Blessed Mary Academy

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Last Name:*

First Name:*

Middle Name:

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Male Female

Date of Birth:*

Age:*

Place of Birth:*

Religion:*

Nationality:*

Contact No. / Mobile:*

Home Address

House No., Street Name:*

Brgy:*

City / Town:*

Province:*

Zip:*

Parent's / Guardian's Information

Father

Complete Name:*

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Email Address:

Facebook Account:

Mother

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Email Address:

Facebook Account:

Guardian / Contact Person In Case of Emergency

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Additional Information and Requirements

Confirmation and Payment Details

Tuition, Miscellaneous and Other Fees

Details of the Total School Fees will be provided after successful registration.

Preferred Payment Scheme:*

To process your enrollment, you may opt to pay via

Philippine National Bank (PNB)
- Account name: Blessed Mary Academy, Inc.
- Account number: 243270000860
Land Bank of the Philippines (LBP)
- Account name: Blessed Mary Academy, Inc. - SHSVP
- Account number: 2371-1221-12
China Bank (CB)
- Account name: Blessed Mary Academy Inc
- Account number: 619000006033
BMA Accounting Office

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Blessed Mary Academy

Aguinaldo Highway, Salitan II, Dasmariñas City, Cavite

bma_salitran@yahoo.com • (046) 416 0233

Online Enrollment Form

School Year 2022 - 2023

Home Address

Father

Mother

Guardian / Contact Person In Case of Emergency

Tuition, Miscellaneous and Other Fees

Please keep this as your REFERENCE NUMBER

The following are the details of your enrollment: