VPES Portal - Admission Application Form

School Information

School Year * Target academic school year for this application

Grade Level to Enroll *

For Kindergarten Enrollees

Has the learner attended any Early Learning Program? *

Yes

No

With LRN? *

Yes

No

Student Type *

Returning Learner (Balik-Aral)

Transferee (From Another School)

Student Information

Learner Reference Number (LRN) * 12-digit numbers only, no spaces or special characters

PSA Birth Certificate No. If available upon registration

Last Name *

First Name *

Middle Name

Extension

Birthdate *

Age * Automatically calculated from birthdate

Sex *

Male

Female

Birth Province *

Birth City/Municipality * Select province first

Mother Tongue *

Religion

Additional Information

Belonging to any Indigenous Peoples (IP) Community/Indigenous Cultural Community? *

Yes

No

Is your family a beneficiary of 4Ps? *

Yes

No

Address Information

Current Address

Province *

City/Municipality *

Barangay *

Zip Code

Country *

House No./Sitio/Street Name

Permanent address is the same as current address

Permanent Address

Province *

City/Municipality *

Barangay *

Zip Code

Country

House No./Sitio/Street Name

Parent/Guardian Information * At least one parent/guardian required

Father's Information

Last Name

First Name

Middle Name

Contact Number

Email Address

Mother's Information

Maiden Last Name

First Name

Middle Name

Contact Number

Email Address

Legal Guardian (if applicable)

Last Name

First Name

Middle Name

Contact Number

Email Address

Special Needs Education (SNEd)

Is the Learner under the Special Needs Education Program? *

Yes

No

For Returning Learner (Balik-Aral) and Those Who will Transfer/Move In

Complete this section only if you selected "Yes" for Returning Learner or if transferring from another school.

Last Grade Level Completed *

Last School Year Completed *

Last School Attended *

School ID Optional: Enter 6-digit numbers only

Learning Modality Preference

If the school implements other distance learning modalities aside from face-to-face instruction, which would you prefer for your child? (Select as many as apply):

Blended (Combination)

Homeschooling

Modular (Print)

Radio-Based Television

Educational Television

Modular (Digital)

Online