Pre-Registration

INSTRUCTIONS

A. Read all instructions very carefully

B. Fill out this form carefully and type all information requested. Only applicable forms correctly and completely filled out will be accepted. Write N/A if the information is not applicable to you. Omissions can delay the processing of your application.

C. Incomplete Application Form will not be processed.

D. Submit this form (Click the submit button at the bottom of this form).

Personal Information

Applicant Category *

Preferred Course *

Last Name *

First Name *

Middle Name

Extension Name (Jr, II, III)

Sex *

Date of Birth *

Place of Birth *

Civil Status *

Telephone Number

Mobile Number *

Email Address *

Citizenship *

Permanent/Home Address

Region *

Province *

City/Municipality *

Barangay *

Street

House/Block/Lot No

Current Address

Region *

Province *

City/Municipality *

Barangay *

Street

House/Block/Lot No

Family Information

Father

Deceased Not Applicable

Last Name

First Name

Middle Name

Telephone Number

Mobile Number

School

Year and Degree Graduated

Company/Employer (if employed)

Mother (Maiden Name)

Deceased Not Applicable

Last Name

First Name

Middle Name

Telephone Number

Mobile Number

School

Year and Degree Graduated

Company/Employer (if employed)

Spouse (If Married)

Deceased Not Applicable

Last Name

First Name

Middle Name

Telephone Number

Mobile Number

School

Year and Degree Graduated

Company/Employer (if employed)

Academic Information

School Attended (list all schools attended beginning from elementary)

Elementary

Elementary School

Year Graduated (20__ to 20__)

Junior High School

Year Graduated (20__ to 20__)

Senior High School

Year Graduated (20__ to 20__)

Emergency Contact

Please contact in case of emergency:

Complete Name *

Contact Number *

Relationship *

Complete Address *

Login to SEAIT

Online Pre-Registration

INSTRUCTIONS

Personal Information

Permanent/Home Address

Current Address

Family Information

Father

Mother (Maiden Name)

Spouse (If Married)

Academic Information

Elementary

Junior High School

Senior High School

Emergency Contact

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