College - Pre-Enrolment Form - Grabsum School Inc.

Last Name*

First Name*

Middle Name*

If no Middle Name, please write "Not Applicable".

Civil Status

SINGLE

MARRIED

OTHERS

Other (Please Specify)

Spouse's Full Name*

Are you New or Old Student?*

NEW STUDENT

OLD STUDENT

LRN*

Last School Attended*

Others

STUDENT NUMBER*

Last School Attended*

Year*

Course*

Semester*

School Year*

Email address (Student)*

Date of Birth*

Place of Birth*

Gender*

Nationality*

Other Nationality

Religion*

Other Religion

Date of Enrolment*

Complete Permanent / Home Address*

Contact Number of Student (Required)*

Mother's Maiden Name*

Occupation

Contact Number*

Father's Full Name*

Occupation

Contact Number*

Guardian's Information*

MOTHER

FATHER

BOTH MOTHER & FATHER

OTHER GUARDIAN

Guardian's Full Name*

Guardian's Contact Number*

Guardian's Occupation*

Guardian's Relationship to the Student*

Student's Information for COVID-19 Vaccination

Are you vaccinated?

YES

NO

Vaccine Manufacturer*

Date of First Dose*

Date of Second Dose

Did you get your booster vaccination?*

YES

NO

Booster Vaccine Manufacturer*

Date of Booster First Dose*

Date of Booster Second Dose

IMPORTANT!

This Pre-Enrolment is subject for VALIDATION. It can only be finalized upon submission of the requirements below.

Requirements for Incoming First Year & Transferee (College)

PSA Birth Certification - Colored Photocopy
PSA Marriage Certificate - Colored Photocopy(if married)
2x2 Picture with White Background (3 pcs)

To Follow

Report Card / Form 138 - Original
Certificate of Good Moral - Original Copy

For Transferees with Units Earned in College

Certificate of Grades - Original
Honorable Dismissal / Transfer Certificate

I understand and agree.

TERTIARY Department

Student's Information for COVID-19 Vaccination

Current Health Issues

IMPORTANT!