izms.zppsu.edu.ph
Open in
urlscan Pro
18.139.144.187
Public Scan
URL:
https://izms.zppsu.edu.ph/padmission
Submission: On July 05 via manual from PH — Scanned from SG
Submission: On July 05 via manual from PH — Scanned from SG
Form analysis 4 forms found in the DOM
<form role="form">
<legend>Already have an account?</legend>
<div class="form-group">
<label for="application-number">Application Number:</label>
<input type="text" class="form-control" id="application-number">
</div>
<div class="form-group">
<label for="birthday">Birthday:</label>
<input type="date" class="form-control" id="birthday">
</div>
<button type="submit" class="btn btn-info"> Submit </button>
</form><form id="admission_form" class="horizontal-form" autocomplete="off">
<input type="hidden" id="require-exam" name="require-exam" value="1">
<input type="hidden" id="institution-id" name="institution-id" value="-">
<input type="hidden" id="id_school" name="school" value="zppsu">
<div class="section__content active" id="tab-1">
<div class="step">
<div class="step__title">
<div class="step__title-progress active">
<!-- <span class="step__label">Step 1</span> -->
<!-- <span class="step__name">Applying for</span> -->
<span class="step__name">Welcome to the Zamboanga Peninsula Polytechnic State University. Please complete the form for your application:</span>
</div>
</div>
<div class="step__group">
<div class="step__group-progress isActive"></div>
<div class="step__group-progress"></div>
<div class="step__group-progress"></div>
<div class="step__group-progress"></div>
<div class="step__group-progress"></div>
<div class="step__group-progress"></div>
<div class="step__group-progress"></div>
</div>
</div>
<div class="step__content">
<legend>APPLYING FOR</legend>
<div class="form-group clearfix">
<label class=" control-label col-md-3 xlabel">School Campus</label>
<div class="col-md-7">
<select class="form-control campus required by_school_campus" title="Select Campus" id="schoolCampus" name="schoolCampus">
<option value="-1">- Select Campus -</option>
<option data-short="" data-postcampist="" data-desc="ZPPSU Main Campus" data-id="1" value="sYY0cMW0fvs-">ZPPSU Main Campus</option>
<option data-short="" data-postcampist="" data-desc="Gregorio Campus (Vitali)" data-id="2" value="soY0cMW0fvs-">Gregorio Campus (Vitali)</option>
<option data-short="" data-postcampist="" data-desc="ZSPI Campus (Kabasalan)" data-id="3" value="s4Y0cMW0fvs-">ZSPI Campus (Kabasalan)</option>
<option data-short="" data-postcampist="" data-desc="Anna Baquial Campus (Malangas)" data-id="4" value="tIY0cMW0fvs-">Anna Baquial Campus (Malangas)</option>
<option data-short="" data-postcampist="" data-desc="Timuay Tubod M. Mandi Campus (Siay)" data-id="5" value="tYY0cMW0fvs-">Timuay Tubod M. Mandi Campus (Siay)</option>
</select>
</div>
</div>
<div class="form-group clearfix">
<label class=" control-label col-md-3 xlabel">Academic Year & Term </label>
<div class="col-md-7">
<select class="form-control term required by_school_term" id="schoolTerm" name="schoolTerm">
<option value="sbU0cMW0fvs-">2024-2025 - 1st Semester</option>
<option value="sbI0cMW0fvs-">2023-2024 - Summer</option>
</select>
</div>
</div>
<input type="hidden" name="departmentID" id="departmentID" value="">
<div class="form-group clearfix">
<label class="control-label col-md-3 xlabel">Application type</label>
<div class="col-md-7">
<select class="form-control bold required" name="applicationType" id="applicationType">
<option value="" style="display: none;">-Please select Application type-</option>
<option value="sYY0cMW0fvs-" data-dept="" style="display: none;">Senior High</option>
<option value="s4Y0cMW0fvs-" data-dept="" style="display: none;">Freshman</option>
<option value="tIY0cMW0fvs-" data-dept="" style="display: none;">Transferee</option>
<option value="tYY0cMW0fvs-" data-dept="" style="display: none;">Returnee</option>
<option value="toY0cMW0fvs-" data-dept="" style="display: none;">Shifter</option>
<option value="t4Y0cMW0fvs-" data-dept="" style="display: none;">Cross Enrollee</option>
<option value="uYY0cMW0fvs-" data-dept="" style="display: none;"> Graduate Programs</option>
</select>
</div>
</div>
<div id="dept-div" class="form-group clearfix">
<label class="control-label col-md-3 xlabel">Classification</label>
<div class="col-md-7">
<select title="-Please select department-" class="form-control required" name="dept" id="dept"></select>
</div>
</div>
<div id="level-div" class="form-group clearfix refresh_year_level">
<label class="control-label col-md-3 xlabel">Grade / Level</label>
<div class="col-md-7">
<select class="form-control year_level required " id="gradeLevel" name="gradeLevel">
<option data-class="20" data-prog="0" value="sbc0cMW0fvs-">Grade 7</option>
<option data-class="20" data-prog="0" value="sbQ0cMW0fvs-">Grade 8</option>
<option data-class="20" data-prog="0" value="sbU0cMW0fvs-">Grade 9</option>
<option data-class="20" data-prog="0" value="sbI0cMW0fvs-">Grade 10</option>
<option data-class="21" data-prog="0" value="sbM0cMW0fvs-">Grade 11</option>
<option data-class="21" data-prog="0" value="sbA0cMW0fvs-">Grade 12</option>
<option data-class="50" data-prog="sIY0cMW0fvs-" value="src0cMW0fvs-">1st Year</option>
<option data-class="50" data-prog="sIY0cMW0fvs-" value="srQ0cMW0fvs-">2nd Year</option>
<option data-class="50" data-prog="sIY0cMW0fvs-" value="srU0cMW0fvs-">3rd Year</option>
<option data-class="50" data-prog="sIY0cMW0fvs-" value="srI0cMW0fvs-">4th Year</option>
<option data-class="30" data-prog="0" value="s7c0cMW0fvs-">1st Year - TechVoc</option>
<option data-class="30" data-prog="0" value="s7Q0cMW0fvs-">2nd Year - TechVoc</option>
<option data-class="30" data-prog="0" value="s7U0cMW0fvs-">3rd Year - TechVoc</option>
<option data-class="30" data-prog="0" value="s7I0cMW0fvs-">4th Year - TechVoc</option>
<option data-class="40" data-prog="0" value="tLc0cMW0fvs-">1st Year - Pre-Bacc</option>
<option data-class="40" data-prog="0" value="tLQ0cMW0fvs-">2nd Year - Pre-Bacc</option>
<option data-class="40" data-prog="0" value="tLU0cMW0fvs-">3rd Year - Pre-Bacc</option>
<option data-class="40" data-prog="0" value="tLI0cMW0fvs-">4th Year - Pre-Bacc</option>
<option data-class="80" data-prog="0" value="tLM0cMW0fvs-">Graduate School - Masters</option>
<option data-class="90" data-prog="0" value="tbM0cMW0fvs-">Graduate School - Doctoral</option>
<option data-class="60" data-prog="0" value="trc0cMW0fvs-">1st Year - Post-Bacc</option>
<option data-class="60" data-prog="0" value="trQ0cMW0fvs-">2nd Year - Post-Bacc</option>
<option data-class="60" data-prog="0" value="trU0cMW0fvs-">3rd Year - Post-Bacc</option>
<option data-class="60" data-prog="0" value="trI0cMW0fvs-">4th Year - Post-Bacc</option>
<option data-class="101" data-prog="0" value="trM0cMW0fvs-">1st Year - PEC</option>
<option data-class="101" data-prog="0" value="trE0cMW0fvs-">3rd Year - PEC</option>
</select>
</div>
</div>
<hr>
<div class="academic-programs text-center">
<h4 class="text-info bold choice_label"> - First Choice - </h4>
<div class="form-group clearfix ">
<label id="lblCourse1Choice" class="control-label xlabel col-md-3">Academic Program</label>
<div class="col-md-7">
<div class="select2-container form-control program-choice bold" id="s2id_choice1" style="width: 100%;">
<a href="javascript:void(0)" class="select2-choice select2-default" tabindex="-1"> <span class="select2-chosen" id="select2-chosen-1">None</span><abbr class="select2-search-choice-close"></abbr> <span class="select2-arrow" role="presentation"><b role="presentation"></b></span></a><label
for="s2id_autogen1" class="select2-offscreen"></label><input class="select2-focusser select2-offscreen" type="text" aria-haspopup="true" role="button" aria-labelledby="select2-chosen-1" id="s2id_autogen1">
<div class="select2-drop select2-display-none select2-with-searchbox">
<div class="select2-search"> <label for="s2id_autogen1_search" class="select2-offscreen"></label> <input type="text" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" class="select2-input" role="combobox"
aria-expanded="true" aria-autocomplete="list" aria-owns="select2-results-1" id="s2id_autogen1_search" placeholder=""> </div>
<ul class="select2-results" role="listbox" id="select2-results-1"> </ul>
</div>
</div><input type="text" id="choice1" name="program" class="form-control program-choice bold select2-offscreen" data-choice="1" style="width: 100%;" tabindex="-1" title="">
</div>
</div>
<div class="form-group clearfix majors" style="display: none;">
<label id="lblMajor1" class="control-label xlabel col-md-3">Major Study</label>
<div class="col-md-7">
<select class="form-control bold program_maj" data-choice="1" id="major1" name="ProgramMajor" data-placeholder="Strands"></select>
</div>
</div>
<div class="other-choices">
<h4 class="text-info bold choice_label"> - Second Choice - </h4>
<div class="form-group clearfix ">
<label id="lblCourse2Choice" class="control-label xlabel col-md-3">Academic Program</label>
<div class="col-md-7">
<div class="select2-container form-control program-choice bold" id="s2id_choice2" style="width: 100%;">
<a href="javascript:void(0)" class="select2-choice select2-default" tabindex="-1"> <span class="select2-chosen" id="select2-chosen-2">None</span><abbr class="select2-search-choice-close"></abbr> <span class="select2-arrow" role="presentation"><b role="presentation"></b></span></a><label
for="s2id_autogen2" class="select2-offscreen"></label><input class="select2-focusser select2-offscreen" type="text" aria-haspopup="true" role="button" aria-labelledby="select2-chosen-2" id="s2id_autogen2">
<div class="select2-drop select2-display-none select2-with-searchbox">
<div class="select2-search"> <label for="s2id_autogen2_search" class="select2-offscreen"></label> <input type="text" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" class="select2-input" role="combobox"
aria-expanded="true" aria-autocomplete="list" aria-owns="select2-results-2" id="s2id_autogen2_search" placeholder=""> </div>
<ul class="select2-results" role="listbox" id="select2-results-2"> </ul>
</div>
</div><input type="text" id="choice2" name="program2" class="form-control program-choice bold select2-offscreen" data-choice="2" style="width: 100%;" tabindex="-1" title="">
</div>
</div>
<div class="form-group clearfix majors" style="display: none;">
<label id="lblMajor2" class="control-label xlabel col-md-3">Major Study</label>
<div class="col-md-7">
<select class="form-control bold program_maj" data-choice="2" id="major2" name="ProgramMajor2" data-placeholder="Strands"></select>
</div>
</div>
<h4 class="text-info bold choice_label"> - Third Choice - </h4>
<div class="form-group clearfix ">
<label id="lblCourse2Choice" class="control-label xlabel col-md-3">Academic Program</label>
<div class="col-md-7">
<div class="select2-container form-control program-choice bold" id="s2id_choice3" style="width: 100%;">
<a href="javascript:void(0)" class="select2-choice select2-default" tabindex="-1"> <span class="select2-chosen" id="select2-chosen-3">None</span><abbr class="select2-search-choice-close"></abbr> <span class="select2-arrow" role="presentation"><b role="presentation"></b></span></a><label
for="s2id_autogen3" class="select2-offscreen"></label><input class="select2-focusser select2-offscreen" type="text" aria-haspopup="true" role="button" aria-labelledby="select2-chosen-3" id="s2id_autogen3">
<div class="select2-drop select2-display-none select2-with-searchbox">
<div class="select2-search"> <label for="s2id_autogen3_search" class="select2-offscreen"></label> <input type="text" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" class="select2-input" role="combobox"
aria-expanded="true" aria-autocomplete="list" aria-owns="select2-results-3" id="s2id_autogen3_search" placeholder=""> </div>
<ul class="select2-results" role="listbox" id="select2-results-3"> </ul>
</div>
</div><input type="text" id="choice3" name="program3" class="form-control program-choice bold select2-offscreen" data-choice="3" style="width: 100%;" tabindex="-1" title="">
</div>
</div>
<div class="form-group clearfix majors" style="display: none;">
<label id="lblMajor3" class="control-label xlabel col-md-3">Major Study</label>
<div class="col-md-7">
<select class="form-control bold program_maj" id="major3" data-choice="3" name="ProgramMajor3" data-placeholder="Strands"></select>
</div>
</div>
</div>
</div>
<input type="hidden" readonly="" name="data-limit-conf" id="data-limit-conf" value="1">
<input type="hidden" readonly="" class="form-control not-required" name="schoolYear" id="schoolYear" value="0">
<input type="hidden" readonly="" class="form-control not-required" name="gradeProgramID" id="gradeProgramID" value="">
<input type="hidden" readonly="" class="form-control not-required" name="prog2" id="prog2" value="">
<input type="hidden" readonly="" class="form-control not-required" name="prog3" id="prog3" value="">
<input type="hidden" readonly="" class="form-control not-required" name="gradeProgramClass" id="gradeProgramClass" value="">
<input type="hidden" readonly="" class="form-control not-required" name="app_num" id="app_num" value="p3ZkqjTstdK3E4HUrCw9RnYCG2nHPPn8kjn4q9ch">
</div>
<nav>
<ul class="pager">
<li class="previous">
<a class="" href="https://izms.zppsu.edu.ph">← Return Log In</a>
</li>
<li class="next">
<a class="shift_btn" data-next="tab-2" data-current="tab-1" data-index="tab1">
Next →
</a>
</li>
</ul>
</nav>
</div>
<input type="hidden" id="email_lastname_firstname_pattern" value="0"> <!-- 0 Deactivate - 1 Activate -->
<div class="section__content" id="tab-2">
<div class="step">
<div class="step__title">
<div class="step__title-progress active">
<!-- <span class="step__label">Step 2</span> -->
<span class="step__name">Personal Information</span>
</div>
</div>
<div class="step__group">
<div class="step__group-progress isActive shift_btn" data-next="tab-1" data-current="tab-2"></div>
<div class="step__group-progress isActive"></div>
<div class="step__group-progress"></div>
<div class="step__group-progress"></div>
<div class="step__group-progress"></div>
<div class="step__group-progress"></div>
<div class="step__group-progress"></div>
</div>
</div>
<div class="step__content">
<fieldset>
<!-- Student information fieldset start -->
<div class="form-body">
<!-- input rows start -->
<div class="row">
<div class="col-md-3 col-sm-6">
<div class="form-group">
<label>Surname</label>
<input type="text" class="form-control last_name required" placeholder="[Surname]" id="LastName" name="LastName" value="">
</div>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<label>Given name</label>
<input type="text" class="form-control first_name required" placeholder="[Given name]" id="FirstName" name="FirstName" value="">
</div>
</div>
<div class="col-md-3 col-sm-6 col-xs-12">
<div class="form-group">
<label>Middle name</label>
<input type="text" class="form-control middle_name" id="MiddleName" placeholder="[optional]" name="MiddleName" value="">
</div>
</div>
<div class="col-md-3 col-sm-6 col-xs-12">
<div class="row">
<div class="col-md-6 col-xs-6">
<div class="form-group">
<label>M.I.</label>
<input type="text" class="form-control midle_initial" name="MiddleInitial" value="">
</div>
</div>
<div class="col-md-6 col-xs-6">
<div class="form-group">
<label>Ext.</label>
<input type="text" class="form-control extension" placeholder="Jr., Sr. III" name="ExtensionName" value="">
</div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-md-5 col-sm-6 col-xs-12">
<div class="form-group">
<label>Date of Birth<span class="u-text-muted">(ex: 01/20/1991)</span></label>
<div class="input-group">
<input type="date" data-minage="2" max="2024-07-05" class="form-control date_of_birth required" name="DateOfBirth" value="">
<span class="input-group-addon bold age"> </span>
</div>
</div>
</div>
<div class="col-md-7 col-sm-6 col-xs-12">
<div class="form-group">
<label>Place of Birth</label>
<input type="text" class="form-control place_of_birth required" name="PlaceOfBirth" value="">
</div>
</div>
</div>
<div class="row">
<div class="col-md-4 col-sm-6 col-xs-12">
<div class="form-group">
<label>Gender</label>
<select class="form-control gender" name="Gender" id="gender">
<option value="M">Male</option>
<option value="F">Female</option>
</select>
</div>
</div>
<div class="col-md-4 col-sm-6 col-xs-12">
<div class="form-group">
<label>Civil Status</label>
<select class="form-control civil_status" name="civilstatus" id="civilstatus">
<option data-jay="1" data-esp="Single" value="sYY0cMW0fvs-">Single</option>
<option data-jay="1" data-esp="Married" value="soY0cMW0fvs-">Married</option>
<option data-jay="1" data-esp="Separated" value="s4Y0cMW0fvs-">Separated</option>
<option data-jay="1" data-esp="Widow/er" value="tIY0cMW0fvs-">Widow/er</option>
</select>
</div>
</div>
<div class="col-md-4 col-sm-12 col-xs-12 hide_in_graduate_school">
<div class="form-group">
<label>Internet Connectivity</label>
<select class="form-control " name="internet_connection" id="internet_connection">
<option value="Fast">Fast</option>
<option value="Slow">Slow</option>
<option value="Poor">Poor</option>
<option value="No Internet Connection">No Internet Connection</option>
</select>
</div>
</div>
<div class="col-md-4 col-sm-12 col-xs-12 hide_in_graduate_school hide_in_college">
<div class="form-group">
<label>Learning Modalities</label>
<select class="form-control learning_modalities" name="learning_modalities" id="learning_modalities">
<option selected="" value=""> - please select - </option>
<option value="Face-to-Face Learning">Face-to-Face Learning</option>
<option value="Online Learning">Online Learning</option>
<option value="Offline Learning">Offline Learning</option>
<option value="Online and Offline Learning">Online and Offline Learning</option>
<option value="All type of Learning modalities">All type of Learning modalities</option>
</select>
</div>
</div>
<div class="col-md-4 col-sm-12 col-xs-12 hide_in_graduate_school">
<div class="form-group">
<label>Level of Digital Literacy</label>
<select class="form-control digital_literacy" name="digital_literacy" id="digital_literacy">
<option selected="" value=""> - please select - </option>
<option value="Proficient">Proficient</option>
<option value="Advanced">Advanced</option>
<option value="Beginner">Beginner</option>
</select>
</div>
</div>
<div class="col-md-4 col-sm-12 col-xs-12 hide_in_graduate_school">
<div class="form-group">
<label>Device used for online class</label>
<select class="form-control online_class_device" name="online_class_device" id="online_class_device">
<option selected="" value=""> - please select - </option>
<option value="Laptop">Laptop</option>
<option value="Mobile Phone">Mobile Phone</option>
<option value="Tablet">Tablet</option>
<option value="Desktop">Desktop</option>
</select>
</div>
</div>
</div>
<hr>
<div class="row">
<div class="col-md-12 col-sm-12 col-xs-12">
<div class="form-group">
<label>
<h4>Present Address</h4>
</label>
</div>
</div>
</div>
<div class="row">
<div class="col-md-12 col-sm-12 col-xs-12">
<div class="form-group">
<label>House No., Street Name</label>
<input type="text" class="form-control address required" name="Address" placeholder="House No., Street Name" id="app_address" value="">
</div>
</div>
</div>
<div class="row">
<div class="col-md-4 col-sm-12 col-xs-12">
<div class="form-group">
<label class="control-label ">Province/Region</label>
<div class="select2-container form-control required" id="s2id_stud-region">
<a href="javascript:void(0)" class="select2-choice select2-default" tabindex="-1"> <span class="select2-chosen" id="select2-chosen-5">Select Province/Region</span><abbr class="select2-search-choice-close"></abbr> <span class="select2-arrow" role="presentation"><b role="presentation"></b></span></a><label
for="s2id_autogen5" class="select2-offscreen"></label><input class="select2-focusser select2-offscreen" type="text" aria-haspopup="true" role="button" aria-labelledby="select2-chosen-5" id="s2id_autogen5">
<div class="select2-drop select2-display-none select2-with-searchbox">
<div class="select2-search"> <label for="s2id_autogen5_search" class="select2-offscreen"></label> <input type="text" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" class="select2-input"
role="combobox" aria-expanded="true" aria-autocomplete="list" aria-owns="select2-results-5" id="s2id_autogen5_search" placeholder=""> </div>
<ul class="select2-results" role="listbox" id="select2-results-5"> </ul>
</div>
</div><input type="text" name="stud-region" id="stud-region" class="form-control required select2-offscreen" data-selid="" data-seltext="" tabindex="-1" title="">
</div>
</div>
<div class="col-md-4 col-sm-12 col-xs-12">
<div class="form-group">
<label class="control-label">City</label>
<div class="select2-container form-control required" id="s2id_stud-city">
<a href="javascript:void(0)" class="select2-choice select2-default" tabindex="-1"> <span class="select2-chosen" id="select2-chosen-4">Select City</span><abbr class="select2-search-choice-close"></abbr> <span class="select2-arrow" role="presentation"><b role="presentation"></b></span></a><label
for="s2id_autogen4" class="select2-offscreen"></label><input class="select2-focusser select2-offscreen" type="text" aria-haspopup="true" role="button" aria-labelledby="select2-chosen-4" id="s2id_autogen4">
<div class="select2-drop select2-display-none select2-with-searchbox">
<div class="select2-search"> <label for="s2id_autogen4_search" class="select2-offscreen"></label> <input type="text" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" class="select2-input"
role="combobox" aria-expanded="true" aria-autocomplete="list" aria-owns="select2-results-4" id="s2id_autogen4_search" placeholder=""> </div>
<ul class="select2-results" role="listbox" id="select2-results-4"> </ul>
</div>
</div><input type="text" name="stud-city" id="stud-city" class="form-control required select2-offscreen" data-selid="" data-seltext="" tabindex="-1" title="">
</div>
</div>
<div class="col-md-4 col-sm-12 col-xs-12">
<div class="form-group">
<label class="control-label bold font-xs">Barangay</label>
<div class="select2-container form-control required" id="s2id_stud-brgy">
<a href="javascript:void(0)" class="select2-choice select2-default" tabindex="-1"> <span class="select2-chosen" id="select2-chosen-6">Select Barangay</span><abbr class="select2-search-choice-close"></abbr> <span class="select2-arrow" role="presentation"><b role="presentation"></b></span></a><label
for="s2id_autogen6" class="select2-offscreen"></label><input class="select2-focusser select2-offscreen" type="text" aria-haspopup="true" role="button" aria-labelledby="select2-chosen-6" id="s2id_autogen6">
<div class="select2-drop select2-display-none select2-with-searchbox">
<div class="select2-search"> <label for="s2id_autogen6_search" class="select2-offscreen"></label> <input type="text" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" class="select2-input"
role="combobox" aria-expanded="true" aria-autocomplete="list" aria-owns="select2-results-6" id="s2id_autogen6_search" placeholder=""> </div>
<ul class="select2-results" role="listbox" id="select2-results-6"> </ul>
</div>
</div><input type="text" name="stud-brgy" id="stud-brgy" class="form-control required select2-offscreen" data-selid="" data-seltext="" tabindex="-1" title="">
</div>
</div>
</div>
<hr>
<div class="row">
<div class="col-md-4 col-sm-12 col-xs-12">
<div class="form-group">
<label>Nationality</label>
<select class="form-control nationality required" name="Nationality" id="nationality">
<option data-jay="1" data-esp="American" data-isforeign="1" value="toY0cMW0fvs-">American</option>
<option data-jay="1" data-esp="American" data-isforeign="1" value="s780cMW0fvs-">American</option>
<option data-jay="1" data-esp="Angolan" data-isforeign="1" value="s7E0cMW0fvs-">Angolan</option>
<option data-jay="1" data-esp="Arabic" data-isforeign="1" value="s7c0cMW0fvs-">Arabic</option>
<option data-jay="1" data-esp="Australian" data-isforeign="1" value="sbI0cMW0fvs-">Australian</option>
<option data-jay="1" data-esp="Belgian" data-isforeign="1" value="sbY0cMW0fvs-">Belgian</option>
<option data-jay="1" data-esp="Brazilian" data-isforeign="1" value="sb80cMW0fvs-">Brazilian</option>
<option data-jay="1" data-esp="Brazilian" data-isforeign="1" value="s7Q0cMW0fvs-">Brazilian</option>
<option data-jay="1" data-esp="British" data-isforeign="1" value="srE0cMW0fvs-">British</option>
<option data-jay="1" data-esp="Burmese" data-isforeign="1" value="t4Y0cMW0fvs-">Burmese</option>
<option data-jay="1" data-esp="Canadian" data-isforeign="1" value="uIY0cMW0fvs-">Canadian</option>
<option data-jay="1" data-esp="Chinese" data-isforeign="1" value="s4Y0cMW0fvs-">Chinese</option>
<option data-jay="1" data-esp="Dutch" data-isforeign="1" value="sbQ0cMW0fvs-">Dutch</option>
<option data-jay="1" data-esp="Dutch" data-isforeign="1" value="sbE0cMW0fvs-">Dutch</option>
<option data-jay="1" data-esp="Egyptian" data-isforeign="1" value="srU0cMW0fvs-">Egyptian</option>
<option data-jay="1" data-esp="Ethiopian" data-isforeign="1" value="tLY0cMW0fvs-">Ethiopian</option>
<option data-jay="1" data-esp="Filipino" selected="" data-isforeign="0" value="sYY0cMW0fvs-">Filipino</option>
<option data-jay="1" data-esp="French" data-isforeign="1" value="sbc0cMW0fvs-">French</option>
<option data-jay="1" data-esp="Gerrman" data-isforeign="1" value="sbM0cMW0fvs-">Gerrman</option>
<option data-jay="1" data-esp="Greek" data-isforeign="1" value="s7U0cMW0fvs-">Greek</option>
<option data-jay="1" data-esp="Indian" data-isforeign="1" value="src0cMW0fvs-">Indian</option>
<option data-jay="1" data-esp="Indonesian" data-isforeign="1" value="s7M0cMW0fvs-">Indonesian</option>
<option data-jay="1" data-esp="Iranian" data-isforeign="1" value="srI0cMW0fvs-">Iranian</option>
<option data-jay="1" data-esp="Iraqui" data-isforeign="1" value="srM0cMW0fvs-">Iraqui</option>
<option data-jay="1" data-esp="Irish" data-isforeign="1" value="uYY0cMW0fvs-">Irish</option>
<option data-jay="1" data-esp="Israeli" data-isforeign="1" value="srQ0cMW0fvs-">Israeli</option>
<option data-jay="1" data-esp="Italian" data-isforeign="1" value="sbU0cMW0fvs-">Italian</option>
<option data-jay="1" data-esp="Japanese" data-isforeign="1" value="tYY0cMW0fvs-">Japanese</option>
<option data-jay="1" data-esp="Korean" data-isforeign="1" value="soY0cMW0fvs-">Korean</option>
<option data-jay="1" data-esp="Mexican" data-isforeign="1" value="s7Y0cMW0fvs-">Mexican</option>
<option data-jay="1" data-esp="Nigerian" data-isforeign="1" value="s7A0cMW0fvs-">Nigerian</option>
<option data-jay="1" data-esp="Polish" data-isforeign="1" value="sr80cMW0fvs-">Polish</option>
<option data-jay="1" data-esp="Russian" data-isforeign="1" value="sb40cMW0fvs-">Russian</option>
<option data-jay="1" data-esp="Singaporean" data-isforeign="1" value="s7I0cMW0fvs-">Singaporean</option>
<option data-jay="1" data-esp="Spanish" data-isforeign="1" value="srA0cMW0fvs-">Spanish</option>
<option data-jay="1" data-esp="Swiss" data-isforeign="1" value="sbA0cMW0fvs-">Swiss</option>
<option data-jay="1" data-esp="Tahitian" data-isforeign="1" value="s740cMW0fvs-">Tahitian</option>
<option data-jay="1" data-esp="Taiwanese" data-isforeign="1" value="tIY0cMW0fvs-">Taiwanese</option>
<option data-jay="1" data-esp="Thai" data-isforeign="1" value="srY0cMW0fvs-">Thai</option>
<option data-jay="1" data-esp="Turkish" data-isforeign="1" value="sr40cMW0fvs-">Turkish</option>
</select>
</div>
</div>
<div class="col-md-4 col-sm-12 col-xs-12">
<div class="form-group">
<label>Religion</label>
<select class="form-control religion" name="Religion">
<option value="-1">- Select -</option>
<option data-jay="1" data-esp="Roman Catholic" value="sYY0cMW0fvs-">Roman Catholic</option>
<option data-jay="1" data-esp="Iglesia Ni Cristo" value="soY0cMW0fvs-">Iglesia Ni Cristo</option>
<option data-jay="1" data-esp="Born Again Christian" value="s4Y0cMW0fvs-">Born Again Christian</option>
<option data-jay="1" data-esp="Muslim" value="tIY0cMW0fvs-">Muslim</option>
<option data-jay="1" data-esp="Budhist" value="tYY0cMW0fvs-">Budhist</option>
<option data-jay="1" data-esp="Protestant" value="toY0cMW0fvs-">Protestant</option>
<option data-jay="1" data-esp="Methodist" value="t4Y0cMW0fvs-">Methodist</option>
<option data-jay="1" data-esp="Seventh Day Adventist" value="uIY0cMW0fvs-">Seventh Day Adventist</option>
<option data-jay="1" data-esp="Christian" value="uYY0cMW0fvs-">Christian</option>
<option data-jay="1" data-esp="Baptist" value="sbY0cMW0fvs-">Baptist</option>
<option data-jay="1" data-esp="Jehovah's Witness" value="sbc0cMW0fvs-">Jehovah's Witness</option>
<option data-jay="1" data-esp="No Religion" value="ub80cMW0fvs-">No Religion</option>
<option data-jay="1" data-esp="other" value="other">Other</option>
</select>
</div>
</div>
<div class="col-md-4 col-xs-12">
<div class="form-group">
<label>Ethnic Affiliation</label>
<input type="text" class="form-control ethnicity" name="Ethnicity" value="">
</div>
</div>
</div>
<div class="row">
<div class="col-md-4 col-xs-12">
<div class="form-group">
<label>Telephone Number</label>
<input type="text" class="form-control telephone number_only" name="TelephoneNumber" value="">
</div>
</div>
<div class="col-md-4 col-xs-12">
<div class="form-group">
<label>Mobile Number</label>
<input type="text" id="MobileNumber" class="form-control mobile_no phone-number required number_only" name="MobileNumber" value="">
</div>
</div>
<div class="col-md-4 col-xs-12">
<div class="form-group">
<label>Email</label>
<input type="email" class="form-control email email_only required" name="Email" id="email" value="">
</div>
</div>
</div>
<!-- input rows end -->
</div>
</fieldset>
<!-- Student information fieldset end -->
<!-- If foreign fieldset start -->
<fieldset class="u-margin-top-20 foreign-info" style="display: none;">
<legend>Foreign:</legend>
<div class="row">
<div class="col-md-6 col-xs-12">
<div class="form-group">
<label>Passport Number</label>
<input type="text" class="form-control passport_no" name="PassportNo" value="">
</div>
</div>
<div class="col-md-6 col-xs-12">
<div class="form-group">
<label>Visa Status</label>
<input type="text" class="form-control visa_status" name="VisaStatus" value="">
</div>
</div>
</div>
<div class="row">
<div class="col-md-6 col-xs-12">
<div class="form-group">
<label>SSP Number</label>
<input type="text" class="form-control ssp_number" name="SSPNo" value="">
</div>
</div>
<div class="col-md-6 col-xs-12">
<div class="form-group">
<label>Validity of Stay</label>
<input type="date" class="form-control validity_stay" name="ValidityStay" value="">
</div>
</div>
</div>
</fieldset>
<!-- If foreign fieldset end -->
<!-- Medical History fieldset start -->
<fieldset class="u-margin-top-20">
<div class="form-group">
<div class="row">
<div class="col-md-6 col-sm-12 col-xs-12">
<label>Are you a Philhealth/Insurance member</label>
<select class="form-control philhealth_member" name="philhealth_member">
<option value="no" selected=""> No</option>
<option value="yes"> Yes</option>
</select>
</div>
<div class="col-md-6 col-sm-12 col-xs-12">
<div class="form-group">
<label>Vaccination Status</label>
<select class="form-control vaccination_status" name="vaccination_status" id="vaccination_status">
<option selected="" value=""> - please select - </option>
<option value="First Dose">First Dose</option>
<option value="Second Dose">Second Dose</option>
<option value="With 1st Booster">With 1st Booster</option>
<option value="With 2nd Booster">With 2nd Booster</option>
<option value="Unvaccinated">Unvaccinated</option>
</select>
</div>
</div>
</div>
</div>
<div class="form-group">
<label>Are you a member of Indigenous Peoples Community? if YES, What Indigenous group?</label>
<div class="row">
<div class="col-sm-3">
<select class="form-control indigenous_group_select" name="indigenous_group_select">
<option value="no" selected=""> No</option>
<option value="yes"> Yes</option>
</select>
</div>
<div class="col-sm-9">
<input type="text" disabled="" value="" placeholder="[Specify Group]" class="form-control indigenous_group" name="indigenousGroup">
</div>
</div>
</div>
</fieldset>
<fieldset class="u-margin-top-20">
</fieldset>
<!-- Medical History fieldset end -->
<nav>
<ul class="pager">
<li class="previous">
<a class="shift_btn" data-next="tab-1" data-current="tab-2">← Previous</a>
</li>
<li class="next">
<a class="shift_btn" data-next="tab-3" data-current="tab-2" data-index="tab2">Next →</a>
</li>
</ul>
</nav>
</div>
</div>
<div class="section__content" id="tab-3">
<div class="step">
<div class="step__title">
<div class="step__title-progress active">
<!-- <span class="step__label">Step 2</span> -->
<span class="step__name">Educational Background</span>
</div>
</div>
<div class="step__group">
<div class="step__group-progress isActive shift_btn" data-next="tab-1" data-current="tab-3"></div>
<div class="step__group-progress isActive shift_btn" data-next="tab-2" data-current="tab-3"></div>
<div class="step__group-progress isActive"></div>
<div class="step__group-progress"></div>
<div class="step__group-progress"></div>
<div class="step__group-progress"></div>
<div class="step__group-progress"></div>
</div>
</div>
<!-- Last School attended fieldset start -->
<fieldset class="u-margin-top-20">
<!-- Learning reference number start -->
<div class="row">
<div class="col-md-3 col-xs-12 notforExt LRNDiv">
<div class="form-group">
<label>LRN</label>
<input id="lrn" type="text" class="form-control lrn required" name="LRN" value="">
<div class="note font-xs"><i>*In LRN, Input 0 if not applicable</i></div>
</div>
</div>
<div class="col-md-9 col-xs-12 ">
<div class="row">
<div class="col-md-3 col-xs-12 notforExt hide_in_graduate_school">
<div class="form-group">
<label>SPED</label><br>
<div id="radioBtn" class="btn-group">
<a class="sped btn btn-default btn-sm active" data-toggle="sped" value="0" data-title="N">NO</a>
<a class="sped btn btn-default btn-sm " data-toggle="sped" value="1" data-title="Y">YES</a>
</div>
<input type="hidden" name="sped" id="sped" value="0">
</div>
</div>
<div class="col-md-4 col-xs-12">
<div class="form-group">
<label>PWD</label><br>
<div id="radioBtn" class="btn-group">
<a class="pwd btn btn-default btn-sm active" data-toggle="pwd" value="0" data-title="N">NO</a>
<a class="pwd btn btn-default btn-sm " data-toggle="pwd" value="1" data-title="Y">YES</a>
</div>
<input type="hidden" name="pwd" id="pwd" value="0">
</div>
</div>
</div>
</div>
</div>
<!-- Learning reference number end -->
<h4 class="notforExt">Last School attended</h4>
<button class="btn btn-info btn-sm notforExt" type="button" id="btn_ed"><span class="glyphicon glyphicon-file"></span> Create New </button>
<hr style="margin-bottom: 5px; margin-top: 5px;">
<table style="font-size: 8pt;" class="table table-condensed table-hover notforExt" id="tableEduc">
<thead>
<tr>
<th> </th>
<th>School Name</th>
<th>Address</th>
<th>Program/Strand</th>
<th>Year of Graduation</th>
<th class="hide_in_graduate_school">GWA</th>
<th class="hide_in_graduate_school">Award/Honors</th>
<th class="hide_in_graduate_school">Last Grade/Level Attended</th>
<th>Private</th>
<th> </th>
</tr>
</thead>
<tbody>
<tr>
<td colspan="8">Please click button to add...</td>
</tr>
</tbody>
<tfoot style="display: none;">
<tr>
<td class="class"></td>
<td class="school"></td>
<td class="address"></td>
<td class="program"></td>
<td class="dates"></td>
<td class="gwa hide_in_graduate_school"></td>
<td class="honors hide_in_graduate_school"></td>
<td class="level hide_in_graduate_school"></td>
<td class="private"></td>
<td class=""><a href="javascript:;" class="btn_ed_r red-flamingo" title="Click to remove"><i class="fa fa-trash"></i></a></td>
</tr>
</tfoot>
</table>
</fieldset>
<!-- Last School attended fieldset end -->
<span class="note red font-xs notforExt">SHS is required if your are applying for undergradute degree.</span>
<nav>
<ul class="pager">
<li class="previous">
<a class="shift_btn" data-next="tab-2" data-current="tab-3">← Previous</a>
</li>
<li class="next">
<a class="shift_btn" data-next="tab-4" data-current="tab-3" data-index="tab3">Next →</a>
</li>
</ul>
</nav>
</div>
</form><form class="" id="family_info_form" autocomplete="off">
<input id="fam_id" name="FamID" type="hidden" value="">
<input id="familyid" name="familyid" type="hidden" value="">
<fieldset>
<div class="row hide_in_graduate_school hide_in_college">
<div class="col-md-9">
<div class="row" style="margin-right: 5px;">
<div class="col-sm-4">
<div class="form-group">
<label class="control-label font-blue-madison">Father's Name<span class="text-danger">*</span></label>
<input type="text" placeholder="Surname" class="hide_in_graduate_school hide_in_college ref_father form-control father_last_name required" id="FatherLastName" name="FatherLastName" value="">
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<label class="control-label"> </label>
<input type="text" placeholder="Given" class="hide_in_graduate_school hide_in_college ref_father form-control father_first_name required" id="FatherFirstName" name="FatherFirstName" value="">
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<label class="control-label"> </label>
<input type="text" placeholder="Middle" class="ref_father form-control father_middle_name" id="FatherMiddleName" name="FatherMiddleName" value="">
</div>
</div>
</div>
</div>
<div class="col-md-3 col-xs-6 ">
<div class="form-group">
<label>Date of Birth </label>
<input type="date" class="form-control father_date_of_birth" name="FatherDateOfBirth" value="">
</div>
</div>
</div>
<div class="row hide_in_graduate_school hide_in_college">
<div class="col-md-3 col-xs-6 ">
<div class="form-group">
<label>Occupation</label>
<input type="text" class=" form-control father_occupation " name="FatherOccupation" value="">
</div>
</div>
<div class="col-md-3 col-xs-6 ">
<div class="form-group">
<label>Monthly Income</label>
<input type="text" class=" form-control father_business_address " name="FatherBusinessAddress" value="">
</div>
</div>
<div class="col-md-3 col-xs-6 ">
<div class="form-group">
<label>Yearly Compensation</label>
<input type="text" class=" form-control father_business_phone " name="FatherBusinessPhone" value="">
</div>
</div>
<div class="col-md-3 col-xs-6">
<div class="form-group">
<label>Contact Number</label>
<input type="number" class=" ref_father form-control father_mobile_no number_only" name="FatherMobile" value="">
</div>
</div>
</div>
</fieldset>
<fieldset>
<div class="row hide_in_graduate_school hide_in_college">
<div class="col-md-9">
<div class="row" style="margin-right: 5px;">
<div class="col-sm-4">
<div class="form-group">
<label class="control-label font-blue-madison">Mother's Maiden Name<span class="text-danger">*</span></label>
<input type="text" placeholder="Surname" id="MotherLastName" class="hide_in_graduate_school hide_in_college ref_mother form-control mother_last_name required" name="MotherLastName" value="">
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<label class="control-label"> </label>
<input type="text" placeholder="Given" id="MotherFirstName" class="hide_in_graduate_school hide_in_college ref_mother form-control mother_first_name required" name="MotherFirstName" value="">
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<label class="control-label"> </label>
<input type="text" placeholder="Middle" id="MotherMiddleName" class="ref_mother form-control mother_middle_name" name="MotherMiddleName" value="">
</div>
</div>
</div>
</div>
<div class="col-md-3 col-xs-6 ">
<div class="form-group">
<label>Date of Birth </label>
<input type="date" class="form-control mother_date_of_birth" name="MotherDateOfBirth" value="">
</div>
</div>
</div>
<div class="row hide_in_graduate_school hide_in_college">
<div class="col-md-3 col-xs-6 ">
<div class="form-group">
<label>Occupation</label>
<input type="text" class="form-control mother_occupation " name="MotherOccupation" value="">
</div>
</div>
<div class="col-md-3 col-xs-6 ">
<div class="form-group">
<label>Monthly Income</label>
<input type="text" class="form-control mother_business_address " name="MotherBusinessAddress" value="">
</div>
</div>
<div class="col-md-3 col-xs-6 ">
<div class="form-group">
<label>Yearly Compensation</label>
<input type="text" class="form-control mother_business_company " name="MotherBusinessPhone" value="">
</div>
</div>
<div class="col-md-3 col-xs-6">
<div class="form-group">
<label>Contact Number</label>
<input type="number" class="ref_mother form-control mother_mobile_no number_only " name="MotherMobile" value="">
</div>
</div>
</div>
</fieldset>
<fieldset>
<div class="row hide_in_graduate_school hide_in_college">
<div class="col-sm-4">
<div class="form-group">
<label class="control-label font-blue-madison">Guardian's Name </label>
<input type="text" placeholder="Surname" class="form-control " id="GuardianLastName" name="GuardianLastName" value="">
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<label class="control-label"> </label>
<input type="text" placeholder="Given" class="form-control " id="GuardianFirstName" name="GuardianFirstName" value="">
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<label class="control-label"> </label>
<input type="text" placeholder="Middle" class="form-control" id="GuardianMiddleName" name="GuardianMiddleName" value="">
</div>
</div>
</div>
<div class="row hide_in_graduate_school hide_in_college">
<div class="col-md-6">
<div class="form-group">
<label>Address</label>
<input type="text" class=" form-control " id="GuardianAddress" name="GuardianAddress" value="">
</div>
</div>
<div class="col-md-3">
<div class="form-group">
<label class="control-label ">Province/Region</label>
<select class=" select2 form-control select2-profile fill_address " for="region" name="GuardianProvince" id="GuardianProvince">
<option value="-"> - Select - </option>
<option data-id="1" value="Abra">Abra</option>
<option data-id="2" value="Agusan del Norte">Agusan del Norte</option>
<option data-id="3" value="Agusan del Sur">Agusan del Sur</option>
<option data-id="4" value="Aklan">Aklan</option>
<option data-id="5" value="Albay">Albay</option>
<option data-id="6" value="Antique">Antique</option>
<option data-id="7" value="Apayao">Apayao</option>
<option data-id="8" value="Aurora">Aurora</option>
<option data-id="9" value="Basilan">Basilan</option>
<option data-id="10" value="Bataan">Bataan</option>
<option data-id="11" value="Batanes">Batanes</option>
<option data-id="12" value="Batangas">Batangas</option>
<option data-id="13" value="Benguet">Benguet</option>
<option data-id="14" value="Biliran">Biliran</option>
<option data-id="15" value="Bohol">Bohol</option>
<option data-id="16" value="Bukidnon">Bukidnon</option>
<option data-id="17" value="Bulacan">Bulacan</option>
<option data-id="18" value="Cagayan">Cagayan</option>
<option data-id="19" value="Camarines Norte">Camarines Norte</option>
<option data-id="20" value="Camarines Sur">Camarines Sur</option>
<option data-id="21" value="Camiguin">Camiguin</option>
<option data-id="22" value="Capiz">Capiz</option>
<option data-id="23" value="Catanduanes">Catanduanes</option>
<option data-id="24" value="Cavite">Cavite</option>
<option data-id="25" value="Cebu">Cebu</option>
<option data-id="26" value="Compostela Valley">Compostela Valley</option>
<option data-id="27" value="Cotabato">Cotabato</option>
<option data-id="28" value="Davao Del Norte">Davao Del Norte</option>
<option data-id="29" value="Davao Del Sur">Davao Del Sur</option>
<option data-id="30" value="Davao Oriental">Davao Oriental</option>
<option data-id="31" value="Dinagat Islands">Dinagat Islands</option>
<option data-id="32" value="Eastern Samar">Eastern Samar</option>
<option data-id="33" value="Guimaras">Guimaras</option>
<option data-id="34" value="Ifugao">Ifugao</option>
<option data-id="35" value="Ilocos Norte">Ilocos Norte</option>
<option data-id="36" value="Ilocos Sur">Ilocos Sur</option>
<option data-id="37" value="Iloilo">Iloilo</option>
<option data-id="38" value="Isabela">Isabela</option>
<option data-id="39" value="Kalinga">Kalinga</option>
<option data-id="40" value="La Union">La Union</option>
<option data-id="41" value="Laguna">Laguna</option>
<option data-id="42" value="Lanao Del Norte">Lanao Del Norte</option>
<option data-id="43" value="Lanao Del Sur">Lanao Del Sur</option>
<option data-id="44" value="Leyte">Leyte</option>
<option data-id="45" value="Maguindanao">Maguindanao</option>
<option data-id="46" value="Marinduque">Marinduque</option>
<option data-id="47" value="Masbate">Masbate</option>
<option data-id="48" value="Metropolitan Manila">Metropolitan Manila</option>
<option data-id="49" value="Misamis Occidental">Misamis Occidental</option>
<option data-id="50" value="Misamis Oriental">Misamis Oriental</option>
<option data-id="51" value="Mountain Province">Mountain Province</option>
<option data-id="52" value="Negros Occidental">Negros Occidental</option>
<option data-id="53" value="Negros Oriental">Negros Oriental</option>
<option data-id="54" value="Northern Samar">Northern Samar</option>
<option data-id="55" value="Nueva Ecija">Nueva Ecija</option>
<option data-id="56" value="Nueva Vizcaya">Nueva Vizcaya</option>
<option data-id="57" value="Occidental Mindoro">Occidental Mindoro</option>
<option data-id="58" value="Oriental Mindoro">Oriental Mindoro</option>
<option data-id="59" value="Palawan">Palawan</option>
<option data-id="60" value="Pampanga">Pampanga</option>
<option data-id="61" value="Pangasinan">Pangasinan</option>
<option data-id="62" value="Quezon">Quezon</option>
<option data-id="63" value="Quirino">Quirino</option>
<option data-id="64" value="Rizal">Rizal</option>
<option data-id="65" value="Romblon">Romblon</option>
<option data-id="66" value="Samar">Samar</option>
<option data-id="67" value="Sarangani">Sarangani</option>
<option data-id="68" value="Siquijor">Siquijor</option>
<option data-id="69" value="Sorsogon">Sorsogon</option>
<option data-id="70" value="South Cotabato">South Cotabato</option>
<option data-id="71" value="Southern Leyte">Southern Leyte</option>
<option data-id="72" value="Sultan Kudarat">Sultan Kudarat</option>
<option data-id="73" value="Sulu">Sulu</option>
<option data-id="74" value="Surigao Del Norte">Surigao Del Norte</option>
<option data-id="75" value="Surigao Del Sur">Surigao Del Sur</option>
<option data-id="76" value="Tarlac">Tarlac</option>
<option data-id="77" value="Tawi Tawi">Tawi Tawi</option>
<option data-id="78" value="Zambales">Zambales</option>
<option data-id="79" value="Zamboanga Del Norte">Zamboanga Del Norte</option>
<option data-id="80" value="Zamboanga Del Sur">Zamboanga Del Sur</option>
<option data-id="81" value="Zamboanga Sibugay">Zamboanga Sibugay</option>
<option data-id="83" value="Zamboanga Peninsula">Zamboanga Peninsula</option>
</select>
</div>
</div>
<div class="col-md-3">
<div class="form-group">
<label class="control-label">City</label>
<select class=" select2 form-control select2-profile fill_address " for="city" name="GuardianCity" id="GuardianCity">
<option value="-">- Select -</option>
<option value="Aborlan">Aborlan</option>
<option value="Abra de Ilog">Abra de Ilog</option>
<option value="Abucay">Abucay</option>
<option value="Abulug">Abulug</option>
<option value="Abuyog">Abuyog</option>
<option value="Adams">Adams</option>
<option value="Agdangan">Agdangan</option>
<option value="Aglipay">Aglipay</option>
<option value="Agno">Agno</option>
<option value="Agoncillo">Agoncillo</option>
<option value="Agoo">Agoo</option>
<option value="Aguilar">Aguilar</option>
<option value="Aguinaldo">Aguinaldo</option>
<option value="Agutaya">Agutaya</option>
<option value="Ajuy">Ajuy</option>
<option value="Alabat">Alabat</option>
<option value="Alabel">Alabel</option>
<option value="Alamada">Alamada</option>
<option value="Alaminos">Alaminos</option>
<option value="Alaminos">Alaminos</option>
<option value="Alangalang">Alangalang</option>
<option value="Albuera">Albuera</option>
<option value="Albuquerque">Albuquerque</option>
<option value="Alcala">Alcala</option>
<option value="Alcala">Alcala</option>
<option value="Alcantara">Alcantara</option>
<option value="Alcantara">Alcantara</option>
<option value="Alcoy">Alcoy</option>
<option value="Alegria">Alegria</option>
<option value="Alegria">Alegria</option>
<option value="Aleosan">Aleosan</option>
<option value="Alfonso">Alfonso</option>
<option value="Alfonso Castaneda">Alfonso Castaneda</option>
<option value="Alfonso Lista (Potia)">Alfonso Lista (Potia)</option>
<option value="Aliaga">Aliaga</option>
<option value="Alicia">Alicia</option>
<option value="Alicia">Alicia</option>
<option value="Alicia">Alicia</option>
<option value="Alilem">Alilem</option>
<option value="Alimodian">Alimodian</option>
<option value="Alitagtag">Alitagtag</option>
<option value="Allacapan">Allacapan</option>
<option value="Allen">Allen</option>
<option value="Almagro">Almagro</option>
<option value="Almeria">Almeria</option>
<option value="Aloguinsan">Aloguinsan</option>
<option value="Aloran">Aloran</option>
<option value="Altavas">Altavas</option>
<option value="Alubijid">Alubijid</option>
<option value="Amadeo">Amadeo</option>
<option value="Ambaguio">Ambaguio</option>
<option value="Amlan">Amlan</option>
<option value="Ampatuan">Ampatuan</option>
<option value="Amulong">Amulong</option>
<option value="Anahawan">Anahawan</option>
<option value="Anao">Anao</option>
<option value="Anda">Anda</option>
<option value="Anda">Anda</option>
<option value="Angadanan">Angadanan</option>
<option value="Angat">Angat</option>
<option value="Angeles City">Angeles City</option>
<option value="Angono">Angono</option>
<option value="Anilao">Anilao</option>
<option value="Anini-Y">Anini-Y</option>
<option value="Antequera">Antequera</option>
<option value="Antipas">Antipas</option>
<option value="Antipolo City">Antipolo City</option>
<option value="Apalit">Apalit</option>
<option value="Aparri">Aparri</option>
<option value="Araceli">Araceli</option>
<option value="Arakan">Arakan</option>
<option value="Arayat">Arayat</option>
<option value="Argao">Argao</option>
<option value="Aringay">Aringay</option>
<option value="Aritao">Aritao</option>
<option value="Aroroy">Aroroy</option>
<option value="Arteche">Arteche</option>
<option value="Asingan">Asingan</option>
<option value="Asipulo">Asipulo</option>
<option value="Asturias">Asturias</option>
<option value="Asuncion">Asuncion</option>
<option value="Atimonan">Atimonan</option>
<option value="Atok">Atok</option>
<option value="Aurora">Aurora</option>
<option value="Aurora">Aurora</option>
<option value="Ayungon">Ayungon</option>
<option value="Baao">Baao</option>
<option value="Babatngon">Babatngon</option>
<option value="Bacacay">Bacacay</option>
<option value="Bacarra">Bacarra</option>
<option value="Baclayon">Baclayon</option>
<option value="Bacnotan">Bacnotan</option>
<option value="Baco">Baco</option>
<option value="Bacolod">Bacolod</option>
<option value="Bacolod City">Bacolod City</option>
<option value="Bacolod Kalawi">Bacolod Kalawi</option>
<option value="Bacolor">Bacolor</option>
<option value="Bacon">Bacon</option>
<option value="Bacong">Bacong</option>
<option value="Bacoor">Bacoor</option>
<option value="Bacuag">Bacuag</option>
<option value="Bacungan">Bacungan</option>
<option value="Badian">Badian</option>
<option value="Badiangan">Badiangan</option>
<option value="Badoc">Badoc</option>
<option value="Bagabag">Bagabag</option>
<option value="Bagac">Bagac</option>
<option value="Bagamanoc">Bagamanoc</option>
<option value="Baganga">Baganga</option>
<option value="Baggao">Baggao</option>
<option value="Bago City">Bago City</option>
<option value="Baguio City">Baguio City</option>
<option value="Bagulin">Bagulin</option>
<option value="Bagumbayan">Bagumbayan</option>
<option value="Bais City">Bais City</option>
<option value="Bakun">Bakun</option>
<option value="Balabac">Balabac</option>
<option value="Balabagan">Balabagan</option>
<option value="Balagtas">Balagtas</option>
<option value="Balamban">Balamban</option>
<option value="Balanga">Balanga</option>
<option value="Balangiga">Balangiga</option>
<option value="Balangkayan">Balangkayan</option>
<option value="Balaoan">Balaoan</option>
<option value="Balasan">Balasan</option>
<option value="Balatan">Balatan</option>
<option value="Balayan">Balayan</option>
<option value="Balbalan">Balbalan</option>
<option value="Baleno">Baleno</option>
<option value="Baler">Baler</option>
<option value="Balete">Balete</option>
<option value="Balete">Balete</option>
<option value="Baliangao">Baliangao</option>
<option value="Baliguian">Baliguian</option>
<option value="Balilihan">Balilihan</option>
<option value="Balindong">Balindong</option>
<option value="Balingasag">Balingasag</option>
<option value="Balingoan">Balingoan</option>
<option value="Baliuag">Baliuag</option>
<option value="Ballesteros">Ballesteros</option>
<option value="Baloi">Baloi</option>
<option value="Baluan">Baluan</option>
<option value="Balud">Balud</option>
<option value="Balungao">Balungao</option>
<option value="Bamban">Bamban</option>
<option value="Bambang">Bambang</option>
<option value="Banate">Banate</option>
<option value="Banaue">Banaue</option>
<option value="Banaybanay">Banaybanay</option>
<option value="Banayoyo">Banayoyo</option>
<option value="Banga">Banga</option>
<option value="Banga">Banga</option>
<option value="Bangar">Bangar</option>
<option value="Bangued">Bangued</option>
<option value="Bangui">Bangui</option>
<option value="Bani">Bani</option>
<option value="Banisilan">Banisilan</option>
<option value="Banna">Banna</option>
<option value="Bansalan">Bansalan</option>
<option value="Bansud">Bansud</option>
<option value="Bantay">Bantay</option>
<option value="Bantayan">Bantayan</option>
<option value="Banton">Banton</option>
<option value="Baras">Baras</option>
<option value="Baras">Baras</option>
<option value="Barbaza">Barbaza</option>
<option value="Barcelona">Barcelona</option>
<option value="Barili">Barili</option>
<option value="Barira">Barira</option>
<option value="Barlig">Barlig</option>
<option value="Barobo">Barobo</option>
<option value="Barotac Nuevo">Barotac Nuevo</option>
<option value="Barotac Viejo">Barotac Viejo</option>
<option value="Baroy">Baroy</option>
<option value="Barugo">Barugo</option>
<option value="Basay">Basay</option>
<option value="Basco">Basco</option>
<option value="Basey">Basey</option>
<option value="Basilisa">Basilisa</option>
<option value="Basista">Basista</option>
<option value="Basud">Basud</option>
<option value="Batac">Batac</option>
<option value="Batad">Batad</option>
<option value="Batan">Batan</option>
<option value="Batangas City">Batangas City</option>
<option value="Bataraza">Bataraza</option>
<option value="Bato">Bato</option>
<option value="Bato">Bato</option>
<option value="Bato">Bato</option>
<option value="Batuan">Batuan</option>
<option value="Batuan">Batuan</option>
<option value="Bauan">Bauan</option>
<option value="Bauang">Bauang</option>
<option value="Bauko">Bauko</option>
<option value="Baungon">Baungon</option>
<option value="Bautista">Bautista</option>
<option value="Bay">Bay</option>
<option value="Bayabas">Bayabas</option>
<option value="Bayambang">Bayambang</option>
<option value="Bayang">Bayang</option>
<option value="Bayawan">Bayawan</option>
<option value="Baybay">Baybay</option>
<option value="Bayog">Bayog</option>
<option value="Bayombong">Bayombong</option>
<option value="Bayugan">Bayugan</option>
<option value="Belison">Belison</option>
<option value="Benito Soliven">Benito Soliven</option>
<option value="Besao">Besao</option>
<option value="Bien Unido">Bien Unido</option>
<option value="Bilar">Bilar</option>
<option value="Biliran">Biliran</option>
<option value="Binalbagan">Binalbagan</option>
<option value="Binalonan">Binalonan</option>
<option value="Binan">Binan</option>
<option value="Binangonan">Binangonan</option>
<option value="Bindoy">Bindoy</option>
<option value="Bingawan">Bingawan</option>
<option value="Binidayan">Binidayan</option>
<option value="Binmaley">Binmaley</option>
<option value="Binuangan">Binuangan</option>
<option value="Biri">Biri</option>
<option value="Bislig">Bislig</option>
<option value="Boac">Boac</option>
<option value="Bobon">Bobon</option>
<option value="Bocaue">Bocaue</option>
<option value="Bogo">Bogo</option>
<option value="Bokod">Bokod</option>
<option value="Bolinao">Bolinao</option>
<option value="Boliney">Boliney</option>
<option value="Boljoon">Boljoon</option>
<option value="Bombon">Bombon</option>
<option value="Bongabon">Bongabon</option>
<option value="Bongabong">Bongabong</option>
<option value="Bongao">Bongao</option>
<option value="Bonifacio">Bonifacio</option>
<option value="Bontoc">Bontoc</option>
<option value="Bontoc">Bontoc</option>
<option value="Borbon">Borbon</option>
<option value="Borongan">Borongan</option>
<option value="Boston">Boston</option>
<option value="Botolan">Botolan</option>
<option value="Boug">Boug</option>
<option value="Braulio E. Dujali">Braulio E. Dujali</option>
<option value="Brooke's Point">Brooke's Point</option>
<option value="Buadiposo-Buntong">Buadiposo-Buntong</option>
<option value="Bubong">Bubong</option>
<option value="Bucay">Bucay</option>
<option value="Bucloc">Bucloc</option>
<option value="Buenavista">Buenavista</option>
<option value="Buenavista">Buenavista</option>
<option value="Buenavista">Buenavista</option>
<option value="Buenavista">Buenavista</option>
<option value="Buenavista">Buenavista</option>
<option value="Bugallon">Bugallon</option>
<option value="Bugasong">Bugasong</option>
<option value="Buguey">Buguey</option>
<option value="Buguias">Buguias</option>
<option value="Buhi">Buhi</option>
<option value="Bula">Bula</option>
<option value="Bulacan">Bulacan</option>
<option value="Bulalacao">Bulalacao</option>
<option value="Bulan">Bulan</option>
<option value="Buldon">Buldon</option>
<option value="Bulusan">Bulusan</option>
<option value="Bumbaran">Bumbaran</option>
<option value="Bunawan">Bunawan</option>
<option value="Burauen">Burauen</option>
<option value="Burdeos">Burdeos</option>
<option value="Burgos">Burgos</option>
<option value="Burgos">Burgos</option>
<option value="Burgos">Burgos</option>
<option value="Burgos">Burgos</option>
<option value="Burgos">Burgos</option>
<option value="Burgos">Burgos</option>
<option value="Buruanga">Buruanga</option>
<option value="Bustos">Bustos</option>
<option value="Busuanga">Busuanga</option>
<option value="Butig">Butig</option>
<option value="Butuan City">Butuan City</option>
<option value="Caba">Caba</option>
<option value="Cabadbaran">Cabadbaran</option>
<option value="Cabagan">Cabagan</option>
<option value="Cabanatuan City">Cabanatuan City</option>
<option value="Cabangan">Cabangan</option>
<option value="Cabanglasan">Cabanglasan</option>
<option value="Cabarroguis">Cabarroguis</option>
<option value="Cabatuan">Cabatuan</option>
<option value="Cabatuan">Cabatuan</option>
<option value="Cabiao">Cabiao</option>
<option value="Cabucgayan">Cabucgayan</option>
<option value="Cabugao">Cabugao</option>
<option value="Cabusao">Cabusao</option>
<option value="Cabuyao">Cabuyao</option>
<option value="Cadiz City">Cadiz City</option>
<option value="Cagayan de Oro City">Cagayan de Oro City</option>
<option value="Cagayancillo">Cagayancillo</option>
<option value="Cagdianao">Cagdianao</option>
<option value="Cagwait">Cagwait</option>
<option value="Caibiran">Caibiran</option>
<option value="Cainta">Cainta</option>
<option value="Cajidiocan">Cajidiocan</option>
<option value="Calabanga">Calabanga</option>
<option value="Calaca">Calaca</option>
<option value="Calamaniugan">Calamaniugan</option>
<option value="Calamba">Calamba</option>
<option value="Calamba">Calamba</option>
<option value="Calanasan">Calanasan</option>
<option value="Calanogas">Calanogas</option>
<option value="Calape">Calape</option>
<option value="Calasiao">Calasiao</option>
<option value="Calatagan">Calatagan</option>
<option value="Calatrava">Calatrava</option>
<option value="Calatrava">Calatrava</option>
<option value="Calauag">Calauag</option>
<option value="Calauan">Calauan</option>
<option value="Calayan">Calayan</option>
<option value="Calbayog City">Calbayog City</option>
<option value="Calbiga">Calbiga</option>
<option value="Calinog">Calinog</option>
<option value="Calintaan">Calintaan</option>
<option value="Calubian">Calubian</option>
<option value="Calumpit">Calumpit</option>
<option value="Caluya">Caluya</option>
<option value="Camalig">Camalig</option>
<option value="Camaligan">Camaligan</option>
<option value="Camiling">Camiling</option>
<option value="Can-Avid">Can-Avid</option>
<option value="Canaman">Canaman</option>
<option value="Candaba">Candaba</option>
<option value="Candelaria">Candelaria</option>
<option value="Candelaria">Candelaria</option>
<option value="Candijay">Candijay</option>
<option value="Candon">Candon</option>
<option value="Candoni">Candoni</option>
<option value="Canlaon City">Canlaon City</option>
<option value="Cantilan">Cantilan</option>
<option value="Caoayan">Caoayan</option>
<option value="Capalonga">Capalonga</option>
<option value="Capas">Capas</option>
<option value="Capoocan">Capoocan</option>
<option value="Capul">Capul</option>
<option value="Caraga">Caraga</option>
<option value="Caramoan">Caramoan</option>
<option value="Caramoran">Caramoran</option>
<option value="Carasi">Carasi</option>
<option value="Carcar">Carcar</option>
<option value="Cardona">Cardona</option>
<option value="Carigara">Carigara</option>
<option value="Carles">Carles</option>
<option value="Carmen">Carmen</option>
<option value="Carmen">Carmen</option>
<option value="Carmen">Carmen</option>
<option value="Carmen">Carmen</option>
<option value="Carmen">Carmen</option>
<option value="Carmen">Carmen</option>
<option value="Carmona">Carmona</option>
<option value="Carranglan">Carranglan</option>
<option value="Carrascal">Carrascal</option>
<option value="Casiguran">Casiguran</option>
<option value="Casiguran">Casiguran</option>
<option value="Castilla">Castilla</option>
<option value="Castillejos">Castillejos</option>
<option value="Cataingan">Cataingan</option>
<option value="Catanauan">Catanauan</option>
<option value="Catarman">Catarman</option>
<option value="Catarman">Catarman</option>
<option value="Catbalogan">Catbalogan</option>
<option value="Cateel">Cateel</option>
<option value="Catigbian">Catigbian</option>
<option value="Catmon">Catmon</option>
<option value="Catubig">Catubig</option>
<option value="Cauayan">Cauayan</option>
<option value="Cauayan">Cauayan</option>
<option value="Cavinti">Cavinti</option>
<option value="Cavite City">Cavite City</option>
<option value="Cawayan">Cawayan</option>
<option value="Cebu City">Cebu City</option>
<option value="Cervantes">Cervantes</option>
<option value="City of Calapan">City of Calapan</option>
<option value="City of Kabankalan">City of Kabankalan</option>
<option value="City of Kidapawan">City of Kidapawan</option>
<option value="City of Malaybalay">City of Malaybalay</option>
<option value="City of Passi">City of Passi</option>
<option value="City of Tagum">City of Tagum</option>
<option value="City of Talisay">City of Talisay</option>
<option value="City of Victorias">City of Victorias</option>
<option value="Clarin">Clarin</option>
<option value="Clarin">Clarin</option>
<option value="Claver">Claver</option>
<option value="Claveria">Claveria</option>
<option value="Claveria">Claveria</option>
<option value="Claveria">Claveria</option>
<option value="Columbio">Columbio</option>
<option value="Compostela">Compostela</option>
<option value="Compostela">Compostela</option>
<option value="Concepcion">Concepcion</option>
<option value="Concepcion">Concepcion</option>
<option value="Concepcion">Concepcion</option>
<option value="Concepcion">Concepcion</option>
<option value="Conner">Conner</option>
<option value="Consolacion">Consolacion</option>
<option value="Corcuera">Corcuera</option>
<option value="Cordoba">Cordoba</option>
<option value="Cordon">Cordon</option>
<option value="Corella">Corella</option>
<option value="Coron">Coron</option>
<option value="Cortes">Cortes</option>
<option value="Cortes">Cortes</option>
<option value="Cotabato City">Cotabato City</option>
<option value="Cuartero">Cuartero</option>
<option value="Cuenca">Cuenca</option>
<option value="Culaba">Culaba</option>
<option value="Culasi">Culasi</option>
<option value="Culion">Culion</option>
<option value="Currimao">Currimao</option>
<option value="Cuyapo">Cuyapo</option>
<option value="Cuyo">Cuyo</option>
<option value="Daanbantayan">Daanbantayan</option>
<option value="Daet">Daet</option>
<option value="Dagami">Dagami</option>
<option value="Dagohoy">Dagohoy</option>
<option value="Daguioman">Daguioman</option>
<option value="Dagupan City">Dagupan City</option>
<option value="Dalaguete">Dalaguete</option>
<option value="Damulog">Damulog</option>
<option value="Danao">Danao</option>
<option value="Danao City">Danao City</option>
<option value="Dangcagan">Dangcagan</option>
<option value="Danglas">Danglas</option>
<option value="Dao">Dao</option>
<option value="Dapa">Dapa</option>
<option value="Dapitan City">Dapitan City</option>
<option value="Daraga">Daraga</option>
<option value="Daram">Daram</option>
<option value="Dasmariñas City">Dasmariñas City</option>
<option value="Dasol">Dasol</option>
<option value="Datu Odin Sinsuat (Dinaig)">Datu Odin Sinsuat (Dinaig)</option>
<option value="Datu Paglas">Datu Paglas</option>
<option value="Datu Piang">Datu Piang</option>
<option value="Dauin">Dauin</option>
<option value="Dauis">Dauis</option>
<option value="Davao City">Davao City</option>
<option value="Del Carmen">Del Carmen</option>
<option value="Del Gallego">Del Gallego</option>
<option value="Delfin Albano">Delfin Albano</option>
<option value="Diadi">Diadi</option>
<option value="Diffun">Diffun</option>
<option value="Digos">Digos</option>
<option value="Dilasag">Dilasag</option>
<option value="Dimasalang">Dimasalang</option>
<option value="Dimataling">Dimataling</option>
<option value="Dimiao">Dimiao</option>
<option value="Dinagat">Dinagat</option>
<option value="Dinalungan">Dinalungan</option>
<option value="Dinalupihan">Dinalupihan</option>
<option value="Dinapigue">Dinapigue</option>
<option value="Dinas">Dinas</option>
<option value="Dingalan">Dingalan</option>
<option value="Dingle">Dingle</option>
<option value="Dingras">Dingras</option>
<option value="Dipaculao">Dipaculao</option>
<option value="Diplahan">Diplahan</option>
<option value="Dipolog City">Dipolog City</option>
<option value="Ditsaan-Ramain">Ditsaan-Ramain</option>
<option value="Divilacan">Divilacan</option>
<option value="Dolores">Dolores</option>
<option value="Dolores">Dolores</option>
<option value="Dolores">Dolores</option>
<option value="Don Carlos">Don Carlos</option>
<option value="Don Marcelino">Don Marcelino</option>
<option value="Don Victoriano Chiongbian">Don Victoriano Chiongbian</option>
<option value="Dona R. Trinidad">Dona R. Trinidad</option>
<option value="Donsol">Donsol</option>
<option value="Duenas">Duenas</option>
<option value="Duero">Duero</option>
<option value="Dulag">Dulag</option>
<option value="Dumaguete City">Dumaguete City</option>
<option value="Dumalag">Dumalag</option>
<option value="Dumalinao">Dumalinao</option>
<option value="Dumalneg">Dumalneg</option>
<option value="Dumangas">Dumangas</option>
<option value="Dumanjug">Dumanjug</option>
<option value="Dumaran">Dumaran</option>
<option value="Dumarao">Dumarao</option>
<option value="Dumingag">Dumingag</option>
<option value="Dupax Del Norte">Dupax Del Norte</option>
<option value="Dupax Del Sur">Dupax Del Sur</option>
<option value="Echague">Echague</option>
<option value="El Nido (Bacuit)">El Nido (Bacuit)</option>
<option value="El Salvador">El Salvador</option>
<option value="Enrile">Enrile</option>
<option value="Enrique B. Magalona">Enrique B. Magalona</option>
<option value="Enrique Villanueva">Enrique Villanueva</option>
<option value="Escalante">Escalante</option>
<option value="Esperanza">Esperanza</option>
<option value="Esperanza">Esperanza</option>
<option value="Esperanza">Esperanza</option>
<option value="Estancia">Estancia</option>
<option value="Famy">Famy</option>
<option value="Ferrol">Ferrol</option>
<option value="Flora">Flora</option>
<option value="Floridablanca">Floridablanca</option>
<option value="Gabaldon (Bitulok & Sabani)">Gabaldon (Bitulok & Sabani)</option>
<option value="Gainza">Gainza</option>
<option value="Galimuyod">Galimuyod</option>
<option value="Gamay">Gamay</option>
<option value="Gamu">Gamu</option>
<option value="Ganassi">Ganassi</option>
<option value="Gandara">Gandara</option>
<option value="Gapan">Gapan</option>
<option value="Garchitorena">Garchitorena</option>
<option value="Garcia Hernandez">Garcia Hernandez</option>
<option value="Gasan">Gasan</option>
<option value="Gattaran">Gattaran</option>
<option value="General Emilio Aguinaldo">General Emilio Aguinaldo</option>
<option value="General Luna">General Luna</option>
<option value="General Luna">General Luna</option>
<option value="General Macarthur">General Macarthur</option>
<option value="General Mamerto Natividad">General Mamerto Natividad</option>
<option value="General Mariano Alvarez">General Mariano Alvarez</option>
<option value="General Nakar">General Nakar</option>
<option value="General S.K. Pendatun">General S.K. Pendatun</option>
<option value="General Santos City">General Santos City</option>
<option value="General Tinio (Papaya)">General Tinio (Papaya)</option>
<option value="General Trias">General Trias</option>
<option value="Gerona">Gerona</option>
<option value="Gigaquit">Gigaquit</option>
<option value="Gigmoto">Gigmoto</option>
<option value="Ginatilan">Ginatilan</option>
<option value="Gingoog City">Gingoog City</option>
<option value="Giporlos">Giporlos</option>
<option value="Gitagum">Gitagum</option>
<option value="Glan">Glan</option>
<option value="Gloria">Gloria</option>
<option value="Goa">Goa</option>
<option value="Godod">Godod</option>
<option value="Governor Generoso">Governor Generoso</option>
<option value="Gregorio Del Pilar (Concepcion)">Gregorio Del Pilar (Concepcion)</option>
<option value="Guagua">Guagua</option>
<option value="Gubat">Gubat</option>
<option value="Guiguinto">Guiguinto</option>
<option value="Guihulngan">Guihulngan</option>
<option value="Guimba">Guimba</option>
<option value="Guimbal">Guimbal</option>
<option value="Guinayangan">Guinayangan</option>
<option value="Guindulman">Guindulman</option>
<option value="Guinobatan">Guinobatan</option>
<option value="Guinsiliban">Guinsiliban</option>
<option value="Guipos">Guipos</option>
<option value="Guiuan">Guiuan</option>
<option value="Gumaca">Gumaca</option>
<option value="Gutalac">Gutalac</option>
<option value="Hadji Panglima Tahil (Marungas)">Hadji Panglima Tahil (Marungas)</option>
<option value="Hagonoy">Hagonoy</option>
<option value="Hagonoy">Hagonoy</option>
<option value="Hamtic">Hamtic</option>
<option value="Hermosa">Hermosa</option>
<option value="Hernani">Hernani</option>
<option value="Hilongos">Hilongos</option>
<option value="Himamaylan">Himamaylan</option>
<option value="Hinabangan">Hinabangan</option>
<option value="Hinatuan">Hinatuan</option>
<option value="Hindang">Hindang</option>
<option value="Hingyon">Hingyon</option>
<option value="Hinigaran">Hinigaran</option>
<option value="Hinoba-An">Hinoba-An</option>
<option value="Hinunangan">Hinunangan</option>
<option value="Hinundayan">Hinundayan</option>
<option value="Hungduan">Hungduan</option>
<option value="Iba">Iba</option>
<option value="Ibaan">Ibaan</option>
<option value="Ibajay">Ibajay</option>
<option value="Igbaras">Igbaras</option>
<option value="Iguig">Iguig</option>
<option value="Ilagan">Ilagan</option>
<option value="Iligan City">Iligan City</option>
<option value="Ilog">Ilog</option>
<option value="Iloilo City">Iloilo City</option>
<option value="Imelda">Imelda</option>
<option value="Impasug-Ong">Impasug-Ong</option>
<option value="Imus">Imus</option>
<option value="Inabanga">Inabanga</option>
<option value="Indanan">Indanan</option>
<option value="Indang">Indang</option>
<option value="Infanta">Infanta</option>
<option value="Infanta">Infanta</option>
<option value="Initao">Initao</option>
<option value="Inopacan">Inopacan</option>
<option value="Ipil">Ipil</option>
<option value="Iriga City">Iriga City</option>
<option value="Irosin">Irosin</option>
<option value="Isabel">Isabel</option>
<option value="Isabela">Isabela</option>
<option value="Isabela">Isabela</option>
<option value="Island Garden City of Samal">Island Garden City of Samal</option>
<option value="Isulan">Isulan</option>
<option value="Itbayat">Itbayat</option>
<option value="Itogon">Itogon</option>
<option value="Ivana">Ivana</option>
<option value="Ivisan">Ivisan</option>
<option value="Jabonga">Jabonga</option>
<option value="Jaen">Jaen</option>
<option value="Jagna">Jagna</option>
<option value="Jala-Jala">Jala-Jala</option>
<option value="Jamindan">Jamindan</option>
<option value="Janiuay">Janiuay</option>
<option value="Jaro">Jaro</option>
<option value="Jasaan">Jasaan</option>
<option value="Javier (Bugho)">Javier (Bugho)</option>
<option value="Jetafe">Jetafe</option>
<option value="Jiabong">Jiabong</option>
<option value="Jimalalud">Jimalalud</option>
<option value="Jimenez">Jimenez</option>
<option value="Jipapad">Jipapad</option>
<option value="Jolo">Jolo</option>
<option value="Jomalig">Jomalig</option>
<option value="Jones">Jones</option>
<option value="Jordan">Jordan</option>
<option value="Jose Abad Santos">Jose Abad Santos</option>
<option value="Jose Dalman">Jose Dalman</option>
<option value="Jose Panganiban">Jose Panganiban</option>
<option value="Josefina">Josefina</option>
<option value="Jovellar">Jovellar</option>
<option value="Juban">Juban</option>
<option value="Julita">Julita</option>
<option value="Kabacan">Kabacan</option>
<option value="Kabasalan">Kabasalan</option>
<option value="Kabayan">Kabayan</option>
<option value="Kabugao">Kabugao</option>
<option value="Kabuntalan (Tumbao)">Kabuntalan (Tumbao)</option>
<option value="Kadingilan">Kadingilan</option>
<option value="Kalamansig">Kalamansig</option>
<option value="Kalawit">Kalawit</option>
<option value="Kalayaan">Kalayaan</option>
<option value="Kalayaan">Kalayaan</option>
<option value="Kalibo">Kalibo</option>
<option value="Kalilangan">Kalilangan</option>
<option value="Kalingalan Caluang">Kalingalan Caluang</option>
<option value="Kalookan City">Kalookan City</option>
<option value="Kananga">Kananga</option>
<option value="Kapai">Kapai</option>
<option value="Kapalong">Kapalong</option>
<option value="Kapangan">Kapangan</option>
<option value="Kapatagan">Kapatagan</option>
<option value="Kapatagan">Kapatagan</option>
<option value="Kasibu">Kasibu</option>
<option value="Katipunan">Katipunan</option>
<option value="Kauswagan">Kauswagan</option>
<option value="Kawayan">Kawayan</option>
<option value="Kawit">Kawit</option>
<option value="Kayapa">Kayapa</option>
<option value="Kiamba">Kiamba</option>
<option value="Kiangan">Kiangan</option>
<option value="Kibawe">Kibawe</option>
<option value="Kiblawan">Kiblawan</option>
<option value="Kibungan">Kibungan</option>
<option value="Kinoguitan">Kinoguitan</option>
<option value="Kitaotao">Kitaotao</option>
<option value="Kitcharao">Kitcharao</option>
<option value="Kolambugan">Kolambugan</option>
<option value="Koronadal">Koronadal</option>
<option value="Kumalarang">Kumalarang</option>
<option value="La Carlota City">La Carlota City</option>
<option value="La Castellana">La Castellana</option>
<option value="La Libertad">La Libertad</option>
<option value="La Libertad">La Libertad</option>
<option value="La Paz">La Paz</option>
<option value="La Paz">La Paz</option>
<option value="La Paz">La Paz</option>
<option value="La Paz">La Paz</option>
<option value="La Trinidad (Capital)">La Trinidad (Capital)</option>
<option value="Laak">Laak</option>
<option value="Laak (San Vicente)">Laak (San Vicente)</option>
<option value="Labangan">Labangan</option>
<option value="Labason">Labason</option>
<option value="Labo">Labo</option>
<option value="Labrador">Labrador</option>
<option value="Lacub">Lacub</option>
<option value="Lagangilang">Lagangilang</option>
<option value="Lagawe">Lagawe</option>
<option value="Lagayan">Lagayan</option>
<option value="Lagonglong">Lagonglong</option>
<option value="Lagonoy">Lagonoy</option>
<option value="Laguindingan">Laguindingan</option>
<option value="Lake">Lake</option>
<option value="Lake">Lake</option>
<option value="Lake">Lake</option>
<option value="Lake">Lake</option>
<option value="Lake">Lake</option>
<option value="Lake">Lake</option>
<option value="Lake Sebu">Lake Sebu</option>
<option value="Lakewood">Lakewood</option>
<option value="Lal-Lo">Lal-Lo</option>
<option value="Lala">Lala</option>
<option value="Lambayong">Lambayong</option>
<option value="Lambunao">Lambunao</option>
<option value="Lamitan">Lamitan</option>
<option value="Lamut">Lamut</option>
<option value="Lamut">Lamut</option>
<option value="Langiden">Langiden</option>
<option value="Languyan">Languyan</option>
<option value="Lantapan">Lantapan</option>
<option value="Lantawan">Lantawan</option>
<option value="Lanuza">Lanuza</option>
<option value="Laoac">Laoac</option>
<option value="Laoag City">Laoag City</option>
<option value="Laoang">Laoang</option>
<option value="Lapinig">Lapinig</option>
<option value="Lapu-Lapu City">Lapu-Lapu City</option>
<option value="Lapuyan">Lapuyan</option>
<option value="Larena">Larena</option>
<option value="Las Navas">Las Navas</option>
<option value="Las Nieves">Las Nieves</option>
<option value="Las Pi±as">Las Pi±as</option>
<option value="Lasam">Lasam</option>
<option value="Laua-An">Laua-An</option>
<option value="Laur">Laur</option>
<option value="Laurel">Laurel</option>
<option value="Lavezares">Lavezares</option>
<option value="Lawaan">Lawaan</option>
<option value="Lazi">Lazi</option>
<option value="Lebak">Lebak</option>
<option value="Leganes">Leganes</option>
<option value="Legazpi City">Legazpi City</option>
<option value="Lemery">Lemery</option>
<option value="Lemery">Lemery</option>
<option value="Leon">Leon</option>
<option value="Leyte">Leyte</option>
<option value="Lezo">Lezo</option>
<option value="Lian">Lian</option>
<option value="Lianga">Lianga</option>
<option value="Libacao">Libacao</option>
<option value="Libagon">Libagon</option>
<option value="Libertad">Libertad</option>
<option value="Libertad">Libertad</option>
<option value="Libjo">Libjo</option>
<option value="Libmanan">Libmanan</option>
<option value="Libon">Libon</option>
<option value="Libona">Libona</option>
<option value="Libungan">Libungan</option>
<option value="Licab">Licab</option>
<option value="Licuan-Baay (Licuan)">Licuan-Baay (Licuan)</option>
<option value="Lidlidda">Lidlidda</option>
<option value="Ligao">Ligao</option>
<option value="Lila">Lila</option>
<option value="Liliw">Liliw</option>
<option value="Liloan">Liloan</option>
<option value="Liloan">Liloan</option>
<option value="Liloy">Liloy</option>
<option value="Limasawa">Limasawa</option>
<option value="Limay">Limay</option>
<option value="Linamon">Linamon</option>
<option value="Linapacan">Linapacan</option>
<option value="Lingayen">Lingayen</option>
<option value="Lingig">Lingig</option>
<option value="Lipa City">Lipa City</option>
<option value="Llanera">Llanera</option>
<option value="Llorente">Llorente</option>
<option value="Loay">Loay</option>
<option value="Lobo">Lobo</option>
<option value="Loboc">Loboc</option>
<option value="Looc">Looc</option>
<option value="Looc">Looc</option>
<option value="Loon">Loon</option>
<option value="Lope de Vega">Lope de Vega</option>
<option value="Lopez">Lopez</option>
<option value="Lopez Jaena">Lopez Jaena</option>
<option value="Loreto">Loreto</option>
<option value="Loreto">Loreto</option>
<option value="Los Banos">Los Banos</option>
<option value="Luba">Luba</option>
<option value="Lubang">Lubang</option>
<option value="Lubao">Lubao</option>
<option value="Lubuagan">Lubuagan</option>
<option value="Lucban">Lucban</option>
<option value="Lucena City">Lucena City</option>
<option value="Lugait">Lugait</option>
<option value="Luisiana">Luisiana</option>
<option value="Lumba-Bayabao">Lumba-Bayabao</option>
<option value="Lumban">Lumban</option>
<option value="Lumbatan">Lumbatan</option>
<option value="Lumbayanague">Lumbayanague</option>
<option value="Luna">Luna</option>
<option value="Luna">Luna</option>
<option value="Luna">Luna</option>
<option value="Lupao">Lupao</option>
<option value="Lupi">Lupi</option>
<option value="Lupon">Lupon</option>
<option value="Lutayan">Lutayan</option>
<option value="Luuk">Luuk</option>
<option value="M'Lang">M'Lang</option>
<option value="Ma-Ayon">Ma-Ayon</option>
<option value="Maasim">Maasim</option>
<option value="Maasin">Maasin</option>
<option value="Maasin">Maasin</option>
<option value="Mabalacat">Mabalacat</option>
<option value="Mabinay">Mabinay</option>
<option value="Mabini">Mabini</option>
<option value="Mabini">Mabini</option>
<option value="Mabini">Mabini</option>
<option value="Mabini (Do±a Alicia)">Mabini (Do±a Alicia)</option>
<option value="Mabitac">Mabitac</option>
<option value="Mabuhay">Mabuhay</option>
<option value="Macabebe">Macabebe</option>
<option value="Macalelon">Macalelon</option>
<option value="Macarthur">Macarthur</option>
<option value="Maco">Maco</option>
<option value="Maconacon">Maconacon</option>
<option value="Macrohon">Macrohon</option>
<option value="Madalag">Madalag</option>
<option value="Madalum">Madalum</option>
<option value="Madamba">Madamba</option>
<option value="Maddela">Maddela</option>
<option value="Madrid">Madrid</option>
<option value="Madridejos">Madridejos</option>
<option value="Magalang">Magalang</option>
<option value="Magallanes">Magallanes</option>
<option value="Magallanes">Magallanes</option>
<option value="Magallanes">Magallanes</option>
<option value="Magarao">Magarao</option>
<option value="Magdalena">Magdalena</option>
<option value="Magdiwang">Magdiwang</option>
<option value="Magpet">Magpet</option>
<option value="Magsaysay">Magsaysay</option>
<option value="Magsaysay">Magsaysay</option>
<option value="Magsaysay">Magsaysay</option>
<option value="Magsaysay">Magsaysay</option>
<option value="Magsaysay">Magsaysay</option>
<option value="Magsingal">Magsingal</option>
<option value="Maguing">Maguing</option>
<option value="Mahaplag">Mahaplag</option>
<option value="Mahatao">Mahatao</option>
<option value="Mahayag">Mahayag</option>
<option value="Mahinog">Mahinog</option>
<option value="Maigo">Maigo</option>
<option value="Maimbung">Maimbung</option>
<option value="Mainit">Mainit</option>
<option value="Maitum">Maitum</option>
<option value="Majayjay">Majayjay</option>
<option value="Makati City">Makati City</option>
<option value="Makato">Makato</option>
<option value="Makilala">Makilala</option>
<option value="Malabang">Malabang</option>
<option value="Malabon">Malabon</option>
<option value="Malabuyoc">Malabuyoc</option>
<option value="Malalag">Malalag</option>
<option value="Malangas">Malangas</option>
<option value="Malapatan">Malapatan</option>
<option value="Malasiqui">Malasiqui</option>
<option value="Malay">Malay</option>
<option value="Malibcong">Malibcong</option>
<option value="Malilipot">Malilipot</option>
<option value="Malimono">Malimono</option>
<option value="Malinao">Malinao</option>
<option value="Malinao">Malinao</option>
<option value="Malita">Malita</option>
<option value="Malitbog">Malitbog</option>
<option value="Malitbog">Malitbog</option>
<option value="Mallig">Mallig</option>
<option value="Malolos">Malolos</option>
<option value="Malungon">Malungon</option>
<option value="Maluso">Maluso</option>
<option value="Malvar">Malvar</option>
<option value="Mamasapano">Mamasapano</option>
<option value="Mambajao">Mambajao</option>
<option value="Mamburao">Mamburao</option>
<option value="Mambusao">Mambusao</option>
<option value="Manabo">Manabo</option>
<option value="Manaoag">Manaoag</option>
<option value="Manapla">Manapla</option>
<option value="Manay">Manay</option>
<option value="Mandaluyong">Mandaluyong</option>
<option value="Mandaon">Mandaon</option>
<option value="Mandaue City">Mandaue City</option>
<option value="Mangaldan">Mangaldan</option>
<option value="Mangatarem">Mangatarem</option>
<option value="Manila">Manila</option>
<option value="Manito">Manito</option>
<option value="Manjuyod">Manjuyod</option>
<option value="Mankayan">Mankayan</option>
<option value="Manolo Fortich">Manolo Fortich</option>
<option value="Mansalay">Mansalay</option>
<option value="Manticao">Manticao</option>
<option value="Manukan">Manukan</option>
<option value="Mapanas">Mapanas</option>
<option value="Mapandan">Mapandan</option>
<option value="Marabut">Marabut</option>
<option value="Maragondon">Maragondon</option>
<option value="Maragusan (San Mariano)">Maragusan (San Mariano)</option>
<option value="Maramag">Maramag</option>
<option value="Marantao">Marantao</option>
<option value="Marawi City">Marawi City</option>
<option value="Marcos">Marcos</option>
<option value="Margosatubig">Margosatubig</option>
<option value="Maria">Maria</option>
<option value="Maria Aurora">Maria Aurora</option>
<option value="Maribojoc">Maribojoc</option>
<option value="Marihatag">Marihatag</option>
<option value="Marikina">Marikina</option>
<option value="Marilao">Marilao</option>
<option value="Maripipi">Maripipi</option>
<option value="Mariveles">Mariveles</option>
<option value="Marogong">Marogong</option>
<option value="Masantol">Masantol</option>
<option value="Masapelid Island">Masapelid Island</option>
<option value="Masbate">Masbate</option>
<option value="Masinloc">Masinloc</option>
<option value="Masiu">Masiu</option>
<option value="Maslog">Maslog</option>
<option value="Mataas Na Kahoy">Mataas Na Kahoy</option>
<option value="Matag-Ob">Matag-Ob</option>
<option value="Matalam">Matalam</option>
<option value="Matalom">Matalom</option>
<option value="Matanao">Matanao</option>
<option value="Matanog">Matanog</option>
<option value="Mati">Mati</option>
<option value="Matnog">Matnog</option>
<option value="Matuguinao">Matuguinao</option>
<option value="Matungao">Matungao</option>
<option value="Mauban">Mauban</option>
<option value="Mawab">Mawab</option>
<option value="Mayantoc">Mayantoc</option>
<option value="Maydolong">Maydolong</option>
<option value="Mayorga">Mayorga</option>
<option value="Mayoyao">Mayoyao</option>
<option value="Medellin">Medellin</option>
<option value="Medina">Medina</option>
<option value="Mendez-Nu±ez">Mendez-Nu±ez</option>
<option value="Mercedes">Mercedes</option>
<option value="Mercedes">Mercedes</option>
<option value="Merida">Merida</option>
<option value="Mexico">Mexico</option>
<option value="Meycauayan">Meycauayan</option>
<option value="Miag-Ao">Miag-Ao</option>
<option value="Midsalip">Midsalip</option>
<option value="Midsayap">Midsayap</option>
<option value="Milagros">Milagros</option>
<option value="Milaor">Milaor</option>
<option value="Mina">Mina</option>
<option value="Minalabac">Minalabac</option>
<option value="Minalin">Minalin</option>
<option value="Minglanilla">Minglanilla</option>
<option value="Moalboal">Moalboal</option>
<option value="Mobo">Mobo</option>
<option value="Mogpog">Mogpog</option>
<option value="Moises Padilla">Moises Padilla</option>
<option value="Molave">Molave</option>
<option value="Molondo">Molondo</option>
<option value="Moncada">Moncada</option>
<option value="Mondragon">Mondragon</option>
<option value="Monkayo">Monkayo</option>
<option value="Monreal">Monreal</option>
<option value="Montevista">Montevista</option>
<option value="Morong">Morong</option>
<option value="Morong">Morong</option>
<option value="Motiong">Motiong</option>
<option value="Mulanay">Mulanay</option>
<option value="Munai">Munai</option>
<option value="Munoz">Munoz</option>
<option value="Muntinlupa">Muntinlupa</option>
<option value="Murcia">Murcia</option>
<option value="Mutia">Mutia</option>
<option value="n.a. ( 10468)">n.a. ( 10468)</option>
<option value="n.a. ( 13591)">n.a. ( 13591)</option>
<option value="n.a. ( 13877)">n.a. ( 13877)</option>
<option value="n.a. ( 15637)">n.a. ( 15637)</option>
<option value="n.a. ( 18527)">n.a. ( 18527)</option>
<option value="n.a. ( 22525)">n.a. ( 22525)</option>
<option value="n.a. ( 23041)">n.a. ( 23041)</option>
<option value="n.a. ( 23834)">n.a. ( 23834)</option>
<option value="n.a. ( 23883)">n.a. ( 23883)</option>
<option value="n.a. ( 24424)">n.a. ( 24424)</option>
<option value="n.a. ( 25146)">n.a. ( 25146)</option>
<option value="n.a. ( 28913)">n.a. ( 28913)</option>
<option value="n.a. ( 31278)">n.a. ( 31278)</option>
<option value="n.a. ( 41014)">n.a. ( 41014)</option>
<option value="n.a. ( 41426)">n.a. ( 41426)</option>
<option value="Naawan">Naawan</option>
<option value="Nabas">Nabas</option>
<option value="Nabua">Nabua</option>
<option value="Nabunturan">Nabunturan</option>
<option value="Naga">Naga</option>
<option value="Naga">Naga</option>
<option value="Naga City">Naga City</option>
<option value="Nagbukel">Nagbukel</option>
<option value="Nagcarlan">Nagcarlan</option>
<option value="Nagtipunan">Nagtipunan</option>
<option value="Naguilian">Naguilian</option>
<option value="Naguilian">Naguilian</option>
<option value="Naic">Naic</option>
<option value="Nampicuan">Nampicuan</option>
<option value="Narra">Narra</option>
<option value="Narvacan">Narvacan</option>
<option value="Nasipit">Nasipit</option>
<option value="Nasugbu">Nasugbu</option>
<option value="Natividad">Natividad</option>
<option value="Natonin">Natonin</option>
<option value="Naujan">Naujan</option>
<option value="Naval">Naval</option>
<option value="Navotas">Navotas</option>
<option value="New Bataan">New Bataan</option>
<option value="New Corella">New Corella</option>
<option value="New Lucena">New Lucena</option>
<option value="New Washington">New Washington</option>
<option value="Norala">Norala</option>
<option value="Norzagaray">Norzagaray</option>
<option value="Noveleta">Noveleta</option>
<option value="Nueva Era">Nueva Era</option>
<option value="Nueva Valencia">Nueva Valencia</option>
<option value="Numancia">Numancia</option>
<option value="Nunungan">Nunungan</option>
<option value="Oas">Oas</option>
<option value="Obando">Obando</option>
<option value="Obando">Obando</option>
<option value="Ocampo">Ocampo</option>
<option value="Odiongan">Odiongan</option>
<option value="Old Panamao">Old Panamao</option>
<option value="Olongapo City">Olongapo City</option>
<option value="Olutanga">Olutanga</option>
<option value="Opol">Opol</option>
<option value="Orani">Orani</option>
<option value="Oras">Oras</option>
<option value="Orion">Orion</option>
<option value="Ormoc City">Ormoc City</option>
<option value="Oroquieta City">Oroquieta City</option>
<option value="Oslob">Oslob</option>
<option value="Oton">Oton</option>
<option value="Ozamis City">Ozamis City</option>
<option value="Padada">Padada</option>
<option value="Padre Burgos">Padre Burgos</option>
<option value="Padre Burgos">Padre Burgos</option>
<option value="Padre Garcia">Padre Garcia</option>
<option value="Paete">Paete</option>
<option value="Pagadian City">Pagadian City</option>
<option value="Pagalungan">Pagalungan</option>
<option value="Pagayawan (Tatarikan)">Pagayawan (Tatarikan)</option>
<option value="Pagbilao">Pagbilao</option>
<option value="Pagsanghan">Pagsanghan</option>
<option value="Pagsanjan">Pagsanjan</option>
<option value="Pagudpud">Pagudpud</option>
<option value="Pakil">Pakil</option>
<option value="Palanan">Palanan</option>
<option value="Palanas">Palanas</option>
<option value="Palapag">Palapag</option>
<option value="Palauig">Palauig</option>
<option value="Palayan City">Palayan City</option>
<option value="Palimbang">Palimbang</option>
<option value="Palo">Palo</option>
<option value="Palompon">Palompon</option>
<option value="Paluan">Paluan</option>
<option value="Pambujan">Pambujan</option>
<option value="Pamplona">Pamplona</option>
<option value="Pamplona">Pamplona</option>
<option value="Pamplona">Pamplona</option>
<option value="Panabo">Panabo</option>
<option value="Panaon">Panaon</option>
<option value="Panay">Panay</option>
<option value="Pandan">Pandan</option>
<option value="Pandan">Pandan</option>
<option value="Pandi">Pandi</option>
<option value="Panganiban">Panganiban</option>
<option value="Pangantucan">Pangantucan</option>
<option value="Pangil">Pangil</option>
<option value="Panglao">Panglao</option>
<option value="Panglima Estino (New Panamao)">Panglima Estino (New Panamao)</option>
<option value="Panglima Sugala (Balimbing)">Panglima Sugala (Balimbing)</option>
<option value="Pangutaran">Pangutaran</option>
<option value="Paniqui">Paniqui</option>
<option value="Panitan">Panitan</option>
<option value="Pantabangan">Pantabangan</option>
<option value="Pantao Ragat">Pantao Ragat</option>
<option value="Pantar">Pantar</option>
<option value="Pantukan">Pantukan</option>
<option value="Panukulan">Panukulan</option>
<option value="Paoay">Paoay</option>
<option value="Paombong">Paombong</option>
<option value="Paracale">Paracale</option>
<option value="Paracelis">Paracelis</option>
<option value="Parañaque">Parañaque</option>
<option value="Paranas">Paranas</option>
<option value="Parang">Parang</option>
<option value="Parang">Parang</option>
<option value="Pasacao">Pasacao</option>
<option value="Pasay City">Pasay City</option>
<option value="Pasig City">Pasig City</option>
<option value="Pasil">Pasil</option>
<option value="Pastrana">Pastrana</option>
<option value="Pasuquin">Pasuquin</option>
<option value="Pata">Pata</option>
<option value="Pateros">Pateros</option>
<option value="Patikul">Patikul</option>
<option value="Patnanungan">Patnanungan</option>
<option value="Patnongon">Patnongon</option>
<option value="Pavia">Pavia</option>
<option value="Payao">Payao</option>
<option value="Pe±ablanca">Pe±ablanca</option>
<option value="Pe±aranda">Pe±aranda</option>
<option value="Pe±arrubia">Pe±arrubia</option>
<option value="Perez">Perez</option>
<option value="Piagapo">Piagapo</option>
<option value="Piat">Piat</option>
<option value="Piddig">Piddig</option>
<option value="Pidigan">Pidigan</option>
<option value="Pigkawayan">Pigkawayan</option>
<option value="Pikit">Pikit</option>
<option value="Pila">Pila</option>
<option value="Pilar">Pilar</option>
<option value="Pilar">Pilar</option>
<option value="Pilar">Pilar</option>
<option value="Pilar">Pilar</option>
<option value="Pilar">Pilar</option>
<option value="Pilar">Pilar</option>
<option value="Pilar">Pilar</option>
<option value="Pili">Pili</option>
<option value="Pililla">Pililla</option>
<option value="Pinabacdao">Pinabacdao</option>
<option value="Pinamalayan">Pinamalayan</option>
<option value="Pinamungahan">Pinamungahan</option>
<option value="Pinan">Pinan</option>
<option value="Pinili">Pinili</option>
<option value="Pintuyan">Pintuyan</option>
<option value="Pinukpuk">Pinukpuk</option>
<option value="Pio Duran">Pio Duran</option>
<option value="Pio V. Corpuz">Pio V. Corpuz</option>
<option value="Pitogo">Pitogo</option>
<option value="Pitogo">Pitogo</option>
<option value="Placer">Placer</option>
<option value="Placer">Placer</option>
<option value="Plaridel">Plaridel</option>
<option value="Plaridel">Plaridel</option>
<option value="Plaridel">Plaridel</option>
<option value="Pola">Pola</option>
<option value="Polanco">Polanco</option>
<option value="Polangui">Polangui</option>
<option value="Polillo">Polillo</option>
<option value="Polomolok">Polomolok</option>
<option value="Pontevedra">Pontevedra</option>
<option value="Pontevedra">Pontevedra</option>
<option value="Poona Bayabao">Poona Bayabao</option>
<option value="Poona Piagapo">Poona Piagapo</option>
<option value="Porac">Porac</option>
<option value="Poro">Poro</option>
<option value="Pototan">Pototan</option>
<option value="Pozzorubio">Pozzorubio</option>
<option value="Pres. Carlos P. Garcia">Pres. Carlos P. Garcia</option>
<option value="Pres. E. Quirino">Pres. E. Quirino</option>
<option value="Pres. Manuel A. Roxas">Pres. Manuel A. Roxas</option>
<option value="Presentacion">Presentacion</option>
<option value="President Roxas">President Roxas</option>
<option value="President Roxas">President Roxas</option>
<option value="Prieto Diaz">Prieto Diaz</option>
<option value="Pualas">Pualas</option>
<option value="Pudtol">Pudtol</option>
<option value="Puerto Galera">Puerto Galera</option>
<option value="Puerto Princesa City">Puerto Princesa City</option>
<option value="Pugo">Pugo</option>
<option value="Pulilan">Pulilan</option>
<option value="Pulupandan">Pulupandan</option>
<option value="Pura">Pura</option>
<option value="Quezon">Quezon</option>
<option value="Quezon">Quezon</option>
<option value="Quezon">Quezon</option>
<option value="Quezon">Quezon</option>
<option value="Quezon">Quezon</option>
<option value="Quezon">Quezon</option>
<option value="Quezon City">Quezon City</option>
<option value="Quinapondan">Quinapondan</option>
<option value="Quirino">Quirino</option>
<option value="Quirino">Quirino</option>
<option value="Ragay">Ragay</option>
<option value="Ramon">Ramon</option>
<option value="Ramon Magsaysay">Ramon Magsaysay</option>
<option value="Ramos">Ramos</option>
<option value="Rapu-Rapu">Rapu-Rapu</option>
<option value="Real">Real</option>
<option value="Reina Mercedes">Reina Mercedes</option>
<option value="Remedios T. Romualdez">Remedios T. Romualdez</option>
<option value="Rizal">Rizal</option>
<option value="Rizal">Rizal</option>
<option value="Rizal">Rizal</option>
<option value="Rizal">Rizal</option>
<option value="Rizal">Rizal</option>
<option value="Rizal">Rizal</option>
<option value="Rizal (Liwan)">Rizal (Liwan)</option>
<option value="Rodriguez">Rodriguez</option>
<option value="Rodriguez (Montalban)">Rodriguez (Montalban)</option>
<option value="Romblon">Romblon</option>
<option value="Ronda">Ronda</option>
<option value="Rosales">Rosales</option>
<option value="Rosario">Rosario</option>
<option value="Rosario">Rosario</option>
<option value="Rosario">Rosario</option>
<option value="Rosario">Rosario</option>
<option value="Rosario">Rosario</option>
<option value="Roseller Lim">Roseller Lim</option>
<option value="Roxas">Roxas</option>
<option value="Roxas">Roxas</option>
<option value="Roxas">Roxas</option>
<option value="Roxas City">Roxas City</option>
<option value="Sabangan">Sabangan</option>
<option value="Sablan">Sablan</option>
<option value="Sablayan">Sablayan</option>
<option value="Sabtang">Sabtang</option>
<option value="Sadanga">Sadanga</option>
<option value="Sagada">Sagada</option>
<option value="Sagay">Sagay</option>
<option value="Sagay City">Sagay City</option>
<option value="Sagbayan">Sagbayan</option>
<option value="Sagnay">Sagnay</option>
<option value="Saguday">Saguday</option>
<option value="Saguiaran">Saguiaran</option>
<option value="Saint Bernard">Saint Bernard</option>
<option value="Salay">Salay</option>
<option value="Salcedo">Salcedo</option>
<option value="Salcedo">Salcedo</option>
<option value="Sallapadan">Sallapadan</option>
<option value="Salug">Salug</option>
<option value="Salvador">Salvador</option>
<option value="Salvador Benedicto">Salvador Benedicto</option>
<option value="Samal">Samal</option>
<option value="Samboan">Samboan</option>
<option value="Sampaloc">Sampaloc</option>
<option value="San Agustin">San Agustin</option>
<option value="San Agustin">San Agustin</option>
<option value="San Agustin">San Agustin</option>
<option value="San Andres">San Andres</option>
<option value="San Andres">San Andres</option>
<option value="San Andres">San Andres</option>
<option value="San Antonio">San Antonio</option>
<option value="San Antonio">San Antonio</option>
<option value="San Antonio">San Antonio</option>
<option value="San Antonio">San Antonio</option>
<option value="San Benito">San Benito</option>
<option value="San Carlos City">San Carlos City</option>
<option value="San Carlos City">San Carlos City</option>
<option value="San Clemente">San Clemente</option>
<option value="San Dionisio">San Dionisio</option>
<option value="San Emilio">San Emilio</option>
<option value="San Enrique">San Enrique</option>
<option value="San Enrique">San Enrique</option>
<option value="San Esteban">San Esteban</option>
<option value="San Fabian">San Fabian</option>
<option value="San Felipe">San Felipe</option>
<option value="San Fernando">San Fernando</option>
<option value="San Fernando">San Fernando</option>
<option value="San Fernando">San Fernando</option>
<option value="San Fernando">San Fernando</option>
<option value="San Fernando">San Fernando</option>
<option value="San Fernando">San Fernando</option>
<option value="San Fernando City (Capital)">San Fernando City (Capital)</option>
<option value="San Francisco">San Francisco</option>
<option value="San Francisco">San Francisco</option>
<option value="San Francisco">San Francisco</option>
<option value="San Francisco">San Francisco</option>
<option value="San Francisco">San Francisco</option>
<option value="San Gabriel">San Gabriel</option>
<option value="San Guillermo">San Guillermo</option>
<option value="San Ildefonso">San Ildefonso</option>
<option value="San Ildefonso">San Ildefonso</option>
<option value="San Isidro">San Isidro</option>
<option value="San Isidro">San Isidro</option>
<option value="San Isidro">San Isidro</option>
<option value="San Isidro">San Isidro</option>
<option value="San Isidro">San Isidro</option>
<option value="San Isidro">San Isidro</option>
<option value="San Isidro">San Isidro</option>
<option value="San Isidro">San Isidro</option>
<option value="San Isidro">San Isidro</option>
<option value="San J. Del Monte">San J. Del Monte</option>
<option value="San Jacinto">San Jacinto</option>
<option value="San Jacinto">San Jacinto</option>
<option value="San Joaquin">San Joaquin</option>
<option value="San Jorge">San Jorge</option>
<option value="San Jose">San Jose</option>
<option value="San Jose">San Jose</option>
<option value="San Jose">San Jose</option>
<option value="San Jose">San Jose</option>
<option value="San Jose">San Jose</option>
<option value="San Jose">San Jose</option>
<option value="San Jose">San Jose</option>
<option value="San Jose">San Jose</option>
<option value="San Jose">San Jose</option>
<option value="San Jose City">San Jose City</option>
<option value="San Jose de Buan">San Jose de Buan</option>
<option value="San Juan">San Juan</option>
<option value="San Juan">San Juan</option>
<option value="San Juan">San Juan</option>
<option value="San Juan">San Juan</option>
<option value="San Juan">San Juan</option>
<option value="San Juan">San Juan</option>
<option value="San Juan">San Juan</option>
<option value="San Julian">San Julian</option>
<option value="San Leonardo">San Leonardo</option>
<option value="San Lorenzo">San Lorenzo</option>
<option value="San Lorenzo Ruiz">San Lorenzo Ruiz</option>
<option value="San Luis">San Luis</option>
<option value="San Luis">San Luis</option>
<option value="San Luis">San Luis</option>
<option value="San Luis">San Luis</option>
<option value="San Manuel">San Manuel</option>
<option value="San Manuel">San Manuel</option>
<option value="San Manuel">San Manuel</option>
<option value="San Marcelino">San Marcelino</option>
<option value="San Mariano">San Mariano</option>
<option value="San Mateo">San Mateo</option>
<option value="San Mateo">San Mateo</option>
<option value="San Miguel">San Miguel</option>
<option value="San Miguel">San Miguel</option>
<option value="San Miguel">San Miguel</option>
<option value="San Miguel">San Miguel</option>
<option value="San Miguel">San Miguel</option>
<option value="San Miguel">San Miguel</option>
<option value="San Miguel">San Miguel</option>
<option value="San Narciso">San Narciso</option>
<option value="San Narciso">San Narciso</option>
<option value="San Nicolas">San Nicolas</option>
<option value="San Nicolas">San Nicolas</option>
<option value="San Nicolas">San Nicolas</option>
<option value="San Pablo">San Pablo</option>
<option value="San Pablo">San Pablo</option>
<option value="San Pablo City">San Pablo City</option>
<option value="San Pascual">San Pascual</option>
<option value="San Pascual">San Pascual</option>
<option value="San Pedro">San Pedro</option>
<option value="San Policarpo">San Policarpo</option>
<option value="San Quintin">San Quintin</option>
<option value="San Quintin">San Quintin</option>
<option value="San Rafael">San Rafael</option>
<option value="San Rafael">San Rafael</option>
<option value="San Remigio">San Remigio</option>
<option value="San Remigio">San Remigio</option>
<option value="San Ricardo">San Ricardo</option>
<option value="San Roque">San Roque</option>
<option value="San Sebastian">San Sebastian</option>
<option value="San Simon">San Simon</option>
<option value="San Teodoro">San Teodoro</option>
<option value="San Vicente">San Vicente</option>
<option value="San Vicente">San Vicente</option>
<option value="San Vicente">San Vicente</option>
<option value="San Vicente">San Vicente</option>
<option value="Sanchez-Mira">Sanchez-Mira</option>
<option value="Santa">Santa</option>
<option value="Santa Ana">Santa Ana</option>
<option value="Santa Ana">Santa Ana</option>
<option value="Santa Barbara">Santa Barbara</option>
<option value="Santa Barbara">Santa Barbara</option>
<option value="Santa Catalina">Santa Catalina</option>
<option value="Santa Catalina">Santa Catalina</option>
<option value="Santa Cruz">Santa Cruz</option>
<option value="Santa Cruz">Santa Cruz</option>
<option value="Santa Cruz">Santa Cruz</option>
<option value="Santa Cruz">Santa Cruz</option>
<option value="Santa Cruz">Santa Cruz</option>
<option value="Santa Cruz">Santa Cruz</option>
<option value="Santa Elena">Santa Elena</option>
<option value="Santa Fe">Santa Fe</option>
<option value="Santa Fe">Santa Fe</option>
<option value="Santa Fe">Santa Fe</option>
<option value="Santa Fe">Santa Fe</option>
<option value="Santa Ignacia">Santa Ignacia</option>
<option value="Santa Josefa">Santa Josefa</option>
<option value="Santa Lucia">Santa Lucia</option>
<option value="Santa Magdalena">Santa Magdalena</option>
<option value="Santa Marcela">Santa Marcela</option>
<option value="Santa Margarita">Santa Margarita</option>
<option value="Santa Maria">Santa Maria</option>
<option value="Santa Maria">Santa Maria</option>
<option value="Santa Maria">Santa Maria</option>
<option value="Santa Maria">Santa Maria</option>
<option value="Santa Maria">Santa Maria</option>
<option value="Santa Maria">Santa Maria</option>
<option value="Santa Monica">Santa Monica</option>
<option value="Santa Praxedes">Santa Praxedes</option>
<option value="Santa Rita">Santa Rita</option>
<option value="Santa Rita">Santa Rita</option>
<option value="Santa Rosa">Santa Rosa</option>
<option value="Santa Rosa">Santa Rosa</option>
<option value="Santa Teresita">Santa Teresita</option>
<option value="Santa Teresita">Santa Teresita</option>
<option value="Santander">Santander</option>
<option value="Santiago">Santiago</option>
<option value="Santiago">Santiago</option>
<option value="Santiago City">Santiago City</option>
<option value="Santo Domingo">Santo Domingo</option>
<option value="Santo Domingo">Santo Domingo</option>
<option value="Santo Domingo">Santo Domingo</option>
<option value="Santo Nino">Santo Nino</option>
<option value="Santo Nino">Santo Nino</option>
<option value="Santo Nino">Santo Nino</option>
<option value="Santo Tomas">Santo Tomas</option>
<option value="Santo Tomas">Santo Tomas</option>
<option value="Santo Tomas">Santo Tomas</option>
<option value="Santo Tomas">Santo Tomas</option>
<option value="Santo Tomas">Santo Tomas</option>
<option value="Santo Tomas">Santo Tomas</option>
<option value="Santol">Santol</option>
<option value="Sapa-Sapa">Sapa-Sapa</option>
<option value="Sapad">Sapad</option>
<option value="Sapang Dalaga">Sapang Dalaga</option>
<option value="Sapi-An">Sapi-An</option>
<option value="Sara">Sara</option>
<option value="Sarangani">Sarangani</option>
<option value="Sariaya">Sariaya</option>
<option value="Sarrat">Sarrat</option>
<option value="Sasmuan">Sasmuan</option>
<option value="Sebaste">Sebaste</option>
<option value="Sen. Ninoy Aquino">Sen. Ninoy Aquino</option>
<option value="Sergio Osmena Sr.">Sergio Osmena Sr.</option>
<option value="Sevilla">Sevilla</option>
<option value="Shariff Aguak (Maganoy)">Shariff Aguak (Maganoy)</option>
<option value="Siaton">Siaton</option>
<option value="Siay">Siay</option>
<option value="Siayan">Siayan</option>
<option value="Sibagat">Sibagat</option>
<option value="Sibalom">Sibalom</option>
<option value="Sibonga">Sibonga</option>
<option value="Sibuco">Sibuco</option>
<option value="Sibulan">Sibulan</option>
<option value="Sibunag">Sibunag</option>
<option value="Sibutad">Sibutad</option>
<option value="Sierra Bullones">Sierra Bullones</option>
<option value="Sigay">Sigay</option>
<option value="Sigma">Sigma</option>
<option value="Sikatuna">Sikatuna</option>
<option value="Silago">Silago</option>
<option value="Silang">Silang</option>
<option value="Silay City">Silay City</option>
<option value="Silvino Lobos">Silvino Lobos</option>
<option value="Simunul">Simunul</option>
<option value="Sinacaban">Sinacaban</option>
<option value="Sinait">Sinait</option>
<option value="Sindangan">Sindangan</option>
<option value="Siniloan">Siniloan</option>
<option value="Siocon">Siocon</option>
<option value="Sipalay">Sipalay</option>
<option value="Sipocot">Sipocot</option>
<option value="Siquijor">Siquijor</option>
<option value="Sirawai">Sirawai</option>
<option value="Siruma">Siruma</option>
<option value="Sison">Sison</option>
<option value="Sison">Sison</option>
<option value="Sitangakai">Sitangakai</option>
<option value="Socorro">Socorro</option>
<option value="Socorro">Socorro</option>
<option value="Sofronio Espanola">Sofronio Espanola</option>
<option value="Sogod">Sogod</option>
<option value="Sogod">Sogod</option>
<option value="Solana">Solana</option>
<option value="Solano">Solano</option>
<option value="Solsona">Solsona</option>
<option value="Sominot">Sominot</option>
<option value="Sorsogon">Sorsogon</option>
<option value="South Upi">South Upi</option>
<option value="Sta. Maria">Sta. Maria</option>
<option value="Sual">Sual</option>
<option value="Subic">Subic</option>
<option value="Sudipen">Sudipen</option>
<option value="Sugbongcogon">Sugbongcogon</option>
<option value="Sugpon">Sugpon</option>
<option value="Sulat">Sulat</option>
<option value="Sulop">Sulop</option>
<option value="Sultan Gumander">Sultan Gumander</option>
<option value="Sultan Kudarat (Nuling)">Sultan Kudarat (Nuling)</option>
<option value="Sultan Naga Dimaporo">Sultan Naga Dimaporo</option>
<option value="Sultan Sa Barongis">Sultan Sa Barongis</option>
<option value="Sumilao">Sumilao</option>
<option value="Sumisip">Sumisip</option>
<option value="Surallah">Surallah</option>
<option value="Surigao City">Surigao City</option>
<option value="Suyo">Suyo</option>
<option value="T'Boli">T'Boli</option>
<option value="Taal">Taal</option>
<option value="Tabaco">Tabaco</option>
<option value="Tabango">Tabango</option>
<option value="Tabina">Tabina</option>
<option value="Tabogon">Tabogon</option>
<option value="Tabontabon">Tabontabon</option>
<option value="Tabuelan">Tabuelan</option>
<option value="Tabuk">Tabuk</option>
<option value="Tacloban City">Tacloban City</option>
<option value="Tacurong">Tacurong</option>
<option value="Tadian">Tadian</option>
<option value="Taft">Taft</option>
<option value="Tagana-An">Tagana-An</option>
<option value="Tagapul-An">Tagapul-An</option>
<option value="Tagaytay City">Tagaytay City</option>
<option value="Tagbilaran City">Tagbilaran City</option>
<option value="Tagbina">Tagbina</option>
<option value="Tagkawayan">Tagkawayan</option>
<option value="Tago">Tago</option>
<option value="Tagoloan">Tagoloan</option>
<option value="Tagoloan">Tagoloan</option>
<option value="Tagoloan II">Tagoloan II</option>
<option value="Tagudin">Tagudin</option>
<option value="Taguig">Taguig</option>
<option value="Talacogon">Talacogon</option>
<option value="Talaingod">Talaingod</option>
<option value="Talakag">Talakag</option>
<option value="Talalora">Talalora</option>
<option value="Talavera">Talavera</option>
<option value="Talayan">Talayan</option>
<option value="Talibon">Talibon</option>
<option value="Talipao">Talipao</option>
<option value="Talisay">Talisay</option>
<option value="Talisay">Talisay</option>
<option value="Talisay">Talisay</option>
<option value="Talisayan">Talisayan</option>
<option value="Talugtug">Talugtug</option>
<option value="Talusan">Talusan</option>
<option value="Tambulig">Tambulig</option>
<option value="Tampakan">Tampakan</option>
<option value="Tamparan">Tamparan</option>
<option value="Tampilisan">Tampilisan</option>
<option value="Tanauan">Tanauan</option>
<option value="Tanauan">Tanauan</option>
<option value="Tanay">Tanay</option>
<option value="Tandag">Tandag</option>
<option value="Tandubas">Tandubas</option>
<option value="Tangalan">Tangalan</option>
<option value="Tangcal">Tangcal</option>
<option value="Tangub City">Tangub City</option>
<option value="Tanjay">Tanjay</option>
<option value="Tantangan">Tantangan</option>
<option value="Tanudan">Tanudan</option>
<option value="Tanza">Tanza</option>
<option value="Tapaz">Tapaz</option>
<option value="Tapul">Tapul</option>
<option value="Taraka">Taraka</option>
<option value="Tarangnan">Tarangnan</option>
<option value="Tarlac">Tarlac</option>
<option value="Tarragona">Tarragona</option>
<option value="Tayabas">Tayabas</option>
<option value="Tayabas">Tayabas</option>
<option value="Tayabas">Tayabas</option>
<option value="Tayasan">Tayasan</option>
<option value="Taysan">Taysan</option>
<option value="Taytay">Taytay</option>
<option value="Taytay">Taytay</option>
<option value="Tayug">Tayug</option>
<option value="Tayum">Tayum</option>
<option value="Teresa">Teresa</option>
<option value="Ternate">Ternate</option>
<option value="Tiaong">Tiaong</option>
<option value="Tibiao">Tibiao</option>
<option value="Tigaon">Tigaon</option>
<option value="Tigbao">Tigbao</option>
<option value="Tigbauan">Tigbauan</option>
<option value="Tinambac">Tinambac</option>
<option value="Tineg">Tineg</option>
<option value="Tinglayan">Tinglayan</option>
<option value="Tingloy">Tingloy</option>
<option value="Tinoc">Tinoc</option>
<option value="Tipo-Tipo">Tipo-Tipo</option>
<option value="Titay">Titay</option>
<option value="Tiwi">Tiwi</option>
<option value="Tobias Fornier">Tobias Fornier</option>
<option value="Toboso">Toboso</option>
<option value="Toledo City">Toledo City</option>
<option value="Tolosa">Tolosa</option>
<option value="Tomas Oppus">Tomas Oppus</option>
<option value="Tongkil">Tongkil</option>
<option value="Torrijos">Torrijos</option>
<option value="Trece Martires City">Trece Martires City</option>
<option value="Trento">Trento</option>
<option value="Trinidad">Trinidad</option>
<option value="Tuao">Tuao</option>
<option value="Tuba">Tuba</option>
<option value="Tubajon">Tubajon</option>
<option value="Tubao">Tubao</option>
<option value="Tubaran">Tubaran</option>
<option value="Tubay">Tubay</option>
<option value="Tubigon">Tubigon</option>
<option value="Tublay">Tublay</option>
<option value="Tubo">Tubo</option>
<option value="Tubod">Tubod</option>
<option value="Tubod">Tubod</option>
<option value="Tubungan">Tubungan</option>
<option value="Tuburan">Tuburan</option>
<option value="Tudela">Tudela</option>
<option value="Tudela">Tudela</option>
<option value="Tugaya">Tugaya</option>
<option value="Tuguegarao City">Tuguegarao City</option>
<option value="Tukuran">Tukuran</option>
<option value="Tulunan">Tulunan</option>
<option value="Tumauini">Tumauini</option>
<option value="Tunga">Tunga</option>
<option value="Tungawan">Tungawan</option>
<option value="Tupi">Tupi</option>
<option value="Tuy">Tuy</option>
<option value="Ubay">Ubay</option>
<option value="Umingan">Umingan</option>
<option value="Unisan">Unisan</option>
<option value="Upi">Upi</option>
<option value="Urbiztondo">Urbiztondo</option>
<option value="Urdaneta City">Urdaneta City</option>
<option value="Uson">Uson</option>
<option value="Uyugan">Uyugan</option>
<option value="Valderrama">Valderrama</option>
<option value="Valencia">Valencia</option>
<option value="Valencia">Valencia</option>
<option value="Valencia City">Valencia City</option>
<option value="Valenzuela">Valenzuela</option>
<option value="Valladolid">Valladolid</option>
<option value="Vallehermoso">Vallehermoso</option>
<option value="Veruela">Veruela</option>
<option value="Victoria">Victoria</option>
<option value="Victoria">Victoria</option>
<option value="Victoria">Victoria</option>
<option value="Victoria">Victoria</option>
<option value="Viga">Viga</option>
<option value="Vigan">Vigan</option>
<option value="Villaba">Villaba</option>
<option value="Villanueva">Villanueva</option>
<option value="Villareal">Villareal</option>
<option value="Villasis">Villasis</option>
<option value="Villaverde">Villaverde</option>
<option value="Villaviciosa">Villaviciosa</option>
<option value="Vincenzo A. Sagun">Vincenzo A. Sagun</option>
<option value="Vintar">Vintar</option>
<option value="Vinzons">Vinzons</option>
<option value="Virac">Virac</option>
<option value="Wao">Wao</option>
<option value="Water">Water</option>
<option value="Water">Water</option>
<option value="Water">Water</option>
<option value="Zamboanga City">Zamboanga City</option>
<option value="Zamboanguita">Zamboanguita</option>
<option value="Zaragoza">Zaragoza</option>
<option value="Zarraga">Zarraga</option>
<option value="Zumarraga">Zumarraga</option>
</select>
</div>
</div>
</div>
<div class="row hide_in_graduate_school hide_in_college">
<div class="col-md-4 col-xs-6">
<div class="form-group">
<label>Telephone Number</label>
<input type="number" class=" ref_guardian form-control number_only" name="GuardianTelNo" value="">
</div>
</div>
<div class="col-md-4 col-xs-6">
<div class="form-group">
<label>Mobile Number</label>
<input type="text" class=" ref_guardian form-control phone-number number_only " name="GuardianMobile" id="GuardianMobile" value="">
</div>
</div>
<div class="col-md-4 col-xs-12">
<div class="form-group">
<label>Email</label>
<input type="email" class=" ref_guardian form-control " name="GuardianEmail" id="GuardianEmail" value="">
</div>
</div>
</div>
</fieldset>
<fieldset>
<div class="row hide_in_graduate_school hide_in_college">
<div class="col-md-3 col-xs-12">
<div class="form-group">
<label>Other Source of Revenue</label>
<input type="text" class="form-control father_company " name="FatherCompany" value="">
</div>
</div>
<div class="col-md-3 col-xs-12">
<div class="form-group">
<label>Nature of Business</label>
<input type="text" class="form-control business_nature " name="BusinessNature" value="">
</div>
</div>
<div class="col-md-3 col-xs-6">
<div class="form-group">
<label>Monthly Income</label>
<input type="text" class="form-control business_monthlyincome " name="MonthlyIncome" value="">
</div>
</div>
<div class="col-md-3 col-xs-6">
<div class="form-group">
<label>Yearly Income</label>
<input type="text" data-required="" class="form-control business_income " name="YearlyIncome" value="">
</div>
</div>
</div>
</fieldset>
<fieldset>
<div class=" hide_in_graduate_school hide_in_college">
<legend> Sibling Information </legend>
<p class="font-xs"> Please input the following siblings: Only Siblings who are not currently attending this school and sibling also applying for this school. </p>
<button class="btn btn-info btn-sm" type="button" id="btnAddSibling">
<span class="glyphicon glyphicon-plus"></span> Add new sibling </button>
<div class="table-container">
<table class="table table-condensed" id="tableSiblings">
<thead>
<tr>
<td width="3"> </td>
<th width="30%">Full Name</th>
<th width="15%">Date of Birth</th>
<th width="7%">Age</th>
<th width="10%">Gender</th>
<th width="15%">Grade Level</th>
<th width="24%">School Attended</th>
</tr>
</thead>
<tbody>
</tbody>
</table>
<table class="table hide" id="tableDefaultSibling">
<tbody>
<tr class="" data-dirty="1">
<td>
<button class="btn btn-xs btn-danger btnSiblingRemove"><i class="fa fa-times"></i></button>
</td>
<td class="">
<input type="text" name="siblingName" class="input-sm form-control siblingName" placeholder="Name">
</td>
<td>
<input type="date" class="form-control sibling_date_of_birth input-sm" name="dob">
</td>
<td>
<input type="integer" class="input-sm form-control sibling_age" readonly="">
</td>
<td>
<select class="input-sm form-control siblingGender" name="siblingGender">
<option value="M">M</option>
<option value="F">F</option>
</select>
</td>
<td>
<input type="text" name="siblingGradeLevel" class="input-sm form-control siblingGradeLevel" placeholder="Level">
</td>
<td>
<input type="text" name="siblingSchool" class="input-sm form-control siblingSchool" placeholder="School">
</td>
</tr>
</tbody>
</table>
</div>
</div>
</fieldset>
<!-- Contact Info fieldset start -->
<fieldset class="u-margin-top-20">
<legend> Contact Person In case of Emergency </legend>
<div class="form-group">
<label> Complete Name <span class="text-danger">*</span>
</label>
<div class="input-group">
<input type="text" class="form-control required" id="EmergencyContact" name="EmergencyContact" value="">
<div class="input-group-btn">
<button id="ptype" type="button" data-id="1" class="btn btn-default dropdown-toggle" data-toggle="dropdown" aria-expanded="false"><span class="bold"> Select </span> <i class="fa fa-angle-down"></i> </button>
<ul class="dropdown-menu">
<li> <a href="javascript:void(0);" class="emergency-info" data-type="3"> Guardian </a></li>
<li><a href="javascript:void(0);" class="emergency-info" data-type="1"> Father's Name </a></li>
<li><a href="javascript:void(0);" class="emergency-info" data-type="2"> Mother's Name </a></li>
<li class="divider"></li>
<li><a href="javascript:void(0);" class="">Cancel </a></li>
</ul>
</div>
</div>
</div>
<div class="form-group">
<label> Complete Address <span class="text-danger">*</span>
</label>
<input type="text" class="form-control required" id="EmergencyAddress" name="EmergencyAddress" value="">
</div>
<div class="row">
<div class="col-md-6 col-sm-6 col-xs-12">
<div class="form-group">
<label>Telephone </label>
<input type="text" class="form-control number_only telephone_no " name="EmergencyTelNo" value="">
</div>
</div>
<div class="col-md-6 col-sm-6 col-xs-12">
<div class="form-group">
<label>Mobile <span class="text-danger">*</span></label>
<input type="text" class="ref_guardian form-control number_only phone-number mobile_no required" id="EmergencyMobileNo" name="EmergencyMobileNo" value="">
</div>
</div>
</div>
<div class="row">
<div class="col-md-6 col-sm-6 col-xs-12">
<div class="form-group">
<label>Email </label>
<input type="email" class="ref_guardian form-control email_address email_only " name="EmergencyEmail" id="EmergencyEmail" value="">
</div>
</div>
</div>
</fieldset>
<input type="hidden" id="EmergencyRelation" name="EmergencyRelation" value="">
<!-- Contact Info fieldset end -->
</form><form class="" id="other_info_form" autocomplete="off">
<fieldset>
<div class="row">
<div class="col-md-4">
<input type="checkbox" name="social_media" id="social_media"> Social Media
</div>
<div class="col-md-4">
<input type="checkbox" id="referral" name="referral"> Referral / Recommendation
</div>
<div class="col-md-4">
<input type="checkbox" name="walk_in"> Walk-In
</div>
</div>
<div class="form-group">
<label>Others</label>
<textarea rows="2" style="resize: none;" class="form-control know_about" name="knw_other"></textarea>
</div>
<div class="form-group">
<label>Reason for applying at <span class="uppercase">Zamboanga Peninsula Polytechnic State University</span></label>
<textarea rows="3" class="form-control reason_for_admitting" name="reasonForAdmission"></textarea>
</div>
<div class="form-group hide site-coordinator">
<label>Site Coordinator</label>
<select class="form-control select2" name="site_coordinator" id="site_coordinator">
<option selected="" value="">please select coordinator-</option>
<option value="0">No Coordinator</option>
</select>
</div>
</fieldset>
<!-- For transferee fieldset start -->
<fieldset class="u-margin-top-20" id="transferee_info" style="display: none;">
<legend> For Transferee </legend>
<div class="row">
<div class="col-md-12">
<div class="form-group">
<label>Reason for leaving other school</label>
<input type="text" value="" class="form-control reason_for_leaving" name="reasonForLeavingOtherSchool">
</div>
</div>
</div>
<div class="row">
<div class="col-md-4">
<div class="form-group">
<label>Has the child ever been a repeater</label>
<select class="form-control repeater_status" name="repeaterStatus">
<option value="no">No</option>
<option value="yes">Yes</option>
</select>
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<label>If yes, in which grade</label>
<input type="text" class="form-control dropped_grade" value="" name="RepeaterLevel">
</div>
</div>
</div>
<div class="row">
<div class="col-md-4">
<div class="form-group">
<label>Or dropped from School</label>
<select class="form-control dropped_status" name="droppedStatus">
<option value="no">No</option>
<option value="yes">Yes</option>
</select>
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<label>If yes, in which grade</label>
<input type="text" class="form-control dropped_grade" value="" name="DroppedLevel">
</div>
</div>
</div>
<div class="row">
<div class="col-md-12">
<div class="form-group">
<label> Do you have any family member, relative and/or friend who is a graduate of <span class="uppercase">Zamboanga Peninsula Polytechnic State University</span>? </label>
<select class="form-control is_there_graduate input-small " name="hasAlumniStatus">
<option value="no">No</option>
<option value="yes">Yes</option>
</select>
</div>
</div>
</div>
<div class="row">
<div class="col-md-8">
<div class="form-group">
<label>If yes, Name</label>
<input placeholder="[Alumni Relative Full Name]" type="text" class="form-control graduate_name" value="" name="alumniName" disabled="">
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<label>Contact Number</label>
<input type="text" class="form-control guardian_contact_no phone-number number_only" name="alumniContactNumber" value="">
</div>
</div>
</div>
</fieldset>
<!-- For transferee fieldset end -->
<!-- Medical History fieldset start -->
<!-- Medical History fieldset end -->
</form>Text Content
ZAMBOANGA PENINSULA POLYTECHNIC STATE UNIVERSITY A GREAT PLACE FOR EDUCATION Thank you for applying for zppsu. We're excited to get you on board. In this process you will need to... * Submit your personal information * Family Background * Educational Attainment * and Other Information ARE YOU READY TO START YOUR JOURNEY? Create application Already have an account? Application Number: Birthday: Submit Forgot your password? Welcome to the Zamboanga Peninsula Polytechnic State University. Please complete the form for your application: APPLYING FOR School Campus - Select Campus - ZPPSU Main Campus Gregorio Campus (Vitali) ZSPI Campus (Kabasalan) Anna Baquial Campus (Malangas) Timuay Tubod M. Mandi Campus (Siay) Academic Year & Term 2024-2025 - 1st Semester 2023-2024 - Summer Application type -Please select Application type- Senior High Freshman Transferee Returnee Shifter Cross Enrollee Graduate Programs Classification Grade / Level Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 1st Year 2nd Year 3rd Year 4th Year 1st Year - TechVoc 2nd Year - TechVoc 3rd Year - TechVoc 4th Year - TechVoc 1st Year - Pre-Bacc 2nd Year - Pre-Bacc 3rd Year - Pre-Bacc 4th Year - Pre-Bacc Graduate School - Masters Graduate School - Doctoral 1st Year - Post-Bacc 2nd Year - Post-Bacc 3rd Year - Post-Bacc 4th Year - Post-Bacc 1st Year - PEC 3rd Year - PEC -------------------------------------------------------------------------------- - FIRST CHOICE - Academic Program None Major Study - SECOND CHOICE - Academic Program None Major Study - THIRD CHOICE - Academic Program None Major Study * ← Return Log In * Next → Personal Information Surname Given name Middle name M.I. Ext. Date of Birth(ex: 01/20/1991) Place of Birth Gender Male Female Civil Status Single Married Separated Widow/er Internet Connectivity Fast Slow Poor No Internet Connection Learning Modalities - please select - Face-to-Face Learning Online Learning Offline Learning Online and Offline Learning All type of Learning modalities Level of Digital Literacy - please select - Proficient Advanced Beginner Device used for online class - please select - Laptop Mobile Phone Tablet Desktop -------------------------------------------------------------------------------- PRESENT ADDRESS House No., Street Name Province/Region Select Province/Region City Select City Barangay Select Barangay -------------------------------------------------------------------------------- Nationality American American Angolan Arabic Australian Belgian Brazilian Brazilian British Burmese Canadian Chinese Dutch Dutch Egyptian Ethiopian Filipino French Gerrman Greek Indian Indonesian Iranian Iraqui Irish Israeli Italian Japanese Korean Mexican Nigerian Polish Russian Singaporean Spanish Swiss Tahitian Taiwanese Thai Turkish Religion - Select - Roman Catholic Iglesia Ni Cristo Born Again Christian Muslim Budhist Protestant Methodist Seventh Day Adventist Christian Baptist Jehovah's Witness No Religion Other Ethnic Affiliation Telephone Number Mobile Number Email Foreign: Passport Number Visa Status SSP Number Validity of Stay Are you a Philhealth/Insurance member No Yes Vaccination Status - please select - First Dose Second Dose With 1st Booster With 2nd Booster Unvaccinated Are you a member of Indigenous Peoples Community? if YES, What Indigenous group? No Yes * ← Previous * Next → Educational Background LRN *In LRN, Input 0 if not applicable SPED NO YES PWD NO YES LAST SCHOOL ATTENDED Create New -------------------------------------------------------------------------------- School Name Address Program/Strand Year of Graduation GWA Award/Honors Last Grade/Level Attended Private Please click button to add... SHS is required if your are applying for undergradute degree. * ← Previous * Next → Applicant Photo Photo is required Photo (JPG, PNG Only) Browse Image Change Remove NOTE! Image preview only works in IE10+, FF3.6+, Safari6.0+, Chrome6.0+, Opera11.1+ and FireFox6.0+. In older browsers the filename is shown instead. * ← Previous * Next → Family Information Father's Name* Date of Birth Occupation Monthly Income Yearly Compensation Contact Number Mother's Maiden Name* Date of Birth Occupation Monthly Income Yearly Compensation Contact Number Guardian's Name Address Province/Region - Select - Abra Agusan del Norte Agusan del Sur Aklan Albay Antique Apayao Aurora Basilan Bataan Batanes Batangas Benguet Biliran Bohol Bukidnon Bulacan Cagayan Camarines Norte Camarines Sur Camiguin Capiz Catanduanes Cavite Cebu Compostela Valley Cotabato Davao Del Norte Davao Del Sur Davao Oriental Dinagat Islands Eastern Samar Guimaras Ifugao Ilocos Norte Ilocos Sur Iloilo Isabela Kalinga La Union Laguna Lanao Del Norte Lanao Del Sur Leyte Maguindanao Marinduque Masbate Metropolitan Manila Misamis Occidental Misamis Oriental Mountain Province Negros Occidental Negros Oriental Northern Samar Nueva Ecija Nueva Vizcaya Occidental Mindoro Oriental Mindoro Palawan Pampanga Pangasinan Quezon Quirino Rizal Romblon Samar Sarangani Siquijor Sorsogon South Cotabato Southern Leyte Sultan Kudarat Sulu Surigao Del Norte Surigao Del Sur Tarlac Tawi Tawi Zambales Zamboanga Del Norte Zamboanga Del Sur Zamboanga Sibugay Zamboanga Peninsula City - Select - Aborlan Abra de Ilog Abucay Abulug Abuyog Adams Agdangan Aglipay Agno Agoncillo Agoo Aguilar Aguinaldo Agutaya Ajuy Alabat Alabel Alamada Alaminos Alaminos Alangalang Albuera Albuquerque Alcala Alcala Alcantara Alcantara Alcoy Alegria Alegria Aleosan Alfonso Alfonso Castaneda Alfonso Lista (Potia) Aliaga Alicia Alicia Alicia Alilem Alimodian Alitagtag Allacapan Allen Almagro Almeria Aloguinsan Aloran Altavas Alubijid Amadeo Ambaguio Amlan Ampatuan Amulong Anahawan Anao Anda Anda Angadanan Angat Angeles City Angono Anilao Anini-Y Antequera Antipas Antipolo City Apalit Aparri Araceli Arakan Arayat Argao Aringay Aritao Aroroy Arteche Asingan Asipulo Asturias Asuncion Atimonan Atok Aurora Aurora Ayungon Baao Babatngon Bacacay Bacarra Baclayon Bacnotan Baco Bacolod Bacolod City Bacolod Kalawi Bacolor Bacon Bacong Bacoor Bacuag Bacungan Badian Badiangan Badoc Bagabag Bagac Bagamanoc Baganga Baggao Bago City Baguio City Bagulin Bagumbayan Bais City Bakun Balabac Balabagan Balagtas Balamban Balanga Balangiga Balangkayan Balaoan Balasan Balatan Balayan Balbalan Baleno Baler Balete Balete Baliangao Baliguian Balilihan Balindong Balingasag Balingoan Baliuag Ballesteros Baloi Baluan Balud Balungao Bamban Bambang Banate Banaue Banaybanay Banayoyo Banga Banga Bangar Bangued Bangui Bani Banisilan Banna Bansalan Bansud Bantay Bantayan Banton Baras Baras Barbaza Barcelona Barili Barira Barlig Barobo Barotac Nuevo Barotac Viejo Baroy Barugo Basay Basco Basey Basilisa Basista Basud Batac Batad Batan Batangas City Bataraza Bato Bato Bato Batuan Batuan Bauan Bauang Bauko Baungon Bautista Bay Bayabas Bayambang Bayang Bayawan Baybay Bayog Bayombong Bayugan Belison Benito Soliven Besao Bien Unido Bilar Biliran Binalbagan Binalonan Binan Binangonan Bindoy Bingawan Binidayan Binmaley Binuangan Biri Bislig Boac Bobon Bocaue Bogo Bokod Bolinao Boliney Boljoon Bombon Bongabon Bongabong Bongao Bonifacio Bontoc Bontoc Borbon Borongan Boston Botolan Boug Braulio E. Dujali Brooke's Point Buadiposo-Buntong Bubong Bucay Bucloc Buenavista Buenavista Buenavista Buenavista Buenavista Bugallon Bugasong Buguey Buguias Buhi Bula Bulacan Bulalacao Bulan Buldon Bulusan Bumbaran Bunawan Burauen Burdeos Burgos Burgos Burgos Burgos Burgos Burgos Buruanga Bustos Busuanga Butig Butuan City Caba Cabadbaran Cabagan Cabanatuan City Cabangan Cabanglasan Cabarroguis Cabatuan Cabatuan Cabiao Cabucgayan Cabugao Cabusao Cabuyao Cadiz City Cagayan de Oro City Cagayancillo Cagdianao Cagwait Caibiran Cainta Cajidiocan Calabanga Calaca Calamaniugan Calamba Calamba Calanasan Calanogas Calape Calasiao Calatagan Calatrava Calatrava Calauag Calauan Calayan Calbayog City Calbiga Calinog Calintaan Calubian Calumpit Caluya Camalig Camaligan Camiling Can-Avid Canaman Candaba Candelaria Candelaria Candijay Candon Candoni Canlaon City Cantilan Caoayan Capalonga Capas Capoocan Capul Caraga Caramoan Caramoran Carasi Carcar Cardona Carigara Carles Carmen Carmen Carmen Carmen Carmen Carmen Carmona Carranglan Carrascal Casiguran Casiguran Castilla Castillejos Cataingan Catanauan Catarman Catarman Catbalogan Cateel Catigbian Catmon Catubig Cauayan Cauayan Cavinti Cavite City Cawayan Cebu City Cervantes City of Calapan City of Kabankalan City of Kidapawan City of Malaybalay City of Passi City of Tagum City of Talisay City of Victorias Clarin Clarin Claver Claveria Claveria Claveria Columbio Compostela Compostela Concepcion Concepcion Concepcion Concepcion Conner Consolacion Corcuera Cordoba Cordon Corella Coron Cortes Cortes Cotabato City Cuartero Cuenca Culaba Culasi Culion Currimao Cuyapo Cuyo Daanbantayan Daet Dagami Dagohoy Daguioman Dagupan City Dalaguete Damulog Danao Danao City Dangcagan Danglas Dao Dapa Dapitan City Daraga Daram Dasmariñas City Dasol Datu Odin Sinsuat (Dinaig) Datu Paglas Datu Piang Dauin Dauis Davao City Del Carmen Del Gallego Delfin Albano Diadi Diffun Digos Dilasag Dimasalang Dimataling Dimiao Dinagat Dinalungan Dinalupihan Dinapigue Dinas Dingalan Dingle Dingras Dipaculao Diplahan Dipolog City Ditsaan-Ramain Divilacan Dolores Dolores Dolores Don Carlos Don Marcelino Don Victoriano Chiongbian Dona R. Trinidad Donsol Duenas Duero Dulag Dumaguete City Dumalag Dumalinao Dumalneg Dumangas Dumanjug Dumaran Dumarao Dumingag Dupax Del Norte Dupax Del Sur Echague El Nido (Bacuit) El Salvador Enrile Enrique B. Magalona Enrique Villanueva Escalante Esperanza Esperanza Esperanza Estancia Famy Ferrol Flora Floridablanca Gabaldon (Bitulok & Sabani) Gainza Galimuyod Gamay Gamu Ganassi Gandara Gapan Garchitorena Garcia Hernandez Gasan Gattaran General Emilio Aguinaldo General Luna General Luna General Macarthur General Mamerto Natividad General Mariano Alvarez General Nakar General S.K. Pendatun General Santos City General Tinio (Papaya) General Trias Gerona Gigaquit Gigmoto Ginatilan Gingoog City Giporlos Gitagum Glan Gloria Goa Godod Governor Generoso Gregorio Del Pilar (Concepcion) Guagua Gubat Guiguinto Guihulngan Guimba Guimbal Guinayangan Guindulman Guinobatan Guinsiliban Guipos Guiuan Gumaca Gutalac Hadji Panglima Tahil (Marungas) Hagonoy Hagonoy Hamtic Hermosa Hernani Hilongos Himamaylan Hinabangan Hinatuan Hindang Hingyon Hinigaran Hinoba-An Hinunangan Hinundayan Hungduan Iba Ibaan Ibajay Igbaras Iguig Ilagan Iligan City Ilog Iloilo City Imelda Impasug-Ong Imus Inabanga Indanan Indang Infanta Infanta Initao Inopacan Ipil Iriga City Irosin Isabel Isabela Isabela Island Garden City of Samal Isulan Itbayat Itogon Ivana Ivisan Jabonga Jaen Jagna Jala-Jala Jamindan Janiuay Jaro Jasaan Javier (Bugho) Jetafe Jiabong Jimalalud Jimenez Jipapad Jolo Jomalig Jones Jordan Jose Abad Santos Jose Dalman Jose Panganiban Josefina Jovellar Juban Julita Kabacan Kabasalan Kabayan Kabugao Kabuntalan (Tumbao) Kadingilan Kalamansig Kalawit Kalayaan Kalayaan Kalibo Kalilangan Kalingalan Caluang Kalookan City Kananga Kapai Kapalong Kapangan Kapatagan Kapatagan Kasibu Katipunan Kauswagan Kawayan Kawit Kayapa Kiamba Kiangan Kibawe Kiblawan Kibungan Kinoguitan Kitaotao Kitcharao Kolambugan Koronadal Kumalarang La Carlota City La Castellana La Libertad La Libertad La Paz La Paz La Paz La Paz La Trinidad (Capital) Laak Laak (San Vicente) Labangan Labason Labo Labrador Lacub Lagangilang Lagawe Lagayan Lagonglong Lagonoy Laguindingan Lake Lake Lake Lake Lake Lake Lake Sebu Lakewood Lal-Lo Lala Lambayong Lambunao Lamitan Lamut Lamut Langiden Languyan Lantapan Lantawan Lanuza Laoac Laoag City Laoang Lapinig Lapu-Lapu City Lapuyan Larena Las Navas Las Nieves Las Pi±as Lasam Laua-An Laur Laurel Lavezares Lawaan Lazi Lebak Leganes Legazpi City Lemery Lemery Leon Leyte Lezo Lian Lianga Libacao Libagon Libertad Libertad Libjo Libmanan Libon Libona Libungan Licab Licuan-Baay (Licuan) Lidlidda Ligao Lila Liliw Liloan Liloan Liloy Limasawa Limay Linamon Linapacan Lingayen Lingig Lipa City Llanera Llorente Loay Lobo Loboc Looc Looc Loon Lope de Vega Lopez Lopez Jaena Loreto Loreto Los Banos Luba Lubang Lubao Lubuagan Lucban Lucena City Lugait Luisiana Lumba-Bayabao Lumban Lumbatan Lumbayanague Luna Luna Luna Lupao Lupi Lupon Lutayan Luuk M'Lang Ma-Ayon Maasim Maasin Maasin Mabalacat Mabinay Mabini Mabini Mabini Mabini (Do±a Alicia) Mabitac Mabuhay Macabebe Macalelon Macarthur Maco Maconacon Macrohon Madalag Madalum Madamba Maddela Madrid Madridejos Magalang Magallanes Magallanes Magallanes Magarao Magdalena Magdiwang Magpet Magsaysay Magsaysay Magsaysay Magsaysay Magsaysay Magsingal Maguing Mahaplag Mahatao Mahayag Mahinog Maigo Maimbung Mainit Maitum Majayjay Makati City Makato Makilala Malabang Malabon Malabuyoc Malalag Malangas Malapatan Malasiqui Malay Malibcong Malilipot Malimono Malinao Malinao Malita Malitbog Malitbog Mallig Malolos Malungon Maluso Malvar Mamasapano Mambajao Mamburao Mambusao Manabo Manaoag Manapla Manay Mandaluyong Mandaon Mandaue City Mangaldan Mangatarem Manila Manito Manjuyod Mankayan Manolo Fortich Mansalay Manticao Manukan Mapanas Mapandan Marabut Maragondon Maragusan (San Mariano) Maramag Marantao Marawi City Marcos Margosatubig Maria Maria Aurora Maribojoc Marihatag Marikina Marilao Maripipi Mariveles Marogong Masantol Masapelid Island Masbate Masinloc Masiu Maslog Mataas Na Kahoy Matag-Ob Matalam Matalom Matanao Matanog Mati Matnog Matuguinao Matungao Mauban Mawab Mayantoc Maydolong Mayorga Mayoyao Medellin Medina Mendez-Nu±ez Mercedes Mercedes Merida Mexico Meycauayan Miag-Ao Midsalip Midsayap Milagros Milaor Mina Minalabac Minalin Minglanilla Moalboal Mobo Mogpog Moises Padilla Molave Molondo Moncada Mondragon Monkayo Monreal Montevista Morong Morong Motiong Mulanay Munai Munoz Muntinlupa Murcia Mutia n.a. ( 10468) n.a. ( 13591) n.a. ( 13877) n.a. ( 15637) n.a. ( 18527) n.a. ( 22525) n.a. ( 23041) n.a. ( 23834) n.a. ( 23883) n.a. ( 24424) n.a. ( 25146) n.a. ( 28913) n.a. ( 31278) n.a. ( 41014) n.a. ( 41426) Naawan Nabas Nabua Nabunturan Naga Naga Naga City Nagbukel Nagcarlan Nagtipunan Naguilian Naguilian Naic Nampicuan Narra Narvacan Nasipit Nasugbu Natividad Natonin Naujan Naval Navotas New Bataan New Corella New Lucena New Washington Norala Norzagaray Noveleta Nueva Era Nueva Valencia Numancia Nunungan Oas Obando Obando Ocampo Odiongan Old Panamao Olongapo City Olutanga Opol Orani Oras Orion Ormoc City Oroquieta City Oslob Oton Ozamis City Padada Padre Burgos Padre Burgos Padre Garcia Paete Pagadian City Pagalungan Pagayawan (Tatarikan) Pagbilao Pagsanghan Pagsanjan Pagudpud Pakil Palanan Palanas Palapag Palauig Palayan City Palimbang Palo Palompon Paluan Pambujan Pamplona Pamplona Pamplona Panabo Panaon Panay Pandan Pandan Pandi Panganiban Pangantucan Pangil Panglao Panglima Estino (New Panamao) Panglima Sugala (Balimbing) Pangutaran Paniqui Panitan Pantabangan Pantao Ragat Pantar Pantukan Panukulan Paoay Paombong Paracale Paracelis Parañaque Paranas Parang Parang Pasacao Pasay City Pasig City Pasil Pastrana Pasuquin Pata Pateros Patikul Patnanungan Patnongon Pavia Payao Pe±ablanca Pe±aranda Pe±arrubia Perez Piagapo Piat Piddig Pidigan Pigkawayan Pikit Pila Pilar Pilar Pilar Pilar Pilar Pilar Pilar Pili Pililla Pinabacdao Pinamalayan Pinamungahan Pinan Pinili Pintuyan Pinukpuk Pio Duran Pio V. Corpuz Pitogo Pitogo Placer Placer Plaridel Plaridel Plaridel Pola Polanco Polangui Polillo Polomolok Pontevedra Pontevedra Poona Bayabao Poona Piagapo Porac Poro Pototan Pozzorubio Pres. Carlos P. Garcia Pres. E. Quirino Pres. Manuel A. Roxas Presentacion President Roxas President Roxas Prieto Diaz Pualas Pudtol Puerto Galera Puerto Princesa City Pugo Pulilan Pulupandan Pura Quezon Quezon Quezon Quezon Quezon Quezon Quezon City Quinapondan Quirino Quirino Ragay Ramon Ramon Magsaysay Ramos Rapu-Rapu Real Reina Mercedes Remedios T. Romualdez Rizal Rizal Rizal Rizal Rizal Rizal Rizal (Liwan) Rodriguez Rodriguez (Montalban) Romblon Ronda Rosales Rosario Rosario Rosario Rosario Rosario Roseller Lim Roxas Roxas Roxas Roxas City Sabangan Sablan Sablayan Sabtang Sadanga Sagada Sagay Sagay City Sagbayan Sagnay Saguday Saguiaran Saint Bernard Salay Salcedo Salcedo Sallapadan Salug Salvador Salvador Benedicto Samal Samboan Sampaloc San Agustin San Agustin San Agustin San Andres San Andres San Andres San Antonio San Antonio San Antonio San Antonio San Benito San Carlos City San Carlos City San Clemente San Dionisio San Emilio San Enrique San Enrique San Esteban San Fabian San Felipe San Fernando San Fernando San Fernando San Fernando San Fernando San Fernando San Fernando City (Capital) San Francisco San Francisco San Francisco San Francisco San Francisco San Gabriel San Guillermo San Ildefonso San Ildefonso San Isidro San Isidro San Isidro San Isidro San Isidro San Isidro San Isidro San Isidro San Isidro San J. Del Monte San Jacinto San Jacinto San Joaquin San Jorge San Jose San Jose San Jose San Jose San Jose San Jose San Jose San Jose San Jose San Jose City San Jose de Buan San Juan San Juan San Juan San Juan San Juan San Juan San Juan San Julian San Leonardo San Lorenzo San Lorenzo Ruiz San Luis San Luis San Luis San Luis San Manuel San Manuel San Manuel San Marcelino San Mariano San Mateo San Mateo San Miguel San Miguel San Miguel San Miguel San Miguel San Miguel San Miguel San Narciso San Narciso San Nicolas San Nicolas San Nicolas San Pablo San Pablo San Pablo City San Pascual San Pascual San Pedro San Policarpo San Quintin San Quintin San Rafael San Rafael San Remigio San Remigio San Ricardo San Roque San Sebastian San Simon San Teodoro San Vicente San Vicente San Vicente San Vicente Sanchez-Mira Santa Santa Ana Santa Ana Santa Barbara Santa Barbara Santa Catalina Santa Catalina Santa Cruz Santa Cruz Santa Cruz Santa Cruz Santa Cruz Santa Cruz Santa Elena Santa Fe Santa Fe Santa Fe Santa Fe Santa Ignacia Santa Josefa Santa Lucia Santa Magdalena Santa Marcela Santa Margarita Santa Maria Santa Maria Santa Maria Santa Maria Santa Maria Santa Maria Santa Monica Santa Praxedes Santa Rita Santa Rita Santa Rosa Santa Rosa Santa Teresita Santa Teresita Santander Santiago Santiago Santiago City Santo Domingo Santo Domingo Santo Domingo Santo Nino Santo Nino Santo Nino Santo Tomas Santo Tomas Santo Tomas Santo Tomas Santo Tomas Santo Tomas Santol Sapa-Sapa Sapad Sapang Dalaga Sapi-An Sara Sarangani Sariaya Sarrat Sasmuan Sebaste Sen. Ninoy Aquino Sergio Osmena Sr. Sevilla Shariff Aguak (Maganoy) Siaton Siay Siayan Sibagat Sibalom Sibonga Sibuco Sibulan Sibunag Sibutad Sierra Bullones Sigay Sigma Sikatuna Silago Silang Silay City Silvino Lobos Simunul Sinacaban Sinait Sindangan Siniloan Siocon Sipalay Sipocot Siquijor Sirawai Siruma Sison Sison Sitangakai Socorro Socorro Sofronio Espanola Sogod Sogod Solana Solano Solsona Sominot Sorsogon South Upi Sta. Maria Sual Subic Sudipen Sugbongcogon Sugpon Sulat Sulop Sultan Gumander Sultan Kudarat (Nuling) Sultan Naga Dimaporo Sultan Sa Barongis Sumilao Sumisip Surallah Surigao City Suyo T'Boli Taal Tabaco Tabango Tabina Tabogon Tabontabon Tabuelan Tabuk Tacloban City Tacurong Tadian Taft Tagana-An Tagapul-An Tagaytay City Tagbilaran City Tagbina Tagkawayan Tago Tagoloan Tagoloan Tagoloan II Tagudin Taguig Talacogon Talaingod Talakag Talalora Talavera Talayan Talibon Talipao Talisay Talisay Talisay Talisayan Talugtug Talusan Tambulig Tampakan Tamparan Tampilisan Tanauan Tanauan Tanay Tandag Tandubas Tangalan Tangcal Tangub City Tanjay Tantangan Tanudan Tanza Tapaz Tapul Taraka Tarangnan Tarlac Tarragona Tayabas Tayabas Tayabas Tayasan Taysan Taytay Taytay Tayug Tayum Teresa Ternate Tiaong Tibiao Tigaon Tigbao Tigbauan Tinambac Tineg Tinglayan Tingloy Tinoc Tipo-Tipo Titay Tiwi Tobias Fornier Toboso Toledo City Tolosa Tomas Oppus Tongkil Torrijos Trece Martires City Trento Trinidad Tuao Tuba Tubajon Tubao Tubaran Tubay Tubigon Tublay Tubo Tubod Tubod Tubungan Tuburan Tudela Tudela Tugaya Tuguegarao City Tukuran Tulunan Tumauini Tunga Tungawan Tupi Tuy Ubay Umingan Unisan Upi Urbiztondo Urdaneta City Uson Uyugan Valderrama Valencia Valencia Valencia City Valenzuela Valladolid Vallehermoso Veruela Victoria Victoria Victoria Victoria Viga Vigan Villaba Villanueva Villareal Villasis Villaverde Villaviciosa Vincenzo A. Sagun Vintar Vinzons Virac Wao Water Water Water Zamboanga City Zamboanguita Zaragoza Zarraga Zumarraga Telephone Number Mobile Number Email Other Source of Revenue Nature of Business Monthly Income Yearly Income Sibling Information Please input the following siblings: Only Siblings who are not currently attending this school and sibling also applying for this school. Add new sibling Full Name Date of Birth Age Gender Grade Level School Attended M F Contact Person In case of Emergency Complete Name * Select * Guardian * Father's Name * Mother's Name * * Cancel Complete Address * Telephone Mobile * Email * ← Previous * Next → Other Information HOW DID YOU KNOW ABOUT ZAMBOANGA PENINSULA POLYTECHNIC STATE UNIVERSITY? Social Media Referral / Recommendation Walk-In Others Reason for applying at Zamboanga Peninsula Polytechnic State University Site Coordinator please select coordinator- No Coordinator For Transferee Reason for leaving other school Has the child ever been a repeater No Yes If yes, in which grade Or dropped from School No Yes If yes, in which grade Do you have any family member, relative and/or friend who is a graduate of Zamboanga Peninsula Polytechnic State University? No Yes If yes, Name Contact Number * ← Previous * Next → Required ADMISSION DOCUMENTS Please upload the documents required below * File format in JPEG(.jpg), PNG & PDF are the only acceptable file for upload. * Maximum of 1mb file size per upload. # Document Name Attachment Upload Remarks * ← Previous * Next → Profile Review REVIEW INFORMATION Please, Review and Read Carefully Before Submitting. BY CLICKING THE BOX, I confirm that I have read, understood and accepted the Admission Policies of the Department I am applying. I understand that my application will be evaluated based on the policies set by the department I am applying. I certify that the foregoing information and credentials that I will submit are true and complete to the best of my knowledge. I am aware that omission or falsification of any information and credentials will be considered sufficient reason for rejection of this application or for dismissal, even if already admitted. I agree with the Privacy Policy of Zamboanga Peninsula Polytechnic State University * ← Previous * Proceed and Submit → THANK YOU! YOUR ONLINE APPLICATION WAS SUCCESSFULLY SUBMITTED. KINDLY MONITOR YOUR EMAIL FOR NOTIFICATIONS REGARDING THE STATUS AND UPDATES ON YOUR ADMISSION APPLICATION. YOUR POOLING NUMBER IS PLEASE TAKE NOTE OF YOUR POOLING NUMBER. CLICK HERE TO PRINT YOUR APPLICATION. PRINT Note: System sent an email of your info of your application to your registered e-mail address Please check your inbox and spam/junk folder for email. Return Log In Powered by: iLogix Philippines Inc. × ADVISORY ✓ Proceed × ADMISSION POLICY I certify that the information I have provided in this application is true and correct to the best of my knowledge. I further attest to the authenticity of all the documents attached herein and understand that any false statement or spurious document submitted may result in the denial of my application for admission. I AGREE × DATA PRIVACY POLICY IMPORTANT: PLEASE READ AND SCROLL DOWN TO ACTIVATE I AGREE BUTTON PRIVACY NOTICE. PURSUANT TO DATA PRIVACY ACT, ALL INFORMATION HEREIN PROVIDED BY THE APPLICANT SHALL BE TREATED WITH UTMOST CONFIDENTIALITY AND SHALL ONLY BE USED FOR ITS INTENDED PURPOSE. ONLY AUTHORIZED PERSONNEL OF ZAMBOANGA PENINSULA POLYTECHNIC STATE UNIVERSITY SHALL HAVE ACCESS TO THEM. ZPPSU SHALL KEEP THE DATA THROUGHOUT THE TERM OF THE ENGAGEMENT AND FOR A PERIOD OF TEN (10) YEAR THEREAFTER. ZPPSU shall take appropriate measure to ensure the requisite data security to protect the data against unauthorized disclosure or unauthorized access. ZPPSU shall require its units and third parties who process the data to adhere to similar or comparable data protection standards as required by the Data Privacy Law of 2012. You understand that you are given certain rights under the Data Privacy Act, including the right to object to processing of your data, the right to access your data, the right to correct any inaccurate data, and the right to erasure or blocking of data. For more information on these rights, and for requests to review the data, to withdraw consent to the use of the data for any of the purpose stated above, and/or to correct or update the data, please contact dpo@zppsu.edu.ph By clicking I AGREE, I authorize to continue to use my registration information to process my enrollment and other related requirements and share my information to other units and necessary third parties for any legitimate purpose. DATA PRIVACY NOTICE: Student Application and Enrollment zppsu assures stakeholders that safeguarding of personal data is of utmost priority of the institution. The Data Privacy Notice provides information on collection; use; storage, retention and destruction; access; and disclosure and sharing of personal records of student applicants and students. I. Data Subject – Student-Applicants A. Collection zppsu, through the Admissions Center, collects personal information from applicants upon registration to the online portal, which is part of its online enrollment system. Student-applicants, 18 years old above, are expected to accomplish this form. For Senior High School –applicants below 18 years of age, applicants are expected to have sought their parents consent upon application. The personal data collected consist of: * Complete Name, Gender, Birthday, Civil Status, Nationality, Residence, and Contact Numbers (Telephone and Mobile Numbers), Email of Applicant * Disability/Ailment * Name, Address, Contact Number, and Email of Parents * Name, Address, Contact Number, and Email of Guardian/Spouse (if applicable) * Name and Address of High School and/or College; Inclusive Years of Attendance, and awards/honors received * Licensure Exams passed and Work Experience (If applicable) Additional: For International Students * Photocopy of Birth Certificate and Scholastic Records duly authenticated by Philippine Service Post located in the student’s country of origin or legal residence. * Photocopy of passport bio-page duly authenticated by Philippine Foreign Service post and latest admission with valid authorized stay * Photocopy of notarized affidavit of support including bank statements or notarized notice of grant for institutional scholars to cover for the expenses for the student’s accommodation and subsistence, as well as school dues, and other incidental expenses For Filipino students with dual citizenship * Photocopy of valid Philippine Passport or Photocopy of Certificate of Recognition as citizen of the Philippines issued by the Bureau of Immigration * Entrance examination produces scores for each individual applicant. Other personal information of applicants is revealed and obtained from the interview. B. Use Personal Data collected via online registration will be used for identification of applicant and verification of data against other requirements submitted. Aggregate profile of applicants shall be generated by the Admissions Center, which can be used to strengthen recruitment. Contact information of applicants of the right age and of parents of minors are utilized to communicate instructions and to follow up application, if necessary. Other personal records such as grades and entrance test scores are bases for evaluation of application. C. Storage, Retention and Destruction Applicants are ensured that personal records will be protected against accidental and unlawful destruction, alteration, and disclosure. Security measures are in place for storing records. Once enrolled, records will be retained until graduation or even after transfer to another educational institution. For applicants who did not enroll, records will be deleted and destroyed one academic year after. D. Access Personal data will be held with utmost confidentially. Access to the record is limited only to authorized staff and administrators for purposes related to their tasks in the application and admitting of students. E. Disclosure and Sharing Personnel who have access are bound to protect personal data from accidental and unlawful disclosure and sharing. However, zppsu will be obliged if mandated by law and legal proceeding. II. Data Subject – Students A. Collection Aside the personal data obtained during the application period, original copies of records from students shall be collected upon enrollment through the Admissions Center * Copy of the Birth Certificate (For international students, the copy is duly authenticated by the Philippine Foreign Service Post from the country of origin or legal residence * Original copy of grades for the last academic year from the last school attended (For international students, the copy is duly authenticated by the Philippine Foreign Service Post from the country of origin or legal residence.) Report Card for Senior High School and College applicants * Transcript of Records for College Transferees * Drug Test results; Affidavit of Waiver for transferees * Honorable Dismissal/Transfer Credential/Certificate of Eligibility to Transfer for College Transferees Additional for International students: * Six (6) copies of the Student’s Personal History Statement (PHS) duly signed by him/her, and his/her national alphabet accompanied by his/her personal seal, if any, and containing, among others, his/her left and right thumbprints and a 2x2 inch photograph on plain white background taken not more than six months prior to submission Consequently, personal records of students during their entire stay in zppsu will be updated which comprised the following: financial data; disciplinary and attendance records; grades in subjects/courses taken; honors and achievements; routine interview, counseling and testing records; and Notice of Acceptance from zppsu Admissions Center and Alien Certificate Registration for International students. These subsequent data are protected and used responsibly by specific offices accountable for collection. B. Use Personal data of newly admitted students are taken collectively by the Admissions Center to produce a general profile of new students per Department. Aggregate results are deemed useful for the Department to address the needs of students and to provide the academic environment and support programs suited for students. Other personal records are given specifically to the Chairperson, Prefects, and Guidance Counselor for monitoring purposes. The copies of personal records are collected for turn-over to the Registrar’s Office and the Guidance and Counseling Office for storage and safekeeping; and for purposes relevant to their duties and responsibilities. Information like contact numbers and addresses are maintained and are accessible to authorized personnel of the Department/Office for communication purposes in case of problems and crises and in matters related to school activities. C. Storage, Retention and Destruction The personal record of every student will be stored securely and will be updated by concerned offices for as long the student is enrolled in zppsu. Security measures are in placed to protect the record from destruction, alteration, and disclosure. All records are retained even after graduation or transfer to another educational institution, except for records turned over to the Guidance and Counseling Office which destroys the data 5 years after graduation and 3 years after transfer. D. Access Personal data will be held with utmost confidentially. Access to the record is limited only to authorized staff and administrators for purposes related to their responsibilities. E. Disclosure and Sharing Personnel who have access are bound to protect personal data from disclosure and sharing. However, zppsu will be obliged if mandated by law and legal proceeding, and if there is a need to protect health and life. Other Personal records are also shared through the Registrar’s Office as mandated by the following: Department of Education, Commission on Higher Education, Professional Regulation Commission, Civil Service Commission, and Bureau of Immigration. Verification of graduation/enrollment by a company as part of its employment background investigation is allowed provided that such request was authorized by the student/graduate. I AGREE × STUDENT LAST SCHOOL ATTENDED ✓ Add × Cancel SEEMS LIKE YOU ALREADY REGISTERED! YOUR POOLING NUMBER IS APPLICANT APPLIED ON You may check your email for sign up confirmation. If you didn't receive any email you can click the button below to resend the email You can resend email again after Resend RECORD ALREADY EXISTS! YOUR STUDENT NUMBER IS STUDENT ADMITTED ON You may directly contact admission office to guide you on enrolling old student