BUCET - Application Form PDF
BUCET - Application Form PDF
BUCET - Application Form PDF
OFFICE OF ADMISSIONS
Legazpi City
2. PRINT OR TYPE YOUR NAME IN THE FOLLOWING SEQUENCE: Last Name, First Name, Middle Name. Place one letter in each box.
Check one box only:
Last Name BASABE
3. SEX Male ✓ Female
First Name RONA MAE ✓ Filipino
4. CITIZENSHIP:
SAPO Non-Filipino
Middle Name
5. RELIGION: ROMAN CATHOLIC
6. PERMANENT HOME ADDRESS
7. Senior High School graduated or graduating from: ST. PETER'S ACADEMY Expected/date of graduation 2020
School Address POLANGUI, ALBAY Learner's Reference No. 111984070011
8. Junior High School Completed from ITARAN NATIONAL HIGH SCHOOL
School Address POLANGUI, ALBAY
9. Applicant's Date of Birth: 2001 JULY 27 10. Civil Status (Check one box only)
Year Month Date ✓ Single
Married Other (specify)
11. Applicant's Place of Birth: ITARAN POLANGUI ALBAY
ELEMENTARY SCHOOL
Occupation of Mother/Guardian: HOUSEKEEPER
12. Occupation of Father/Guardian: PRINCIPAL II
✓ No
13. Do you have any PHYSICAL DISABILITY or CONDITION that would make it difficult for you to take a regular test? Yes
(Please attach Certification of Disability and Submit to the BUAO).
14. Monthly Family Income:
Less than P 10,999.00 (attach Certificate of Indigency) P 15,000.00 - P 20,000.00 P 31,000.00 - P 49,000.00
✓ P 21,000.00 - P 30,000.00
P 11,000.00 - P 14,000.00 Exceeding P 50,000.00
15. Is your family a member of:
✓ No ✓ No
15.1 4 P's Yes 15.2 Indigenous People Yes
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.
NOTE: Please submit P 45.00 worth of stamps and (1) long window envelope, for mailing your BUCET Result.