GRADE LEVEL: ______

STUDENT'S INFORMATION
NO. BIRTHDAY
LRN LAST NAME FIRST NAME MIDDLE NAME SEX
(mm/dd/yy)
1
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44
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49
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51
52
53
54
55
56
57
58
59
60

Prepared by:

____________________________________________
Adviser
 VP - GREEN VALE ACADEMY, INC.
P17C, Hagkol, Poblacion, Valencia City
School ID: 405069
Mobile Number: 09366191856
Telephone Number: (088) 535-9089

MASTERLIST OF STUDENTS

ADDRESS

BELONGING PUROK/
AGE MOTHER TONGUE SITIO
BARANGAY MUNICIPALITY/CITY ZIP CODE
TO ANY IP
Checked and Validated by:

_________HAZEL CAHUCOM________
School Registrar
 SECTION: _____________________

FATHER'S NAME MOTHER'S MAIDEN NAME

LAST NAME FIRST NAME MIDDLE NAME LAST NAME FIRST NAME
Noted by:

PHILIP BRYAN JAKE A. TANA, LPT, PhD

School Principal
AIDEN NAME
PREFERRED
DISTANCE LEARNING
MIDDLE NAME MODALITY/IES