NPTC Student Registration Form 2021-2022

NORTHERN PARAMEDICAL AND TECHNOLOGICAL COLLEGE OF PANABO,INC. (NPTC)

School I.D.: 405587 Purok 4, Cabaluna St., New Visayas, Panabo City Davao del Norte 8105, Philippines
Student Registration Form

Fill out the form carefully for registration
PERSONAL DATA
School Year
Grade Level to Enroll
Note:

For the Senior High School Grade 11 and Grade 12 enrollees, please select your Strand.

For the lower grades, do not select the Strand.
Strand
Student Name

First NameMiddle NameLast NameName Extension (i.e. Jr., III)
Birth Date

MonthDayYear
Age
Gender
Present/Current Address

House Number/Street/Purok

Barangay

City/MunicipalityState / Province

Postal / Zip Code
Student's Mobile Number
Father's Name

First NameMiddle NameLast NameName Extension (i.e. Jr., III)
Highest Educational Attainment
Mother's Maiden Name

First NameMiddle NameLast Name
Highest Educational Attainment
Parents' Contact Number
Learner is member of;

4PsIPs
Should be Empty:

NORTHERN PARAMEDICAL AND TECHNOLOGICAL COLLEGE OF PANABO,INC. (NPTC)