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Main Information
Student No.
LRN No.
*
USN
Desired Strand
(HUMSS) HUMANITIES AND SOCIAL SCIENCES
(GAS) GENERAL ACADEMIC STRAND
(STEM) SCIENCE, TECHNOLOGY, ENGINEERING AND MATHEMATICS
(ABM) ACCOUNTANCY BUSINESS MANAGEMENT
(H.E) TECHNOLOGY AND LIVELIHOOD EDUCATION- HOME ECONOMICS
Grade
Grade 11
Grade 12
First Name
*
Middle Name
Last Name
*
Date of Birth
*
Age
*
Birth Place
Gender
*
MALE
FEMALE
Height
Weight
Contact Details
Mobile No.
*
Telephone no.
Email Address
*
Facebook
*
(https://www.facebook.com/juandelacruz)
Address Details
City Address
*
Provincial Address
Father's Details
Name
Occupation
Age
Contact No.
Mother's Details
Name
Occupation
Age
Contact No.
Guardian's Details
Name
*
Mobile No.
*
Telephone No.
Email Address
Last School Attended
Name of School
*
Month / Year of Completion
*
Address
*
Philippine Education Placement Test (PEPT) For JHS
Cert No.
Month / Year of Completion
Accredetation and Equivalency (A&E Test for JHS)
Cert No.
Month / Year of Completion
Philippine Validation Test (PVT for JHS)
Cert No.
Month / Year of Completion
Name of Community Learning Center
Cert No.
Month / Year of Completion
Field with
*
are required field.
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