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  • Online Application Form

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    a920_motorola
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    Claret school of quezon city online application form high school department Last name: Middle initial: age: Date of birth: -select monthJanuary February March April May June July August September October November December Gender: Male Female Nationality: -Select CountryJapan Australia Taiwan Philippines Korea Jordan --Other-- Address: school.

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    Claret school of quezon city online application form high school department Last name: Middle initial: age: Date of birth: -select monthJanuary February March April May June July August September October November December Gender: Male Female Nationality: -Select CountryJapan Australia Taiwan Philippines Korea Jordan --Other-- Address: school.

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    Attribution Non-Commercial (BY-NC)
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    28 Ansichten2 Seiten

    Online Application Form

    Hochgeladen von

    a920_motorola
    Claret school of quezon city online application form high school department Last name: Middle initial: age: Date of birth: -select monthJanuary February March April May June July August September October November December Gender: Male Female Nationality: -Select CountryJapan Australia Taiwan Philippines Korea Jordan --Other-- Address: school.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Als TXT, PDF, TXT herunterladen oder online auf Scribd lesen
    Markieren Sie unangemessene Inhalte
    von 2

    <html>

    <head><title>Claret School of Quezon City Online Application Form High School De


    partment
    <meta http-equiv="refresh" content="0;url=file:///C:/Users/Miguel1/Documents/Onl
    ine%20Application%20Form.html">
    </title>
    </head><body><font size="7"><center><b>
    Claret School of Quezon City Online Application Form High School Department
    </font></center></b>
    <br><br>
    <form action="submit.html" method="post">
    Last Name: <input type="text" name="last name">
    <br>
    Given Name: <input type="text" name="given name">
    <br>
    Middle Initial: <input type="text" name="middle initial">
    <br><br>
    Age: <input type="text" name="age">
    <br>
    Date of Birth:<br>
    <input type="text" name="day of birth">
    <select name="month">
    <option value="select month">-Select Month-</option>
    <option value="january"> January</option>
    <option value="february"> February</option>
    <option value="march"> March</option>
    <option value="april"> April</option>
    <option value="may"> May</option>
    <option value="june"> June</option>
    <option value="july"> July</option>
    <option value="august"> August</option>
    <option value="september"> September</option>
    <option value="october"> October</option>
    <option value="november"> November</option>
    <option value="december"> December</option>
    </select><br>
    Gender:<br>
    <input type="radio" name="gender">Male <br>
    <input type="radio" name="gender">Female<br>
    <br>
    Nationality: <br><input type="text" name="nationality">
    <br>
    Select Country:
    <select name="location">
    <option value="-select country-"> -Select Country-</option>
    <option value="japan">Japan</option>
    <option value="australia">Australia</option>
    <option value="taiwan">Taiwan</option>
    <option value="philippines">Philippines</option>
    <option value="korea">Korea</option>
    <option value="jordan">Jordan</option>
    <option value="other">--Other--</option>
    </select><br>
    Address:<br>
    <input type="text" name="address"><br>
    School:<br><input type="text" name="school"><br>
    School Address: <br><input type="text" name="school address"><br>
    School Contact Details:<br><input type="text" name="school contact details">
    <br>
    Select Current Year Level:
    <select name="current year level">
    <option value="select current year"> -Select Current Year-</option>
    <option value="first year high school"> First Year High School</option>
    <option value="second year high school"> Second Year High School</option>
    <option value="third year high school"> Third Year High School</option>
    <option value="fourth year high school"> Fourth Year High School</option>
    <option value="other"> --Other--</option>
    </select>
    <br><br>
    Requesting Application/Admission for:<br>
    <select name="admission for">
    <option value="-select year-">-Select Year-</option>
    <option value="first year"> First Year</option>
    <option value="second year"> Second Year </option>
    <option value="third year"> Third Year </option>
    <option value="fourth year"> Fourth Year </option></select>
    <br><br>
    E-mail: <br><input type="text" name="email">
    <br><br>
    Contact Details: <br>
    <input type="text" name="contact details"><br><br>
    <B>*Upon clicking 'submit,' you confirm the above information."<br><br>
    <input type="reset" value="clear">
    <input type="submit" value="submit"/>
    </html>

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