Student Pre-Registration

Personal Information

LRN (Learner Reference Number)

Last Name

First Name

Middle Name

Name Extension (Jr., Sr., III, etc.)

Gender

Gender Identity

Gender Expression

Sexual Orientation

Email Address

Mobile Number

Address Information

Complete Address

Zip Code

Boarding House Address (if applicable)

Additional Information

Date of Birth

Place of Birth

Religion

Citizenship

Civil Status

Dialect/Language

Admission Type

New Student

Shifter

Transferee

Foreign Student

Campus

Luna

Conner

Profile Photo

Upload 2x2 ID Picture (white background) Upload a 2x2 ID picture with white background (JPG, PNG)

Family Background

Father's Name

Father's Occupation

Father's Monthly Income

Mother's Name

Mother's Occupation

Mother's Monthly Income

Parent/Guardian Contact Number

Guardian Information

Guardian's Name

Guardian's Address

Guardian's Contact Number

Additional Family Information

Spouse Name (if married)

Children (if any, separate by comma)

Birth Order (e.g., 1st child, 2nd child)

Elementary Education

Name of Elementary School

School Address

Year Attended (e.g., 2010-2016)

Degree/Honors Received

Junior High School Education

Name of Junior High School

School Address

Year Attended

Degree/Honors Received

Senior High School Education

Name of Senior High School

School Address

Year Attended

Degree/Honors Received

College Education (for transferees)

Name of College/University

College Address

Year Attended

Degree/Units Earned

Honors Received

Required Documents

Please upload the following required documents in PDF format:

PSA Birth Certificate

Form 9/Report Card (Grade 12)

Certificate of Indigency

Good Moral Certificate

Police Clearance

Additional Documents for Transferees

For transferees, please also upload the following documents:

Transcript of Records (TOR)

Honorable Dismissal

Certificate of Grades

Optional Documents

Income Tax Return (for parents working in government)

Other Supporting Documents You may upload multiple files if needed

Review Your Information

Please review all the information you have provided before submitting your pre-registration application.

I confirm that all the information provided is true and correct to the best of my knowledge.

Any additional remarks or information

Student Pre-Admission

Personal Information

Address Information

Additional Information

Admission Type

Campus

Profile Photo

Family Background

Guardian Information

Additional Family Information

Elementary Education

Junior High School Education

Senior High School Education

College Education (for transferees)

Required Documents

Additional Documents for Transferees

Optional Documents

Review Your Information