REGISTRATION FORM
STEP 1 OF 2
REGISTRATION IS NOW OPEN! SCHOOL YEAR: SEMESTER:
PERSONAL INFORMATION
Student Type: NEW STUDENT
OLD STUDENT 		TRANSFEREE
Student ID:
First Name:
Middle Name:
Last Name:
Extension Name:
Date of Birth:
(/mm/    /dd/    /yyyy/)
Birth Place:
SEX:
CONTACT INFORMATION
Barangay:
Town/City:
Province:
Father:
Mother:
Guardian:
Occupation:
Contact Number in-case of Emergency: Put 0 if none
Your Mobile Number: Put 0 if none
Contact e-mail:
SCHOOL BACKGROUND INFORMATION
Last SY Attended:
School Name:
Last School Attended
School Address:
Strand: Section:
Grade/Year Level this School Year:
Are you a 4Ps member?