Enrollment Form SY 2021-2022
Amid the public health emergency due to COVID-19, we are happy to welcome our old and new TUDNACOHSians for SY 2021-2022. In keeping with the strict physical distancing measures, enrollment for this school year shall primarily be administered remotely using this online form. Please read the questions carefully and fill in all applicable spaces and encode your answers in CAPITAL letters. For items not applicable, type in N/A.
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Grade Level *
Check the appropriate box only.
Required
Last Name *
First Name *
Middle Name *
Extension Name (if applicable)
(for example: Jr., II, or III)
LRN *
Type NA if not applicable or if you forgot your Learner Reference Number.
Specialization (for Junior High) *
(For Senior High students: Choose Not Applicable)
Required
Track/Strand (for Senior High) *
(For Junior High students: Choose Not Applicable)
Required
Age *
Gender *
Required
Date of Birth (Month, Day, Year) *
(for example: January 1, 2020)
Father's Name *
(First Name, Middle Name, Last Name)
Mother's Maiden Name *
(First Name, Middle Name, Last Name)
Name of Guardian (if not living with parents; type NA if not applicable) *
(First Name, Middle Name, Last Name)
Contact Number *
Kanang makontak gyud ug motubag pod kung tawagan.
Address *
(Purok, Barangay, Municipality, Province)
Last Grade Level & Section Completed *
Last School Year Completed *
School Last Attended *
Belonging to any Indigenous Peoples (IP) Community?
(If YES, please specify.)
Name of brother(s) and/or sister(s) currently enrolled to TUDNACOHS. *
(If YES, please specify.)
Which distance learning modality do you prefer? *
Confirmation
I hereby certify that the above information given are true and correct to the best of my knowledge and I allow the Department of Education to use these details to create and/or update my learner profile in the Learner Information System. The information herein shall be treated as confidential in compliance with the Data Privacy Act of 2012. (Click or tap SUBMIT to confirm.)
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