Enrollment - EBNHS

Step 1: School Information

School Year *

Grade Level *

With LRN? *

Yes

No

Balik-Aral? *

Yes

No

LRN

Student Photo *

Step 2: Student Information

Last Name *

First Name *

Middle Name

Extension Name (Jr, II, III, etc)

Gender *

Date of Birth *

Mother Tongue *

Indigenous People? *

Place of Birth *

Height (m)

Weight (kg)

Current Address *

Permanent Address *

Contact No *

Email Address *

Step 3: Parent/Guardian Information

Leave as blank if none or unknown.

Father's Information

Last Name

First Name

Middle Name

Contact No

Mother's Information

Last Name

First Name

Middle Name

Contact No

Legal Guardian's Information (if applicable)

Last Name

First Name

Middle Name

Contact No

Step 6: Report Card Upload

Upload Report Card *

Instructions:

Upload a clear scan or photo of the student's most recent report card
Accepted formats: PDF, JPG, PNG
Maximum file size: 5MB
Make sure all information is readable

Report Card File

This document will be used for verification purposes only and will not be displayed on the printed enrollment form.

Digital Enrollment

Step 1: School Information

Step 2: Student Information

Step 3: Parent/Guardian Information

Leave as blank if none or unknown.

Father's Information

Mother's Information

Legal Guardian's Information (if applicable)

Step 4: Other Enrollment Information

Step 5: Learning Modality & Documents

Learning Modality *

Documents Submitted (Inputted by facilitator)

Assessment Scores (Inputted by facilitator)

Step 6: Report Card Upload

Upload Report Card *