Modeling
Waste-to-Energy
Others:
Environmental Management
Geoenvironmental Engineering
Applied Geodesy
Geoinformatics
Production Systems
Operations Research
Information Systems
Ceramic Materials
Polymeric Materials
Composite Materials
Semiconductor Materials
Biomaterials
Nanomaterials
High-Value Adding
Materials Forensics
Materials
of Local Materials
Biomechanics
Computational Mechanics
Machine Design
Power
Fluids Engineering
Vehicle Engineering
Minerals Processing
Metal Extraction
Physical Metallurgy
First Semester
Second Semester
Yes
Ultrafine Processing
AY
No
If yes, what is the name of the scholarship program which you are applying for?
1.e.
a
b
Indicate the name of the potential adviser (list provided in the brochure or the UP COE website)
MEng programs are not yet under the ERDT Scholarship Program.
Joint program with the College of Science.
FORM GPC-02
II.
2.a.
PERSONAL INFORMATION
Male
Last Name
Birth
(MM/DD/YY)
Given Name
Birth Place
Middle Name
Civil Status
Country of Origin
2.b.
Citizenship
Current Address
No P.O. Box
Postal Code
Country
Postal Code
Country
Permanent Address
2.c.
Contact Number/s
Female
Date
E-mail Address
2.d.
Fathers Name
Mothers Name
2.e.
Complete Name
Complete Address
Relationship
Contact Number
III.
3.a.
3.b.
3.c.
EMPLOYMENT INFORMATION
Self-Employed
Employed Full-Time
Employed Part-Time
Position
Length of Service
Company Name
Telephone Number
Office Address
Fax Number
E-mail Address
Company Website
Self-Employed Applicants
Business Name
Unemployed
Business Address
3.d.
E-mail/Website
Telephone Number
Type of Business
Years of Operation
Employment History
Period (MM/YYYY)
From
To
Full-Time (F) or
Part-Time (P)
Name of Employer
Title/Position
Once accepted into the ERDT scholarship program, the scholar must obtain permission from his/her employer to take a
leave of absence and become a full time student for the entire period of scholarship. The scholar must submit a
certification from his/her employer agreeing to the leave of absence.
c
FORM GPC-02
IV.
4.a.
ACADEMIC BACKGROUND
SECONDARY EDUCATIONd
School Name
Date Started
Date Graduated
School Address
4.b.
TERTIARY EDUCATIONd
Name of Institution
Location
Degree Received
Enrollment (MM/YYYY)
From
Until
4.c.
POST-GRADUATE STUDIESd,e
Name of Institution
4.d.
Enrollment (MM/YYYY)
From
Until
Awarding Institution
Date Received
Title of Publication
Date Published
Name of Conference
Date Presented
Title of Paper
4.f.
Degree Received
Title
4.e.
Location
Title of Paper
4.g.
OTHER QUALIFICATIONS g
Verified copies of academic documents must be attached to this application. Filipino or English translations are
STRICTLY required.
e
All postgraduate studies taken, up to obtaining a masters degree.
f
Done within the last FIVE YEARS.
g
Membership to professional organizations, eligibilities/certificates, professional licenses, etc.
d
FORM GPC-02
V.
PROGRAMMING PROFICIENCY
Required for MS & PhD CS applicants; optional/additional qualification for the others.
List the programming languages (e.g. C, C++, Java) you are proficient in & the projects/applications completed using these languages.
Level of Proficiency
(1 lowest, 5 highest)
Programming Language
Level of Proficiency
(1 lowest, 5 highest)
Programming Language
Projects/Application
Title/Name of Projects/Application
VI.
ADMISSION ESSAY
For CS
Discuss in at least 300 to a maximum of 500 words about yourself, your qualifications relevant to your application
to the graduate program, and your future plans with respect to your chosen plan of study.
Discuss details of your other qualifications (e.g. membership in professional bodies, certificates, scholastic honors
received) that are relevant to your application to the graduate program, past or ongoing research & development
work/experience, research areas of interest, and reasons for applying for the graduate program. You may also
indicate professors and/or research laboratories in the department whose work you are interested in joining. If
you plan to be a part-time student, discuss the relationship of your planned graduate studies to your present
employment and the support, if any, of your present employer for your planned graduate studies.
For EE
VII.
For EgyE
For MS: In at least 200 words, discuss why you would like to take MS EgyE.
For PhD: In at least 400 words, discuss why you would like to take PhD EgyE and what area of interest you would
like to pursue.
For EnE
For MS: In at least 200 words, discuss why you would like to take MS EnE.
For PhD: In at least 400 words, discuss why you would like to take PhD EnE and what area of interest you would
like to pursue.
Write on a separate paper (minimum of 300 words and maximum of 1000 words) the following:
Essay 1
A description of the current work or project or undergraduate research that have been done (for those who have just
graduated from BS degree) or graduate research that have been done (for those applying for the doctoral program).
Essay 2
Essay 3
Intended research work to be done while in the graduate program. This research proposal should include the following
components: problem statement, significance of the research, brief literature review, outlined methodology, and Gantt
chart. Note that Year 1 is usually devoted to doing course work; make a research timeline for one (1) year for the masters
degree and two (2) years for doctoral degree of study.
FORM GPC-02
VIII. REFERENCES
Name
IX.
Telephone Number
APPLICANTS DECLARATION
I declare that the information supplied in this application and the documentation supporting it are true
and complete. I acknowledge that the provision of incorrect information or documentation relating to
my application may result in cancellation of admission or enrolment. If admitted to the National
Graduate School of Engineering and to the ERDT Scholarship Program, I solemnly agree to abide by
the rules and regulations of ERDT Scholarship Program, the College of Engineering and the University
of the Philippines.
X.
University/campus roadshow
Friend
ERDT scholar
Date
FORM GPC-03
LETTER OF RECOMMENDATION
NATIONAL GRADUATE SCHOOL OF ENGINEERING (NGSE) ADMISSION
ENGINEERING RESEARCH AND DEVELOPMENT FOR TECHNOLOGY (ERDT) SCHOLARSHIP
APPLICANTS INFORMATION
Last Name
Given Name
Middle Name
Address
Postal Code
Country
APPLICANTS EVALUATION
Note to the Recommender: Any pertinent information regarding the applicant and your evaluation of the applicants ability to
undertake graduate studies and research will be held in strict confidence.
How long have you known the applicant?
If the applicant was a student in some of your classes, what were these subjects?
What do you consider as the applicants outstanding talents or strengths in relation to graduate study?
FORM GPC-03
Please rate the applicant on the following characteristics in comparison with other students in the same disciplines who are known
to you and who have had more or less the same amount of training and experience. Indicate size of the group with which applicant
is being compared and its educational level.
Group Size
Educational Level
Excellent
1.
Intellectual ability
2.
3.
4.
5.
6.
7.
8.
9.
Above
Average
Average
Below
Average
No Basis
I therefore
strongly recommend
recommend
recommend with reservations
the applicant for admission to the National Graduate School of Engineering in UP Diliman.
do not recommend
Title
Engr./Dr./Prof.
Given Name
Last Name
Affiliated Organization
Position in Organization
Address of Organization
Highest Educational Attainment
Middle Initial
Date