UA JUNIOR HIGH SCHOOL ADMISSIONS
Welcome to UA Junior High School! Join the roster of Empowered Champions: Biasa, Maganaca at Mayap.
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Email address
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Your email
LAST NAME
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Please use all caps (capital letters)
Your answer
GIVEN NAME
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Your answer
MIDDLE NAME
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Your answer
Learner Reference Number (LRN)
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Your answer
GRADE LEVEL
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GRADE 7
GRADE 8
GRADE 9
GENDER
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Male
Female
Birthday
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MM
/
DD
/
YYYY
Place of Birth
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Your answer
COMPLETE ADDRESS
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Your answer
TOWN
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Apalit
Arayat
Bacolor
Candaba
Floridablanca
Guagua
Lubao
Mabalacat
Macabebe
Magalang
Masantol
Mexico
Minalin
Porac
San Fernando
San Luis
San Simon
Santa Ana
Santa Rita
Santo Tomas
Sasmuan
Other:
Religion
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Aglipayan Church
Bible Baptist Church
Born Again Christian
Evangelicals / Protestants
Iglesia Ni Cristo
Islam
Jehovah’s Witness
Roman Catholic
Seventh-day Adventist Church
United Methodist Church
Other:
Telephone No.
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Your answer
Mobile No.
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Your answer
Name of Current School
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Your answer
Address of Current School
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Your answer
FATHER's NAME
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Your answer
Father's Mobile Number
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Your answer
Father's Occupation
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Your answer
MOTHER's NAME
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Your answer
Mother's Mobile Number
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Your answer
Mother's Occupation
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Your answer
Who is supporting your studies?
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Your answer
Relationship
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Your answer
Name of Guardian (if not living with parents)
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Your answer
Mobile No. of Guardian
Your answer
Reason for applying in the University of the Assumption
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Your answer
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