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    BUCET - Application Form Correa

    Uploaded by

    Leo Sandy Ambe Cuis
    This document is an application form for the Bicol University College Entrance Test (BUCET). It provides instructions for applicants to fill out contact information, academic history, family details, and certify the accuracy of the information. Applicants must not have enrolled in any college courses beyond senior high school. The form collects information needed to process the application and schedule the applicant to take the entrance exam.

    Copyright:

    © All Rights Reserved

    BUCET - Application Form Correa

    Uploaded by

    Leo Sandy Ambe Cuis
    196 views1 page
    This document is an application form for the Bicol University College Entrance Test (BUCET). It provides instructions for applicants to fill out contact information, academic history, family details, and certify the accuracy of the information. Applicants must not have enrolled in any college courses beyond senior high school. The form collects information needed to process the application and schedule the applicant to take the entrance exam.

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    BUCET _ Application Form Correa

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    This document is an application form for the Bicol University College Entrance Test (BUCET). It provides instructions for applicants to fill out contact information, academic history, family details, and certify the accuracy of the information. Applicants must not have enrolled in any college courses beyond senior high school. The form collects information needed to process the application and schedule the applicant to take the entrance exam.

    Copyright:

    © All Rights Reserved
    196 views1 page

    BUCET - Application Form Correa

    Uploaded by

    Leo Sandy Ambe Cuis
    This document is an application form for the Bicol University College Entrance Test (BUCET). It provides instructions for applicants to fill out contact information, academic history, family details, and certify the accuracy of the information. Applicants must not have enrolled in any college courses beyond senior high school. The form collects information needed to process the application and schedule the applicant to take the entrance exam.

    Copyright:

    © All Rights Reserved
    of 1

    Bicol Univeristy

    OFFICE OF ADMISSIONS
    Legazpi City

    APPLICATION FORM Staple/Paste


    BICOL UNIVERSITY COLLEGE ENTRANCE TEST 2pcs.
    (BUCET) 2x2 photo
    SY 2020 - 2021 (recent)

    Instructions to Students and Parents: Application 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: 22144
    CAREFULLY READ THE GENERAL INFORMATION FOR BUCET applicants and the contents Queue Date: Nov 20, 2019
    of this form before lling in the information asked. Queue Time: (1:00PM-5:00PM)
    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-145 BS Computer Science PC

    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.
    Check one box only:
    Last Name CORREA
    3. SEX ✓ Male Female
    First Name PRINCE JULES
    4. CITIZENSHIP:
    ✓ Filipino

    Non-Filipino
    Middle Name
    5. RELIGION: ROMAN CATHOLIC
    6. PERMANENT HOME ADDRESS

    Number and Street PUROK 2

    Subd./Village, Brgy. BRGY. PEñAFRANCIA

    City/Town & Province SANTA MAGDALENA, SORSOGON

    Postal/Zip Code 4709 Email Address [email protected]

    Tel./Cell. Phone No. 09369213409

    COMPUTER COMMUNICATION DEVELOPMENT


    Expected/date of graduation 2020
    7. Senior High School graduated or graduating from: INSTITUTE
    School Address SORSOGON CITY, SORSOGON Learner's Reference No. 136382070126
    8. Junior High School Completed from STA. MAGDALENA NATIONAL HIGH SCHOOL
    School Address SANTA MAGDALENA, SORSOGON
    9. Applicant's Date of Birth: 2002 JULY 28 10. Civil Status (Check one box only)
    Year Month Date ✓ Single    Married    Other (specify)
    11. Applicant's Place of Birth: MAKATI CITY

    12. Occupation of Father/Guardian: SAFETY ASSOCIATE Occupation of Mother/Guardian: HOUSEKEEPER

    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 31,000.00 - P 49,000.00

      P 11,000.00 - P 14,000.00   P 21,000.00 - P 30,000.00   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 Not for Sale. Reproduction is allowed. Rev. 1


    Effectivity date: July 17, 2018 Page 1 of 2

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