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Student Reservation
Form
Student Reservation Form
Fields marked with
*
are required.
Enrollment Information
Date
LRN No.
(optional)
Student No.
(optional)
School Year
*
-- Select School Year --
2025-2026
2026-2027
School year is required.
Semester
*
-- Select Semester --
2nd Semester
Semester is required.
Grade Level
*
-- Select Grade Level --
Grade 11
Grade 12
Grade level is required.
Strand
*
-- Select Strand --
Strand is required.
Student Personal Information
Last Name
*
Last Name is required.
First Name
*
First Name is required.
Middle Name
(optional)
Birth Date
*
Birthdate is required.
Age
Gender
*
-- Select Gender --
Male
Female
Gender is required.
Suffix
(optional)
-- Select Suffix --
II
III
IV
SR
JR
Contact No.:
*
Contact No. is required.
Email Address:
*
Email address is required.
Place of Birth:
*
Place of birth is required.
Current Address:
*
Current address is required.
Permanent Address:
*
Permanent address is required.
Parent / Guardian Information
Mother's Information
Required
Mothers Name:
Email Address:
Contact Number:
Occupation:
Father's Information
Optional
Fathers Name:
Email Address:
Contact Number:
Occupation:
Guardian's Information
Required
Guardian Relationship:
*
-- Select Relationship --
Mother
Father
Aunte
Auncle
Grand Mother
Grand Father
Other
Guardian relationship is required.
Guardian Name:
*
Guardian name is required.
Email Address:
Contact Number:
*
Guardian contact number is required.
Occupation:
Address:
*
Guardian address is required.
Educational Background
Schools
Name of School Last Attended
(for transferees)
JHS
(for Incoming Senior High School)
Alternative Learning System (ALS) Center:
Addresses
Adress of School:
Address of School:
Adress of ALS Center:
Student Requirements
Checklist
Select the requirements you already have.
2x2 Picture (2 pcs.)
Drag & drop file here, or click to upload
No file selected
Clear
Birth Certificate (NSO/PSA)
Drag & drop file here, or click to upload
No file selected
Clear
Certificate of Good Moral Character
Drag & drop file here, or click to upload
No file selected
Clear
Public Junior High School Completer (Qualified Voucher Recipient/QVR)
Drag & drop file here, or click to upload
No file selected
Clear
Private Junior High School Completer (ESC Guarantee)
Drag & drop file here, or click to upload
No file selected
Clear
Grade 11 Completer (QVR)
Drag & drop file here, or click to upload
No file selected
Clear
Alternative Learning System Completer (ALS)
Drag & drop file here, or click to upload
No file selected
Clear
Report Card
Drag & drop file here, or click to upload
No file selected
Clear
Reffered By: (Type N/A if not applicable)
*
Referred by is required.
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