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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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Grade Level *required: |
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Grade level of the applicant.
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Classification *required: |
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Classification of the applicant.
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StudentNo:
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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 (Leave it blank if not applicable):
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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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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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Date of Baptism/Dedication:
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Month |
Day |
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Year, Month and Day of birth
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Place of Baptism/Dedication: |
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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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Alternative Email Address
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All Notification and Electronic Test Permit will be sent to this email address
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Alternative Email Verification Code
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Verification Code sent to your Email Address.
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Mobile Number: *required: |
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Personal Contact No.
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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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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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Birth Date:
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Month |
Day |
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Father's Date of birth
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Birth Place: |
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Father's Birth Place.
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Highest Educational Attainment:*required: |
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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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Business/Employer: |
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Father's Business/Employer.
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Business/Employment Address: |
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Father's Business/Employment 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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Father is an employee of Saint Louis University... |
Yes
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Father's is an employee of Saint Louis University.
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...in the Department of: |
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Father's Department of employment in Saint Louis University.
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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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Civil Status: |
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Mother's Civil Status.
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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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Birth Date:
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Month |
Day |
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Mother's Date of birth
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Birth Place: |
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Mother's Birth Place.
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Highest Educational Attainment:*required: |
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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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Business/Employer: |
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Mother's Business/Employer.
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Business/Employment Address: |
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Mother's Business/Employment 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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Mother is an employee of Saint Louis University... |
Yes
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Mother's is an employee of Saint Louis University.
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...in the Department of: |
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Mother's Department of employment in Saint Louis University.
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Parents' Marital/Civil Status: |
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Guardian's Name *required:
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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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Birth Date:
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Month |
Day |
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Guardian's Date of birth
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Birth Place: |
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Guardian's Birth Place.
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Highest Educational Attainment: *required: |
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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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Business/Employer: |
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Guardian's Business/Employer.
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Business/Employment Address: |
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Guardian's Business/Employment Address.
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Contact No. *required: |
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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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Guardian is an employee of Saint Louis University... |
Yes
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Guardian's is an employee of Saint Louis University.
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...in the Department of: |
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Guardian's Department of employment in Saint Louis University.
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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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For Brother/Sister discount (10% of Tuition Fee Only):
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Do you have Brother(s)/Sister(s) currently enrolled or will enroll at Saint Louis University (Basic Ed or College) This Academic Year?
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Note: Students enrolled in College with the following courses are not qualified for the discount: BSCS, BSIT, BSN, MD. Discount will be given during the academic year after verification.
Please Selest school currently enrolled at:
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Educational Background
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List all schools attended in order from 1st to last (Kindergarten to present).
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Final General Average for the present grade level: |
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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 in Junior High 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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Picture 2x2 Formal ID (JPEG) *required (File must not exceed 2MB) : |
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Upload 2x2 ID Picture for this student. Required for verification of identity and initial screening.
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PSA Birth Certificate:
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Upload Birth Certifate (PSA Copy) for this student. Required for verification of identity and initial screening. |
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Baptismal/Dedication Certificate:
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Upload the Baptismal/Dedication Certificate. Required for verification of identity and initial screening . |
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Latest Report Card - Front page:
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Upload Latest Report Card for this student. Required for verification of identity and initial screening . |
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Latest Report Card - Back page:
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Upload the back page of the Latest Report Card for this student. |
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Latest Report Card - Other page:
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Upload the Report Card of 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 the Saint Louis University Laboratory Elementary School. 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 right for 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 that it is 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.
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I Agree |
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Name of person who's filing the application: |
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