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

      • Male

      • Female

      • Non-binary

      Date of Birth

        Present Address

          Permanent Address

            Phone number

              Email

                II. Academic Information

                Year Level

                  • First Year

                  • Second Year

                  • Third Year

                  • Fourth Year

                  • Fifth Year

                  Previous School Name

                  Previous School Address

                    Latest GWA Percentile

                    III. Emergency Contact Information

                    Name

                      Relationship to Student

                        Address

                          Phone number

                            Email

                              IV. Extracurricular Activities

                              Are you interested in participating in extracurricular activities?

                                • Yes

                                • No

                                If yes, please select the activities of interest:

                                  • Sports

                                  • Music

                                  • Art

                                  • Drama

                                  • Science Club

                                  • Language Club

                                  • Dance

                                  • 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].

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