Senior High School - Pre-Enrolment Form

Last Name*

First Name*

Middle Name*

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

Grade Level*

Grade 11

Grade 12

Strand*

Academic

Technical, Vocational & Livelihood

Are you New or Old Student?*

New Student

Old Student

Last School Attended*

Others

Last School Attended

LRN*

School Year*

Email address (Student)

Email address (Guardian)*

If the guardian doesn't have email address, please use [email protected], for email confirmation purposes.

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*

IMPORTANT!

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

Requirements for Junior and Senior High School

Certificate of Good Moral
PSA Birth Certification (Photocopy)
Picture 2x2 (3 pcs), 1x1 (2 pcs) Formal
Report Card or Form 138 / SF9

Additional Requirements for Senior High School

NCAE Result (Original)
QVR Certificate (for QVR Applicants only) from Private School
ESC Certificate (from Private School)

I understand and agree.

Senior High School Department

Current Health Issues

Guidance & Testing Center (Additional Data Sheet)

For Roman Catholics

IMPORTANT!