Student Registration Form
Student Registration Form
Thank you for your interest in registering with us. Please fill out the form below with accurate information to ensure a smooth processing experience. We look forward to having you enrolled at [Your Company Name]!
I. Student Information
Name
Gender
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Male
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Female
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Non-binary
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Date of Birth
Present Address
Permanent Address
Phone number
II. Academic Information
Year Level
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First Year
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Second Year
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Third Year
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Fourth Year
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Fifth Year
Previous School Name
Previous School Address
Latest GWA Percentile
III. Emergency Contact Information
Name
Relationship to Student
Address
Phone number
IV. Extracurricular Activities
Are you interested in participating in extracurricular activities?
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Yes
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No
If yes, please select the activities of interest:
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Sports
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Music
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Art
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Drama
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Science Club
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Language Club
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Dance
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Option 8
Additional Information
Thank you for completing the form. If you have any questions or need further assistance, please email [Your Company Email] or call [Your Company Number].