Template/Format for REPORTING MULTIPLE LRN/ENROLLMENT (Request Form 01 Subject: Multiple LRN/Enrollment Send to:
[email protected] Note: Endorsement of School Head is required (signed and scan). Please use worksheet/excel format for the matrix as appeared in Birth Certificate
Currently Enrolled (Present enrollment)
Region
Division
CARAGA
Surigao del Sur
Panikian NHS
CARAGA
Surigao del Sur
Panikian NHS
Reported by
Correct Name
Grade
Section
LRN (Currently Used)
First Name
Middle Name
Last Name
304900
10
GOLD
132700080026
JOEY
INTANO
RATILLA
7/25/2003
304900
10
GOLD
132704080008
MARY CLAIRE GAY
TRUGILLO
ROSIL
12/29/2002
School School ID
Ext Name
Date of Birth
Teacher/ICT Coordinator
Name of School
School ID
Division
Region
Romnick C. Portillano
Panikian National High School
304900
Surigao del Sur
CARAGA
quest Form 01)
Date of 1st Attendance (MM/DD/YYYY)
OTHER EXISTING LRN
FEMALE
4-Jun-18
406042150169
FEMALE
6/4/2018
406042150559
Gender
Region
Endorsed by
CARAGA
School Head
Alma D. Plaza