This Online Registration Form is for 4TH YEAR OLD STUDENTS only.
This form must be accomplished CORRECTLY and TRUTHFULLY.
To avoid registration issues, please enter the CORRECT STUDENT NUMBER assigned to you.
Always secure a stable internet connection.
For inquiries, message us on BCC Official Facebook Page.
Please enter your Birthday and Student Number then click/tap "Proceed" button: Enter your Birthday:
Enter your Student Number:
Admission Type:
Course:
Year Level:
Your Section/Block:
First Name
Middle Name
Last Name
Name Extension (Jr., Sr.):
Are you regular or irregular student?:
Note: A regular student is one who strictly follows the subject sequence of the curriculum. Regular Students usually have regular number of units/subjects per term.
Help us collect data regarding COVID-19 vaccinations in BCC, fill out all the required fields:
Have you been vaccinated for COVID-19? Nabakunahan ka na ba ng para sa COVID-19?
Yes
No, not yet.
If you are already vaccinated, please answer the following: Kung nabakunahan ka na, sagutan ang mga sumusunod:
Vaccine Brand:
1st Dose Provider:
1st Dose Date:
2nd Dose Provider:
2nd Dose Date:
Booster 1 Vaccine Brand:
Booster 1 Provider:
Booster 1 Vaccination Date:
Booster 2 Vaccine Brand:
Booster 2 Provider:
Booster 2 Vaccination Date:
If you are still unvaccinated, please answer the following: Kung hindi ka pa nabakunahan, sagutan ang mga sumusunod:
Would you take a COVID-19 vaccine if it is available for you?
Please specify the reason why you dont want/hesitant to get vaccinated:
Please select your answer from the list of choices on each item:
What type of internet connection do you have at home? Please check all that apply.
Mobile data/Cellular Service
DSL Internet
Cable Internet
Fiber
I don't have internet connection at home.
How would you rate your internet connection?
Excellent
Very Good
Good
Fair
Poor
This question is not applicable to me.
What is/are your alternative way/s to connect to the internet? Please check all that apply.
Through nearby Pisonet Shop
Through nearby Computer Shop
Through nearby Piso WiFi Shop
Through a Public WiFi
No Alternative way of accessing the internet.
What type of personal device/s you are using to access the internet? Please check all that apply.
Smartphone
Tablet
Laptop/Desktop Computer
I don't have personal device.
I certify that the data I entered into this form about me are true and correct to the best of my knowledge and belief.
If you are experiencing problems with this site, please leave a message on BCC Official Facebook Page