DELA CRUZ KEZIA KEREN SIABOC

Student’s Name: ________________________________________________ Student Number: 2 0 1 9 3 3 4

-
LAST NAME FIRST NAME MIDDLE NAME

Hours Enrolled: 666 Year& Section: 12- CONCRETE Semester:

____________ 1ST ✔2ND Inter Academic Year: 2 0 2 0 - 2 0 2 1

Code Subject Title Instructor Signature Remarks

1 PEH3 PHYSICAL EDUCATION AND HEALTH J. LEE

2 HUM1 INTRODUCTION TO PHILOSOPHY OF THE HUMAN PERSON .A. ROQUE

3 ENTREP ENTREPRENEURSHIP A. GARCIA

4 PHYS2 GENERAL PHYSICS A. TABIOS

PEH4 2
PHYSICAL EDUCATION AND HEALTH4 J. LEE
5
6 HUM2 CONTEMPORARY ARTS FROM THE REGION M.L. TAN

7 ENG3 ENGLISH FOR ACADEMIC AND PROFESSIONAL M. LIPORADA

PURPOSE
8 PROJ1 RESEARCH ACTIVITY INQUIRY INVESTIGATION AND IMMERSION R. CERTEZA

9 PROJ2 RESEARCH CAPSTONE PROJECT ENGr. A. MARIGONDON

10
11

Grade Level Librarian SDS Guidance

Coordinator Supervisor Counselor

Requested: _________________________ Certified: JUSTO GILBERT C. DE JESUS, MAED

STUDENT’S SIGNATURE SCHOOL REGISTRAR

Approved: CHRISTIANNE F. VITUG, LPT, MAT

SHS PRINCIPAL

Antipolo Institute of Technology

Office of the Registrar SHS CLEARANCE FORM

DELA CRUZ KEZIA KEREN SIABOC

Student’s Name: ________________________________________________ Student Number: 2 0 1 9 - 3 3 4
LAST NAME FIRST NAME MIDDLE NAME

Hours Enrolled: 666 Year& Section: 12- CONCRETE Semester:

____________ 1ST ✔ 2ND Inter Academic Year: 2 0 2 0 - 2 0 2 1

Code Subject Title Instructor Signature Remarks

1 PEH3 PHYSICAL EDUCATION AND HEALTH3 J. LEE
2 HUM1 INTRODUCTION TO PHILOSOPHY OF THE HUMAN PERSON A. ROQUE
3 ENTREP ENTREPRENEURSHIP A. GARCIA
4 PHYS2 GENERAL PHYSICS 2 A. TABIOS
5 PEH4 PHYSICAL EDUCATION AND HEALTH4 J. LEE
6 HUM2 CONTEMPORARY ARTS FROM THE REGION M.L. TAN

7 ENG3 ENGLISH FOR ACADEMIC AND PROFESSIONAL PURPOSE M. LIPORADA

8 PROJ1 RESEARCH ACTIVITY INQUIRY INVESTIGATION AND IMMERSION R. CERTEZA
9 PROJ2 RESEARCH CAPSTONE PROJECT ENGr. A. MARIGONDON

10
11

Grade Level Librarian SDS Guidance

Coordinator Supervisor Counselor

Requested: _________________________ Certified: JUSTO GILBERT C. DE JESUS, MAED

STUDENT’S SIGNATURE SCHOOL REGISTRAR

Approved: CHRISTIANNE F. VITUG, LPT, MAT

SHS PRINCIPAL

Antipolo Institute of Technology

Office of the Registrar SHS CLEARANCE FORM