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Republic of the Philippines

Department of Education
Region VIII
Division of Calbayog City
CALBAYOG CITY NATIONAL HIGH SCHOOL CARAYMAN CAMPUS
Calbayog City

_____________________________ APPLICATION SLIP FOR ADMISSION


APPLICATION NUMBER FOR SCHOOL YEAR__________

INCOMING GRADE 7 INCOMING GRADE 8 INCOMING GRADE 9 INCOMING GRADE 10

NAME OF APPLICANT ______________________________________________________________________________________________________


(Name in birth Certificate) LAST NAME FIRST NAME MIDDLE NAME
HOME ADDRESS __________________________________________________________________________________________________________
DATE OF BIRTH ______________________________ PLACE OF BIRTH _______________________________________________________________
RELIGION ______________________________________________________ MOBILE NUMBER __________________________________________
NAME OF FATHER ____________________________________________ NAME OF MOTHER ____________________________________________
CURRENT SCHOOL ____________________________________________ PRESENT GRADE/YEAR LEVEL ____________________________________
SCHOOL ADDRESS _________________________________________________________________________________________________________

_______________________________________
(Signature over printed name of applicant/ Date)
……………………………………………………………………………………………FOR GRADE 7 APPLICANTS ……………………………………………………………………………………….
(TO BE FILLED OUT BY THE ENROLLING TEACHERS)
SUBMITTED REQUIREMENTS:
__________ REPORT CARD (FORM 138)
__________ CLEAR PHOTOCOPY OF NSO BIRTH CERTIFICATE (PRESENT ORIGINAL FOR VERIFICATION)
__________ PERMANENT RECORD (FORM 137)
__________ CERTIFICATE OF GOOD MORAL CHARACTER
__________ 1 Pc. 2X2 ID PICTURE
__________ 1 Pc. LONG BROWN ENVELOPE

Received by: Checked by:


______________________________________ ________________________________________
(Signature over printed name/ Date) (Signature over printed name/ Date)

Noted: Approved:
MARIA VERITAS L. CAPALIS VALENTINO D. GALBAN
School Registrar Teacher III/OIC
Republic of the Philippines
Department of Education
Region VIII
Division of Calbayog City
CALBAYOG CITY NATIONAL HIGH SCHOOL CARAYMAN CAMPUS
Calbayog City

_________________________________ APPLICATION SLIP FOR ADMISSION


APPLICATION NUMBER FOR SCHOOL YEAR__________

INCOMING GRADE 7 INCOMING GRADE 8 INCOMING GRADE 9 INCOMING GRADE 10

NAME OF APPLICANT ______________________________________________________________________________________________________


(Name in birth Certificate) LAST NAME FIRST NAME MIDDLE NAME
HOME ADDRESS __________________________________________________________________________________________________________
DATE OF BIRTH ______________________________ PLACE OF BIRTH _______________________________________________________________
RELIGION ______________________________________________________ MOBILE NUMBER __________________________________________
NAME OF FATHER ____________________________________________ NAME OF MOTHER ____________________________________________
CURRENT SCHOOL ____________________________________________ PRESENT GRADE/YEAR LEVEL ____________________________________
SCHOOL ADDRESS _________________________________________________________________________________________________________

________________________________________
(Signature over printed name of applicant/ Date)
………………
…………………………………………………………………………... FOR GRADE 7 APPLICANTS ……………………………………………………………………………………….
(TO BE FILLED OUT BY THE ENROLLING TEACHERS)
SUBMITTED REQUIREMENTS:
__________ REPORT CARD (FORM 138)
__________ CLEAR PHOTOCOPY OF NSO BIRTH CERTIFICATE (PRESENT ORIGINAL FOR VERIFICATION)
__________ PERMANENT RECORD (FORM 137)
__________ CERTIFICATE OF GOOD MORAL CHARACTER
__________ 1 Pc. 2X2 ID PICTURE
__________ 1 Pc. LONG BROWN ENVELOPE

Received by: Checked by:


______________________________________ ________________________________________
(Signature over printed name/ Date) (Signature over printed name/ Date)

Noted: Approved:
MARIA VERITAS L. CAPALIS VALENTINO D. GALBAN
School Registrar Teacher III/OIC