Early Registration
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- Words: 687
- Pages: 26
Schoo
(T
School ID
Region
School Name
LRN
1
NAME (Last Name, First Name, Middle Name)
Sex (M/F)
BIRTH DATE (mm/dd/ yyyy)
AGE as of 1st Friday June
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17 18 19 20 21 22 23 24
25
26
27
28
29
30
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
List and Code of Indicators under REMARKS column Indicator
Code
Required Information
Transferred Out
T/O
Name of Public (P) Private (PR) School & Effectivity Date
Transferred IN
T/I
Name of Public (P) Private (PR) School & Effectivity Date
Dropped Late Enrollment
DRP LE
Reason and Effectivity Date Reason (Enrollment beyond 1st Friday of June)
School Form 1 (SF 1) School Register (This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
Division
District School Year
Grade Level
ADDRESS MOTHER TONGUE
IP (Ethnic Group)
RELIGION
House #/ Street/ Sitio/ Purok
Barangay
Municipality/ City
PARENTS
Province
Father's Name (Last Name, First Name, Middle Name)
Mother's Maiden N (Last Name, First N Middle Name)
Code
Required Information
CCT
CCT Control/reference number & Effectivity Date
B/A
Name of school last attended & Year
LWD
Specify
ACL
Specify Level & Effectivity Data
REGISTERED
BoSY
EoSY
MALE
16
0
FEMALE
11
0
TOTAL
27
0
Section
PARENTS
Mother's Maiden Name (Last Name, First Name, Middle Name)
GUARDIAN
REMARKS
(If not Parent)
Name
Relation-ship
Contact Number of Parent or Guardian
(Please refer to the legend on last page)
Prepared by:
Certified Correct:
(Signature of Adviser over Printed Name)
BoSY Date:
EoSYDate:
(Signature of School Head over Printed Name)
DEPARTMENT OF EDUCATION EARLY REGISTRATION SCHOOL ID: SCHOOL NAME:
REGION: 0 DIVISION: 0 DISTRICT: 0
0 0 GRADE
0 0
NO.
NAME
SEX
AGE
BIRTHDATE
ADDRESS
1 0
0
12/30/1899
Antipolo, Gasan, Marinduque
2 0
0
12/30/1899
Antipolo, Gasan, Marinduque
3 0
0
12/30/1899
Antipolo, Gasan, Marinduque
4 0
0
12/30/1899
Antipolo, Gasan, Marinduque
5 0
0
12/30/1899
Antipolo, Gasan, Marinduque
6 0
0
12/30/1899
Antipolo, Gasan, Marinduque
7 0
0
12/30/1899
Antipolo, Gasan, Marinduque
8 0
0
12/30/1899
Antipolo, Gasan, Marinduque
9 0
0
12/30/1899
Antipolo, Gasan, Marinduque
10 0
0
12/30/1899
Antipolo, Gasan, Marinduque
11 0
0
12/30/1899
Antipolo, Gasan, Marinduque
12 0
0
12/30/1899
Antipolo, Gasan, Marinduque
13 0
0
12/30/1899
Antipolo, Gasan, Marinduque
14 0
0
12/30/1899
Antipolo, Gasan, Marinduque
15 0
0
12/30/1899
Antipolo, Gasan, Marinduque
16 0
0
12/30/1899
Antipolo, Gasan, Marinduque
17 0
0
12/30/1899
Antipolo, Gasan, Marinduque
18 0
0
12/30/1899
Antipolo, Gasan, Marinduque
19 0
0
12/30/1899
Antipolo, Gasan, Marinduque
20 0
0
12/30/1899
Antipolo, Gasan, Marinduque
21 0
0
12/30/1899
Antipolo, Gasan, Marinduque
CATEGORY OF C/Y WITH DISABILITY*** (for children and youth with disabilities only)
Remarks
22 0
0
12/30/1899
Antipolo, Gasan, Marinduque
23 0
0
12/30/1899
Antipolo, Gasan, Marinduque
24 0
0
12/30/1899
Antipolo, Gasan, Marinduque
25 0
0
12/30/1899
Antipolo, Gasan, Marinduque
26 0
0
12/30/1899
Antipolo, Gasan, Marinduque
27 0
0
12/30/1899
Antipolo, Gasan, Marinduque
28 0
0
12/30/1899
Antipolo, Gasan, Marinduque
29 0
0
12/30/1899
Antipolo, Gasan, Marinduque
30 0
0
12/30/1899
Antipolo, Gasan, Marinduque
31 0
0
12/30/1899
Antipolo, Gasan, Marinduque
32 0
0
12/30/1899
Antipolo, Gasan, Marinduque
33 0
0
12/30/1899
Antipolo, Gasan, Marinduque
34 0
0
12/30/1899
Antipolo, Gasan, Marinduque
35 0
0
12/30/1899
Antipolo, Gasan, Marinduque
36 0
0
12/30/1899
Antipolo, Gasan, Marinduque
37 0
0
12/30/1899
Antipolo, Gasan, Marinduque
38 0
0
12/30/1899
Antipolo, Gasan, Marinduque
39 0
0
12/30/1899
Antipolo, Gasan, Marinduque
40 0
0
12/30/1899
Antipolo, Gasan, Marinduque
Remarks*: 1. For Grade 1 Registrants: Has attended/ not attended Kindergarten class 2. For ALS: Information whether the child/youth to learn through the ADM=Alternative Delivery (MIMOSA, e-IMPACT, DORP) or Als= Alternative lerning system Category of C/Y with Disability**: Visual impairment, Hearing impairment, Intellectual Disability, Learning Disability, Speech/Language impairment, Serious Emotional Disturbance, Autism, Orthopedic impairment Special Health Problem, Multiple Disabilities.
Prepared by: Noted: 0 0 (Signature of School Head over Printed Name)
(Signature of Adviser over Printed Name)
(T
School ID
Region
School Name
LRN
1
NAME (Last Name, First Name, Middle Name)
Sex (M/F)
BIRTH DATE (mm/dd/ yyyy)
AGE as of 1st Friday June
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17 18 19 20 21 22 23 24
25
26
27
28
29
30
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
List and Code of Indicators under REMARKS column Indicator
Code
Required Information
Transferred Out
T/O
Name of Public (P) Private (PR) School & Effectivity Date
Transferred IN
T/I
Name of Public (P) Private (PR) School & Effectivity Date
Dropped Late Enrollment
DRP LE
Reason and Effectivity Date Reason (Enrollment beyond 1st Friday of June)
School Form 1 (SF 1) School Register (This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
Division
District School Year
Grade Level
ADDRESS MOTHER TONGUE
IP (Ethnic Group)
RELIGION
House #/ Street/ Sitio/ Purok
Barangay
Municipality/ City
PARENTS
Province
Father's Name (Last Name, First Name, Middle Name)
Mother's Maiden N (Last Name, First N Middle Name)
Code
Required Information
CCT
CCT Control/reference number & Effectivity Date
B/A
Name of school last attended & Year
LWD
Specify
ACL
Specify Level & Effectivity Data
REGISTERED
BoSY
EoSY
MALE
16
0
FEMALE
11
0
TOTAL
27
0
Section
PARENTS
Mother's Maiden Name (Last Name, First Name, Middle Name)
GUARDIAN
REMARKS
(If not Parent)
Name
Relation-ship
Contact Number of Parent or Guardian
(Please refer to the legend on last page)
Prepared by:
Certified Correct:
(Signature of Adviser over Printed Name)
BoSY Date:
EoSYDate:
(Signature of School Head over Printed Name)
DEPARTMENT OF EDUCATION EARLY REGISTRATION SCHOOL ID: SCHOOL NAME:
REGION: 0 DIVISION: 0 DISTRICT: 0
0 0 GRADE
0 0
NO.
NAME
SEX
AGE
BIRTHDATE
ADDRESS
1 0
0
12/30/1899
Antipolo, Gasan, Marinduque
2 0
0
12/30/1899
Antipolo, Gasan, Marinduque
3 0
0
12/30/1899
Antipolo, Gasan, Marinduque
4 0
0
12/30/1899
Antipolo, Gasan, Marinduque
5 0
0
12/30/1899
Antipolo, Gasan, Marinduque
6 0
0
12/30/1899
Antipolo, Gasan, Marinduque
7 0
0
12/30/1899
Antipolo, Gasan, Marinduque
8 0
0
12/30/1899
Antipolo, Gasan, Marinduque
9 0
0
12/30/1899
Antipolo, Gasan, Marinduque
10 0
0
12/30/1899
Antipolo, Gasan, Marinduque
11 0
0
12/30/1899
Antipolo, Gasan, Marinduque
12 0
0
12/30/1899
Antipolo, Gasan, Marinduque
13 0
0
12/30/1899
Antipolo, Gasan, Marinduque
14 0
0
12/30/1899
Antipolo, Gasan, Marinduque
15 0
0
12/30/1899
Antipolo, Gasan, Marinduque
16 0
0
12/30/1899
Antipolo, Gasan, Marinduque
17 0
0
12/30/1899
Antipolo, Gasan, Marinduque
18 0
0
12/30/1899
Antipolo, Gasan, Marinduque
19 0
0
12/30/1899
Antipolo, Gasan, Marinduque
20 0
0
12/30/1899
Antipolo, Gasan, Marinduque
21 0
0
12/30/1899
Antipolo, Gasan, Marinduque
CATEGORY OF C/Y WITH DISABILITY*** (for children and youth with disabilities only)
Remarks
22 0
0
12/30/1899
Antipolo, Gasan, Marinduque
23 0
0
12/30/1899
Antipolo, Gasan, Marinduque
24 0
0
12/30/1899
Antipolo, Gasan, Marinduque
25 0
0
12/30/1899
Antipolo, Gasan, Marinduque
26 0
0
12/30/1899
Antipolo, Gasan, Marinduque
27 0
0
12/30/1899
Antipolo, Gasan, Marinduque
28 0
0
12/30/1899
Antipolo, Gasan, Marinduque
29 0
0
12/30/1899
Antipolo, Gasan, Marinduque
30 0
0
12/30/1899
Antipolo, Gasan, Marinduque
31 0
0
12/30/1899
Antipolo, Gasan, Marinduque
32 0
0
12/30/1899
Antipolo, Gasan, Marinduque
33 0
0
12/30/1899
Antipolo, Gasan, Marinduque
34 0
0
12/30/1899
Antipolo, Gasan, Marinduque
35 0
0
12/30/1899
Antipolo, Gasan, Marinduque
36 0
0
12/30/1899
Antipolo, Gasan, Marinduque
37 0
0
12/30/1899
Antipolo, Gasan, Marinduque
38 0
0
12/30/1899
Antipolo, Gasan, Marinduque
39 0
0
12/30/1899
Antipolo, Gasan, Marinduque
40 0
0
12/30/1899
Antipolo, Gasan, Marinduque
Remarks*: 1. For Grade 1 Registrants: Has attended/ not attended Kindergarten class 2. For ALS: Information whether the child/youth to learn through the ADM=Alternative Delivery (MIMOSA, e-IMPACT, DORP) or Als= Alternative lerning system Category of C/Y with Disability**: Visual impairment, Hearing impairment, Intellectual Disability, Learning Disability, Speech/Language impairment, Serious Emotional Disturbance, Autism, Orthopedic impairment Special Health Problem, Multiple Disabilities.
Prepared by: Noted: 0 0 (Signature of School Head over Printed Name)
(Signature of Adviser over Printed Name)
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