ACFI

Full Name

First Name *

Middle Name

Last Name *

Suffix

Student ID No.

Birth Information

Date of Birth *

Place of Birth

Age

Personal Details

Name in Native Language

Mother Tongue

Sex *

Ethnic Group

Religion

Nationality *

Contact Information

Email Address

Phone Number

Address — Philippine Address (PSGC Standard)

Province *

City / Municipality *

Barangay *

House/Unit No. & Street

Zip Code

Father's Information

Father's First Name

Father's Middle Name

Father's Last Name

Suffix

Contact Number

Home Address

Mother's Information

Mother's First Name

Mother's Middle Name

Mother's Last Name

Suffix

Contact Number

Home Address

Mother Maiden Name

Guardian's Information (if applicable)

Guardian's First Name

Guardian's Middle Name

Guardian's Last Name

Suffix

Contact Number

Home Address

Relation

* In case of emergency (Recipient for News, Announcement and School Information)

Father

Mother

Guardian

Family Composition

Number of Children in the Family

Order in the Family

Eldest

2nd

3rd

Youngest

Only Child

Others

Parent/Guardian Socio-Economic Information

Father's Information

Educational Attainment

Occupation

Monthly Income

₱

Other Income Source

Ethnicity

Mother's Information

Educational Attainment

Occupation

Monthly Income

₱

Other Income Source

Ethnicity

Guardian's Information

Educational Attainment

Occupation

Monthly Income

₱

Other Income Source

Ethnicity

School Information

Last School Attended

Last Grade Level Completed

School's Contact No.

Last School Mailing Address

Educational Background

	School Name	Year Graduated	School Type
Pre-School
Grade School
Junior High School
Senior High School
College

Vaccination

Vaccinated

Yes

Medical Information

Blood Type

Height (Meters)

Weight (kgs)

Allergy/ies (food, medication, insects, plants, animals, etc.)

Are there factors that require a limited physical activity program? If yes, specify.

Allergies to Medication

Medical History

Any additional health information the school should be aware of

Old Student Pre-Registration

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