Enrollment Form

All fields marked with asterisk (*) is required.

Select Institution^*

Learn more about ICI FlexEd here.

Are you Transferee?^*

First Name^*

Middle Name

Last Name^*

Gender^*

Male Female

Date of Birth^*

Email^*

Contact No^*

Address^*

School last attended^*

LRN Number

Please prepare the following and submit it from August 1-30, 2020:

Select Course^*

Please select institution first. List will appear here.

Attachments (optional)

Please upload card, grades and birth certificate (if available).

Maximum upload size: 5mb each. File types: .jpg, .png, and .bmp only.

How did you know about us? ^*