Enrollment

Student Enrollment

New student registration form
Re-enrollment for returning learners
Secure and data-privacy compliant
Approx. 15–20 minutes to complete

Choose an option

Select the type of enrollment that applies to your learner.

New Student

First Time at MQSM?

No existing record at MQSM. Fill out a new enrollment form.

Old Student

Continuing Your Studies?

Previously enrolled at MQSM. Retrieve your existing record.

Learner's Data

Personal Information

Please provide the learner's personal details

LRN

Birth Certificate No. (if available upon registration)

First name

Middle name

Last Name

Suffix

Gender

Birthday

Place of Birth (Municipality/City)

Mother Tongue

Religion

Belonging to any Indigenous Peoples (IP) Community/Indigenous Cultural Community?

If Yes, please specify

Is your family a beneficiary of 4Ps?

If Yes, write the 4Ps Household ID Number

Learner's Address

Address

Please provide the learner's current and permanent address

Current House No.

Current Street Name

Current Barangay

Current Municipality/City

Current Province

Current Country

Current Zip Code

Please check if the current address is the same as your permanent address.

Permanent House No.

Permanent Street Name

Permanent Barangay

Permanent Municipality/City

Permanent Province

Permanent Country

Permanent Zip Code

Parent's Guardian's

Parents and Guardian Information

Please provide the Parents and Guardian details

Father's First Name

Father's Middle Initial

Father's Last Name

Father's Occupation

Contact Number

Email Address (if applicable)

Mother's Maiden First Name

Mother's Maiden Middle Initial

Mother's Maiden Last Name

Mother's Occupation

Contact Number

Email Address (if applicable)

Guardian's First Name

Guardian's Middle Initial

Guardian's Last Name

Guardian's Occupation

Contact Number

Relationship

If others, please specify:

Learner's Fetcher

Fetcher's Details

WHO WILL RECEIVE MESSAGE FOR STUDENT'S ATTENDANCE (ENTRY & EXIT)

Note: This contact will be linked to all system-generated messages and transactions.

Receiver Name

Email Address

Contact Number

Relationship

if others please specify:

How will the student get home?

The student will independently commute.
The student will be fetched at all times.
The student will sometimes be fetched and will sometimes commute.

Fetchers Details

Fetcher	Fetcher's Name
Contact Number	Relationship	if others please specify:
Fetcher	Fetcher's Name
Contact Number	Relationship	if others please specify:

Returning Learner
(Balik Aral)

Returning Learner

Please provide the recent school details

School ID

School Type

PUBLIC
PRIVATE

Last School Attended

Mary the Queen

School Address

Last Grade Level Completed

Attendance Date

Learner's Health

Please provide the health related information on the enrollee

Is the child a Learner with Disability?

Distance Learning

If school will implement other distance learning modalities aside from face-to-face instruction, what would you prefer for your child?
Choose all that apply:
Modular (Print)	Online
Radio-Based Instruction	Blended
Modular (Digital)	Educational Television
Homeschooling

Payments

Payment

Mode of Payment

Incoming Grade Level (S.Y. 2026-2027)

For Learners in Senior High School

1st SEM
2nd SEM

Track

Strand

Enrollment
Contract

DATA PRIVACY CONSENT FORM

(In compliance to the Data Privacy Act 10173 of 2012)

I, parent/guardian of the student am fully aware that Mary the Queen School of Malolos (MQSM) and its duly designated representative, is bound under the Data Privacy Act of 2012 to protect all the personal information I voluntarily submitted as part of child’s enrollment to the institution. This includes but not limited to his/her name, address, names of parents or guardians, birthdate, grades, attendance, disciplinary records, and other information necessary for basic administration and instruction.

The aforementioned information is strictly confidential and can only be accessed through (1) School Admission processes and (2) through my personal consent. I am fully aware that the information collected and processed is related to his/her personal enrollment to the institution and to be used by MQSM in its legitimate interest as an educational institution.

In the same manner, I am also conscious that MQSM may share such information with government agencies pursuant to law or legal processes.

I certify that I have fully read and understood the agreement stated above and agree to its terms.

If Yes, specify the type of disability:
Visual Impairment	Learning Disability
a. blind	Emotional-Behavioral Disorder
b. Low vision	Cerebral Palsy
Multiple Disorder	Intellectual Disability
Hearing Impairement	Orthopedic/Physical Handicap
Autism Spectrum Disorder	Special Health Problem/ Chronic Disease
Speech/Language Disorder	a. cancer

Dose No	Vaccination ID	Date Vaccinated
Dose No	Vaccination ID	Date Vaccinated

Learner's Data

Learner's Address

Parent's Guardian's

Learner's Fetcher

WHO WILL RECEIVE MESSAGE FOR STUDENT'S ATTENDANCE (ENTRY & EXIT)

How will the student get home?

Fetchers Details

Returning Learner (Balik Aral)

Learner's Health

Distance Learning

Payments

For Learners in Senior High School

Enrollment Contract

Enrollment Submitted Successfully!

Returning Learner
(Balik Aral)

Enrollment
Contract