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Junior High School Admission Form
Complete all fields marked with
*
Personal Information
LRN (Learner Reference Number - 12 digits)
*
Enter exactly 12 digits
Last Name
*
First Name
*
Middle Name
Optional
Date of Birth
*
Age
*
Auto-calculated from date of birth
Gender
*
-- Select --
Male
Female
Citizenship
*
Religion
*
Height (cm)
*
Weight (kg)
*
Address
*
Phone Number
*
Email
*
Grade Level Applying For
*
-- Select Grade Level --
Grade 7
Grade 8
Grade 9
Grade 10
Academic Information
Type of Previous School
*
Public
Private
Previous School Name
*
Private School Category
*
ESC
Non-ESC
ESC
(Education Service Contracting) is a government program that provides subsidies to students from public schools to attend participating private schools.
Student ESC No.
*
ESC School ID
*
School Name
*
School Name
*
Family Information
Mother's Maiden Name
*
Occupation
*
Father's Name
*
Occupation
*
Emergency Contact
Emergency Contact Name
*
Relationship
*
Phone Number
*
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Submit Admission
Have a questions?
10 20 123 456
amoreacademy@gmail.com
Trece Martires City Cavite