RPCI

Please fill in all required fields marked with *. You may skip sections that are not applicable to your situation.

ENROLLMENT INFORMATION

School Year

Semester

Pre-registration Type * Application type is required

Grade Level to enroll * Grade level is required.

LRN LRN is required.

STUDENT PERSONAL INFORMATION

Full Name *

First Name * First Name is required

Middle Name

I don't have a middle name

Last Name * Last Name is required

Suffix Suffix is required

Birth Information *

Date of Birth * Date of birth is required

Place of Birth * Place of birth is required

Personal Details

Name in Native Language

Mother Tongue *

Sex * Gender is required

Ethnic Group *

Religion * Religion is required

Nationality * Nationality is required

Address Information *

Province * Province is required

City/Municipality * City is required

Barangay * Barangay is required

Street/Address * Street is required

Contact Information *

Mobile Number *

Mobile number is required

Email Address *

Email address is required

Emergency Contact *

Who should we contact in case of emergency? (Recipient for news, announcements, and school information). At least one parent/guardian information is required.

Father

Mother

Guardian

Father's Information

First Name

Middle Name

Last Name

Suffix

Contact Number

Home Address

Mother's Information

First Name

Middle Name

Last Name

Suffix

Contact Number

Home Address

Mother Maiden Name

Guardian's Information

First Name

Middle Name

Last Name

Suffix

Contact Number

Home Address

Relation

Family Composition

Number of Children in the Family

Order in the Family

Eldest

2nd

3rd

Youngest

Only Child

Others

Parent/Guardian Socio-Economic Information

Father's Information

Educational Attainment

Occupation

Monthly Income

₱

Other Income Source

Ethnicity

Mother's Information

Educational Attainment

Occupation

Monthly Income

₱

Other Income Source

Ethnicity

Guardian's Information

Educational Attainment

Occupation

Monthly Income

₱

Other Income Source

Ethnicity

EDUCATIONAL BACKGROUND

Educational background is optional. Rows are shown based on the grade level you are applying for.

Level	School Name	S.Y. Graduated	School Type
Pre-school
Grade School
Junior High School
Senior High School
College

MEDICAL INFORMATION

Vaccinated

Yes

Blood Type

Allergy/ies (food, medication, insects, plants, animals, etc.)

Are there factors that require a limited physical activity program? If yes, specify.

Allergies to Medication

Medical History

Any additional health information the school should be aware of

REQUIREMENTS

Note: You can submit the requirements to the office of the registrar anytime after this.

Required Documents:

PSA Original
PSA Original
PSA Original
PSA Original
Form 137
Form 137
Form 137
Form 137
Form 138
Form 138
Form 138
Form 138
Honorable Dismisal
Honorable Dismisal
Honorable Dismisal
Honorable Dismisal
TOR - Informative
TOR - Informative
TOR - Informative
TOR - Informative
2x2 Picture
2x2 Picture
2x2 Picture
2x2 Picture
PSA - Marriage
PSA - Marriage
PSA - Marriage
PSA - Marriage
Good Moral Character
Good Moral Character
Good Moral Character
Good Moral Character
Granted TOR
Granted TOR
Granted TOR
Granted TOR
PSA/Birth Certificate
PSA/Birth Certificate
Good Moral
Report Card
Form 137
Report Card

TERMS AND AGREEMENT

I confirm that I have read, understand, and agree to the above terms and agreement for enrollment of Regency Polytechnic College Inc.

New Student Application

Student Application Form

Full Name *

Birth Information *

Personal Details

Address Information *

Contact Information *

Emergency Contact *

Father's Information

Mother's Information

Guardian's Information

Family Composition

Parent/Guardian Socio-Economic Information

Required Documents:

New Student Application

Student Application Form

Step 1: Enrollment & Student Information

Full Name *

Birth Information *

Personal Details

Address Information *

Contact Information *

Step 2: Parents/Guardian Information

Emergency Contact *

Father's Information

Mother's Information

Guardian's Information

Family Composition

Parent/Guardian Socio-Economic Information

Step 3: Student Records, Requirements & Terms

Required Documents: