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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 : * |
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Year Level: * |
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Year level of the student. |
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Previous School Type Attended: * |
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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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Quarter: * |
1st Trimester |
School term of enrollment. |
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Application Date: |
2024-04-20
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If date is other than today |
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Original F-138(Report Card) or photocopy of latest grades*: |
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Required for verification of identity and initial screening. |
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One clear copy of Birth Certificate (PSA)*: |
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Required for verification of identity and initial screening. |
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Good Moral Certificate*: |
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Required for verification of identity and initial screening. |
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Two 1 x 1 I.D. pictures (any background)*: |
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Required for verification of identity and initial screening. |
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ESC Certificates (ESC Grantee)*: |
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Upload image format if you have any. |
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QVR Certificate (SHS Only)*: |
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Upload image format if you have any. |
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Latest Income Tax Return or Certification of Unemployment (Incoming Grade 7 only)*: |
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Required for verification of identity and initial screening. |
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Photocopy of Grade 10 Completion Certificate/Diploma (SHS Only)*: |
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Required for verification of identity and initial screening. |
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NCAE Result (SHS Only) *: |
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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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Gender: * |
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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Current 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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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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FROM |
TO |
EDUCATION TYPE |
COURSE/PROGRAM/STRAND |
NAME OF SCHOOL |
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Application Survey* |
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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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