Academia de Julia Victoria

Email Address:* System generated email confirmation will be sent here, make sure it is active.

Category:*

New Student Old and Continuing

Incoming Grade Level:*

Learner Reference Number (LRN):

Last Name:*

First Name:*

Middle Name:

Nickname:

Gender:*

Male Female

Date of Birth:*

Age:*

Place of Birth:*

Religion:*

Nationality:*

Contact No. / Mobile:*

Mother Tongue:*

Home Address

House No., Street Name:*

Brgy:*

City / Town:*

Province:*

Zip:*

Family Background

Father

Complete Name:*

Educational Attainment:

Date of Birth:*

Occupation:*

Company:

Contact No. / Mobile:*

Email Address:*

Provincial Address:

Mother

Complete Name:*

Educational Attainment:

Date of Birth:*

Occupation:*

Company:

Contact No. / Mobile:*

Email Address:*

Provincial Address:

Guardian / Contact Person In Case of Emergency

Complete Name:*

Relationship to Child:*

Educational Attainment:

Date of Birth:*

Occupation:*

Company:

Contact No. / Mobile:*

Email Address:*

Provincial Address:

Additional Information

Siblings:

Grade Level:

Parents Marital Status:*

Child Lives With:*

Language/Dialect Spoken at Home:*

Supervision of School Work:*

Facilities for Home Study:*

Household chores assigned to the child:*

Frequency of Chores:*

Medical Information

Family Physician:

Physician's Contact Number:

Child's Blood Type:

Does the child have any physical difficulty? Or allergies?

Has the child received immunizations: (If yes, check in the space provides)

Hep B Measles PCV/PPV Influenza Thyphoid Flu Shot MMR

Scholastic Information

School/s Attended

Preschool

Level

School Year

Elementary

Level

School Year

High School

Level

School Year

Pupil's Academic Level:*

Excellent Good Average Others

Award/s received by your child

Has your child failed in school? Why?

Has your child repeated a grade/year level?

If yes, what level?

Has your child taken remedial class/es?

If yes, what subject?

Subjects liked most*

Subjects liked least*

Additional Information and Requirements

Confirmation and Payment Details

Tuition, Miscellaneous and Other Fees

Total School Fee

Tuition Fee

Miscellaneous Fee

Payment Plans

Cash

Php 1,000 discount (Until August 13, 2022)

Semi-Annual

Upon Enrollment

January 5

Trimestral

Upon Enrollment

November 5 and February 5

Monthly (7-Month Period)

Upon Enrollment

Every 5th of the month from September to February:

BOOKS (prices are subject to change)

^**Books, zebra bags, seminars, uniforms, and graduation/recognition fee are not included in the miscellaneous.

^**Miscellaneous includes adjusment in the energy fee as we transition to F2F classes

^**Please take note that all protocols/policies and fee stated above are all subject to change, everything will depend on the progress of this pandemic and on the directives from DepEd and/or Imus Local Government in the conduct of limited F2F classes.

^**Discounts:

Early Bird Discount - Php 1,000.00
Until June 11, 2022
Applicable to cash and installment payments
Cash Discount - Php 1,000.00
Until August 13, 2022
Applicable to cash payment on Tuition & Misc
Sibling Discount
2nd Sibling - 5% discount on Tuition
3rd Sibling - 10% discount on Tuition

Preferred Payment Scheme:*

Upon Enrollment:

To process your enrollment, you may opt to pay via

BDO
- Account name: Academia de Julia Victoria of Cavite, Inc.
- Account number: 0121-4800-0549
BPI
- Account name: Academia de Julia Victoria of Cavite, Inc.
- Account number: 1281-0051-26
Academia de Julia Victoria Accounting Office

System generated email confirmation and instructions will be sent through your submitted email address. Make sure your email is correct and active.

By clicking submit, you agreed that all the information obtained in this form will be processed according to the Data Privacy Act of 2012. I affirm that the facts set forth in it are true and complete. I understand that if my child is accepted, any false statement/s, omissions, or misrepresentations made by me on this application may result in immediate dismissal. Allowing my child's picture to be posted on social media (e.g. School's Facebook/Instagram/Website) and have it printed in flyers, tarpaulins and other printed materials in cases wherein my child participated in an event and/or received an award from competition/s that needs recognition.

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Next Step

Academia de Julia Victoria

National Road, Buhay na Tubig, Imus, Cavite

www.acadjuliavictoria.edu.ph

acadjuliavictoria@yahoo.com

(046) 489-4004

Online Enrollment Form

School Year 2022 - 2023

Home Address

Father

Mother

Guardian / Contact Person In Case of Emergency

Additional Information

Tuition, Miscellaneous and Other Fees

Please keep this as your REFERENCE NUMBER

The following are the details of your enrollment: