Details

Fill out this form carefully and TYPE all information requested. Only Application Forms correctly and completely filled out will be accepted. INCOMPLETE FORMS WILL NOT BE PROCESSED!

For names with suffixes, enter your suffixes alongside your first name (e.g. Juan, Jr.). Fields with * are REQUIRED. Should the field be inapplicable to you, simply type "NA" in the space provided.

* LEVEL APPLYING FOR:
Learner's Reference Number (LRN) For Incoming Grades 1 to 6 only. If no LRN, type 12345:
* Given Name (including suffix, if any):
* Middle Name:
Surname:
* Gender:
* Birth Date (YYYY-MM-DD):
* Age:
* Birth Place:
Others:
* Religious Affiliation:
Others, please specify:
* Nationality:
* Ethnicity:
Others, please specify:
* Name of Originating School (State NA if none):
* School Address (State NA if none):
PERMANENT ADDRESS
House Number:
* Street Name:
* Barangay:
* City:
Zip Code:
FATHER'S INFORMATION
* Given Name (including suffix, if any):
* Middle Name:
Surname:
Profession/Occupation :
Institution/Company Affiliated:
* Local Cellphone Number:
* Email Address:
MOTHER'S INFORMATION
* Given Name:
* Middle Name:
* Surname:
* Profession/Occupation:
Institution/Company Affiliated:
* Local Cellphone Number:
* Email Address:
DESIGNATED GUARDIAN INFORMATION (IN CASE OF ABSENTEE PARENTS, OTHERWISE STATE NA)
Given Name:
Middle Name:
Surname:
Profession/Occupation:
Institution/Company Affiliated:
Local Cellphone Number:
Email Address:
Relationship to the Applicant:
Others, please specify:
As a parent, are you authorizing the Designated Guardian to represent for and in behalf of the parents?:
If yes, please state limitations, if any.:
* Number of Children (including the applicant):
* Birth Order of the applicant:
* PERSON TO CONTACT IN CASE OF EMERGENCY:
* Does the applicant need special medical attention?:
If yes, please state its nature:
* Does the applicant have any behavioral concerns?:
If yes, please state its nature:
* Assessment Test Date (Monday to Friday only) (YYYY-MM-DD):
* Assessment Test Time:
Please be at the GS Admissions & Testing Office at least 15 minutes before the scheduled date and time.:
Upload Necessary Files

Upload your PROOF OF PAYMENT of Assessment Fee here.

*You can drag and drop the files to their respective dropboxes.

Privacy Policy and Data Privacy Notice

I fully understand and agree that all the information declared in this form are true and may be used upon my child/ward's qualification for admission in the Ateneo de Zamboanga University Grade School as further stated in the Data Privacy Notice of the university.

It is further understood that in case of any misrepresentation and or concealment of information being asked in this form may be subject to non-acceptance for admission or cancellation of enrollment within the school year by the school.

DATA PRIVACY NOTICE
Click here to read the School's Data Privacy Notice

1