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Mary the Queen School of Malolos

Enrollment Form

Learner's Data
Personal Information
Learner's Address
Address
Parent's Guardian's
Parents and Guardian Information
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)
Returning Learner
Please provide the recent school details
Learner's Health
Learner's Health
Please provide the health related information on the enrollee
Is the child a Learner with Disability?
If Yes, specify the type of disability:

Distance Learning
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:
Payments
Payment

For Learners in Senior High School


Enrollment
Contract

I hereby certify that the above information given are true and correct o the best of my knowledge and I allow the Department of Education to use my child’s details to create and/or update his/her learner profile in the Learner Information System. The information herein shall be treated as confidential in compliance with the Data Privacy Act of 2012.