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Senior High School Registration Form fim
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TOTHE STUDENT AND PARENTICUAROUAN: Pet ogy matin oped Pace Xara roi a, Q
1. NAME OF STUDEMT: Pentre yr amen eoeg sper LAST, RST, MODLE 25 Mle [7] Fema
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ca 4. DATEOFSIRTH (ob, ey You)
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4 PLAGE OF BIE (Ry Tou Proven 1 NATIONALITY
ELEMENTARY SCHOOL (ere you complied Elementary Love educa Gre 6)
[Elementary School Name (Doro abrora) [MortvYear of Complaton
[Adare (Ciy/Tow or Provce) legion
7 [MontiYear of Copleton
‘Ar youa passer of Philppine Eduéstonal Placement Test PEPT) for Elementary Level? No Yes
7 [MonthYear ofConpiaon.
‘Are you a passa of Accretion and Equvalncy (ARE) eet for Ehatary Laval? No Yes
[Name of Community Leeming Cntie (00 no abbreviate) [areas (iyo or Paoancs)
7 sAIMOR HIGH SCHOOL (HS) (where you completere completing JHS / Gade 10)
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Arya pata tAcrton and Easy (ARE Tet HB Love? nol] ve
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{4 SBME HGH SCHOOL (GHS) APPLIED FOR: Chcous er thet scan elerng SHS upto Mo cea lowest note sme GS
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"THIS REGISTRATION FORMS NOT FOR SALE AND MAY BE REPRODUCED, Page