Bucet Form

Bicol University OFFICE OF ADMISSIONS Legazpi City
APPLICATION FORM BICOL UNIVERSITY COLLEGE ENTRANCE TEST

SY 20 To Students and Parents: THIS FORM IS ONLY FOR APPLICANTS WHO HAVE NOT ENROLLED IN ANY COURSE/ SUBJECT BEYOND HIGH SCHOOL. CAREFULLY READ THE GENERAL INFORMATION FOR BUCET applicants and the contents of this form before filling in the information asked. Only CORRECTLY and COMPLETELY FILLED OUT FORMS will be issued a TEST PERMIT. PRINT ALL ANSWERS.
(BUCET)
- 20
Staple/Paste 2 pcs. 1x1 photo (recent)
Application Form No.

Appl. & Testing Fee: P150.00 O.R./M.O. No. Date Paid: Recorded by: PERMIT No.
GPA MATH0
E+
1. Intended Course. Print the CODE number of your FIRST and SECOND Choice of Courses and indicate the campus on the spaces provided below. Please refer to the BUCET GENERAL INFORMATION Sheet for the Course Code, Course Title and Campus. Courses indicated in this form are final. Changing of course(s) is strictly not allowed.
COURSE CODE NUMBER 1st Choice 2nd Choice
First
PREFERRED CAMPUS
Second
2. In case you did not qualify in your course choices, where do you plan to pursue your studies? (Enumerate possible schools) 3. PRINT OR TYPE YOUR NAME IN THE FOLLOWING SEQUENCE: Last Name, First Name, Middle Name. Place one letter in each box.
Last Name First Name Middle Name 7. PERMANENT HOME ADDRESS

Number and Street Subd./Village, Brgy. City/Town & Province Postal/Zip Code Tel./Cell. Phone No. 8. High School graduated or graduating from: High School Address 9. Applicants Date of Birth:
4. SEX Male Female 5. CITIZENSHIP: Filipino Non-Filipino 6. RELIGION:
Check one box only:
Expected/date of graduation Month Date

10. Civil Status (Check one box only)
11. Applicants Place of Birth: 12. Who will spend for your college education? My Parents Others (specify) 14. Number of children in the family: 13. Occupation of Father/Guardian: Occupation of Mother/Guardian: 15. Do you have any PHYSICAL DISABILITY or CONDITION that requires special attention or would make it difficult for you to take a regular test? Please attached Certification of Disability and Contact to BU Admissions Office 16. Monthly Family Income: P 20,000.00 P 25,000.00 less than P15,000.00 P 25,000.00 P 30,000.00 P15,000.00 P20,000.00
Year
Single
Married
Other (specify)
No
Yes
P 30,000.00 P 35,000.00 P Exceeding P 50,000.00
APPLICANTS CERTIFICATION
I HEREBY CERTIFY ON MY HONOR THAT ALL THE INFORMATION HEREIN CONTAINED IS TRUE AND CORRECT AND THAT I HAVE NOT ENROLLED IN ANY COURSE /SUBJECT BEYOND 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 worth P40.00 of stamps and (1) long window envelope, for mailing your BUCET Result
IMPORTANT: PLEASE HAVE YOUR RATINGS ENTERED ON THE BACK SIDE OF THIS PAGE ; FOR THOSE WITH PEPT. SUBMIT A PHOTO COPY OF IT. FOR THOSE WHO HAVE GRADUATED IN PREVIOUS YEARS, SUBMIT PHOTOCOPY OF HS FORM 138. BU-F-ADMISSION-13C Effectivity: June, 2012 Rev. 1 Page 1 of 2
SECONDARY SCHOOL RECORD

TO THE PRINCIPAL:
1. 2. 3. 4. This form is an official document to be used by the BU Admissions Office for selective admission and research purposes. Please type or print legibly all information called for. Do not abbreviate. For the students name, print last name, first name and middle name in full. Be sure that all grades (i.e., including failing marks) are indicated and that all entries are complete and specific such as number of units or credits earned for such subject on this page. TAMPERING WILL INVALIDATE THIS APPLICATION FORM.
NAME OF STUDENT APPLICANT:
Last Name
First Name Public City/Province No. of Graduates/Expected Graduates
Middle Name Private
Name of High School
General Secondary
Vocational Secondary (Do not Abbreviate) District/Town
Address of High School Year of Graduation
SUBJECTS
FILIPINO ENGLISH MATHEMATICS SCIENCE MAKABAYAN THE PEHM SOCIAL STUDIES VALUES EDUCATION
OTHER ACADEMIC SUBJECTS NOT LISTED ABOVE
20
FIRST YEAR
to 20
20
SECONDYEAR
to 20
20
THIRD YEAR
to 20
Final Grades
Units
Final Grades
Units
Final Grades
Units
GENERAL WEIGHTED AVERAGE

(Please fill in the 3 boxes for year I to III)
This student belongs to the:
upper 10%
upper20%
upper40%
lower 50% of the graduating class
I HEREBY CERTIFY AS TO THE COMPLETENESS AND CORRECTNESS OF THE FOREGOING RECORD AND FURTHER ATTEST THAT___________________________________________________.
(Fill-in applicants name)
PRINCIPALS CERTIFICATION
will be graduating in high school this school year 20 - 20
has graduated in high school during the school year . Form 137-A requested by:
*check () appropriate box

Affix school dry seal here, if school has one.
Name of School Principals Signature (in ink) Principals Name (Print)

(Facsimile not allowed)
Date
BU-F-ADMISSION-13C Effectivity: June, 2012 Rev. 1 Page 2 of 2

Bucet Form

Uploaded by

Copyright:

Available Formats

Bucet Form

Uploaded by

Document Information

Original Description:

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Bucet Form

Uploaded by

Copyright:

Available Formats

Bicol University OFFICE OF ADMISSIONS Legazpi City

APPLICATION FORM BICOL UNIVERSITY COLLEGE ENTRANCE TEST

Staple/Paste 2 pcs. 1x1 photo (recent)

Application Form No.

COURSE CODE NUMBER 1st Choice 2nd Choice

Last Name First Name Middle Name 7. PERMANENT HOME ADDRESS

4. SEX Male Female 5. CITIZENSHIP: Filipino Non-Filipino 6. RELIGION:

Check one box only:

Expected/date of graduation Month Date

P 30,000.00 P 35,000.00 P Exceeding P 50,000.00

Signature of Parent/Guardian over Printed Name

SECONDARY SCHOOL RECORD

NAME OF STUDENT APPLICANT:

First Name Public City/Province No. of Graduates/Expected Graduates

Middle Name Private

Name of High School

Vocational Secondary (Do not Abbreviate) District/Town

Address of High School Year of Graduation

GENERAL WEIGHTED AVERAGE

This student belongs to the:

lower 50% of the graduating class

will be graduating in high school this school year 20 - 20

*check () appropriate box

Name of School Principals Signature (in ink) Principals Name (Print)

You might also like