Diliman Access Online Registration

Please use this form to register online. If you already have an account with us, please login first then fill out the neccessary fields. Note that fields with asterisk (*) are mandatory.

Note: This Form is used for online registration to our services. Submitting this form will not give you access to our website. If you want to have access, you need to create a free account by Signing Up.

I will be taking the *

College Entrance Test / Senior High School Entrance Test ONLINE Review College Entrance Test / Senior High School Entrance Test CLASS Review National Medical Admission Test ONLINE Review National Medical Admission Test CLASS Review LET Review Business English for Professionals Tutorials

Class Location *	Class Location *
Review Period/Date *	Review Period/Date *
First Name *	First Name *
Middle Name *	Middle Name *
Last Name *	Last Name *
E-mail Address *	E-mail Address *
Note: PLEASE REMEMBER YOUR PASSWORD. You will need this each time you log in to the system after your email has been verified.
Password *	Password *
Confirm Password *	Confirm Password *
Gender *	Gender * Male Female
Birthdate *	Birthdate *
School *	School *
Landline Number	Landline Number
Mobile Number	Mobile Number
Mailing Address (Philippine Address) Note: This is very important once diliman access sends you important documents or materials. We will not be liable for undelivered packages due to incomplete addresses
Address 1	Address 1
Address 2	Address 2
City	City ×
Barangay	Barangay ×
Province	Province ×
Zip Code	Zip Code
Guardian's Name	Guardian's Name
Relationship to Student	Relationship to Student
Guardian's Contact Number	Guardian's Contact Number

Bank Branch *
Amount Deposited *
Date Of Payment *
Payment Receipt Image