PRE-REGISTRATION FOR COLLEGE ( A.Y 2021-2022 )
This Pre-Registration form is a primary requirements for your admission in this Institution.

Select the course intend to enroll:
4-Year CHED programs:
2-Year Associate in Computer Technology (ACT)
Classification: *
Last Name *
First Name *
Middle Name *
Sex *
Birth Date (MM/DD/YYYY) *
Age
Complete Address [House# / Street / Sitio / Purok / Barangay / Municipality / City / Province] *
Town/City *
Mobile Number *
Email Address
4 P's Recipient *
If YES ( House Hold Number)
Father's Name (Last Name, First Name, Middle Name)
Mother's Maiden Name (Last Name, First Name, Middle Name)
Contact Number of Parent's (Father / Head of the Family) *
GUARDIAN (if learner is not Living with Parent / Relationship)
Contact Number of Guardian:
School Last Attended
Year Graduated
School Address
Submit
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