Republic of the Philippines
Bicol University
OFFICE OF ADMISSIONS
Legazpi City
APPLICATION FORM
BICOL UNIVERSITY COLLEGE ENTRANCE TEST
(BUCET)
SY 2026-2027
Instructions to Students and Parents:
THIS FORM IS ONLY FOR APPLICANTS WHO HAVE NOT ENROLLED IN ANY COURSE / SUBJECT
BEYOND SENIOR HIGH SCHOOL.
CAREFULLY READ THE GENERAL INFORMATION FOR BUCET applicants and the contents of this
form before filling in the required information.
This application is valid only for entrants during the school year indicated above.
PRINT ALL ANSWERS.
Application Form No.
AF-2025-43099
Application & Testing Fee: P 250.00 (FREE)
Date Of Appointment:
---
Time Of Appointment:
---
Permit No.
Verified By:
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
1st Choice
2nd Choice
COURSE NAME
CAMPUS
A-152
BACHELOR OF SCIENCE IN INFORMATION TECHNOLOGY
BU POLANGUI
A-156
BACHELOR OF TECHNOLOGY AND LIVELIHOOD EDUCATION MAJOR IN INFORMATION AND
COMMUNICATION TECHNOLOGY
BU POLANGUI
2. PRINT OR TYPE YOUR NAME IN THE FOLLOWING SEQUENCE. Last Name, First Name, Middle Name.
Check one box only
3. Citizenship:
Filipino
Last Name
GERMAN
First Name
SHIRO
Middle Name
TORRALBA
4. Sex:
Male
Gender:
5. Religion:
Non-Filipino
Female
PREFER NOT TO SAY
THE CHURCH OF JESUS CHRIST OF
LATTER-DAY SAINTS
6. PERMANENT HOME ADDRESS.
Number and Street
TINAGO LIGAO CITY SUBD 2
Subd./Village, Brgy
TINAGO
City/Town & Province
LIGAO, ALBAY
Email Address
SHIROGERMAN679@GMAIL.COM
Postal/Zip Code
7. Senior High School graduated or graduating from:
School Address:
School Address:
Telephone/Cellphone No
Expected Date of Graduation:
LIGAO NATIONAL HIGH SCHOOL
GUILID, LIGAO, ALBAY
9. Applicant's Date of Birth:
2007
Year
Learner's Reference Number (LRN):
SEPTEMBER
Month
11. Applicant's Place of Birth:
TRECE MARTIREZ CITY
12. Name of Father/Guardian:
---
13. Occupation of Father/Guardian:
07
Day
Occupation of Mother/Guardian:
No
2
18. Number of Sibling/s:
SHINDE ABO TORRALBA
HOUSEKEEPING
Yes
If retiree, a pensioner?
LIVE-IN PARTNER
15. Are you an orphan?
16. Do you have any DISABILITY or CONDITION that would
make it difficult for you to take a regular test?
No
Yes, ---
111831130007
10. Civil Status (Check one box only)
Single
Married
Other:(Specify)
Name of Mother/Guardian:
---
If retiree, a pensioner?
14. Parents' marital status:
+639539482773
LIGAO NATIONAL HIGH SCHOOL
GUILID, LIGAO, ALBAY
8. Junior High School completed from:
4504
No
No
Yes
Yes
17. Are you the first in your family to study in college?
No
Yes
19. Number of Household Members:
4
2
20. Number of Dependents:
21. Monthly Family Income:
Less than ₱12,000.00
₱12,001.00 - ₱24,000.00
₱24,001.00 - ₱48,000.00
₱84,001.00 - ₱144,000.00
₱144,001.00 - ₱240,000.00
Greater than ₱240,000.00
₱48,001.00 - ₱84,000.00
22. Is your family a member of:
22.1 Listahanan/4 P's
Yes
No
23. Are you a child of a solo parent?
22.2 Indigenous People
Yes
No
24. Are you residing in a Geographically-Isolated and Disadvantaged Area (GIDA)?
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 shall be invalidated.
By signing this form, I acknowledge that I have read and agree to the Bicol University Data Privacy Statement available at https://bicolu.edu.ph/privacy-statement/ and in hard copy at the Bicol University Admissions Office (BUAO).
Signature of Applicant
Signature of Parent/Guardian over Printed Name
BU-F-ADMISSION-29
Effectivity date: August 19, 2025
THIS IS A SYSTEM-GENERATED FORM. NOT FOR SALE.
Rev.4
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
ACADEMIC
Track in Senior High School:
( ) ABM
( ) STEM
( ) HUMSS
( ) PRE-Baccalaureate Maritime
( ) GAS
Expected Year of Graduation:
TECH-VOCATIONAL
ARTS & DESIGN
Area of Specialization:
SPORTS
No. of Graduates/Expected Graduates:
Basic/Core Subjects
GRADE 9
GRADE 10
SY 20___ to 20___
Final Grades
Remarks
SY 20___ to 20___
Final Grades
Remarks
GRADE 11
1st sem.
2nd sem.
SY 20___ to 20___
SY 20___ to 20___
Final Grades
Remarks
Final Grades
Remarks
○ FILIPINO
● Komunikasyon 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 Regionse
● 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
(Please fill in the 4 boxes for year 9 to 11)
○ Subjects offered in Gr. 9 to 10
● Subjects offered in Gr. 11
This student belongs to the:
Upper 10%
Upper 20%
Upper 40%
Lower 50% of the 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
school this school year 20___ - 20___
(check (✓) appropriate box)
Affix school dry seal here, if school has one.
Date _______________________________
has graduated in senior high school during the school year
_______________.
Form 137-A requested by:
____________________________________________________________
Name Of School
Principal's Signature (in ink)_______________________________
(Facsimile not allowed)
Principal's Name (Print)_______________________________________________