Amya Polytechnic College, Inc.

Amya Polytechnic College, Inc.
Tulip Drive cor. Casiana Villa Abrille Street, Davao City, Philippines

New Student Registration and Enrollment Form

School Year *

First name *

Middle name*

Last name *

Suffix

Date of Birth *

Sex *

Place of Birth *

Email (GMAIL only) *

Address *

Contact Number (Eg. 9101234444) *

Ethnicity *

Religion *

Mother Tongue

Civil Status *

Citizenship

IP Community/Indigenous Cultural Community

Average Family Income *

Does the learner have special education needs?

DSWD Household #

Dependent of an Employee
Yes No

Parents/Guardian Details

Father's Fullname *

Mother's Fullname *

Guardian/Contact Person in Case of Emergency *

Father's Highest Educ. Attainment *

Mother's Highest Educ. Attainment *

Guardian's Highest Educ. Attainment *

Father's Occupation *

Mother's Occupation *

Guardian's Occupation *

Father's Contact No. ( Eg. 9101234444 ) *

Mother's Contact No. ( Eg. 9101234444 ) *

Guardian's Contact No. ( Eg. 9101234444 ) *

Academic Details

LRN

PSA Birth Certificate No. (if available)

Course to Enroll *

Level *

Nursery School Name

Nursery School Address

Elementary School Name

Elementary School Address

Junior Highschool Name

Junior Highschool Address

Senior Highschool Name

Senior Highschool Address

Have your graduated in any 4-year degree course?

Technical/Vocational Course

Previous School Name (For Transferees)

Previous School Address (For Transferees)

Preffered Session

I confirm that I have read, understood, and hereby agree to the Data Privacy Statement and Policies of Amya Polytechnic College, Inc..

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Amya Polytechnic College, Inc. Tulip Drive cor. Casiana Villa Abrille Street, Davao City, Philippines New Student Registration and Enrollment Form

Amya Polytechnic College, Inc.
Tulip Drive cor. Casiana Villa Abrille Street, Davao City, Philippines

New Student Registration and Enrollment Form