Bukandala ES Enrollment

School Year

2024-2025

Grade Level

Type

Old Student Transfer In New/Move In Balik-Aral NLPA Repeater

Learner Status

Name of Previous School

School ID:

PSA Birth Cert. No. (if available upon registration)

LRN

First Name

Middle Name

Last Name

Extension Name

Date of Birth

Sex

Male Female

Place of Birth (Municipality/City)

Mother Tongue

Belonging to Indigenous Peoples (IP) Community/Indigenous Cultural Community

Yes No

Is your family a beneficiary of 4Ps?

Yes No

Current Address

House No./Street

Street Name

Barangay

City/Municipality

Province

Country

Zipcode

Permanent Address

Same with your Current Address?

Yes No

House No./Street

Street Name

Barangay

City/Municipality

Province

Country

Zipcode

Father's Information

Father's First Name

Father's Middle Name

Father's Last Name

Contact Number

Mother's Maiden Name

Mother's First Name

Mother's Middle Name

Mother's Last Name

Contact Number

Guardian's Information

Guardian's First Name

Guardian's Middle Name

Guardian's Last Name

Contact Number

If the school will implement other distance learning modalities aside from face-to-face instruction, what would you prefer for your child?
Check all that applies

Blended (Combination)
Educational Television
Homeschooling
Radio-Based Television

Modular (Digital)
Modular (Print)
Online

General Weighted Average

Previous Section

For Incoming Grade 7 learners only.

This part is intended for interested learners to be part of Power-Up Class.
Note: If you are interested to become a student of Power-Up Class, you should have an Actual General Average of 90.00 and above.

Yes No

I hereby certify that the above information given are true and correct to the best of my knowledge and I allow the Department of Education to use my child’s details to create and/or update his/her learner profile in the Learner Information System. The information herein shall be treated as confidential in compliance with the Data Privacy Act of 2012.

Click here to Enrollment Menu

BASIC EDUCATION ENROLLMENT FORMSchools Division of Imus City: Bukandala Elementary SchoolS.Y. 2024-2025

Current Address

Permanent Address

Father's Information

Mother's Maiden Name

Guardian's Information

For Incoming Grade 7 learners only.

BASIC EDUCATION ENROLLMENT FORMSchools Division of Imus City: Bukandala Elementary School
S.Y. 2024-2025