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AGUSAN NATIONAL HIGH SCHOOL AGUSAN NATIONAL HIGH SCHOOL

Butuan City Butuan City

ADMISSION SLIP ADMISSION SLIP

Date: ______________ Date: ______________

Name of Parent/Guardian: __________________________ Name of Parent/Guardian: __________________________

Address: _________________________________________ Address: _________________________________________

Contact No._____________ Facebook Acct._____________ Contact No._____________ Facebook Acct._____________

Body Temperature: ________ Age: _____________ Body Temperature: ________ Age: _____________

Name of Child: ____________________________________ Name of Child: ____________________________________

Grade and Section: _________________________________ Grade and Section: _________________________________

Bldg.&Room Assignment: ___________________________ Bldg.&Room Assignment: ___________________________

Signature: ________________________________________ Signature: ________________________________________

Gusto ba ka ug DIGITAL/SOFT COPY sa module? Gusto ba ka ug DIGITAL/SOFT COPY sa module?

Kung OO, palihog sulat sa imong email ad. Kung OO, palihog sulat sa imong email ad.

Email ad: ___________________________________ Email ad: ___________________________________

Note: Please do not leave any blanks. Note: Please do not leave any blanks.

AGUSAN NATIONAL HIGH SCHOOL AGUSAN NATIONAL HIGH SCHOOL


Butuan City Butuan City

ADMISSION SLIP ADMISSION SLIP

Date: ______________ Date: ______________

Name of Parent/Guardian: __________________________ Name of Parent/Guardian: __________________________

Address: _________________________________________ Address: _________________________________________

Contact No._____________ Facebook Acct._____________ Contact No._____________ Facebook Acct._____________

Body Temperature: ________ Age: _____________ Body Temperature: ________ Age: _____________

Name of Child: ____________________________________ Name of Child: ____________________________________

Grade and Section: _________________________________ Grade and Section: _________________________________

Bldg.&Room Assignment: ___________________________ Bldg.&Room Assignment: ___________________________

Signature: ________________________________________ Signature: ________________________________________

Gusto ba ka ug DIGITAL/SOFT COPY sa module? Gusto ba ka ug DIGITAL/SOFT COPY sa module?

Kung OO, palihog sulat sa imong email ad. Kung OO, palihog sulat sa imong email ad.

Email ad: ___________________________________ Email ad: ___________________________________

Note: Please do not leave any blanks. Note: Please do not leave any blanks.

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