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SHS Grade 11-HUMSS                        PRE-REGISTRATION FORM                  SY 2026-2027
WELCOME, FUTURE MCAIANS!
Christian Values and Academic Excellence

Mendez Christian Academy Inc.

A leading educational community that produces competent learners who are ready to meet technological demands and challenges of the 21st century through moral and academic excellence.

EMAIL *
LRN (Learner Reference Number)
STUDENT'S FULL NAME (Last Name, Given Name, Middle Initial, SUFFIX-JR,II,III,IV)
GENDER
AGE
BIRTH DATE
MM
/
DD
/
YYYY
BIRTH PLACE
COMPLETE ADDRESS (HOUSE NUMBER, STREET, BRGY, CITY/MUNICIPALITY)
RELIGION
FATHER'S NAME: (Last Name, Given Name, Middle Name)
CONTACT NUMBER
FATHER'S OCCUPATION
MOTHER'S NAME: (Last Name, Given Name, Middle Name)
MOTHER'S OCCUPATION
CONTACT NUMBER
LAST SCHOOL YEAR ATTENDED
Is your JHS a PUBLIC or PRIVATE school?
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Are you a Junior Highschool ALS Graduate?
Are you an PEPT Passer?
JUNIOR HIGH SCHOOL (Previous School)
DATA PRIVACY STATEMENT

I understand and agree that filling out this form, I am allowing  Mendez Christian Academy Inc., to use, collect, and disclose my personal information and to store it as long as necessary for  the fulfillment of the stated purpose in accordance with the applicable laws, including the DATA PRIVACY ACT OF 2012 and its implementing rules and regulations, and Mendez Christian Academy Inc Data Privacy Act.



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