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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)

I confirm that I have read, understood, and hereby agree to the Data Privacy Statement and Policies of i-link.

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New Student Registration and Enrollment Form