MEMBERSHIP SIGNUP PAGE
BASIC INFORMATION
Membership ID : WILL BE GIVEN AFTER SUCCESSFUL REGISTRATION
School Name :
DepEd Recognition # :
Mailing Address :
Mailing City :
Zip Code :
School Email :
School Website (if any) : OPTIONAL
School Phone # :
Area Code Phone Number
-
School Fax # :
Area Code Phone Number
-
Sponorship :
Name of Sponsor :
 
DETAILED INFORMATION (can be supplied after registration)
Title :
Pres. / Dir. Name :
Last Name First Name
Pres. / Dir. Email :
Pres. / Dir. Mobile No. :
Title :
College Head Name :
Last Name First Name
College Head Email :
College Head Mobile No. :
Title :
HS Principal Name :
Last Name First Name
HS Principal Email :
HS Principal Mobile No. :
Title :
Elem. Principal Name :
Last Name First Name
Elem. Principal Email :
Elem. Principal Mobile No. :
Title :
Preschool Principal Name :
Last Name First Name
Preschool Principal Email :
Preschool Principal Mobile No. :
 
STUDENT ENROLLMENT
EE / Kindergarten :
Elementary :
High School :
Special Ed College :
College :
Total Enrollees :
     
MEMBERSHIP FEE WORKSHEET (Students' Fee Chart Below)
0 - 50 (minimum) : Php 1,000.00
51 and Above : TOTAL ENROLEES x Php 20.00
Total Payable :
     
CONFIRMATION
I have read and agree with the ACSI Statement of Faith.
I have read and comply with the above points of Affirmation.

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