Online Entrance Exam Registration
Welcome to the UPHSD Online Entrance Exam Registration!

In view of the current COVID-19 Community Quarantine, you may register to receive your schedule and details for your online entrance exam.

Kindly accomplish the online application form below:
Sign in to Google to save your progress. Learn more
YEAR LEVEL BEING APPLIED FOR *
TYPE OF APPLICANT *
FIRST NAME *
MIDDLE NAME *
LAST NAME *
MOBILE NETWORK *
MOBILE NUMBER *
LANDLINE NUMBER
EMAIL ADDRESS *
DATE OF BIRTH *
MM
/
DD
/
YYYY
ADDRESS *
CITY / PROVINCE *
CURRENT SCHOOL *
SCHOOL ADDRESS *
CITY *
SENIOR HIGH SCHOOL VOUCHER GRANTEE? *
SHS STRAND *
PREFERRED PROGRAM
1ST CHOICE *
2ND CHOICE *
3RD CHOICE *
OTHER SCHOOL APPLIED IN?
1st Choice *
2nd Choice *
3rd Choice *
DECLARATION COMPLIANT TO THE DATA PRIVACY ACT
I hereby authorize the University of Perpetual Help to collect, process, and use the information for legitimate purposes, including but not limited to answering inquiries, and allow authorized personnel to process the information, store, save, secure, and protect database, and destroy the same in accordance with the laws, rules and regulation. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Perpetual Help System DALTA. Report Abuse
Google Forms