Student Information Sheet
for [New Student]
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Email *
Resident Status *
Program *
Current Year Level *
Learner Reference Number (LRN)
Last name *
First name *
Middle name
Suffix
Nick Name
City Country Address *
City Other Country Address
City Other Outside Country Address
City Province Address *
Municipality/City Address *
City Barangay Address
City Street Address
City Telephone
Home Country Address *
Home Other Country Address
Home Other Outside Country Address
Home Province Address *
Home Municipality/City Address *
Home Barangay Address
Home Street Address
Home Telephone
Mobile Number *
Date of Birth *
MM
/
DD
/
YYYY
Place of birth *
Gender *
Required
Height (cm)
Weight (kgs)
Citizenship *
Religion *
Civil Status *
Blood Type *
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