JCCA Application/Enrollment Form for Students for School Year 2021-2022
Dear Parent/Guardian:

Kindly fill out all the questions in this application form accurately and completely.

For NEW STUDENTS, may we also request you to prepare the data or clear copies in electronic picture/file format of the following before you proceed (to help make the application process smooth and hassle-free):

For Pre- Kindergarten to Grade 10:
1. PSA Birth Certificate (scanned copy)
2. Recent ID picture of student in white background (clear photo)

For Grade 1 to 10 only:
3. Good Moral Certificate or Certificate of Eligibility to Transfer; from previous school (scanned copy)
4. Final Progress Report Card or SF9 with LRN; from previous school (scanned copy)
5. Learner's Reference Number of the Student

For Grade 1 only:
6. ECCD report card from previous school (scanned copy) ​
7. Certificate of Kindergarten completion (scanned copy) ​

For Grade 8 to 10 only:
8. ESC ID Number (if student is an ESC grantee)

The information gathered in this form will serve as a part of our school record and will be kept confidential.
Email *
Complete Name of Parent or Guardian Filling Up this form *
Student’s First Name : *
Student’s Middle Name :
Student’s Last Name : *
Learner's Reference Number:
In order to proceed, you should give your consent to our Data Privacy Policy. *
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Required
Student Status *
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