KCJECA Registration Form

Registration Form

Please fill out the form below to apply.

Fields marked with an asterisk are required *

Email Address *

Student Type *

First Name *

Middle Name

Last Name *

Suffix

Date of Birth *

Place of Birth *

Gender *

Citizenship *

Religion

House / Building Number *

Street Name *

Barangay / Subdivision *

City / Municipality *

Zip Code *

Country *

Mother's Full Name *

Mother's Occupation *

Mother's Mobile Number *

Mother's Email

Father's Full Name *

Father's Occupation *

Father's Mobile Number *

Father's Email

Grade Level to Enroll *

Learner's Reference Number (LRN) *

Original copies of the following documents must be submitted to the school.