Senior High School - Pre-Enrolment Form

Please type in CAPITAL LETTERS for all the required fields.

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*

DATE OF BIRTH*

PLACE OF BIRTH*

GENDER*

NATIONALITY*

OTHER NATIONALITY

RELIGION*

OTHER RELIGION

DATE OF ENROLLMENT*

COMPLETE PERMANENT HOME ADDRESS*

EMAIL ADDRESS (STUDENT)*

CONTACT / MOBILE NUMBER OF STUDENT*

MOTHER'S FULL 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

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. List of requirements:

Requirements for Grade 11 and Transferees

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

To Follow

Report Card or Form 138
Certificate of Good Moral
ESC Certificate for Transferee from Private School

I understand and agree.

Senior High School Department

Student's Information for COVID-19 Vaccination

Current Health Issues

Guidance & Testing Center (Additional Data Sheet)

For Roman Catholics

IMPORTANT!