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Prov. 22:6

Train up a child

in the way

he should go;

and when he is old,

he will not

depart from it.

ONLINE ENROLLMENT FORM School Year 2012-2013

Personal Information:
First Name: Middle Name:
Last Name: Date of Birth:
Place of Birth: Age:
Select Gender: Parent/Guardian:
Occupation: Contact Number:
Complete Address:
Religion:

Note: Attach xerox copy of Birth Certificate (NSO)

School Information

Select Grade/Level You Enroll:

School Last Attended:
What School Year? Address of School

Note: Attach Report Card, Good Moral Character

PROMISSORY

I (Your name) the parent/guardian of (Child name) of Grade/Year promise to pay in full all the obligation before the close of the school year.

________________________

Name and Signature

CERTIFICATION

Present this certification to your adviser on the first day of school.

THIS is to certify that _______________________________________ of Grade/Year______ is admitted in this institution for the school year_____________.

Date Enrolled:_____________

ID Number.:______________

MACARITA A. AGOCOY School Directress

Please print before you click "Submit" and bring the hard copy to the PCA Registrar for official listing. Thank you!