Student REGISTRATION Form

SY 2023-2024

FULL
NAME First Name Middle Name Family Name
Date of Birth (mm/dd/yyyy) Age Gender □ Male □ Female
LRN ESC/EVS ID (*for HS)
HOME ADDRESS
House No./Barangay Municipality/City Province/Zip Code
Mailing Address
House No./Barangay Municipality/City Province/Zip Code
Home Contact Number
Siblings in this School
LAST SCHOOL ATTENDED
Address
House No./Barangay Municipality/City Province/Zip Code
Last Grade Attended Last year Attended
Reason for Transfer
PARENT/GUARDIAN
INFORMATION First Name Middle Name Family Name
Relationship to the Student Place of Employment
Home Phone Number Employment Phone Number
Mobile Phone Number Email Address
Emergency Contact Priority □ 1 □ 2 □ 3 Address (if diff from the student)
□ Guardian □ Access to Records □ Custody □ Lives with Student □ Receives Mail/School Updates
PARENT/GUARDIAN
INFORMATION First Name Middle Name Family Name
Relationship to the Student Place of Employment
Home Phone Number Employment Phone Number
Mobile Phone Number Email Address
Emergency Contact Priority □ 1 □ 2 □ 3 Address (if diff from the student)
□ Guardian □ Access to Records □ Custody □ Lives with Student □ Receives Mail/School Updates
EMERGENCY CONTACT
INFORMATION First Name Middle Name Family Name
Relationship to the Student Place of Employment
Home Phone Number Employment Phone Number
Mobile Phone Number Email Address
Emergency Contact Priority □1 □2 □3 Address (if diff from the student)
EMERGENCY CONTACT
INFORMATION First Name Middle Name Family Name
Relationship to the Student Place of Employment
Home Phone Number Employment Phone Number
Mobile Phone Number Email Address
Emergency Contact Priority □1 □2 □3 Address (if diff from the student)
Disability/Allergies
MEDICAL
Doctor’s Name Doctor’s Contact Number
INFORMATION
Doctor’s Clinic Address/Hospital Affiliation
The information collected is pursuant to the School Administration’s responsibilities as set out by the Department of Education and its regulations.
All information shall be safely kept in lieu to our Data Privacy Handbook policies.
The information will be part of the DepEd Learning Information System and opportunities will be provided to update this information annually.
Any questions with respect to this information should be directed to the Principal of the school in which the student is applying/registered.

I certify that the information provided in this form is accurate.

Parent/Guardian’s Signature over Printed Name: ______________________________________ Date: ______________________

ENROLMENT AND ADMISSION RULES ON WITHDRAWAL
When a pupil/student registers in CEC, it is understood that he
1.1 Provisions is enrolling for the whole school year A pupil/student who
Students/pupils of any nationality, religious belief or political withdraws from the school with valid reasons and within the
affiliation who desire to study are welcome to CEC. However, scopes and limitations herein provided is entitled for refunds.
the school reserves the right at any time to admit or refuse, to However, proper notification shall be filed at the business office
readmit or not to readmit, dismiss pupils/students who are under at least two (2) weeks before the time of effectivity. The date of
certain questionable conditions. New applicant(s) or a bonafide withdrawal's effectivity shall be the date that the notice is
pupil(s)/ student(s) who is/are involved in any pending civil, received by the Business Office.
criminal, and/or administrative case(s) inside or outside the A pupil/student who drops and leave the school without official
school, convicted with such cases, member of notorious notice will not be readmitted in the next school year and be
organizations or fraternities and sororities, illegal drug required to pay the whole amount of the school fee due.
pusher/user, sexual immorality, and other malignant social evils
are in no case admitted or retained in the school. 1. Withdrawal or dropping from the school without proper notice
shall not be considered as far as refunds herein provided are
1.2 Requirements concerned.
The school does not officially and permanently enroll
2. Registration, and other miscellaneous fees required to be
pupil/student applying to study at CEC without complete
paid upon enrolment are not refundable.
admission requirements which are the following:
1. Photocopy of PSA birth certificate
3. Invalidation of enrolment due to violation of rules within the
2. Form 138A or Form 137E
first three weeks of classes and/or dismissal from the school are
3. Certificate of Good Moral Character from the last school
not entitled for refunds.
attended.
4. Must pass the entrance examination and interview.
4. For cash basis, the following refunds are granted for valid
5. Pay the Registration Fee
reasons of withdrawal; 75%, 50%, 25% of the tuition fee when
the pupil/student withdraws within the first, second, and third
1.3 Procedure
week after the start of classes respectively, whether the pupil/
student attended classes or not. No refunds shall be made after
1.3.1 Preschool and Elementary
three weeks from date of registration. Miscellaneous Fees shall
1. Fill out the Registration Form and pay the Registration Fee
be paid in full once the classes have started.
and other dues.
2. Pass the requirements prescribed by the registrar.
3. For transferees, present Form 138 (Card) and Good Moral
AGREEMENT
Certificate to the principal.
1. It is our responsibility to provide accurate information in this
4. If approved, fill up registration form.
application and authorize the verification of the given credentials
5. Pay registration and other fees to the Business Office.
as well as to provide all the necessary documents;
2. Any misrepresentation or omissions of facts in the application
1.3.2 Junior High School
will justify the denial or cancellation of admissions;
1. Grade 7 applicants must present the admission requirements
3. We will notify the Business Office and Registrar’s Office of
on the scheduled date of entrance examination. Grade 8-10
any change in status stated in the application and supporting
transferees must not have a grade lower than 75% before they
documents from date of application;
are given permit to take the entrance examination.
4. We agree to comply with the rules, policies and regulations of
2. Successful applicant shall fill-up enrolment form given after
CEC when the student is accepted.
passing both the entrance exam and the interview. The form
shall be given to the officer in- charge of the enrolment for the
DECLARATION
official admission in the school.
We have read and understand all sections of the admission. We
3. Readmission of the former students and back transferees
declare to the best of our knowledge, the information supplied in
shall be subjected to the approval of the principal based on the
this application and the documentation supporting it is correct
recommendations of the concerned school authorities.
and complete.
1.3.3 Senior High School
1. Fill out the Registration Form and pay the Registration Fee
__________________________________________
and other dues. Parent/Guardian’s Signature over Printed Name
2. Pass the requirements prescribed by the registrar.
______________________
Date