Application Form for Incoming Grade 11 Students
Instructions:
Please accomplish this application form and submit to the Guidance office
together with the following documents: 2” x 2”
For Students:
1. Form 138 (Grade 9) PICTURE
2. Two copies of 2” x 2” picture with white background
3. Certificate of Good Moral Character.
4. Birth Certificate (Original and Photocopy)
5. NCAE Result (if available)
For Parents/Guardian:
1. Updated Voter’s Certificates
2. Community Tax Certificate
3. For guardians, submit notarized Affidavit of Guardianship
Learner’s Reference Number (LRN):__________________________
FULL NAME OF THE STUDENT
LAST NAME FIRST NAME MIDDLE NAME
BIRTHDATE AGE GENDER RELIGION
HOME ADDRESS
PHONE NO. MOBILE NO. E-MAIL ADDRESS
CURRRENT SCHOOL
Public Private
SCHOOL ADDRESS
FATHER'S NAME
HIGHEST EDUCATIONAL ATTAINMENT
PHONE NO. MOBILE NO. E-MAIL ADDRESS
OCCUPATION
COMPANY/BUSINESS NAME AND ADDRESS
VOTER REGISTRATION RECORD NO. BARANGAY PRECINT NO.
MOTHER'S NAME
HIGHEST EDUCATIONAL ATTAINMENT
PHONE NO. MOBILE NO. E-MAIL ADDRESS
OCCUPATION
COMPANY/BUSINESS NAME AND ADDRESS
VOTER REGISTRATION RECORD NO. BARANGAY PRECINT NO.
GUARDIAN'S NAME
HIGHEST EDUCATIONAL ATTAINMENT
PHONE NO. MOBILE NO. E-MAIL ADDRESS
OCCUPATION
COMPANY/BUSINESS NAME AND ADDRESS
VOTER REGISTRATION RECORD NO. BARANGAY PRECINT NO.