CENTER FOR ASIAN CULINARY STUDIES INC.
175 Paterno St., San Juan City, Philippines 1500
STUDENT'S REGISTRATION FORM
PERSONAL INFORMATION:
NAME:
First Name
Middle Initial
Last Name
NICKNAME :
E-mail Add:
example@example.com
Present Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Provincial Address:
Birthdate :
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Age:
Birth Place:
Nationality:
Gender :
Civil Status:
Contact No.:
FAMILY INFORMATION:
Father's Name:
Occupation:
Contact No.
Mother's Name:
Occupation:
Contact No.
Person to contact in case of emergency:
Relationship:
Address:
Contact No. :
SCHOOL FROM WHICH GRADUATED AND WHEN:
HIGH SCHOOL:
JUNIOR HIGH:
SENIOR HIGH:
COLLEGE:
OTHERS: VOCATIONAL / MASTERS:
I hereby certify that the above information's are true and correct.
SIGNATE OVER PRINTED NAME & DATE
CREDENTIAL TO BE SUBMITTED:
FORM 137
BIRTH CERT / MARRIAGE CERTIFICATE
TRANSCRIPT OF RECORDS
RESUME
5 PCS PASSPORT ID PICTURE W/ FULL NAME AND WHITE BACKGROUND
ADMISSION AGREEMENT
The fees charged are understood to be determined on the basis of the existing laws. If during the school year, new laws are promulgated, the school reserves the right to adjust the school fees. Due to the limited number of applicants every term, the school is agreeable in completing the fee requirement of this program in event that he/she ceases attendance on the said course for whatever reason / causes his/her non- attendance might be.
I hereby agree to pay in full or in monthly installments, all fees and obligations, and to comply with the rules and regulations of the CENTER FOR ASIAN CULINARY STUDIES.
Student's Name and Signature over printed name
Parent/Guardian's Name and Signature over printed name
Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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