SHS ONLINE REGISTRATION FORM

World Maritime Academy & Training Center, Inc.

Cuadra Hontanosas Farm, Km. 20, South National Highway Maayongtubig, Dauin, Negros Oriental 6217 Cell #: 0917-341-6141
SENIOR HIGH SCHOOL REGISTRATION FORM
Semester
Academic Year
Student Number:
Track/ Strand/ Specialization:*
Learner's Reference Number (LRN):*
STUDENT'S INFORMATION
Name of Student:*

Last Name

First Name

Middle NameState / Province

Extended Name
Date of Birth*

MonthDayYear
Age*
Gender*
Place of Birth*
Email*
example@example.com
Religion*
Phone Number*

Area CodePhone Number
Permanent Address:*

House No. and Street

Subdivision/ Barangay

City/ MunicipalityState / Province

Postal / Zip Code
Parent/ Guardian's Name:
Father's Name*
Mobile Number*

Area CodePhone Number
Mother's Name*
Mobile Number*

Area CodePhone Number
Guardian's Name*
Mobile Number*

Area CodePhone Number
Junior High School (where the student completed his or her Grade 10):*
Name of School (Do not Abbreviate):
Type of School*
Academic Year*
Address of School (City/ Municipality/ Province):*
Telephone Number

Area CodePhone Number
REQUIREMENTS FOR SUBMISSION (HARD COPY)
1. SF10 (Schools Permanent Record)
2. SF9 (Report Card)
3. Certificate of Good Moral Character
4. 2 pcs 2x2 ID Picture (White Background)
5. Photocopy of Certificate of Grade 10 Completion
6. Photocopy of NCAE Result
7. Original Copy of Birth Certificate
8. QVR/ ESC Certificate (Private School Students ONLY)
Note: Input "N/A" on blank field if you don't know the answer.
Should be Empty:

World Maritime Academy & Training Center, Inc.

SENIOR HIGH SCHOOL REGISTRATION FORM

STUDENT'S INFORMATION

Parent/ Guardian's Name: