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Application Information
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Strand *required:
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Course / Program of the applicant.
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Year Level *required: |
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Year level of the applicant.
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Learning Mode *required: |
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Learning Mode of the applicant.
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Personal Data
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Surname *required:
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Last Name.
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First Name *required:
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Given Name.
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Middle Name *required:
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Mothers Maiden Name.
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Extension Name:
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Extension Name.
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Learner Reference Number (LRN):
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Learner Reference Number (LRN).
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Sex *required:
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Male
Female
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Mandatory field.
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Citizenship *required:
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Classify applicant's Nationality from available list.
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Religion *required:
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Classify applicant's religion from available list.
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Mother Tongue *required:
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Classify applicant's Mother Tongue from available list.
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Ethnicity *required:
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Classify applicant's Ethnicity from available list.
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Date of Birth *required:
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Year |
Month |
Day |
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Year, Month and Day of birth
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Place of Birth: |
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As per birth certificate. Mandatory field. |
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Email Address *required:
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All Notification and Electronic Test Permit will be sent to this email address
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Email Verification Code *required:
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Verification Code sent to your Email Address.
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Present Address *required:
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Number, Unit, Street Name, Building
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Barangay, Barrio, Village, Subdivision, District
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Municipality, City
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Province, Region and ZIP/Postal Code
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Permanent Address *required:
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Number, Unit, Street Name, Building
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Barangay, Barrio, Village, Subdivision, District
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Municipality, City
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Province, Region and ZIP/Postal Code
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Please out an "X" mark in the box which applies to the applicant:
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Medical Condition
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Allergies
Hearth Disease
Asthma
Epilepsy
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Physical Impairment
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Visual
Auditory
Physically Handicapped
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Mental Health Concern that is clinically diagnosed
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Attention Deficit Hyperactivity Disorder (ADHD)
Mood Disorder (Depression, Bipolar)
Autism Spectrum Disorder (ASD)
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Special Learning Needs:
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Dyslexia
Dyspraxia
Dyscalculia
Dysgraphia
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Others, please specify:
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Do you have any allergy/peculiar disease/disorder/disability/impairment? If yes, please specify.
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Have you ever stopped studying? If yes, give the date and reason/s.
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Have you ever been accelerated in any school? If yes, give the reason/s.
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Hearing:
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Excellent
Good
Fair
Poor
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Eyesight:
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Excellent
Good
Fair
Poor
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General Health:
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Excellent
Good
Fair
Poor
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Family Background
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Father's Name *required:
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Father's Name.
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Living
Deceased
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Citizenship: |
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Father's Citizenship.
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Religion: |
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Father's Religion.
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Highest Educational Attainment: |
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Father's Highest Educational Attainment.
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Occupation: |
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Father's Occupation.
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Monthly Income: |
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Father's Monthly Income.
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Company: |
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Father's Company Name.
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Business Address: |
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Father's Business Address.
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Contact No. *required: |
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Father's Contact No.
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Email Address: |
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Father's Email Address.
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Mother's Maiden Name *required:
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Mother's Name.
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Living
Deceased
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Citizenship: |
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Mother's Citizenship.
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Religion: |
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Mother's Religion.
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Highest Educational Attainment: |
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Mother's Highest Educational Attainment.
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Occupation: |
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Monthly Income: |
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Mother's Monthly Income.
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Company: |
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Mother's Company Name.
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Business Address: |
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Contact No. *required: |
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Mother's Contact No.
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Email Address: |
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Mother's Email Address.
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Parents' Marital/Civil Status: |
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Guardian's Name:
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Guardian's Name.
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Relationship with the student: |
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Guardian's Relationship with the student
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Citizenship: |
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Guardian's Citizenship.
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Religion: |
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Guardian's Religion.
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Highest Educational Attainment: |
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Guardian's Highest Educational Attainment.
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Occupation: |
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Guardian's Occupation.
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Monthly Income: |
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Guardian's Monthly Income.
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Company: |
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Guardian's Company Name.
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Business Address: |
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Guardian's Business Address.
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Contact No.: |
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Guardian's Contact No.
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Email Address: |
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Guardian's Email Address.
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Number of children in the family: |
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Family Order: |
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The birth order of the applicant. |
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In case of emergency
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Contact Person *required:
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In case of emergency. Mandatory field.
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Relationship:
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Relationship with the contact person given.
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Email Address:
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Email Address of contact person. Mandatory field.
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Home Phone # :
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Home phone number of contact person. Mandatory field.
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Mobile Phone # *required:
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Mobile phone of contact person.
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Educational Background
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List all schools attended in order from 1st to last (Elementary School to Junior High School).
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General Average: |
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Class Rank: |
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Number of students in class: |
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Check and list down the activities in which you have participated while in Elementary or in your previous school:
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Sport/s Team Activities, specify
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Academic Activities, specify
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Religious Activities, specify
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Civic Activities, specify
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Others, specify
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Special Skills/Talents:
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In the text box provided below, give a brief explanation as to why you wish to study in this school.
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Attachments
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**Please upload clear copies of the following documents in JPEG (.jpg) file format. |
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**Each File must not exceed 2MB. |
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Current Student ID (JPEG): |
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Upload Scanned image of current Student ID. Required for verification of identity and initial screening.
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Certificate of Enrollment (JPEG) *required: |
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Upload Scanned image of Certificate of Enrollment. Required for verification of identity and initial screening.
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Grade 6 Report Card (for applicants) / Previous Year Level Report Card (for transferees) - Front page*required:
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Upload Grade 6 Report Card for this student. Required for verification of identity and initial screening . |
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Grade 6 Report Card (for applicants) / Previous Year Level Report Card (for transferees) - Back page*required:
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Upload the back page of the Grade 6 Report Card for this student. |
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Captcha *required:
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Please Enter the Captcha Code for Verification.
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IMPORTANT: Read this portion very carefully.
We hereby voluntarily apply for admission at Saint Louis University Laboratory High School - Junior High. By applying for admission, we undertake to abide by its rules and regulations and agree that any violation of the same on our part shall be sufficient ground for the school to revoke our admission.
We certify that the herein stated information is true and correct to the best of our knowledge and we fully understand that any omission and/or falsification on our part shall be sufficient ground for the School to deny our application.
Finally, we recognize the sole prerogative of the School to promulgate such reasonable rules and regulations it deems necessary for the effective implementation of its Philosophy, Vision-Mission and Objectives and programs of education.
Please note that incorrect / falsified entries may lead to the cancelation of your application.
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I Agree |
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