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Republic of the Philippines

Region XII
Department of Education
Division of Sultan Kudarat
Kapingkong National High School
Lambayong

Name:____________________________ Gr.&Sec:______________________ S.Y. __________________

APPLICATION FOR MOVING-UP

Accomplish this application for verification that you are qualified in the Moving-up activity. To avoid
irregular student for the following school, comply all requirements in all subject areas.

Write the title of the subject & check the box in the Passed/INC/Failed
Subject Passed INC Failed Subject Teacher
Signature

Failure to comply this application will not be allowed to participate in the Moving-up.

I certify to the veracity of this application

Date Accomplished: _________________

________________________________
Class Adviser

Recommending Approval: Approved:

__________________________________ ABDULA T. SALISIP


Asst. Principal JHS/SHS Designate Sec. Sch. Principal II

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