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KHS ALUMNI REGISTRATION FORM
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Personal Information
First Name:
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Middle Name:
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Last Name:
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Suffix
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Year Graduated in Elementary:
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Year Graduated in Junior High School:
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Year Graduated in Senior High School (K-12 Program):
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Year Graduated in College:
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Civil Status:
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City and Country of Residence:
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Landline Number:
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Mobile Number:
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E-mail Address:
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Educational Background
Highest Educational Attainment
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College/University where you took your undergraduate studies:
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Course Taken:
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Awards/Academic Distinction Received on Graduation
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Year Graduated:
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College/University where you took your postgraduate studies:
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Special award/s from any private/government-owned institutions:
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Passed licensure examination:
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Occupational Information
Occupation / Profession:
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Company Affiliation:
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Company Address:
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IN CASE OF SELF-EMPLOYMENT Name of Business:
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Business Type:
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Other:
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INFORMED CONSENT
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