Junior High School - Pre-Enrolment Form

Last Name*

First Name*

Middle Name*

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

Grade Level*

Grade 7

Grade 8

Grade 9

Grade 10

Are you New or Old Student?*

New Student

Old Student

Last School Attended*

Others

Last School Attended

LRN*

School Year*

Are you ESC?*

YES

Email address (Student)*

Email address (Guardian)*

Date of Birth*

Place of Birth*

Gender*

Nationality*

Other Nationality

Religion*

Other Religion

Date of Enrolment*

Complete Permanent / Home Address*

Contact Number of Student (if any)*

Mother's Maiden Name*

Occupation

Contact Number*

Father's Full Name*

Occupation

Contact Number*

Guardian's Information*

Mother

Father

Both Mother and 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

Vaccine Manufacturer*

Date of First Dose*

Date of Second Dose

Did you get your booster vaccination?*

YES

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. List of requirements:

Requirements for Incoming Grade 7 and Transferees

PSA Birth Certificate - Colored Copy (3 copies)
2x2 Picture - White Background (3 copies)

To Follow

Report Card or Form 138 - Original
Certificate of Good Moral - Original
Brgy. Certificate of Indigence or Certificate of Employment (Parent)
ESC - Form 1 and 2 (For Grade 7 Only)
ESC Certificate for Transferees from Private School (Grade 8 to Grade 10)

I understand and agree.

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Junior High School Department

Student's Information for COVID-19 Vaccination

Current Health Issues

Guidance & Testing Center (Additional Data Sheet)

For Roman Catholics

IMPORTANT!