PRE-REGISTRATION FORM

Last School Attended

School Name  

LRN

Personal Information

 
 
 
 
Birthday
 
Gender
 
Body Index

Birth Place

Home Address

Contact Information

Contact No.

Social Account

Contact Person

Father
Mother
Contact Person

Educational Background

Primary Education
Secondary Education

Referred By :

I Agree, To give my consent to the collection, processing, and disclosure of my personal information to the Admissions Office of the ACLC College of Bukidnon, Inc. (ACLC) in accordance with R.A. 10173 ( Data Privacy Act of 2012).