REGISTRATION FOR
New Basic Education Student
IMPORTANT NOTES :
- * Required fields.
- Use your Legal Name (as it appears on applicant's PSA Birth Certificate or passport).
- Provide a VALID Email Address for us to send a copy of your accomplished form.
- Fields cannot be edited once the Registration Form is submitted.
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| APPLICANT STATUS | ||
| *Grade / Level | ||
| GRADE LEVEL APPLYING FOR | ||
| *Strand (Incoming Grade 11 only) | ||
| STUDENT INFORMATION | ||
| *First Name | *Middle Name | |
| *Last Name | Suffix (ex: I/II/III/Jr./Sr.) | |
| *Birth Place | *Birthday | |
| *Gender | *Nationality | *Religion |
| CONTACT DETAILS | ||
| *Permanent Address | *Region | *Province |
| *Municipality/City | District | *Barangay |
| *Zipcode | Landline No. | *Mobile No. |
| *Primary Email Address | ||
| SCHOLASTIC BACKGROUND | ||
| *School Last Attended | *School Year | |
| * Grade/Level Completed | *School Address | |
| FAMILY BACKGROUND | ||
| *Parent\'s marital status | ||
| *Father | *Birth Place | |
| *Birth date | *Nationality | *Religion |
| *Occupation | *Office Address | |
| *Contact No. | ||
| *Mother | *Birth Place | |
| *Birth date | *Nationality | *Religion |
| Occupation | *Office Address | |
| *Contact No. | ||
In consideration of my admission to the INDIANA AEROSPACE UNIVERSITY, I hereby promise to abide and comply with the rules and regulations laid down by the authorities of this institution.
I hereby affirm that all information provided in the Student Profile is complete and accurate. I understand that withholding information or giving false statement will make me ineligible for admission or subject to dismissal after admission has been granted.
I hereby allow Indiana Aerospace University to collect, use and process the mentioned information for legitimate purposes specifically for enrollment and allow personnel to process such information in accordance with the implementing rules and regulations of the Data Privacy Act of 2012