Registration Form

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KMPC LEARNING CENTER

#84 Karuhatan Rd. Karuhatan, Val. City


Tel. # 456-78-81
REGISTRATION / ADMISSION FORM
School Year 2018 - 2019
Level: _______________ Date :_________________

LAST NAME FIRST NAME MIDDLE NAME DATE of BIRTH

ADDRESS: _________________________________________________________________________________________________
TEL. # _________________________
FATHER _________________________Occ. ________________MOTHER ________________________ Occ. _______________
MODE OF PAYMENTS E[ ] Monthly
June Php.____________ OR# _______
A [ ] Cash Basis Php ____________OR# ________ D [ ] Monthly Php.____________ OR# _______
B [ ] Semestral Php ____________OR# ________ July Php ____________ OR# _______
November Php ____________OR# ________ August Php ____________ OR# _______
C [ ] Quarterly Php ____________OR# ________ September Php ____________ OR# _______
August Php ____________OR# ________ October Php ____________ OR# _______
October Php ____________OR#.________ November Php ____________ OR# _______
December Php ____________OR# ________ December Php ____________ OR# _______
February Php ____________ OR# _______ January Php ____________ OR# _______
February Php ____________ OR# _______
March Php ____________ OR# _______

Registrar Principal

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