FORM - A 1.5” x 1.

5”
Republic of the Philippines colored picture
BICOL STATE COLLEGE OF APPLIED SCIENCES AND TECHNOLOGY (your most recent
City of Naga picture).
Telephone No. (054) 4720416 Loc.128 Fax No. (054) 4720415 Computer generated
Website: www.biscast.edu.ph E-mail Address: admission@biscast.edu.ph picture is not accepted.

OFFICE OF THE VICE PRESIDENT FOR ACADEMIC AFFAIRS

GUIDANCE, TESTING AND ADMISSION OFFICE

APPLICATION FORM FOR ADMISSION

(Senior High School Graduate of the K to 12 Program)
To Students and Parents: Application No.
This Form is for Applicants for Admission to BISCAST and FOR GRADE 12 STUDENTS AND SENIOR HIGH Testing Fee
SCHOOL GRADUATES ONLY.
O.R. Number
Carefully read the general information and answer honestly all the details being asked. Recorded by
ONLY CORRECT AND COMPLETELY FILLED UP FORMS will be accepted and be scheduled for the
Admission Test.

PRINT ALL ENTRIES.

1. What is your preferred Course/Program? _______________________________________________________________________________________________________________________________________

2. Why do you want to study at BISCAST?_______________________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________________________________________________________________________________________

3. NAME:
Last Name

First Name

Middle Name

4. GENDER: Male CITIZENSHIP: Filipino RELIGION

Female Others
5. CIVIL STATUS:_________________________ Spouse Name:___________________________________________________

6. DATE OF BIRTH m m d d y y PLACE OF BIRTH

AGE
7. PLEASE CHECK ALL APPLICABLE:

Raised by Single Parent Belong to Indigenous People, specify tribe: ____________________________

You are a Single Parent People with Disabilities (PWD), specify disability: _______________________
OFW Parent Working Student, specify work: _____________________________________
Boarder/Dormer

8. PERMANENT HOME ADDRESS:

Number and Street Subdivision/Barangay

City/Town and Province Zip Code

9. CONTACT NUMBER:__________________________________
10. NAME OF SENIOR HIGH SCHOOL_________________________________________________________________________________________DATE OF GRADUATION_________________________
ADDRESS_______________________________________________________________________________________________________________________________________________________________________________________________
11. SENIOR HIGH SCHOOL TRACK/STRAND:____________________________________________________________________
12. HONORS/AWARDS RECEIVED _____________________________________________________________________________________________________________________________________________________________
13. TALENTS AND SKILLS____________________________________________________________________________________________________________________________________________________________________________

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 14. COMMUNITY INVOLVEMENT/S__________________________________________________________________________________________________________________________________________________________
15. ORGANIZATION/S________________________________________________________________________________________________________________________________________________________________________________
16. PARENTS NAME:
Father____________________________________________________________________________________________________________ OCCUPATION: ____________________________
Mother____________________________________________________________________________________________________________ OCCUPATION: ____________________________

17. MONTHLY FAMILY INCOME:

below P5,000.00 P20,000.00 – less than P25,000.00
P 5,000.00 – less than P10,000.00 P25,000.00 – less than P30,000.00
P10,000.00 – less than P15,000.00 P30,000.00 – less than P35,000.00
P15,000.00 – less than P20,000.00 P35,000.00 and above

CERTIFICATION
I HEREBY DECLARE THAT ALL THE INFORMATION HEREIN PROVIDED ARE TRUE AND CORRECT AND THAT I SHALL ABIDE BY
THE POLICIES/GUIDELINES GOVERNING ADMISSION TO THE BICOL STATE COLLEGE OF APPLIED SCIENCES AND TECHNOLOGY
(BISCAST).

I FURTHER CERTIFY THAT I HAVE NEVER BEEN ENROLLED IN ANY COURSE/SUBJECTS/S BEYOND HIGH SCHOOL AND
IF ANY OF THE INFORMATION INDICATED HEREIN IS FOUND OUT TO BE FALSE AND INCORRECT, MY APPLICATION FOR
ADMISSION TO BISCAST WILL BE NULL AND VOID AND THAT BISCAST IS NOT IN ANYWAY RESPONSIBLE FOR THE
MISREPRESENTATIONS I HAVE DECLARED.

______________________________________________________________________
Signature of Applicant Signature of Parent/Guardian over Printed Name

TO THE SCHOOL PRINCIPAL/REGISTRAR/ADVISER/GUIDANCE COUNSELOR

The bearer is presently applying for Admission to BISCAST for School Year . In this regard, may we request for your
assistance to fill up the necessary information needed in assessing the student. Thank you very much and God Bless.

SENIOR HIGHSCHOOL ACADEMIC RECORDS

GRADE 11 GRADE 12
AY ____________________ to___________________ Expected Date of Graduation____________________________________________
GENERAL WEIGHTED PERIODICAL RATINGS
SUBJECTS AVERAGE SUBJECTS 1st GP 2nd GP

GENERAL WEIGHTED AVERAGE: GENERAL WEIGHTED AVERAGE:

This student belongs to the Upper 10% Upper 20% Upper 40% Lower 50%
of the graduating class

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 EXCELLENT VERY GOOD GOOD FAIR POOR
Emotional Stability
Conscientiousness
Adherence to Rules and Regulations
Manner and Conduct
Industriousness and Perseverance
Social Attributes

Comments which may help the Admission Committee decide on the Entrant’s Application.

CERTIFICATION
WE HEREBY CERTIFY AS TO THE COMPLETENESS AND CORRECTNESS OF THE FOREGOING RECORD AND THAT ANY
ERASURE OR ALTERATION MADE IN ACADEMIC RECORDS ABOVE RENDERS THE WHOLE ACADEMIC RECORDS
INVALID.

School
Dry Seal

SHS Principal’s Signature Over Printed Name School Registrar’s Signature Over Printed Name

Date:

NOTE TO THE SCHOOL PRINCIPAL/REGISTRAR/ADVISER/GUIDANCE COUNSELOR:

Please place this Admission Application on a sealed mailing envelope and affix your signature outside for confidentiality. Thank you.

REQUIREMENTS: For Senior HS Students and Senior HS Graduates:

1.Duly accomplished Application Form for Admission;

2.Two (2) identical copies of 1.5” x 1.5” pictures with nameplate and signature, maroon background;
3.Testing Fee of PHP 60.00 (waived per RA 10931);
4. Testing Fee receipt from the Collection and Disbursement Office(waived per RA 10931);
5. Long size cardboard folder (color coded as posted in the Guidance, Testing and Admission Page/ Office Bulletin )

COLLEGE OF ENGINEERING AND COLLEGE OF COLLEGE OF COLLEGE OF

ARCHITECTURE (5YRS) EDUCATION TRADES AND TECHNOLOGY ARTS AND SCIENCES
 academic average of at least  academic average of at least 83% and  academic average of at least 80%  academic average of at least 80%
83% and above, above, and above, and above,
 no grades below 85% in  no grades below 85% in Mathematics,  no failing grades in Senior High  no failing grades in Senior High
Mathematics, English and English and Sciences/Physics, and School. School.
Sciences/Physics, and no grades below 80% in any subject
 no grades below 80% in any
subject
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