Veritas College of Irosin (Enrollment 2025

Pre-Enrollment Registration Form

Veritas College of Irosin

Student Type (OLD - You already enrolled at VCI last semester, TRANSFEREE - You enrolled in a different college/school before, RETURNING - You enrolled at VCI before but stopped for a semester or more, NEW - New student, never enrolled at VCI at any time in the past, just now, former VCI SHS students who are enrolling for college will count as NEW)*

OldTransfereeReturningNew
8-digit ID Number*
(e.g. 20200001)
First Name / Pangalan*
Name Extension (e.g. Jr., Sr., III)
Leave blank if none
Middle Name / Gitnang Pangalan
Last Name / Apelyido*
Sex*
Civil Status*
Nationality*
Religion*
Mobile Number*
Birth Date*

MonthDayYear
Date
E-mail Address (Required for LMS)*
Please ensure that this e-mail address does exist / Siguraduhin na ang email na ito ay tama at kasalukuyang nagagamit mo.
Year and Course/Strand to Enroll*
Year and planned Course/Strand to Enroll (NOTE: Your chosen course might change depending on the assessment of the Registrar)*
Permanent Address (Select Province, then Municipality, then Baranggay)*
Permanent Address (Home Number, Block/Lot, Sitio/Purok ONLY) *
example: Unit IAA, Purok 3
ZIP Code*
Annual Family Income in Pesos - Perang kinikita ng iyong pamilya sa loob ng isang taon / Annual Income of your family in a year. (e.g. 100000)*
Father's Full Name (Firstname Middle Name LastName)
Leave Blank if not applicable
Father's Occupation
Leave Blank if not applicable
Father's Contact Number
Leave Blank if not applicable
Mother's Full Maiden Name (Pangalan sa Pagkadalaga) (Firstname Middle Name Lastname)
Leave Blank if not applicable
Mother's Occupation
Leave Blank if not applicable
Mother's Contact Number
Leave Blank if not applicable
Spouse's Full Name (Firstname MiddleName LastName)
Spouse's Occupation
Spouse's Contact Number
Guardian's Full Name (Firstname MiddleName LastName)*
Guardian can be any of the Parents, Relatives, Spouse, etc.
Relationship with the Guardian*
(e.g. Mother, Brother, Sister, Grandfather, Grandmother, Uncle, Spouse, etc.)
Guardian's Occupation*
Guardian's Contact Number*
(Leave blank if not applicable) For Persons With Disabilities (PWD), please indicate PWD type:

Communication DisabilityOrthopedic DisabilityHearing DisabilityVisual DisabilityCerebral PalsyMental DisabilityPsychosocial DisabilityChronic DisabilityLearning Disability
Sectors - Please check all the sector/s you belong to:

Single ParentStudent currently BoardingIndigenous PeopleLGBT+OFW Dependent4Ps Member
If you are a student who lives in a boarding house, please indicate name and complete address of the boarding house below:
Name and Address of Boarding House (ex. Florida Boarding House, San Juan, Irosin, Sorsogon)
Hidden Label For QR
Should be Empty:

Pre-Enrollment Registration Form