ENROLLMENT FORM
Senior High School
STUDENT DETAILS
Track/Strand
*
(Academic)STEM
(Academic)ABM
(Academic)HUMSS
(Academic)GAS
(TVL) ICT Animation
(TVL) ICT CSS
(TVL) HE
(TVL) CG
(TVL) HD
Academic/TVL
SEMESTER
*
1st SEM
2nd SEM
Learner Reference Number
*
12 Digit LRN
Date today
-
Month
-
Day
Year
Date
Name
*
Prefix
Last Name
First Name
Middle Name
Birthdate
*
/
Day
/
Month
Year
Phone Number
*
Belonging to any Indigenous Peoples (IP)?
*
Yes
No
If yes, pls. specify
Address
*
Home Address
Street Address Line 2
City
Province
Postal / Zip Code
PARENT'S/GUARDIAN INFORMATION
Parent's/Guardian Name
*
Prefix
First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Religion
*
Roman Catholic
Iglesia ni Cristo
Born Again Christian
Baptist
Others
Phone Number
*
Scanned Documents
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Student's 2x2 Pictures, NSO, Form 137/138
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