Holy Cross College
Sta. Ana Pampanga
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Student Information - New Student
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Student Information
Last Name:
First Name:
Middle Name:
Suffix: (Jr., Sr., III)
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JR.
SR.
II
III
IV
V
VI
VII
VIII
IX
X
Grade Level:
Select Grade Level
Grade 11
Strand:
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STEM
HUMSS
ABM
TVL-HE
TVL-ICT
GAS
LRN:
Semester:
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1st Sem
Email:
Barangay:
Municipality:
Province:
Contact Number:
Date of Birth:
Age:
Gender:
MALE
FEMALE
Marital Status:
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SINGLE
MARRIED
DIVORCED
WIDOWED
Nationality:
Religion:
Guardian Information
Last Name:
First Name:
Middle Name:
Suffix:
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JR.
SR.
II
III
IV
V
VI
VII
VIII
IX
X
Relation:
Select Relation
FATHER
MOTHER
BROTHER
SISTER
UNCLE
UNTIE
GRANDFATHER
GRANDMOTHER
STEPFATHER
STEPMOTHER
Contact Number:
Last Name:
First Name:
Middle Name:
Suffix:
Select Suffix
JR.
SR.
II
III
IV
V
VI
VII
VIII
IX
X
Relation:
Select Relation
FATHER
MOTHER
BROTHER
SISTER
UNCLE
UNTIE
GRANDFATHER
GRANDMOTHER
STEPFATHER
STEPMOTHER
Contact Number:
Educational Background
Elementary:
Year Graduated:
High School:
Year Graduated:
Senior High School:
Strand:
Select Grade Level
STEM
HUMSS
ABM
TVL-HE
TVL-ICT
GAS
Year Graduated:
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respects the privacy of our users and has developed this Privacy Policy to demonstrate its commitment to protecting your privacy, this information are stored only in the Holy Cross College Database and acknowledging the
Republic Act 10173 – Data Privacy Act of 2012
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