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WEST PRIME SHS Pre- Enrollment Form
S.Y. 2024-2025

IMPORTANT REMINDERS:
This online pre-enrollment application will serve as your prior slot on the actual enrollment.
A student will only be considered OFFICIALLY ENROLLED when the ff. requirements are submitted on the actual enrollment:

•Form 138 (Report Card)
•Form 137
•Certificate of Completion (reproduced)
•SECPA (original)
•Good Moral Character
•Two (2) pcs. 2X2 pictures

*Own a string bag when you enroll as a group of four(4) or more coming from the same school.
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Date of Enrollment: *
MM
/
DD
/
YYYY
Learner Reference Number LRN:
First Name:
 *
Middle Name
 *
Last Name:
 *
Home Address:
 *
Date of Birth:
 *
MM
/
DD
/
YYYY
Gender:
 *
Required
Facebook Account:
 *
Contact Number:
 *
Parent/Guardian Name:
 *
Parent/Guardian Contact Number:
 *
School Name (Junior High School):
 *
School Address (Junior High School):
 *
Grade and Section (ex. 10-Eagle):
 *
Strand:
 *
Class Schedule:
 *
Required
Sports/Talent:
 *
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