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T.R. Yangco Catholic Educational Institute, Inc.
San Juan, San Antonio, Zambales
"Transformative Christ-Centered Education"
Official Enrolment Form
Academic Year 2026-2027
2x2 Photo
Student Information
Full Name
Age
Birthday
Gender
Religion
Contact Information
Address
Contact #
Email
Family Background
Father's Name
Occupation
Mother's Name
Occupation
Parent/Guardian Contact #
Academic Details & History
Student ID
LRN
Grade Level
Date of Enrollment
Last School Attended
School Address
Requirements Submitted
☐ PSA Birth Cert
☐ Baptismal
☐ Report Card
☐ Form 137
☐ Others: _________________________
Assessment of Fees
| Tuition Fee | ₱ 0.00 |
| Miscellaneous Fee | ₱ 0.00 |
| Books & Modules | ₱ 0.00 |
| Subsidies/Grants | - ₱ 0.00 |
| Total Assessment | ₱ 0.00 |
| Mode of Payment | ___________ |
| Downpayment | ₱ 0.00 |
| Remaining Balance | ₱ 0.00 |
| Monthly Payment | ₱ 0.00 |
| O.R. Number | ___________ |
| Received by (Cashier) | ___________ |
| Assessed by | ___________ |
Data Privacy Consent: In compliance with the Data Privacy Act of 2012 (R.A. 10173), I hereby give my full consent to T.R. YANGCO CATHOLIC EDUCATIONAL INSTITUTE,INC. to collect, record, organize, process, and store my personal and academic information for the purpose of enrollment, school administration, and legitimate educational interests. I understand that the school will keep my data confidential and will only share it with authorized personnel and government agencies (e.g., DepEd) as required by law.
Student's Signature
Over Printed Name / Date
Parent's Signature
Over Printed Name / Date
.
OIC-Registrar
Evaluated By
REGINE QUIMADO
School Treasurer
Payment Verified By
JAYSON O. DELGADO
School Principal
Approved By
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