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Year enrolled:
Student number: --

Course:

Enrolled as: Freshman Cross Enrollee Transferee

Personal Information
Surname: First Name: Middle Name:
Birthday:
Citizenship:
Marital Status:
Mobile Number:
Sex: MaleFemale
E-mail address:
Residential Address:
Contact number:

Father's name:
Occupation:
Residential Address:
Contact number:
Mother's name:
Occupation:
Residential Address:
Contact number:
Guardian's name:
Occupation:
Residential Address:
Contact number:
Educational Background
Elementary
Year level
Name and address of schoolYear attended
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High School
Year level
Name and address of schoolYear attended
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STI Fairview - located along Regalado avenue, Fairview QC. Tel. 4171330