Basic Education Application

Application Details

Applying for Grade Level *

Please select grade level.

Previous School *

Please enter previous school.

Student Last Name *

Last name is required.

Student First Name *

First name is required.

Middle Name *

Middle name is required.

Sex *

Sex is required.

Birthdate *

Birthdate is required.

Mobile *

Mobile is required.

Email *

Email is required.

Full Address *

Address is required.

Guidance Center’s Data Privacy Statement

Data Privacy Notice. By applying, you consent to the collection and processing of personal data for admission, guidance, and student services in accordance with RA 10173 (Data Privacy Act).

I agree to the Guidance Center’s Data Privacy Statement.

Please agree to the guidance center’s data privacy statement.

Student Personal Information

Religion

Citizenship

Special Needs / Notes

Parents Information (optional)

Father

Last Name

First Name

Middle Name

Contact Number

Mother

Last Name

First Name

Middle Name

Contact Number

Sibling Information (optional)

Number of Siblings

Names / Grades (optional)

Home Information

Guardian Name *

Required.

Guardian Mobile *

Required.

Home Notes

Student Medical Profile (optional)

Allergies

Existing Conditions

Doctor / Contact (optional)

Review & Submit

ID Photo (optional)

Report Card / Credentials (PDF/JPG, optional)

BASIC EDUCATION 2025–2026 (BED)