LUIS H. DILANCO SR. FOUNDATION COLLEGE, INC.
Bahay, Libmanan, Camarines Sur

PRE-ENROLLMENT FORM
(new student)


Note: Fill out this form if you wish to enroll at LUIS H. DILANCO SR. FOUNDATION COLLEGE, INC. Write N/A if not applicable.

Personal Information
Course to take:
Lastname:	Place of Birth:	Citizenship:
Firstname:	Cellular Number:	Email Address:
Middlename:
Gender:	Mailing Address
Civil Status
Occupation:	Number/Street	Barangay:
Date of Birth:	Municipality/City:	District:
Age:	Province:	Region:
Telephone Number:	Zip Code:
Religion:
School Background
School		Year Graduated
Elementary:
Senior High School:
Vocational:
College/Transferee:
Parent/Guardian Information
Parent/Guardian:	Occupation:
Address:
Contact Number:
Contact Person
Whom to contact in case of emergency:
Same as Parent/Guardian?
Name:	Address:
Contact Number:
Entrance Requirements
Official enrollment will be determined upon submission of entrance requirements and validation of the Registrar and payment has been made.
Form 138/TOR NOTE: Uploaded document will be used for initial evaluation and validation purposes only. You still need to submit original copy to the registrar's office.
Select Appointment Date
Select the date for paying your upon enrollment fee.
Appointment date:

I hereby allow Luis H. Dilanco Sr. Foundation College, Inc. to use my aforementioned details and other information I provided, which may be used for processing of my enrollment application for academic opportunities and other purposed it may served. Data Privacy Statement: Your information given is safe with us, we will not share it with anyone. Your information will be used as reference when we reached out to you regarding your enrollment in one of the programs LHDSFCI offer for your advantage. Thank you.

PRE-ENROLLMENT FORM (new student)

PRE-ENROLLMENT FORM
(new student)