VSmart Enroll

Enrollment Form

New

Old

School Name:

School Year:

Grade Level:

Track/Field:

Strand/Degree:

ESC Scholar:

Yes

No

Scholarship Grantee?:

Yes

No

PSA Birth Certificate No.: (optional)

Learner's Reference No.:

First Name: (required)

Middle Name: (optional)

Last Name: (required)

Extension Name: (optional)

E-mail Address: (required)

Date of birth: (required)

Age:

Sex:

Male

Female

Do you belong to an Indigenous Group?:

Yes

No

Specify indigenous people:

Mother tongue:

Please indicate if:

Returning Student/Balik Aral

Transferee

Last School Attended: (required)

Last School Year Attended: (required)

Last Grade Complete: (required)

Last School Attended Address: (required)

Student's Home Address:

Region:

Province:

City/Municipality:

Barangay:

House No., Street Name, Subdivision: (required)

Zip Code: (required)

Guardian's Information:

First Name: (required)

Middle Name: (optional)

Last Name: (required)

Cellphone/Telephone Number: (required)

Please upload the required attachment/s:

• PSA Birth Certificate (required)

• Report Card/Form138 with LRN Number (required)

• Form 137/SF10 (required)

• Entrance Exam (required)

DATA PRIVACY CONSENT

By proceeding to filling up the succeeding forms, you agree and consent as follows:

1. That you are fully aware that The Eastbridge School, Inc. (herein referred to as the “School”) or its designated representative is duty bound and obligated under the Data Privacy Act of 2012 to protect all of your personal and sensitive information that it collects, processes, and retains upon your enrollment and during your stay in the School.

2. That the School has utilized VSmart Enroll (herein referred to as the “Website”), which is owned, managed, and operated by Vibal Group, Inc. (herein referred to as “VGI”) as its enrollment management system. Both the Website and VGI are also duty bound and obligated under the Data Privacy Act of 2012 to protect all of your personal and sensitive information that it connects, processes, and retains upon your enrollment and during your stay in the School.

3. That Student personal information includes any information about your identity, academics, medical conditions, or any documents containing your identity. This includes but is not limited to your name, address, names of your parents or guardians, date of birth, grades, attendance, disciplinary records, and other information necessary for basic administration and instruction.

4. That you understand that your personal information cannot be disclosed without your consent. You understand that the information that was collected and processed relates to your enrollment and may be used by the School or VGI to pursue their individual legitimate business interests. Likewise, you are fully aware that the School or VGI may share such information to its officers, or affiliated or partner organizations as part of its contractual obligations, or with government agencies pursuant to law or legal process. In this regard, you allow both the School and VGI to collect, process, use, and share your personal data in the pursuit of their individual interests as educational institutions.

I have read and understood this Data Privacy Consent

I consent and agree to this Data Privacy Consent

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