Biñan Integrated National High School seal

Student Enrollment Application

Complete the form below to submit your enrollment details.

Student Type

New Student

Old Student

Student Level *

Personal Information

Salutation *

First name *

Last name *

Middle name *

Suffix

Email *

Password *

Confirm Password *

Date of birth *

Place of birth *

Gender *

Civil Status *

Nationality *

Street / Barangay *

Town/City/Mun *

Province *

Zip code *

Contact no *

Mobile number *

PWD

SOLO Parent

Parents Information

Father's Last name *

Father's First name *

Father's Middle Initial *

Father's Occupation *

Mother's Last name *

Mother's First name *

Mother's Middle Initial *

Mother's Occupation *

Are you currently employed? *

Employer's Name *

Employer's Address *

Guardian's Information

Name *

Occupation *

Civil Status *

Contact no *

Address *

School's Information

Elementary *

Elementary Address *

Year Graduated *

Secondary *

Secondary Address *

Year Graduated *