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CKSAI Online Enrolment Form
CKSAI ONLINE REGISTRATION FORM FOR S.Y. 2021-2022
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Pre-Kindergarten
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
(Surname, Given Name, Middle Name)
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Your answer
Address
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Your answer
Birthdate
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MM
/
DD
/
YYYY
Birthplace
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Your answer
Region
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Your answer
Age
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Your answer
Religion
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Your answer
Sex
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Male
Female
Father's Name (Surname, Given Name, Middle Name)
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Your answer
Father's Occupation
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Your answer
Father's Educational Attainment
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Your answer
Mother's Maiden Name (Surname, Given Name, Middle Name)
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Your answer
Mother's Occupation
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Your answer
Mother's Educational Attainment
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Your answer
Parents' Home Address
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Your answer
Parents' Tel./Cel. No.
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Your answer
E-mail Address of Parent/s/Guardians
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Your answer
Custodial Parents/Guardians (if applicable)
Your answer
Relationship with Guardian/s
Your answer
Guardians' Contact Number
Your answer
Other Children in the Family: Name (Surname, Given Name, Middle Name)
Your answer
Other Children in the Family: Name (Surname, Given Name, Middle Name)
Your answer
Is your child taking medication at this time?
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Yes
No
If yes, please specify:
Your answer
Is there any other special information that the school should know about this child or other family members that would be of help in providing services for the child?
Your answer
Child's Primary Language
*
Your answer
Last School Attended by Pupil (if applicable), and Grade Level
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Tel. No. of Last School Attended by Pupil
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Referred by:
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