LPU - Batangas

Application Data Entry

Add a new Applicant

FM-LPU-REGO-48
* All indicated with (*) are mandatory or required fields.
- Application Information
Classification: Select on what are you are applying for.
LRN No.*: Mandatory field if the Applicant is High School
Entry Classification*: Mandatory field. Classify applicant as new, transferee, cross enrollee
Year to enroll at LPU*: Select the student batch this application will apply.
Semester*: School term of enrollment.
Course/Program to take at LPU* : Priority Course / Program of the applicant
Year Level*: Year level of the student.
- Personal Data
Surname*: Mandatory field.
First Name*: Mandatory field.
Middle Name*: Mandatory field.
Gender*: Male Female Mandatory field.
Civil Status*: Mandatory field.
Religion*: Classify applicant's religion from available list.
Nationality: Classify applicant's Nationality from available list.
    Foreigner Check if the applicant is foreigner.
Date of Birth*: ??    Encode date of birth to display automatic computation of age (YYYY-MM-DD). Mandatory field.
Place of Birth: As per birth certificate. Mandatory field.
Present Address*: Number, Unit, Street Name, Building
Barangay, Barrio, Village, Subdivision, District
Municipality, City
Province and ZIP/Postal Code
Mandatory field.
Home Phone No.*: (Area Code) Phone No.
Mobile Phone No.*: (Area Code) Mobile Phone No.
E-mail address*:
- Guardian Information
Guardian: Guardian. Mandatory field.
Relationship with the Student: Relationship with the guardian. Mandatory field
Date of Birth: ??    Encode date of birth to display automatic computation of age (YYYY-MM-DD).
Guardian Phone No.: Home phone no. of guardian. Mandatory field
Guardian Mobile No.: Mobile no. of guardian. Mandatory field
Email Address: Email Address of guardian. Mandatory field
- In case of emergency
Contact Person: In case of emergency. Mandatory field.
Address
Home address of contact person.
Number, Unit, Street Name, Building
Barangay, Barrio, Village, Subdivision, District
Municipality, City
Province, Region
Relationship: Relationship with the contact person given. Mandatory field
Date of Birth: ??    Encode date of birth to display automatic computation of age (YYYY-MM-DD).
Phone No: Home phone number of contact person. Mandatory field.
Mobile Phone No.: Mobile phone of contact person. Mandatory field
Email Address: Email Address of contact person. Mandatory field
- Financial Information:
Financial Source: Identify Student's source of financial support in college aside from parents. Mandatory field.
Annual Family Income: Identify applicant's Family Income. Mandatory Fields.