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    Student Information Sheet Guidance Office

    Uploaded by

    elpidioagustin6

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Student Information Sheet Guidance Office

    Uploaded by

    elpidioagustin6
    42 views2 pages

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    42 views2 pages

    Student Information Sheet Guidance Office

    Uploaded by

    elpidioagustin6

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    NEW OLD FORMER TRANSFEREE

    GUIDANCE OFFICE
    STUDENT INFORMATION SHEET

    ______ESC ______Non
    ID NUMBER
    ESC

    NAME:
    (Last Name) (First Name) (Middle Name)
    PERSONAL INFORMATION

    Gender Birthdate: Month Day Year

    Birthplace Email Address

    Tel. Nos. Landline Cellphone No.

    Home (Permanent) Address No. Street/Subdivision

    Barangay Mun/City, Province Zip Code

    Blood Type Citizenship Tribal Affiliations Religion

    Disability, please specify

    Name of Father: __________________________ Name of Mother: __________________________


    Contact Number/s: ________________________ Contact Number/s: ________________________
    Educational Attainment: ____________________Educational Attainment: ____________________
    Occupation: _____________________________ Occupation: _____________________________
    Check the following that applies:

    OFW: Both Parents Father only Mother Only Broken Family: YES NO

    EDUCATIONAL BACKGROUND
    Primary Year Last Attended
    Intermidiate Year Last Attended
    High School Year Last Attended

    No. of siblings :

    Brothers/Sister Enrolled at Saint Anne Academy:

    Name Course & Year Name Course & Year

    Name Course & Year Name Course & Year


    Credentials Submitted:
    ( ) Form 138 (ES Card) ( ) SAA Entrance Exams Result
    ( ) Birth Certificate (PSA) ( ) Transfer Credentials
    ( ) Permit to Cross-Enroll ( ) Others __________________________________

    I certify that the data furnished on this information form as well as the admission requirements
    submitted are true and correct. I understand that any concealment/withholding of information in
    accomplishing this form or false information/misrepresentation I submitted in this form is enough ground
    to disqualify and/or invalidate my admission and/or enrolment at Saint Anne Academy. If admitted, I
    promise to uphold the ideals and fully abide by all the rules and regulations of Saint Anne Academy
    and of the Department of Education as well as the pertinent Laws of the Republic of the Philippines.

    I hereby certify that the above information given are true and correct to the best of my knowledge
    and I allow the School and the Department of Education to use my child’s details to create and/or
    update his/her learner profile in the Learner Information System and to the School Management
    System. The information herein shall be treated as confidential in compliance with the School Data
    Privacy and Protocols (Data Privacy Act of 2012).

    __________________________________ ________________________________
    Parent’s/Guardian’s Original Signature Student’s Signature
    Over Printed Name(if around) Date : __________________ Initial of evaluator.

    ____________

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