Registration Form
School Year 2022- 2023
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Email *
Student Profile
LRN (write 000 if you do not know this information) *
Grade level this S.Y. 2022-2023 *
First Name *
Middle Name *
Last Name *
Name Extension
Nickname *
Date of Birth *
Place of Birth *
Sex *
Permanent Address *
Current Address *
Mobile Phone
E-mail Address
Mother Tongue *
Religion *
Does the learner have any previous record in this school? *
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