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BUCET - Application Form PDF

This document contains an application form for students applying to take the Bicol University College Entrance Test (BUCET). The form requests information such as the applicant's personal details, family background, educational history, intended course of study, and a certification that the applicant has not enrolled in any post-secondary courses. It also provides instructions for correctly filling out and submitting the form, as well as paying testing and postage fees.

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Gerald Legesniana
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128 views

BUCET - Application Form PDF

This document contains an application form for students applying to take the Bicol University College Entrance Test (BUCET). The form requests information such as the applicant's personal details, family background, educational history, intended course of study, and a certification that the applicant has not enrolled in any post-secondary courses. It also provides instructions for correctly filling out and submitting the form, as well as paying testing and postage fees.

Uploaded by

Gerald Legesniana
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Application Instructions to Students and Parents:

Form No. ____________


THIS FORM IS ONLY FOR APPLICANTS WHO ​HAVE NOT ENROLLED ​IN ANY COURSE/
Application & Testing Fee: ​P 250.00 (free)
SUBJECT BEYOND SENIOR HIGH SCHOOL.
Reference Code: 1 ​ 7628 ​CAREFULLY READ THE GENERAL INFORMATION FOR BUCET applicants and the contents
Queue Date: ​Sep 16, 2019 ​of this form before lling in the information asked.
Queue Time: ​(8:00AM-12:00PM) ​ONLY CORRECTLY AND COMPLETELY FILLED OUT FORMS will be issued a TEST PERMIT. This application is valid
only for entrants during the school year indicated above.
Permit No. ___________________________ ​PRINT ALL ANSWERS.
Veri ed by: ___________________________
1. ​Intended Course. ​Print your Course Choice and CODE number on the box provided below. Please refer to the BUCET GENERAL INFORMATION on
College Freshmen Admission. Course indicated in this form are nal. Changing of course is strictly not allowed.
COURSE CODE ​COURSE NAME ​CAMPUS
1st Choice ​A-73 BS Electrical Engineering CENG

2nd Choice ​A-144 BS Computer Engineering PC


2. ​PRINT OR TYPE YOUR NAME IN THE FOLLOWING SEQUENCE: ​Last Name, First Name, Middle Name. Place one letter in each box.
GERALD ​Check one box only:
Last Name ​
3. SEX ​✓
LEGISNIANA
Male Female First Name ​
4. CITIZENSHIP: ​✓
Filipino
Middle Name
Non-Filipino 5. RELIGION: ​ROMAN CATHOLIC ​6. ​PERMANENT HOME ADDRESS
PUROK 1
Number and Street ​
Subd./Village, Brgy. ​BRGY. MULADBUCAD PEQUEñO
GUINOBATAN, ALBAY
City/Town & Province ​
4503 ​Email Address ​[email protected]
Postal/Zip Code ​
09755068018
Tel./Cell. Phone No. ​
7. Senior High School graduated or graduating from: ​MASARAWAG NATIONAL HIGH SCHOOL ​Expected/date of graduation ​2020
School Address ​GUINOBATAN, ALBAY ​Learner's Reference No. ​1008772120276 ​8. Junior High School Completed from ​GUMACANATIONAL HIGH
SCHOOL
School Address ​GUMACA, QUEZON ​9. Applicant's Date of Birth: ​2000 MARCH 13 ​10. Civil Status (Check one box only)
Year Month Date ​✓

Single Married Other (specify) 11.​ Applicant's Place of Birth: ​BRGY.MULADBUCAD PEQUEñO,GUINOBATAN,ALBAY
12. Occupation of Father/Guardian: ​DECEASED ​Occupation of Mother/Guardian: ​HOUSE WIFE
13. Do you have any PHYSICAL DISABILITY or CONDITION that would make it di cult for you to take a regular test? ​✓
No Yes
(Please attach Certi cation of Disability and Submit to the BUAO). ​14. Monthly Family Income:
✓
Less than P 10,999.00 (attach Certi cate of Indigency)
P 15,000.00 - P 20,000.00
P 11,000.00 - P 14,000.00
P 21,000.00 - P 30,000.00
✓✓
P 31,000.00 - P 49,000.00
Exceeding P 50,000.00 15. Is your family a member of:
15.1 4 P's Yes No 15.2 Indigenous People Yes No
APPLICANT'S CERTIFICATION
I HEREBY CERTIFY ON MY HONOR THAT I HAVE UNDERSTOOD THE HEREIN INSTRUCTIONS AND THAT ALL THE INFORMATION HEREIN
CONTAINED IS TRUE AND CORRECT. FURTHER, I ATTEST THAT ​I HAVE NOT ENROLLED ​IN ANY COLLEGE COURSE/SUBJECT BEYOND SENIOR
HIGH SCHOOL, OTHERWISE MY APPLICATION FOR ENTRANCE IN BICOL UNIVERSITY WILL BE RENDERED INVALID.
Signature of Applicant Signature of Parent/Guardian over Printed Name
NOTE: ​Please submit P 45.00 worth of stamps and (1) long window envelope, for mailing your BUCET Result.
BU-F-ADMISSION-29 N ​ ot for Sale. Reproduction is allowed. ​Effectivity date: July 17, 2018
Bicol Univeristy ​OFFICE OF ADMISSIONS ​Legazpi City
​ Y 2020 - 2021
APPLICATION FORM BICOL UNIVERSITY COLLEGE ENTRANCE TEST ​(BUCET) S
Staple/Paste 2pcs. 2x2 photo (recent)​Rev. 1 Page
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