Student Personal Data Sheet




Application Information:
Application Date: 2026-05-16
Student Type:*: Please select Student Type first before proceeding the Application.
Program / Strand*: Priority Course / Program of the applicant.
Please select a course to generate information.
Campus Site*:
Classification:
Year of Enrollment*:
Term / Sem*:
Year Level*:

Personal Information:
Last Name*: Mandatory field.
First Name*: Mandatory field.
Middle Name:   click if w/o Middle Name
Mandatory field.
Suffix:
Gender Assigned at Birth*: Male Female Mandatory field.
Nationality*: Classify applicant's Nationality from available list.
Religion: Classify applicant's religion from available list.
Date of Birth*: Encode date of birth to display automatic computation of age. Mandatory field.
Place of Birth*: As per birth certificate.
Civil Status: Classify applicant's civil status from available list.
What country are you currently residing in?:* Country where you live now.

Contact Information:
Address*:
Choose Region


Choose Province


Choose Municipality and Add ZipCode


Choose Barangay

Input House No. Unit. Street. Building Additional Info
Home Phone No.: (Area Code) Phone No.
Mobile Phone No.*: (Area Code) Mobile Phone No.
Facebook/Messenger: Facebook/Messenger link
E-mail address*: NOTE: The system requires a valid and accurate email address to ensure proper communication and avoid processing errors. Please also make sure there is sufficient free space available on your email, as limited storage may cause the operation to fail.
E-mail verification code:* Once you entered your e-mail, click the Send Verification Code button. You'll receive a confirmation e-mail on your indox or spam folder. Copy and paste it on the place holder. You may resend another verification code after a minute.

Guardian Information:
Guardian's Name*: In case of emergency. Mandatory field.
Guardian's Phone No.*: Mobile phone of contact person.
Home Address*:
Choose Region


Choose Province


Choose Municipality and Add ZipCode


Choose Barangay

Input House No. Unit. Street. Building Additional Info
Relationship: Relationship with the contact person given.
Guardian's Occupation*: Guardian Job. Mandatory field.
Financial Source: Identify applicant's source of financial support in college. Mandatory field.

In case of emergency:
 Click this box if the data is the same as Guardian Information Check if your Guardian and Contact Person are the same.
Contact Person*: In case of emergency. Mandatory field.
Contact Person's Address*:
Phone No.*: Mobile phone of contact person.

Other Information:
NOTE: The fields are required to ensure that all necessary details are properly recorded. Completing these fields helps maintain data accuracy and supports effective evaluation and processing. Please make sure all required entries are filled in before submission.
Family Size: (No of individuals in a household who are related by blood, marriage, or adoption)
How many siblings you have?:
Are you the first person in your immediate family to attend college?*: (Immediate family refers to your parents, unmarried siblings, or any relatives living under the same roof.)
Indigenous: Yes No
Annual Family Income: Indicate average/estimated monthly income of household members.
- Family Data *
Stat LAST NAME FIRST NAME MIDDLE NAME RELATIONSHIP OCCUPATION  
- Educational Background *
Note : Provide information on applicant's last school attended
Stat SY FROM SY TO EDUCATION TYPE COURSE / PROGRAM / STRAND NAME OF SCHOOL  
- Survey

 
1How did you know about LPU-Laguna/ LPU-St. Cabrini?
Career Talk/ Campus Visit Referral from Family Members
Mall Advertisements Referral from Employees
Printed Advertisement (tarpaulins, flyers) Referral from Alumni
Website Social Media (Facebook, Instagram, Youtube)
Others  
If Others, please specify:
 
2Why did you choose LPU-Laguna/ LPU-St. Cabrini among other campuses?
 
3Are you currently diagnosed with health-related concern?
Yes No
If Yes, please specify:
 
4Do you have internet connection at home?
Yes No
If yes, what type of internet service you used at home?
Wi-Fi Mobile Data
Pre-paid Post-paid
What electronic gadgets do you have that are capable of internet connections?
 
- PRIVACY POLICY *
  Personal Data that will collected will be used within the LPU-L and LPU – St. Cabrini and will not be shared with any outside parties. We value your rights as data subjects under the Data Privacy Act. To exercise such rights, please contact neil.balba@lpulaguna.edu.ph. For more information on how we process your personal information, please refer to: https://www.privacy.gov.ph/npc-privacy-policy/#3 .

  By submitting this application, I consent to the collection, processing, and storage of my personal data by LPU - Laguna and LPU - St.Cabrini for the purpose of processing my application. I understand that my data will be used solely for academic and administrative purposes and may be shared with authorized university personnel or third-party service providers.

  I acknowledge that I have the right to access, update, or request the deletion of my personal data in accordance with the university's data protection policy. However, I understand that the university may retain my data for a specified period to fulfill legal, academic, or regulatory obligations, and may not be able to delete data already processed for those purposes



Students who will enroll at LPU-Laguna/LPU-St. Cabrini are requested to adopt the "Blended Learning Scheme" activities. In this regard, you need to have the following:


  1. End devices such as Personal Computer, laptop, smart phones, etc.
  2. Internet Connection (Fiber/Broadband/Data)
  3. Microphone, Headset or Earphones
  4. Webcam (Optional)
* All indicated with (*) are mandatory or required fields.
 
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Telephone: (02) 914-2960