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Early Registration Form
Early Registration Form
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T
M A SA M A
SC
SM
Name of Office:
HOOL
EARLY REGISTRATION MASAMAT ELEMENTARY
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X IC
T
STR
IC
E
O SO
UTH DI
S.Y. 2020-2021 SCHOOL
________KINDERGARTEN_________
Kindergarten/Grade/Year Level
Remarks*
1. For Grade 1 Registrants: Has attended/not attended Kindergarten class
2. For ALS: Information whether the child/youth prefers to learn through the ADM = alternative
delivery mode (MISOSA, e-IMPACT, DORP) or ALS = alternative learning system
Category of C/Y with disability ** Visual Impairment, Hearing Impairment, Intellectual Disability,
Learning Disability, Speech/Language Impairment, Serious Emotional Disturbance, Autism
Orthopedic Impairment, Special Health Problem, Multiple Disabilities
__________Grade One_____________
Republic of the Philippines
Document Code: SDO-QF-CID -00XX
Department of Education
Region III – Central Luzon
Revision: 00
SCHOOLS DIVISION OF PAMPANGA
EM E N TA R
High School Blvd. Brgy. Lourdes, City of San Fernando EL
Effectively date:
Y
T
M A SA M A
SC
SM
Name of Office:
HOOL
EARLY REGISTRATION MASAMAT ELEMENTARY
M
X IC
T
STR
IC
E
O SO
UTH DI
S.Y. 2020-2021 SCHOOL
Kindergarten/Grade/Year Level
Remarks*
1. For Grade 1 Registrants: Has attended/not attended Kindergarten class
2. For ALS: Information whether the child/youth prefers to learn through the ADM = alternative
delivery mode (MISOSA, e-IMPACT, DORP) or ALS = alternative learning system
Category of C/Y with disability ** Visual Impairment, Hearing Impairment, Intellectual Disability,
Learning Disability, Speech/Language Impairment, Serious Emotional Disturbance, Autism
Orthopedic Impairment, Special Health Problem, Multiple Disabilities