Senior High School Online Registration 1st Sem SY 2023-2024

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DECLARATION COMPLIANT TO THE DATA PRIVACY ACT

I hereby authorize the University of Perpetual Help Las Piñas Campus 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. *

I Accept and Agree to the Data Privacy Policy

Required

GRADE LEVEL BEING APPLIED FOR *

FIRST NAME *

MIDDLE NAME *

LAST NAME *

MOBILE NETWORK *

MOBILE NUMBER *

LANDLINE NUMBER

EMAIL ADDRESS *

ADDRESS *

CURRENT SCHOOL *

SCHOOL ADDRESS *

NAME OF PARENT / GUARDIAN *

MOBILE NUMBER *

STRAND INTENDED TO ENROLL IN *

LEARNER REFERENCE NUMBER

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