Step 2: Learner Profile

Status: please choose status if your new or old student.

Status is required.
Grade Level is required.
LRN must be a 12-digit number.
Gender is required.
Phone number must be exactly 11 digits.
Last Name is required.
First Name is required.
Date of Birth is required.
Place of Birth is required.
Age must be at least 4.
Religion is required.
Email is required.
Region is required.
Province is required.
City is required.
Barangay is required.
Complete residential address is required.