Online Admission Data Entry (Add/Edit/Delete)

Rizal Technological University

Online Admission Data Entry

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Personal Data:

Applicant Number:

90123118894

Applicant Number.

LRN: *

Classify applicant's LRN.

Surname: *

Mandatory field.

First Name: *

Mandatory field.

Middle Name: *

Mandatory field.

Sex: *

Male Female

Mandatory field.

Nationality: *

Classify applicant's Nationality from available list.

Religion:

Classify applicant's religion from available list.

Date of Birth: *

Indicate date of birth to display. Mandatory field.

Place of Birth: *

Indicate Place of Birth.

Civil Status: *

Classify applicant's civil status from available list.

Monthly Family Income: *

Indicate average/estimated monthly income of household members.

Contact Information:

Present Address: *

Number, Unit, Street Name, Building

Barangay, Barrio, Village, Subdivision, District

Municipality, City

Province, Region and ZIP/Postal Code

Home Address

Home Phone No.: *

(Area Code) Phone No.

Mobile Phone No.: *

(Area Code) Mobile Phone No.

E-mail address: *

Family Background

Father's Name: *

Father's Last Name

Father's First Name

Father's Middle Name

Father's Occupation

Mother's Name: *

Mother's Last Name

Mother's First Name

Mother's Middle Name

Mother's Occupation

Educational Background

FROM	TO	EDUCATION TYPE	COURSE/PROGRAM/STRAND	NAME OF SCHOOL
2017	2021	Junior High School	HS	UPPER BICUTAN NATIONAL HIGHSCHOOL
2021	2023	Senior High School	STEMSTRAND	ARELLANO UNIVERSITY - JOSE ABAD SANTOS

In case of emergency

Guardian /
Contact Person: *

In case of emergency. Mandatory field.

Relationship:

Relationship with the contact person given.

Contact No: *

Home phone number of contact person. Mandatory field.

Application Information:

Entry Classification: *

Mandatory field

Year Level: *

Year level of the student.

Semester: *

School term of enrollment.

School Year:

2023

Application Date:

If date is other than today

Senior High School Strand: *

Course Program Choice : *

2nd Choice : *

2nd Priority

3rd Choice : *

3rd Priority

Campus: *

Classify applicant's chosen Campus.

Exam Schedule: *

Indicate preferred schedule of exam.

Current Schedule:

Current Schedule of the Student

* All indicated with (*) are mandatory or required fields.

Telephone (+632) 634-1529, 634-1958