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EMAIL ADDRESS

OCCUPATION

MALAYAN HIGH SCHOOL OF SCIENCE

Paz Guanzon St., Pandacan,Manila

Completely fill-out and submit this form together with the other required documents to the Admissions Office. The submitted documents shall become the property of the admissions office and will not be returned to the applicant.

Applicant for:

First Year Student

Transfer Student (Yr. )

PERSONAL DATA

* NAME
( * Required Field)	Last Name	First Name	Middle Name


* DATE OF BIRTH	PLACE OF BIRTH			* GENDER

NATIONALITY		RELIGION


* HOME ADDRESS			* ZIP CODE

* EMAIL ADDRESS		LANDLINE #		MOBILE #

FAMILY BACKGROUND


FATHER'S NAME
	Last Name	First Name	Middle Name

MOTHER'S NAME
	Last Name			First Name			Middle Name

* GUARDIAN'S NAME
	Last Name			First Name			Middle Name

* HOME ADDRESS		* ZIP CODE

EMAIL ADDRESS	WORK #		MOBILE #

EMPLOYER	OCCUPATION

SIBLINGS (from eldest to youngest)

NAME	AGE	GRADE/YR	SCHOOL

EDUCATIONAL BACKGROUND


	SCHOOL		ADDRESS	YEAR ATTENDED

PREP
		(Please enter prep school name and address)

GRADE SCHOOL
		(Please enter grade school name and address)

HIGH SCHOOL
		(Please enter school name and address)

I hereby allow/authorize Malayan High School of Science to use, collect, and process the information for legitimate purposes specifically for promotion of the school’s programs and services, and allow authorized personnel to process the information pursuant to the Data Privacy policies of the school.