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:*

Emergency Contact No.:*

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 2,000 discount (First 35 enrollees)

Semi-Annual

Upon Enrollment

December 5

Trimestral

Upon Enrollment

September 5 and January 5

Monthly (7-Month Period)

Upon Enrollment

Every 5th of the month from July to December:

Monthly (10-Month Period)

Upon Enrollment

Every 5th of the month from July to March:

BOOKS (prices are subject to change)

^**Books, field trips, graduation/recognition fees and other school activities are not included in the Miscellaneous Fee.

^**Please note: A late fee of 2.5% per month will be applied to overdue balances for every month payment is delayed.

^**Discounts:

Cash and Early Bird Discount - Php 2,000.00
^*First 35 enrollees
^*Applicable to cash payments only
^*Applicable from Nursery to Grade 6 and Grade 9 to 10
Sibling Discount
^*If two siblings will enroll, discount will be applied on the second sibling.
^*If 3 or more siblings will enroll, discount will be applied on the second AND third sibling.
^*Applicable from Nursery to Grade 6 and Grade 9 to 10
PEAC Subsidy - Php 9,000.00
^*Applicable only to Grade 7 students (50 slots) and Grade 8 (38 slots)

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.

AGREEMENT, CONSENT, AND SIGNATURE

By submitting this application/enrollment form, I hereby certify that all information and supporting documents provided are true, correct, and complete to the best of my knowledge. I understand that any false statement, omission, misrepresentation, or submission of fraudulent documents may be grounds for denial of admission, cancellation of enrollment, or dismissal from the school.

I likewise authorize Academia de Julia Victoria of Cavite, Inc. (AJV) to collect, process, store, and use the personal information provided in this form for legitimate educational, administrative, student development, safety, communication, and school-related purposes in accordance with the Data Privacy Act of 2012 (RA 10173) and existing school policies.

Furthermore, I give consent for my child’s photographs, videos, works, achievements, and participation in school activities, competitions, programs, performances, and events to be used by the school for official educational, promotional, recognition, documentation, and publication purposes, including but not limited to:

Official school social media pages
School website
AJV App and LMS
School publications and newsletters
Flyers, tarpaulins, certificates, brochures, and other official printed or digital materials

I understand that the school shall exercise reasonable care, professionalism, and discretion in the use of such materials and shall not use them for unlawful, defamatory, or inappropriate purposes.

This consent shall remain valid during the student’s enrollment in the school unless withdrawn in writing by the parent/guardian. Withdrawal of consent shall not apply retroactively to materials already published, printed, released, or officially distributed prior to the withdrawal request.

By checking the acknowledgment box and submitting this form electronically, I confirm that I have read, understood, and agreed to the foregoing terms and conditions and that this electronic acknowledgment shall be considered legally binding and equivalent to my handwritten signature.

Submit

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 2026 - 2027

For OLD students, please click here to verify your information.

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: