Lourdes Provincial High School
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Register for enrollment at Lourdes Provincial High School
Step 1 of 5: Personal Information
Personal Information
First Name *
Middle Name
Last Name *
Suffix
Gender *
Select
Male
Female
Date of Birth *
Grade Level *
Select
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
LRN
Student Type *
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New Student
Transferee
Place of Birth
Nationality
Religion
Contact Information
Email Address *
Contact Number
Address
Emergency Contact
Emergency Contact Name
Emergency Contact Number
Relationship
Required Documents (PDF/JPG/PNG)
Birth Certificate *
Report Card (Form 138) *
Good Moral Certificate *
2x2 Photo *
Account Information
Password *
Minimum 8 characters
Confirm Password *
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SUBMIT REGISTRATION
* Required fields. Your registration will be reviewed by school administrators before approval.
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