Section 1 of 1
GRADE 1-ONLINE ENROLLMENT FOR S.Y. 2021-2022
Welcome to San Jose Elementary School Online Enrollment Portal. You might need to take picture of your Card/Form 138 and Birth Certificate so you could upload it here. Please accept our School Data Privacy Policy (SDPP) for your protection. Accepting it means that you agree with the School Data Privacy Policy. Thank you!
Ferry Lou S. Junio
ICT Coordinator
LIS Coordinator
Registrar
FELIX F. MALUNES, JR.
Principal
ROSE ANN T. REGALA
GRADE 1 CHAIRMAN
Ferry Lou S. Junio
ICT Coordinator
LIS Coordinator
Registrar
FELIX F. MALUNES, JR.
Principal
ROSE ANN T. REGALA
GRADE 1 CHAIRMAN
REGISTRATION STATUS
REGISTRATION STATUS
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TICK THE BOX THAT IS APPLICABLE TO YOU
TICK THE BOX THAT IS APPLICABLE TO YOU
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0
1
2
3
4
5
6
7
8
9
10
1
Label (optional)
5
Label (optional)
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(0 points)
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LRN (Learner's Reference Number)
LRN (Learner's Reference Number)
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LEARNERS INFORMATION
LEARNERS INFORMATION
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Last Name
Last Name
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Last Name
Last Name
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First Name
First Name
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Middle Name
Middle Name
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EXTENSION NAME e.g. Jr., III (if applicable)
EXTENSION NAME e.g. Jr., III (if applicable)
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GENDER
GENDER
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Male
Female
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BIRTH DATE (mm/dd/ yyyy)
BIRTH DATE (mm/dd/ yyyy)
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BIRTHPLACE
BIRTHPLACE
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RELIGION
RELIGION
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House #/ Street/ Sitio/Purok
House #/ Street/ Sitio/Purok
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Barangay
Barangay
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Municipality
Municipality
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1.
Caloocan
2.
Quezon City
3.
Las Pinas
4.
Makati
5.
CIty of Manila
6.
Mandaluyong
7.
Navotas
8.
Paranaque
9.
Pasay
10.
Pasig
11.
San Juan
12.
Valenzuela
13.
Taguig
14.
Pateros
15.
Muntinlupa
16.
Marikina
17.
Bulacan
18.
Malabon
19.
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If Residence is Outside Metro Manila, Please specify town/province (e.g. BAYAMABANG,PANGASINAN) type N/A if not applicable
If Residence is Outside Metro Manila, Please specify town/province (e.g. BAYAMABANG,PANGASINAN) type N/A if not applicable
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Person with disability, Write YES/NO (if YES, please specify)
Person with disability, Write YES/NO (if YES, please specify)
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Are you a member of 4P's (Pantawid Pamilyang Pilipino Program)/ CCT
Are you a member of 4P's (Pantawid Pamilyang Pilipino Program)/ CCT
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YES
NO
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Belonging to Indigenous People (IP) Community, Write YES/ NO (If YES, please specify)
Belonging to Indigenous People (IP) Community, Write YES/ NO (If YES, please specify)
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Name of Last School Attended
Name of Last School Attended
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Address(City, Province) of Last School Attended
Address(City, Province) of Last School Attended
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TICK THE BOX OF THE PREFERRED LEARNING DELIVERY
TICK THE BOX OF THE PREFERRED LEARNING DELIVERY
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ONLINE LEARNING
MODULAR LEARNING (HOME SCHOOLING)
REGULAR CLASSROOM SETTING
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PARENTS/ GUARDIANS INFORMATION
PARENTS/ GUARDIANS INFORMATION
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Father's Name (Last Name, First Name, Middle Name)
Father's Name (Last Name, First Name, Middle Name)
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Mother's Maiden Name (Last Name, First Name, Middle Name)
Mother's Maiden Name (Last Name, First Name, Middle Name)
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Guardian's Name / Relationship (if not living with Parents)
Guardian's Name / Relationship (if not living with Parents)
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House #/ Street/ Sitio/Purok
House #/ Street/ Sitio/Purok
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Barangay
Barangay
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Municipality
Municipality
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1.
CALOOCAN
2.
QUEZON CITY
3.
CITY OF MANILA
4.
MALABON
5.
NAVOTAS
6.
PATEROS
7.
VALENZUELA
8.
TAGUIG
9.
SAN JUAN
10.
LAS PINAS
11.
MARIKINA
12.
PASAY
13.
MAKATI
14.
MUNTINLUPA
15.
PARANAQUE
16.
MANDALUYONG
17.
BULACAN
18.
PASIG
19.
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If Residence is Outside Metro Manila, Please specify town/province (e.g. BAYAMABANG,PANGASINAN) type N/A if not applicable
If Residence is Outside Metro Manila, Please specify town/province (e.g. BAYAMABANG,PANGASINAN) type N/A if not applicable
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Contact Number of Parent / Guardian
Contact Number of Parent / Guardian
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Number
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LEARNERS CREDENTIALS
LEARNERS CREDENTIALS
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Upload your ID Picture
Upload your ID Picture
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Upload your ID picture here (white background)
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Upload picture of your Birth Certificate
Upload picture of your Birth Certificate
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Upload picture of your Form 138 /Report Card from your previous school
Upload picture of your Form 138 /Report Card from your previous school
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I hereby certify that the above information given are true and correct to the best of my knowledge and I allow the Department of Education to use my child's details to create and/or update his/her learner profile in the Learner Information System. The information herein shall be treated as confidential in compliance with the Data Privacy Act of 2012.
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DISCLAIMER *
DISCLAIMER *
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I hereby affirm my right to be informed, object to processing, access and rectify, suspend or withdraw my personal data, and be indemnified in case of damages pursuant to the provisions of the Republic Act No. 10173 of the Philippines, Data Privacy Act of 2012 and its corresponding Implementing Rules and Regulations.
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Date
Date
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