USA HS '83 Online Registration Form

Dear Batchmate,

We would like to request you to fill up this form so that we may be able to collate the USA HS 1983 contact information, accurately, globally and in real time. This is based on the form which was originally circulated and is now made online to make it convenient for you and for us too. You don't need to fill up this form if you have already submitted the previous one.  Any information you put in here will be treated with respect and will be used for the sole purpose of keeping in touch and keeping you updated of what is happening with our batchmates.

Any information you give us will be dealt with strict confidence and you may request us to modify, delete or withdraw part or all of the information. Only Deana, Rex, the Alumni Officers and yours truly will have access to all the information you give us.

Thank you in advance for taking the time to fill up this form.

Deana, Rex and Raul

Notes on the form:

You can use the TAB key to go from one blank space to the next.  Blank spaces for Home, Cell, Fax and should only contain numbers and spaces if you like. It  should be in this format 63 33 329 35 1234.  Please make sure you include country and area code.

Your Details
First Name Middle Name Family Name
Birthday 4th year Section? Marital Status Occupation / Profession
House/Unit/Apartment number Street Name Town

City

 Province/State Country
Zip / Post Code Home Telephone Cell/Mobile Phone Number
Email Address/es Fax Number Pager
Philippine Address Home Telephone Cell/Mobile Phone Number
Information of Spouse
First Name Middle Name Family Name
So that we may be able to greet him/her, please state birthday not birth date   
Does your spouse stay with you? If the answer is no, please state address
Occupation / Profession  
Information on Children
Name Sex Date of Birth
Additional Information
Please state any additional information or comments