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Lastname
*
Firstname
*
Middle Initial
Student ID
*
Format:
XX - YY-123456
(2 capitals, space, dash, 2 digits, dash, 4-10 digits)
Examples: IS - 11-123456 | NL - 17-000010
Email Address
*
Contact Number
Campus
*
-- Select Campus --
MC - MAIN CAMPUS
SMC - STA MARIA CAMPUS
Department
*
-- Select Campus First --
Section / Year
Format:
Year + Section - Program
(e.g.
1A-BSBA
,
2B-BA
). Auto‑capitalized.
Invalid format. Use e.g. 1A-BSBA or 2B-BA.
Address Information
Street
Barangay
Municipality
Province
Password
*
At least 6 characters long.
Confirm Password
*
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