PISAS FORM – PHILIPPINE INTERNATIONAL SCHOOL FOR AVIATION SCIENCES INC.

Semester:

First Semester Second Semester

School Year:

Course / Program

First name

Surname

Middle Name

Nick Name

Extension Name (e.g., Jr., III):

Weight

Height

Color of Eyes

Religion

Marital Status

If Married:

Blood Type

Complete Permanent Mailing Address:

House No. / Street

Barangay

District

City/Municipality

Province

Region

ZIP Code

Email Address or Facebook Account

Contact Number

Nationality:

Sex

Male Female

Civil Status:

Single Married Widowed Separated

Employment Status before training

Employed Unemployed

Date of Birth (MMM/DD/YYYY)

Age

Place of Birth:

City/Municipality

Province

Region

Family Background:

Father

Mother

Brothers/Sisters (please list from eldest to youngest)

In Case of Emergency

Educational Background:

Select your highest educational attainment:

Have you taken the NCAE or YP4SC before? (Yes / No)

YES NO

If YES,

Schools Attended:

Grade School:

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Grade 6

High School:

First Year

Second Year

Third Year

Fourth Year

Senior High:

Year 1

Year 2

Collegiate:

First Year

SecondYear

Third Year

Fourth Year

📎 Upload Instructions:
Please upload the following files in .jpg or .png format only:

🖼️ A recent 2x2 ID picture (passport-style)
✍️ Your digital or scanned signature

Maximum file size: 2MB each.

2x2 Photo

Signature

Declaration and Data Privacy Consent

I hereby declare that the information I have provided in this form is true, complete, and correct to the best of my knowledge. I understand that any misrepresentation or false declaration may result in the cancellation of my enrollment or disqualification from this program.

I voluntarily give my full consent to PISAS and TESDA to collect, use, process, and store my personal data in accordance with Republic Act No. 10173, otherwise known as the Data Privacy Act of 2012. This information will be used solely for educational, statistical, and administrative purposes.

I also acknowledge that my information may be submitted to TESDA for verification and monitoring purposes and may be shared with partner institutions or agencies, as necessary and allowed by law.

I have read and understood the above declaration and data privacy notice.