LJCI Academy

Student Information

Last Name*

First Name*

Middle Name

Gender*

Citizenship*

Religion*

Date of Birth*

Place Of Birth*

Residential Address*

Student Contact Number

Student Email Address*

Are You Transferee?

Yes

No

Father's Information

Last Name*

First Name*

Middle Name

Citizenship*

Occupation*

Office No.

Mobile No.*

Email*

Deceased

Mother's Information

Last Name*

First Name*

Middle Name

Citizenship*

Occupation*

Office No.

Mobile No.*

Email*

Deceased

Marital Status of Parents

Married Widowed Solo Parent Separated Live-in Annulled/Divorced

Enrollment Information

Status*

Old Student

New Student

Studentnumber*

School Year*

Department*

Level*

Track*

Term*

Commitment Payment*

Compute Account Summary

Account Summary

IMPORTANT: The account summary shown below represents the regular school fees. Actual printed assessment of fees with applicable discounts and grants will be issued by the registrar after successful registration.

School Year

Department

Level

Term

Commitment Payment

Mandatory Fees Upon Enrollment

Tuition Fees

Miscellaneous Fees

Total Mandatory Fees

Activity Fees

Other Fees

Payment Scheme

Remaining Balance

Grand Total