Bicol University

OFFICE
BicolOF ADMISSIONS
University
Legazpi
OFFICE OF City
ADMISSIONS
Legazpi City
Staple/Paste
APPLICATION
APPLICATIONFORM
FORM 2Staple/Paste
pcs.
BICOL
BICOL UNIVERSITYCOLLEGE
UNIVERSITY COLLEGEENTRANCE
ENTRANCETEST
TEST 2x2 photo
2 pcs.
(recent)
2x2 photo
(BUCET)
(BUCET) (recent)
SY 20___ - 20___
SY 20__ - 20__

Instructions to Students and Parents: Application Form No._________

THIS FORM IS ONLY FOR APPLICANTS WHO HAVE NOT ENROLLED IN ANY COURSE/ Appl. & Testing Fee: P 150.00
SUBJECT BEYOND SENIOR HIGH SCHOOL. O.R./M.O. No. ______________
CAREFULLY READ THE GENERAL INFORMATION FOR BUCET applicants and the contents Date Paid: _________________
of this form before filling in the information asked. Recorded by: _______________
ONLY CORRECTLY and COMPLETELY FILLED OUT FORMS will be issued a TEST PERMIT. Permit No. _________________
This application is valid only for entrants during the school year indicated above. GPA __________E+ _________
PRINT ALL ANSWERS.
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 final. Changing of course is strictly not allowed.

COURSE CHOICE COURSE CODE

1st Choice

2nd Choice __________________

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
3. SEX Male Female
First Name 4. CITIZENSHIP: Filipino
Filipino
Non-Filipino
Non-Filipino
Middle Name
6. PERMANENT HOME ADDRESS
5. RELIGION: _________________

Number and Street

Subd./Village, Brgy.
City/Town & Province
Postal/Zip
Postal/Zip Code
Code

Tel./Cell. Phone No.

7. Senior High School graduated or graduating from: _________________________________________ Expected/date of graduation _____________

School Address ________________________________________________________

8. Junior High School Completed from ____________________________________________________
School Address ________________________________________________________
9. Applicant’s Date of Birth: ________________________________10. Civil Status (Check one box only)
Year Month Date Single Married Other (specify) _________________
11. Applicant’s Place of Birth: __________________________________________________________________________________________
12. Who will spend for your college education? My Parents
My Parents Others (specify) ______________________________________________
13. Occupation of Father/Guardian: ________________________________________ 14. Number of children in the family: ______________
Occupation of Mother/Guardian: ______________________________________
15. Do you have any PHYSICAL DISABILITY or CONDITION that would make it difficult for you to take a regular test? No Yes
(Please attach Certification of Disability and Submit to the BUAO).
16. Monthly Family Income:
Less than P 10,000.00 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
17. What award in sports/arts have you received? __________________________________

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
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 Rev. 0
Effectivity date: July 17, 2017 Page 1 of 2
 SECONDARY SCHOOL RECORD
TO THE PRINCIPAL:
This form is an official document to be used by the BU Admissions Office for selective admission and research purposes.
1. Please type or print legibly all information called for. Do not abbreviate
2. For the student's name, print last name, first name and middle name in full.
3. 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.
4. TAMPERING WILL INVALIDATE THIS APPLICATION FORM.

NAME OF STUDENT APPLICANT: _______________________________________________________________________________________________

Last Name First Name Middle Name
Name of High School: __________________________________________________________________________________________________________
Nationalized High School Vocational - Tech Private Sectarian Private Non-Sectarian NGU Sponsored
Address of High School: _________________________________________________________________________________________________________
District/Town City/Province
Track in Senior High School: ACADEMIC TECH-VOCATIONAL ARTS & DESIGN
( ) ABM ( ) HUMSS ( ) GAS Area of Specialization: SPORTS
( ) STEM ( ) PRE-Baccalaureate Maritime __________________________
Year of Graduation: __________________________________________________ No. of Graduates/Expected Graduates: __________________________

GRADE 9 GRADE 10 GRADE 11

Basic/Core Subjects 1st sem., 2nd sem.,
SY 20___ to 20___ SY 20___ to 20___ SY 20___ to SY 20___ SY 20___ to SY 20___
Final Final
Final Grades Final Final
Final Grades Remarks Remarks Final Grades Remarks Final Grades Remarks
Grades Grades Grades Grades
○ FILIPINO
● Komunikasy on at Pananaliksik sa Wika at Kulturang Pilipino
● Pagbasa at Pagsusuri ng Iba't Ibang Teksto Tungo sa
○ ENGLISH
● Oral Communication in Context
● Reading & Writing Skills
● 21st Century Lit. from the Phil. & the World
○ MATHEMATICS
● General Mathematics
● Statistics & Probability
○ SCIENCE
● Earth / Life Science
● Physical Science
○ ARALING PANLIPUNAN
● Understanding Culture, Society & Politics
● Contemporary Phil. Arts from the Regions
● Introduction to the Philosophy of the Human Person
○ EDUKASYON SA PAGPAPAHALAGA
● Personal Development/Pansariling Kaunlaran
○ TECHNOLOGY & LIVELIHOOD EDUCATION
○ MAPEH
● Physical Education and Health
● Disaster Readiness & Risk Reduction
○ ICT / ● Media and Information Literacy
Other Basic/Core Subjects in JHS/SHS

● APPLIED & / SPECIALIZED SUBJECTS

● ADDITIONAL SUBJECTS

GENERAL WEIGHTED AVERAGE

(P lease fill in the 4 bo xes fo r year 9 to 11)
○ Subjects offered in Gr. 9 to 10
○ Subjects offered in Gr. 9 to 10
●● Subjects
Subjects offered
offered in Gr. 11 This studentThis
in Gr. 11 studenttobelongs
belongs the: to the: Upper 10% Upper Upper
Upper 10% 20% 20% UpperUpper
40%40% Lower
Lower
50%50%of of
thethe graduating class.
graduating class.

PRINCIPAL'S CERTIFICATION
I HEREBY CERTIFY AS TO THE COMPLETENESS AND CORRECTNESS OF THE FOREGOING RECORD AND FURTHER
ATTEST THAT ________________________________________________________________.
(Fill-in applicant's name)
will be graduating in senior high has graduated in senior high school
school this school y ear 20___ - 20___ during the school y ear __________.
Form 137-A requested by :
(check () appropriate box )
____________________________________
Name of School
Affix school dry seal here, if school has one. Principal's Signature (in ink) ___________________
(Facsimile not allowed)

Date _______________________________ Principal's Name (Print) _______________________