NORTHERN LUZON ADVENTIST COLLEGE
Artacho, Sison, Pangasinan
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LRN:[ {{studfile.lrn}} ]
Grade {{studfile.grade}}
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| Last Name
| First Name
| Middle Name
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| Date of Birth: |
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| Mother: |
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| Father: |
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| Guardian |
| Name: |
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| Address: |
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| Contact No.: |
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| Date of Registration: |
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| Gender: |
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| Address: |
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| Contact No.: |
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| E-mail Address: |
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| School Last Attended: |
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| Survey |
| Online Learning: |
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| Access to Internet at Home: |
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Mode of Learning |
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PARENTS/GUARDIANS APPROVAL
As parent of this student. I hereby agree to the following conditions, including my child's staying in the dormitory/village indicated and I therefore recognize my responsibility in the prompt and faithful payment of my child's obligation to the institution.
Signature of Parent/Guardian
Registrar
Student Finance
Principal