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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
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5.
Wait for the final decision on your application which will be communicated to you by email and/or phone.
1.
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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
Date
I. PROGRAM OF STUDY
1.a. Degree Program. Choose only one degree and one graduate program.
Master of Science
CE
Doctor of Philosophy
Master of Engineering
ChE
CE
Doctor of Engineering
CS
ChE
EE
EE
EEE
EgyE
EnE
EnE
EgyE
GmE
IE
ME
MetE
MSE
IE
ChE
EEE
EgyE
1.b. 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)
Structural
Transportation
Water Resources
Environmental
Materials &
Process Systems
Engineering
Engineering
Thermal Systems
Catalysts
Engineering
Computer Security
Network &
Machine Intelligence
Distributed Systems
Web Science
Computers &
Instrumentation
Microelectronics
Power Systems
Communications
& Control
Energy Storage
Biofuels
Resource Assessment
Energy Planning
Energy Modeling
Waste-to-Energy
Others:
Environmental Management
Geoenvironmental Engineering
Geoinformatics
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
Fluids Engineering
Power
Vehicle Engineering
Metal Extraction
Physical Metallurgy
First Semester
Second Semester
Ultrafine Processing
AY
MEng programs are not yet under the ERDT Scholarship Program.
Joint program with the College of Science.
MSE
FORM GPC-02
II.
2.a.
PERSONAL INFORMATION
Male
Last Name
Birth
Given Name
Date
(MM/DD/YY)
Birth Place
Middle Name
Maiden Name for married female applicants
Civil Status
Country of Origin
2.b.
Female
Citizenship
Current Address
No P.O. Box
Postal Code
Country
Postal Code
Country
Permanent Address
2.c.
Telephone Number
Fax Number
E-mail Address
2.d.
Fathers Name
Mothers Name
2.e.
III.
EMPLOYMENT INFORMATION
3.a.
3.b.
3.c.
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
Unemployed
Self-Employed Applicants
Business Name
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
Last High School Attended
Date Started
School Name
Date Graduated
School Address
4.b.
TERTIARY EDUCATIONd
Name of Institution
4.c.
Degree Received
Enrollment (MM/YYYY)
From
Until
Awarding Institution
Date Received
Title of Publication
Date Published
Name of Conference
Date Presented
4.g.
Location
4.f.
Enrollment (MM/YYYY)
From
Until
4.e.
Degree Received
POST-GRADUATE STUDIESd,e
Name of Institution
4.d.
Location
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
Required for MS & PhD CS applicants; optional/additional qualification for the others.
V.PROGRAMMING PROFICIENCY
List the programming languages (e.g. C, C++, Java) you are proficient in & the projects/applications completed using these languages.
Level of Proficiency
Programming Language
Level of Proficiency
Programming Language
(1 lowest, 5 highest)
(1 lowest, 5 highest)
Projects/Application
Title/Name of Projects/Application
VI.
ADMISSION ESSAY
Write an essay on a separate sheet of paper about the following:
For CS
Discuss in at least 300 to a maximum of 500 words about yourself, your qualifications relevant to your application to the gra
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 receive
are relevant to your application to the graduate program, past or ongoing research & development work/experience, r
For EE
areas of interest, and reasons for applying for the graduate program.
laboratories in the department whose work you are interested in joining. If you plan to be a part-time student, disc
relationship of your planned graduate studies to your present employment and the support, if any, of your present emplo
your planned graduate studies.
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 pu
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 pur
VII.
A description of the current work or project or undergraduate research that have been done (for those who have just gradu
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 follow
components: problem statement, significance of the research, brief literature review, outlined methodology, and Gantt chart. N
that Year 1 is usually devoted to doing course work; make a research timeline for one (1) year for the masters degree and two
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.
Date