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Application Data: |
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School Group * |
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Classify applicant's chosen Campus. |
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Campus Site: |
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| Course/Program (Priority) : * |
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Course/Program (Choice 2):
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Course / Program of the applicant
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Course/Program (Choice 3):
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Course / Program of the applicant
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Year Level: * |
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Year level of the student. |
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Entry Classification: * |
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Mandatory field. Classify applicant as Freshmen, transferee, cross enrollee or returnee for Pre-school, Grades school, JHS, SHS and college, and New Student for post-graduates. |
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LRN: |
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Classify applicant's LRN. |
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School Year: |
2024 |
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Term: * |
2nd Trimester |
School term of enrollment. |
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Application Date: |
2024-12-07
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If date is other than today |
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Please submit at least one of the documents. |
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SHS Report Card (for freshmen) Max. of 5MB*: |
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Report Card. Required for verification of identity and initial screening. |
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Transcript of Records (For Transferee/Cross Enrollee/Masteral/Doctoral) Max. of 5MB*: |
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Transcript of Records . Required for verification of identity and initial screening. |
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Personal Data: |
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Surname: * |
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Mandatory field. |
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First Name: * |
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Mandatory field. |
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Middle Name: * |
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Mandatory field. |
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Sex: * |
Male
Female |
Mandatory field. |
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Nationality: * |
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Classify applicant's Nationality from available list. |
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Religion: |
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Classify applicant's religion from available list. |
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Date of Birth: * |
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Indicate date of birth to display. Mandatory field. |
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Place of Birth: * |
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Indicate Place of Birth. |
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Civil Status: * |
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Classify applicant's civil status from available list. |
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Monthly Family Income: * |
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Indicate average/estimated monthly income of household members. |
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Contact Information: |
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What country are you currently residing in? * |
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Home Address: * |
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Number, Unit, Street Name, Building |
Barangay, Barrio, Village, Subdivision,
District |
Municipality, City |
Province, Region and ZIP/Postal Code |
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Home Phone No.: * |
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(Area Code) Phone No. |
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Mobile Phone No.: * |
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(Area Code) Mobile Phone No. |
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Billing Address:
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Billing Address Tel No.: * |
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(Area Code) Phone No. of your Permanent/Billing Address |
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E-mail address: * |
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Personal e-mail address. |
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E-mail verification code: * |
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Once you entered your e-mail, click the Send Verification Code button. You'll receive a confirmation e-mail on your indox or spam folder. Copy and paste it on the place holder. You may resend another verification code after a minute. |
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In case of emergency |
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Guardian / Contact Person: * |
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In case of emergency. Mandatory field. |
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Relationship: |
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Relationship with the contact person given. |
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Guardian / Parent Occupation: * |
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Occupation of Guardian/Parent. |
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Contact No: * |
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Home phone number of contact person. Mandatory field. |
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Family Data |
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Stat |
LAST NAME |
FIRST NAME |
MIDDLE NAME |
RELATIONSHIP |
OCCUPATION |
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Educational Background* |
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Stat |
FROM |
TO |
EDUCATION TYPE |
COURSE/PROGRAM/STRAND |
NAME OF SCHOOL |
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Visa Information |
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Stat |
VISA STATUS |
AUTHORIZED STAY |
PASSPORT NO. |
EXPIRATION DATE |
ACR NO. |
DATE ISSUED |
LAST DATE ARRIVAL. |
PLACE ISSUANCE. |
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Application Survey* |
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Application Disclosure Form* |
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Determine what action to take for this application. |
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* All indicated with (*) are mandatory or required fields. |
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