Student's School Information
(The "informations" will be inputted here will be protected and will be used for specific school's recording purposes)
Type of Student Enrollee
*
Old Student
Transferee Student
Level of the Enrollee for the next upcoming school year
*
PRE-SCHOOL
GRADESCHOOL
JUNIOR HIGH SCHOOL
SENIOR HIGH SCHOOL
Grade Level of Enrollee for the next upcoming school year
*
Please Select
Junior Kinder
Senior Kinder
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Last Attended School
(This field is only required for new student enrollees)
Learner Reference Number (LRN)Â
*
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Students' Identification Information
(The "informations" will be inputted here will be protected and will be used for specific school's recording purposes)
Student's Full Name
*
First Name
Middle Name
Last Name
Suffix
Gender
*
Male
Female
Student's Birthday
*
 /
Month
 /
Day
Year
2 digit month, 2 digit day, 4 digit year
Months/Date/Year
Student's Age
*
(Please Input "Numerical Value" only)
Religion
*
Dialect
Present Residence Address
*
Street Address
Subdivision/Barangay
City
State/Province
Zip Code
Father's Name
*
First Name
Middle Name
Last Name
Suffix
Father's Occupation
Mother Maiden's Name
*
First Name
Middle Name
Last Name
Mother's Occupation
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Contact Informations
(The "informations" will be inputted here will be protected and will be used for specific school's recording purposes)
Student's Active Email Address
(Please enter a valid email address that follow this kind of format: example@example.com)
Student's Active Phone Number
Please enter a valid phone number.
Format: (+63) 000 - 000 - 0000.
Parent's Active Email Address
(Please enter a valid email address that follow this kind of format: example@example.com)
Parent's Active Phone Number
*
Please enter a valid phone number.
Format: (+63) 000 - 000 - 0000.
Family Landline Number
Please enter an active landline number
Format: (000) 000-0000.
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Enrollment Payment
(The "informations" will be inputted here will be protected and will be used for specific school's recording purposes)
Voucher Holder
*
Yes
No
Other
Payment Scheme
*
Spot Cash with 5%
Semi-Annual (September & January)
Quarterly (September, November, January, March)
Monthly (September to March)
Other
Proof of Payment
Browse Files
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(Please attach any kind of proof of payment for the student's enrollment.)
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