APPLICATION FORM

AND SECURITYMERCEDARIAN SCHOOL INC.
MERCEDARIA 1952 SCHOOL
Blk. 89 Lots 29-30 Greater Lagro, Novaliches, Quezon City I 8-939-7684
APPLICATION FORM
Directions: Kindly print legibly. Fill in all information needed. Do not abbreviate. Do not leave any items blank. Put "NA" if not applicable
PHOTO
Entry GradeLevel
School Year
Prev School Attended
Date

MonthDayYear
Date
LEARNER'S PERSONAL DATA
Name

Nick NameMiddle NameLast Name
First Name
LRN
year
Birthdate

MonthDayYear
Date
Birthplace
Religion
Nationality
Address
Mothers Name
Occupation
Fathers Name
Occupation
Guardian
Relationship
Telephone No.
Mobile No.
Email Address
example@example.com
ADMISSION PROCESS
PSA Birth Certificate (Photocopy)

Baptismal Certificate (Photocopy)

Report Card / Form 138 2 pcs 1x1 ID Picture
GWA
Remarks
Admission Officer
Date

MonthDayYear
Date
OR No
Amount
School Cashier
Date Time

MonthDayYear
Date
Remarks
Proctor Examiner
Remarks
School Principal Assistant Principal
ENROLLMENT SLIP
This to certify that interview, and is therefore qualified to enroll for
This to certify that
has passed the entrance test and Thank you.
School Principal Guidance Counselor
Should be Empty:

AND SECURITYMERCEDARIAN SCHOOL INC.