Welcome to Online Student Registration

Academic Year 2024-2025

Before proceeding with enrollment, please make sure you have the following information ready:

Learner's Reference Number (LRN – 12 digits)
Date of Birth
Parent's/Guardian's Full Name
Previous School Information from Nursery 1 Onward - (School Name & School Year)

02

Enrollment Status

Provide the required information to identify your records.

Enrollment Status

New Student First time enrolling at VSJA

Old Student Previously enrolled at VSJA

Note: For Nursery and Kindergarten, please use your birth date in MMDDYYYY format (e.g., 01122001) as your LRN.

Grade Level for this school year

Learner's Reference Number (LRN - 12 digits)

Date of Birth

Middle Name

03

Personal Data

Ensure all details match your birth certificate and official documents.

LRN

Student Number

Grade Level

Strand / Pathway

Basic Information

First Name

Middle Name

Last Name

Gender

Date of Birth

Birth Place

Nationality

Religion

Mobile Number

Phone Number

Complete Address

House Number & Street

Subdivision / Village / Zone

Barangay

City / Municipality / Province

Region

RFID Mobile Number

Registration Email

Vaccination & Social Questions

Are you COVID-19 vaccinated?

Yes No

Vaccination Date

Do you have a booster shot for COVID-19?

Yes No

Booster Date

Belonging to IP Community / ICC?

Yes No

If Yes, please specify

Does the learner have special education needs?

Yes No

If Yes, please specify

Does the learner use assistive devices?

Yes No

If Yes, please specify

04

Educational History

Enter your previous academic information.

Level

School Name

School Year

Nursery 1

Nursery 2

Kindergarten

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Grade 6

Grade 7

Grade 8

Grade 9

Grade 10

Grade 11

Grade 12

ESC / Voucher Questions

Are you an ESC Applicant?

Yes No

Are you an ESC Grantee?

Yes No

In what region?

Note: If NCR, just put "NCR".

With Approved SHS Voucher:

Yes No

05

Parents / Guardian Information

Provide complete information for the student's primary contacts.

Father's Information

First Name

Middle Name

Last Name

Marital Status

Contact Number

Email Address

Highest Educational Attainment

If others, specify

Employment Status

Occupation

Mother's Information

First Name

Middle Name

Last Name

Marital Status

Contact Number

Email Address

Highest Educational Attainment

If others, specify

Employment Status

Occupation

Guardian's Information

Not Applicable (living with parents)

First Name

Middle Name

Last Name

Marital Status

Contact Number

Email Address

Highest Educational Attainment

If others, specify

Employment Status

Occupation

06

Health Information

Declare any medical conditions or allergies for the student's safety.

Allergies (Put N/A if not applicable)

Health Problems (Put N/A if not applicable)

Others (Put N/A if not applicable)

07

Emergency Contact

Identify the person to be contacted in case of an emergency.

Emergency Contact Person(s) Full Name

Maximum of 2 persons, separated by /

Mobile / Phone Number

Maximum of 4 numbers, separated by /

08

Upload Student Photo

Upload a recent, clear 2x2 ID picture with a plain background.

Click to upload your 2x2 ID photo

JPG, PNG — max 2MB recommended

09

Review Your Information

Please verify all details before submitting.

Enrollment Status

Student Type

—

Grade Level

—

LRN

—

Date of Birth

—

Personal Information

Full Name

—

Gender

—

Birth Place

—

Nationality

—

Religion

—

Mobile

—

Address

Street Address

—

City/Region

—

RFID Mobile

—

Reg. Email

—

Vaccination & Social Info

Vaccinated

—

Vax Date

—

Booster

—

Booster Date

—

Indigenous

—

Indigenous Detail

—

Special Needs

—

Special Needs Detail

—

Assistive Tech

—

Assistive Tech Detail

—

Educational History

—

ESC Applicant

—

ESC Grantee

—

Family Information

Father

—

Mother

—

Guardian

—

Health

Allergies: —

Health Problems: —

Others: —

Emergency Contact

Contact: —

Number: —

Student Photo

I confirm that the information provided is accurate and complete. I understand that any errors or omissions may require clarification or verification by the school.

Welcome to Online Student Registration

Enrollment Status

Personal Data

Basic Information

Complete Address

Vaccination & Social Questions

Educational History

ESC / Voucher Questions

Parents / Guardian Information

Father's Information

Mother's Information

Guardian's Information

Health Information

Emergency Contact

Upload Student Photo

Review Your Information

Enrollment Status

Personal Information

Address

Vaccination & Social Info

Educational History

Family Information

Health

Emergency Contact

Student Photo

Error

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