Student Enrollment Form

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Senior High School Enrollment Form
Required Fields *

Student Information

First Name

Middle Name

Last Name

LRN

Student Contact No.

Date of Birth

Gender

School Year & Strand

School Year

Grade Level

Semester

Strand

Are you a 4Ps beneficiary?

Parent / Guardian Information

Please fill in the first name, last name and contact number of at least one parent or your guardian

First Name

Middle Name

Last Name

Contact No.

First Name

Middle Name

Last Name

Contact No.

First Name

Middle Name

Last Name

Contact No.

Relation

Location

Province

City / Municipality

Barangay

House Number

Street / Purok

If you are a returning learner, please fill in all the details below. Otherwise, you may skip this section.

Last Grade Level

School Year Start

School Year End

Last School Attended Start typing your school name. Select from the list.

Optional to Upload

Upload Form 138

Upload PSA Birth Certificate

Student Information

School Year & Strand

Parent / Guardian Information

Father's Information

Mother's Information

Guardian's Information

Location

Returning Learner Information (Optional)

Optional to Upload