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OFFICE OF ADMISSIONS
Legazpi City
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 GADO
3. SEX Male ✓ Female
First Name JUANA MARIE ✓ Filipino
4. CITIZENSHIP:
Non-Filipino
Middle Name
5. RELIGION: ROMAN CATHOLIC
6. PERMANENT HOME ADDRESS
7. Senior High School graduated or graduating from: COTMON NATIONAL HIGH SCHOOL Expected/date of graduation 2020
COTMON CAMALIG ALBAY , COTMON CAMALIG
Learner's Reference No.
School Address ALBAY
8. Junior High School Completed from COTMON NATIONAL HIGH SCHOOL
COTMON CAMALIG ALBAY , COTMON CAMALIG
School Address ALBAY
9. Applicant's Date of Birth: 2002 JUNE 30 10. Civil Status (Check one box only)
Year Month Date ✓ Single
Married Other (specify)
11. Applicant's Place of Birth: COTMON CAMALIG ALBAY
12. Occupation of Father/Guardian: WELDER Occupation of Mother/Guardian: HANDICRAFT
✓ No
13. Do you have any PHYSICAL DISABILITY or CONDITION that would make it difficult for you to take a regular test? 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.