GAKKOUSOFT ::

Registration Form in S.Y 2025 - 2026

NOTE: A red asterisk "*" indicates that a field is required. Type in "N/A" if the information for a required field is unknown at the moment.

Student’s Information

Personal/ Basic Info Complete Name ^*First name, middle name, ^*last name, ^*suffix

^*Nickname

^*Gender

^*Citizenship

^*Birth Place

^*Birth Date

^*Age

Are you the eldest child?
Yes No

^*Religion

Church Affiliation

^*Civil Status

Learner Info

^*Student Type

^*Student Status

^*LRN

^*Previous School Name

^*Previous School Address

Contact Info

Please type in your most active contact numbers and email address.

^*Cellphone #

Landline #

^*Email Address

Home Address

^*Current Address

^*Living with

^*Permanent Address

Other Info

Passport #

I-Card #

COVID-19 Vaccine Information

Dosage Sequence

Date Administered

Vaccine Brand

Dosage Sequence

Date Administered

Vaccine Brand

Dosage Sequence

Date Administered

Vaccine Brand

Father's Information

Is your father deceased?
Yes No

Is your father's identity unknown?
Yes No

Personal/ Basic Info

^*Complete Name

^*Citizenship

^*Religion

^*Philhealth #

^*Educational Attainment

Contact Info

^*Cellphone #

Landline #

^*Email Address

Employment Info

^*Occupation

^*Employment Status

^*Employer's Name

^*Employer's #

^*Employment Address

Does your father work from home?
Yes No

^*Parent's Marital Status

Is your family a member of the 4Ps program?
Yes No

Mother's Information

Is your mother deceased?
Yes No

Is your mother's identity unknown?
Yes No

Personal/ Basic Info

^*Complete Name

^*Maiden Name

^*Citizenship

^*Religion

^*Philhealth #

^*Educational Attainment

Contact Info

^*Cellphone #

Landline #

^*Email Address

Employment Info

^*Occupation

^*Employment Status

^*Employer's Name

^*Employer's #

^*Employment Address

Does your mother work from home?
Yes No

Guardian's Information

Personal/ Basic Info

^*Complete Name

^*Citizenship

^*Religion

^*Philhealth #

^*Educational Attainment

Contact Info

^*Cellphone #

Landline #

^*Email Address

Employment Info

^*Occupation

^*Employment Status

^*Employer's Name

^*Employer's #

^*Employment Address

Does your guardian work from home?
Yes No

Emergency Contact Person

^*Complete Name

^*Cellphone #

^*Relationship

^*Complete Address

Sibling's Information

Add Sibling

Complete Name

Gender

Age

Year Level

Siblings List

Name	Gender	Age	Year Level	Action

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