Bolbok Integrated National High School
BINHS
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Last Name
First Name
Middle Name
Extension Name (not required)
Grade Level
Select Grade Level
Gr. 11
Gr. 12
LRN
Strand
Select Strand
HUMSS
TVL-Home Economics
TVL-Electrical
STEM
Date of Birth
Age
Phone Number
Sex
Select Sex
Male
Female
Gmail Address
Zip Code
Present Address
Select Municipality
Lipa City
Ibaan
Rosario
San Jose
Malvar
Padre Garcia
Mother's Maiden Name
Contact No.
(Type "N/A" if not applicable.)
Father's Name
Contact No.
(Type "N/A" if not applicable.)
Guardian's Name
Contact No.
Profile Photo (2x2)
Previous Grade File (PDF)
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