Student Information

This portion is to be filled out by the school personnel. ID NUMBER

SENIOR HIGH SCHOOL COLLEGE NEW STUDENT TRANSFEREE

1 For Inquiries, provide the necessary information for this section only. Write in CAPITAL LETTERS. Put N/A if not applicable

CHOSEN PROGRAM / TRACK & STRAND / SPECIALIZATION YEAR / GRADE LRN / ESC No.

BACHELOR OF SCIENCE IN HOSPITALITY MANAGEMENT (BSHM)

Students's Name
FIRST NAME DATE OF BIRTH (MM-DD-YYYY)

SHIELA ANN 11 - 05 - 2000

MIDDLE NAME BIRTHPLACE CITIZENSHIP

MAULLON CAVITE FILIPINO

LAST NAME SUFFIX CIVIL STATUS GENDER

PONIENTE SINGLE MARRIED* M F

Current Address
HOUSE / LOT / UNIT NO. STREET BUILDING / SUBDIVISION / VILLAGE / BARANGAY

411 ROSAL BICLATAN

CITY / MUNICIPALITY PROVINCE ZIP CODE

GENERAL TRIAS CAVITE 4107

Permanent Address (Leave blank if the same as Current Address)

HOUSE / LOT / UNIT NO. STREET BUILDING / SUBDIVISION / VILLAGE / BARANGAY

411 ROSAL BICLATAN

CITY / MUNICIPALITY PROVINCE ZIP CODE

GENERAL TRIAS CAVITE 4107

Contact Details
LANDLINE (e.g. 046 123-4567) MOBILE (e.g. 0917 123-4567) EMAIL

09776035920 SHIELAPONIENTE@GMAIL.COM

Last School Attended DATE OF GRADUATION (MM-DD-YYYY)

HIGH SCHOOL** JUNIOR HIGH SCHOOL SENIOR HIGH SCHOOL ALS A&E / PEPT*** COLLEGE 04 - 15 - 2019

NAME OF SCHOOL PROGRAM / TRACK & STRAND / SPECIALIZATION S.Y.(e.g. 2017-2018) YEAR / GRADE TERM

NOTRE DAME OF TRECE MARTIRES TVL 2018 - 2019 GRADE 12

2 For Enrollment, completely fill out the entire form including this section. WRITE in CAPITAL LETTERS. PUT N/A if not applicable.

Only Parents and the Designated Guardian are allowed to conduct any transaction with the school and its personnel. Please provide a valid email address for the dissemination of grades and official
school communications.

Father's Name
FIRST NAME M.I. MOBILE (e.g. 0917 123-4567) OCCUPATION

MALVIN D 09672064203 BARANGAY POLICE

LAST NAME SUFFIX EMAIL

PONIENTE

Mother's Name
FIRST NAME M.I. MOBILE (e.g. 0917 123-4567) OCCUPATION

MARIA M 09178945187 FACTORY WORKER

LAST NAME SUFFIX EMAIL

PONIENTE

Designated Guardian
FIRST NAME M.I. MOBILE (e.g. 0917 123-4567) OCCUPATION

LAST NAME SUFFIX EMAIL RELATIONSHIP

*Married students should provide Certificate of Marriage; **Students who graduated from secondary school under the old curriculum; ***Alternative Learning System Accreditation
& Equivalency / Philippine Educational Placement Test
Terms & Conditions
Admission & Enrollment
A student is deemed officially enrolled after he/she has submitted the appropriate admission or transfer credentials, and paid the required down payment in full or the
amount due as stated on the Registration and Assessment Form. Registration fee is non-refundable.

Data Privacy
STI recognizes the fundamental right of all individuals to the privacy of his/her personal information. STI commits to the responsible and lawful treatment of personal
information about the student including but not limited to his/her grades, exam results, details of parents and guardian, and details of medical condition.STI shall process
and share personal information of the student in accordance with the Republic Act (RA) No. 10173 or the Data Privacy Act of 2012.

Visit https://www.sti.edu/dataprivacy to learn more about the STI Data Privacy Policy.

Fitness
Before being admitted in this institution, an applicant must satisfy the criteria including suitability in respect of health. It is the applicant’s responsibility to
declare his/her suitability, to the best of his/her knowledge regarding health status. The applicant must list any medical and/or psychological condition that should
be taken into consideration in the course of his/her studies and participation in various school activities in the box below

Republic Act (RA) No. 9165 (Comprehensive Dangerous Drugs Act of 2002)
STI is compliant to the Republic Act (RA) No. 9165 (Comprehensive Dangerous Drugs Act of 2002). Any student may be randomly selected and subjected
to drug testing, as prescribed by and in accordance with the law, at any time and place relative to the academic and extra-curricular activities upon the
decision of the school administration.

Undertaking
I hereby declare that the information I have provided is true, correct, and complete to the best of my knowledge. I fully understand that if I have provided
any false information, such may be the basis for the denial of my admission or my non-readmission or exclusion from STI if already admitted. I, likewise,
have read and understood the terms and conditions herein provided and agree to the same. I, further, declare that I am consenting to the collection, use,
processing, and sharing of my personal data, pursuant to the Republic Act No. 10173 or the Data Privacy Act of 2012, for any purpose relative to my
enrollment with STI, including but not limited to: (1) the evaluation of my application, and (2) the recording, storing, maintaining, analyzing, assessing, and
sharing thereof with third parties (for academic, co-curricular, and extra-curricular purposes) on the STI School Management System or any other similar
information system, directories, and alumni records (in connection with possible related placement activities). I am fully aware that this personal information
I have provided shall be retained for as long as necessary as determined by STI.

Student Applicant's Name & Signature | Date

Parent's/Designated Guardian's Name & Signature | Date