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Early Registration | EUSEBIO HIGH SCHOOL
Senior High School Registration
JUNE 26, 2024
PERSONAL INFORMATION
LRN
Last Name
Given Name
Middle Name
Extension Name
Level to Enroll
11
12
Mobile Number
Email Address
House Type
OWNED
RENTED
Years of stay
Gender
MALE
FEMALE
Place of Birth
Birthdate
Age
Religion
ROMAN CATHOLIC
AGLIPAY
BAPTIST
BORN AGAIN CHRISTIAN
CHRISTIAN FELLOWSHIP
CHURCH OF CHRIST
DATING DAAN
IGLESIA
ISLAM(MUSLIM)
JEHOVAS WITNESS
MORMONS
NON-SECTARIAN FULL GOSPEL
PENTECOSTAL
PROTESTANT
SEVEN DAY ADVENTIST
House No./Street/Compound/Village/Phase
Barangay
City/Municipality
Father's Name
Father's Occupation
Father's Highest Educational Attainment
ELEMENTARY LEVEL
ELEMENTARY GRADUATE
HIGH SCHOOL LEVEL
HIGH SCHOOL GRADUATE
VOCATIONAL
COLLEGE LEVEL
COLLEGE GRADUATE
MASTER'S DEGREE
DOCTORATE DEGREE
NONE
Mother's Name
Mother's Occupation
Mother's Highest Educational Attainment
ELEMENTARY LEVEL
ELEMENTARY GRADUATE
HIGH SCHOOL LEVEL
HIGH SCHOOL GRADUATE
VOCATIONAL
COLLEGE LEVEL
COLLEGE GRADUATE
MASTER'S DEGREE
DOCTORATE DEGREE
NONE
Guardian's Name
Guardian's Occupation
Guardian's Mobile No.
Relationship with Guardian
MOTHER
FATHER
GRANDMOTHER
GRANDFATHER
BROTHER
SISTER
UNCLE
AUNTIE
COUSIN
FRIEND
EDUCATIONAL INFORMATION
Type of School
PUBLIC
PRIVATE
ALS
PEPT
Eligibilty for Enrollment
JUNIOR HIGH SCHOOL COMPLETER
HIGH SCHOOL GRADUATE
PEPT PASSER
ALS A&E PASSER
School Name
School Address (Brgy. & City/Municipaliy only)
TRACK/STRAND
1
st
Choice
ACCOUNTANCY, BUSINESS, AND MANAGEMENT
GENERAL ACADEMIC STRAND
HUMANITIES AND SOCIAL SCIENCES
SCIENCE, TECHNOLOGY, ENGINEERING, AND MATHEMATICS
2
nd
Choice
ACCOUNTANCY, BUSINESS, AND MANAGEMENT
GENERAL ACADEMIC STRAND
HUMANITIES AND SOCIAL SCIENCES
SCIENCE, TECHNOLOGY, ENGINEERING, AND MATHEMATICS
3
rd
Quarter Grade
Mathematics
Science
English
OTHER INFORMATION
Disability (with diagnosis from licensed medical specialist)
Visual Impairment
Hearing Impairment
Learning Disability
Intelectual Disability
Autism Spectrum Disorder
Emotional-Behavioral Disorder
Orthopedic/Physical Handicap
Speech/Language Disorder
Cerebral Palsy
Special Health Problem/Chronic Illness
Multiple Disabilities
None
Disability (with manifestations)
Difficulty in Seeing
Difficulty in Hearing
Difficulty in Applying Knowledge
Difficulty in Remembering, Concentrating, Paying Attention and Understanding
Difficulty in Performing Adaptive Skilss (Self-Care)
Difficulty in Displaying Interpersonal Behavior (Emotional and Behavioral)
Difficulty in Mobility (Walking, Climbing, and Grasping)
Difficulty in Communicating
None
Vaccination Status
Fully Vaccinated
Received First Dose Only and waiting for Second Dose
Registered and waiting for vaccination Schedule
Unregistered and Unvaccinated
Vaccine Brand
Pfizer Biontech
Oxford Aztrazeneca
Sinovac Coronavac
Gamaleya Sputnik V
Janssen
Moderna
Sinopharm
None
1
st
Booster
Pfizer Biontech
Oxford Aztrazeneca
Sinovac Coronavac
Gamaleya Sputnik V
Janssen
Moderna
Sinopharm
None
2
nd
Booster
Pfizer Biontech
Oxford Aztrazeneca
Sinovac Coronavac
Gamaleya Sputnik V
Janssen
Moderna
Sinopharm
None
Gadget Received
Laptop
Tablet
None
Serial No./IMEI
Connectivity
CABLE MODEM
DIGITAL SUBSCRIBER LINE (DSL)
FIBER OPTIC
MOBILE DATA
NONE
Connectivity Provider
CONVERGE
DITO
GLOBE/TM
PLDT/SMART/SUN/TNT
SKYCABLE
NONE
Scholarship/Financial Assistance
None
Pasig City Scholar
Pantawid Pamilyang Pilipino Program (4Ps)
Roman Romulo Educational Assistance
Department of Science and Technology Scholar
Skills Enhancement and Educational Development for Students (SEEDS)
Barangay Scholar
Eusebio High School
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LRN
Track/Strand
Contact #
Email Add
Date Registered
Status
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