JHS Admission Application

JHS Admission Form

Fill out the form completely and submit. You will be notified of the next steps.

Grade 7 – 10

* Required fields

Student Name

Surname *

Given Name *

Middle Name

Grade Level Applying For

Grade Level *

Personal Information

LRN (Learner Reference Number)

Birthdate

Age

Gender

Nationality

Religion

Student's Contact No.

Active Email Address *

Complete Address

Elementary School Last Attended

Guardian / Parent Information

Guardian's Name

Guardian's Contact No.

Relationship to the Student

Data Privacy Notice

I hereby certify that all information about my child stated above are true and correct. I hereby give consent for my personal data entered herein to be processed for the purposes of registration pursuant to RA 10173 – Data Privacy Act of 2012.

You must agree to the Data Privacy Notice before submitting.

Samuel Christian College

Junior High School Admission Application

JHS Admission Form