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BASIC EDUCATION STUDENT DATA - REGISTRATION
       
Last Name:
LRNUMBER:
Given Name:
Entry Level:
Middle Name:
Contact no:
Birth Date:
Civil Status:
single married
Birth Place:
 
Home Address:
 
Religion:
 
Ethnicity
     
Dialect:
     
Entry Type
Old   New       Transferee
Shcool Year:
 
Gender:
Male Female
     
Indigenous?
Yes   No
     
Documents:
F137 BC   GMC PICT
     
 
Important:  Please right 'NA' if information asked is not applicable to you.
Intermediate Grade Completed:
School Year
School Address:
Section:
School Last Attended:
Address of School:

 

PARENT and GUARDIAN DATA
Mother
Full Name [mother]
contact no:
Dialect
Address:
Father
Full Name [father]
contact no
Dialect
Address:
Guardian
Full Name [guardian]
contact no:
Dialect
Address:
           
       
email address
       
  I declare that all items above are true and correct. Accept terms and conditions