Professional Documents
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OFFICE OF ADMISSIONS
Legazpi City
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 CODE COURSE NAME CAMPUS
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 ARCOS
3. SEX ✓ Male Female
First Name EARL JOHN ✓ Filipino
4. CITIZENSHIP:
Non-Filipino
Middle Name LLAGAS
5. RELIGION: ROMAN CATHOLIC
6. PERMANENT HOME ADDRESS
7. Senior High School graduated or graduating from: LEGAZPI CITY SCIENCE HIGH SCOOL Expected/date of graduation 2020
School Address LEGAZPI CITY, ALBAY Learner's Reference No. 114457070064
8. Junior High School Completed from LEGAZPI CITY SCIENCE HIGH SCOOL
School Address LEGAZPI CITY, ALBAY
9. Applicant's Date of Birth: 2001 AUGUST 6 10. Civil Status (Check one box only)
Year Month Date ✓
Single Married Other (specify)
11. Applicant's Place of Birth: LEGAZPI CITY
12. Occupation of Father/Guardian: GOVERNMENT EMPLOYEE Occupation of Mother/Guardian: DECEASED
✓
13. 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).
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
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.