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Dadea Maverick Almazan
Dadea Maverick Almazan
Bicol University
OFFICE OF ADMISSIONS
Legazpi City
APPLICATION FORM
BICOL UNIVERSITY COLLEGE ENTRANCE TEST
(BUCET)
SY 2024-2025
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
1st Choice A-116 BACHELOR OF TECHNICAL - VOCATIONAL TEACHER EDUC. MAJOR IN CAF
AGRICULTURAL CROP PRODUCTION
2. PRINT OR TYPE YOUR NAME IN THE FOLLOWING SEQUENCE: Last Name, First Name, Middle Name.
Last Name Check one box only
DADEA
3. Sex: ✓ Male Female
First Name 4. Citizenship: ✓ Filipino
MAVERICK
Non-Filipino
Middle Name
ALMAZAN 5. Religion: ROMAN CATHOLIC
7. Senior High School graduated or graduating from: SORSOGON NATIONAL HIGH SCHOOL Expected/date of graduation: 1
School Address SORSOGON CITY, SORSOGON Learner's reference No. 114563060086
8. Junior High School Completed from: SORSOGON NATIONAL HIGH SCHOOL
School Address SORSOGON CITY, SORSOGON
9. Applicant's Date of Birth: 2000 MARCH 25 10. Civil Status (Check one box only)
Year Month Date ✓ Single Married Other(specify) __________________
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:
✓ Yes No 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 50.00 worth of mailing stamps and (1) long window envelope, for mailing your BUCET Result.