School Information Management System
Academic Year- 2023-2024
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First Name:*
Middle Name:
Last Name:*
Birthday:*
Gender:*
Choose
Male
Female
Nationality:*
Address:*
Country:*
Province:
City:*
Barangay:
Zip Code:*
Facebook:
Contact Number:*
Religion:
LRN:
Does this learner have Education Need?:*
Yes/No
Yes
No
Classification/Type of Learner Special Educational Need(LSEN):*
Select Classification
Visual Impairment
Hearing Impairment
Learning Disability
Intellectual Disability
Autism Spectrum
Emotional-Behavioral Disorder
Orthopedic/Physical Handicap
Cerebral Palsy
Special Health Problem/Chronic Disease(eg Cancer)
Multiple Disabilities
Difficulty in Seeing
Difficulty in Hearing
Difficulty in Apply Knowledge
Difficulty in Remembering, Concentrating, Paying Attention and Understanding
Difficulty in Applying Adaptive Skills
Difficulty in Displaying Inter-Personal Behavior
Difficulty in Mobility(Walking, Climbing and Grasping)
Difficulty in Communicating
Stay With:
Indigenous?:
Yes/No
Yes
No
Group Name:
Transferee?:
Yes/No
Yes
No
Referred By:
Last Grade Completed:
Last School Year Completed:
School Name:
School Address:
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E-Mail Address:
Password:
Confirm Password:
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