ACI

INSTRUCTION: Please fill-out all details for your Registration. Put NA if some fields are not applicable.

Note : Indicate required field ( * )

First Name *

Middle Name *

Last Name *

Suffix

Learner's Ref Number *

Select Student Type *

Grade *

PERSONAL INFO

Gender *

Civil Status *

Birth Date *

Birth Place *

Nationality *

Religion *

Ethnicity *

EDUCATIONAL BACKGROUND

Preschool *

School Year *

Elementary *

School Year *

CONTACT & ADDRESS

Mobile Phone *Please provide a valid Mobile Number for Confirmation

Permanent Address *

House No. / Street / Subdivision / Building *

Province *

City *

Barangay *

Check if current address is the same with permanent address.

Current Address *

House No. / Street / Subdivision / Building

Province

City

Barangay

SOCIAL MEDIA ACCOUNTS

PARENTS

Father's Name *

First Name

Middle Name

Last Name

Father's Phone No. *

Father's Occupation *

Mother's Maiden Name *

First Name

Middle Name

Last Name

Mother's Phone No. *

Mother's Occupation *

Guardian's Name

First Name

Middle Name

Last Name

Guardian's Phone No. *

Guardian's Occupation *

ONLINE CLASS SURVEY

I'M CAPABLE FOR ONLINE CLASS

I'M NOT CAPABLE FOR ONLINE CLASS

I confirm that the information I have given in this form is true, complete and accurate. I agree to fill-out this Student Information Form (SIF) and hereby authorize sharing of the information furnished on this form with AGUSAN COLLEGES, INC. in accordance with the Philippine Data Privacy Act of 2012.

AGUSAN COLLEGES, INC.

JHS ONLINE REGISTRATION
SY: 2024-2025
(NEW STUDENTS ONLY)

PERSONAL INFO

EDUCATIONAL BACKGROUND

CONTACT & ADDRESS

Permanent Address *

Current Address *

SOCIAL MEDIA ACCOUNTS

PARENTS

Father's Name *

Mother's Maiden Name *

Guardian's Name

ONLINE CLASS SURVEY

I Have the Following:

PLEASE WAIT

JHS ONLINE REGISTRATION SY: 2024-2025 (NEW STUDENTS ONLY)

info PERSONAL INFO

school EDUCATIONAL BACKGROUND

home CONTACT & ADDRESS

Permanent Address *

Current Address *

SOCIAL MEDIA ACCOUNTS

group PARENTS

Father's Name *

Mother's Maiden Name *

Guardian's Name

list_alt ONLINE CLASS SURVEY

I Have the Following:

PLEASE WAIT

JHS ONLINE REGISTRATION
SY: 2024-2025
(NEW STUDENTS ONLY)

PERSONAL INFO

EDUCATIONAL BACKGROUND

CONTACT & ADDRESS

PARENTS

ONLINE CLASS SURVEY