Edit Profile
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" class="rounded-circle" width="150" height="150" id="profilePreview">
Change Photo
Leave blank to keep current
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" height="150" id="profilePreview" style="border-radius:0; width:100%;">
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First Name
*
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" required>
Middle Name
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">
Last Name
*
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" required>
Date of Birth
*
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" required>
Contact Number
*
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" oninput="validateContactNumber(this)" required>
Must start with 9 and be 10 digits
Address
*
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" required>
Email
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" disabled>
Change Password
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• At least 8 characters
• At least 1 uppercase letter
• At least 1 number
• At least 1 symbol (!@#$%^&*)
Enrollment Information
School Year:
N/A
Grade Level:
N/A
Assigned Section:
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This information is provided by the school registrar and cannot be edited here.
EBNHS
Home
Appointments
Request Appointment
Search Appointment
About Us
About EBNHS
Our History
DepED Programs
Gender & Development
WASH In School
Faculty and Staffs
Get Started
Create an account
Personal Information
First Name
Middle Name
Last Name
Date Of Birth
(Should be same with your enrollment details)
*
Gender
*
Male
Female
House #
Street
Barangay
City
Region
Registration Details
Upload Profile Image
Upload Student ID
Email Address
(Should be same with your enrollment details)*
Please enter a valid email address same with the email you provided in enrollment! Example: enrollment@gmail.com
Contact Number
*
Contact number should start with "9"! Example: 9xxxxxxxxx
LRN
(Check your email inbox)*
Password
*
Confirm Password
*
Passwords must match.
Password must be at least 8 characters long.
Password must contain at least one uppercase letter.
Password must contain at least one number.
Password must contain at least one symbol.
Register Account