PSBC - Online Enrollment

Application Form

Application Type
Enrollment Info
Student's Personal Info
Guardian's Info
Documents

Old Student

School Year: 2024-2025

School Branch

Department

Student Type

Student Level

Programs/Tracks/Strands/Majors

Under Graduate Program/Course Taken

Are You a SHS Graduate? _{(If Yes Select Strand or Tracks. If No
Select N/A)}

Last School Attended - (Public or Private) ^{if applicable}

Year Graduated ^{if applicable}

LRN _{(Learner's Reference Number)}

First Name

Middle Name

Last Name

Suffix Name

Gender

Citizenship

Civil Status

Religion

Email Address

Contact Number

Complete Home Address

Birthdate

Birth Place

Guardian's First Name

Guardian's Middle Name

Guardian's Last Name

Guardian's Address

Guardian's Contact Number

Image ^{(jpg, jpeg, png)}

Data Privacy

In submitting this form I agree to my details being used for the purposes of [insert reason for data collection e.g. administering/managing the conference]. The information will only be accessed by necessary university staff. I understand my data will be held securely and will not be distributed to third parties. I have a right to change or access my information. I understand that when this information is no longer required for this purpose, official university procedure will be followed to dispose of my data.

I Agree