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Account

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Personal

3

Address

4

Emergency

Account Information

School ID *

Format: XX-XXXXX (e.g., 20-12345)

Email Address *

Password *

Minimum 8 characters, include uppercase, lowercase, number

Confirm Password *

Personal Information

First Name *

Last Name *

Contact Number *

Date of Birth *

Gender * Select Male Female Other

Department

Year Level Select 1st Year 2nd Year 3rd Year 4th Year 5th Year Graduate Faculty Staff

Address Information

Street Address *

Barangay *

City/Municipality *

Province *

Postal Code *

Emergency Contact

Contact Name *

Contact Number *

Relationship * Select relationship Parent Guardian Sibling Spouse Other Relative Friend

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