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Republic of the Philippines

Department of Education
NATIONAL CAPITAL REGION
DIVISION OF TAGUIG CITY AND PATEROS
MAYOR SIMPLICIO MANALO NATIONAL HIGH SCHOOL

E. QUIOGUE ST. BRGY. AGUHO, PATEROS, METRO MANILA

REGISTRAR OFFICE

REQUEST FORM

NAME OF STUDENT: Balasbas Dirk Nowitzki A.


GRADE AND SECTION: 12-Wisdom
LAST SCHOOL YEAR ATTENDED: 2020-2021
CONTACT NUMBER: 09508288468
PARENT/GUARDIAN’S NAME: Cristopher Balasbas
PRESENT ADDRESS OF THE PARENT/ LEGAL GUARDIAN: Blk 124 Lt 7 Southsea Rizal, Makati

Type of Request

1. Form137-A / SF10
2. Report Card / SF9
3. Good Moral
4. Diploma
5. Certification/s:
Enrollment
Graduation

Purpose of Request: (pls. check)


1. Enrollment
2. Employment
3. Transfer
4. Scholarship
5. Others: __________________________

Cristopher Balasbas

NAME OF THE REQUESTOR

Mayor Simplicio Manalo National High School


E. Quiogue St. Brgy. Aguho, Pateros, Metro Manila
Tel. No. 866-0466
sdotapat.msmnhs@deped.gov.ph
Republic of the Philippines
Department of Education
NATIONAL CAPITAL REGION
DIVISION OF TAGUIG CITY AND PATEROS
MAYOR SIMPLICIO MANALO NATIONAL HIGH SCHOOL

E. QUIOGUE ST. BRGY. AGUHO, PATEROS, METRO MANILA

REGISTRAR OFFICE

REQUEST FORM

NAME OF STUDENT: Absing, Jennie Rose, G.


GRADE AND SECTION: 10- Fortitude
LAST SCHOOL YEAR ATTENDED: 2020-2021
CONTACT NUMBER: 09611685713
PARENT/GUARDIAN’S NAME: Floro Absing
PRESENT ADDRESS OF THE PARENT/ LEGAL GUARDIAN: Asia 1 Blk 28 Lot 4, Kapayaan
Village, Canlubang, Calamba City, Laguna

Type of Request

6. Form137-A / SF10
7. Report Card / SF9
8. Good Moral
9. Diploma
10. Certification/s:
Enrollment
Graduation

Purpose of Request: (pls. check)


6. Enrollment
7. Employment
8. Transfer
9. Scholarship
10. Others: __________________________

Floro Absing

NAME OF THE REQUESTOR

Mayor Simplicio Manalo National High School


E. Quiogue St. Brgy. Aguho, Pateros, Metro Manila
Tel. No. 866-0466
sdotapat.msmnhs@deped.gov.ph
Republic of the Philippines
Department of Education
NATIONAL CAPITAL REGION
DIVISION OF TAGUIG CITY AND PATEROS
MAYOR SIMPLICIO MANALO NATIONAL HIGH SCHOOL

E. QUIOGUE ST. BRGY. AGUHO, PATEROS, METRO MANILA

REGISTRAR OFFICE

REQUEST FORM

NAME OF STUDENT: CRUZ, MILLARES QUEEN SEE


GRADE AND SECTION: 10- Fortitude
LAST SCHOOL YEAR ATTENDED: 2020-2021
CONTACT NUMBER: 09759600563
PARENT/GUARDIAN’S NAME: Carina Millares
PRESENT ADDRESS OF THE PARENT/ LEGAL GUARDIAN: 1-D Lt. Tiamsic St. Tabacalera Pateros
Metro Manila

Type of Request

11. Form137-A / SF10


12. Report Card / SF9
13. Good Moral
14. Diploma
15. Certification/s:
Enrollment
Graduation

Purpose of Request: (pls. check)


11. Enrollment
12. Employment
13. Transfer
14. Scholarship
15. Others: __________________________

Floro Absing

Mayor Simplicio Manalo National High School


E. Quiogue St. Brgy. Aguho, Pateros, Metro Manila
Tel. No. 866-0466
sdotapat.msmnhs@deped.gov.ph
Republic of the Philippines
Department of Education
NATIONAL CAPITAL REGION
DIVISION OF TAGUIG CITY AND PATEROS
MAYOR SIMPLICIO MANALO NATIONAL HIGH SCHOOL

E. QUIOGUE ST. BRGY. AGUHO, PATEROS, METRO MANILA

NAME OF THE REQUESTOR

REGISTRAR OFFICE

REQUEST FORM

NAME OF STUDENT: LABONG JOAN R.


GRADE AND SECTION: 10- Fortitude
LAST SCHOOL YEAR ATTENDED: 2020-2021
CONTACT NUMBER: 09164043427
PARENT/GUARDIAN’S NAME: Julieta Labong
PRESENT ADDRESS OF THE PARENT/ LEGAL GUARDIAN: BLOCK 109 LOT 24 RICARTE ST.,
BARANGAY RIZAL, MAKATI CITY

Type of Request

16. Form137-A / SF10


17. Report Card / SF9
18. Good Moral
19. Diploma
20. Certification/s:
Enrollment
Graduation

Purpose of Request: (pls. check)


16. Enrollment
17. Employment
18. Transfer
19. Scholarship
20. Others: __________________________

Mayor Simplicio Manalo National High School


E. Quiogue St. Brgy. Aguho, Pateros, Metro Manila
Tel. No. 866-0466
sdotapat.msmnhs@deped.gov.ph
Republic of the Philippines
Department of Education
NATIONAL CAPITAL REGION
DIVISION OF TAGUIG CITY AND PATEROS
MAYOR SIMPLICIO MANALO NATIONAL HIGH SCHOOL

E. QUIOGUE ST. BRGY. AGUHO, PATEROS, METRO MANILA

Julieta Labong

NAME OF THE REQUESTOR

REGISTRAR OFFICE

REQUEST FORM

NAME OF STUDENT: Bautista, Ma. Danica


GRADE AND SECTION: 10-Obedience
LAST SCHOOL YEAR ATTENDED: 2020-2021
CONTACT NUMBER: 09956159841
PARENT/GUARDIAN’S NAME: Rose Bautista Alano
PRESENT ADDRESS OF THE PARENT/ LEGAL GUARDIAN: BLOCK 109 LOT 24 RICARTE ST.,
BARANGAY RIZAL, MAKATI CITY

Type of Request

21. Form137-A / SF10


22. Report Card / SF9
23. Good Moral
24. Diploma
25. Certification/s:
Enrollment
Graduation

Purpose of Request: (pls. check)


21. Enrollment
22. Employment
23. Transfer
24. Scholarship
25. Others: __________________________

Mayor Simplicio Manalo National High School


E. Quiogue St. Brgy. Aguho, Pateros, Metro Manila
Tel. No. 866-0466
sdotapat.msmnhs@deped.gov.ph
Republic of the Philippines
Department of Education
NATIONAL CAPITAL REGION
DIVISION OF TAGUIG CITY AND PATEROS
MAYOR SIMPLICIO MANALO NATIONAL HIGH SCHOOL

E. QUIOGUE ST. BRGY. AGUHO, PATEROS, METRO MANILA

Rose Bautista Alano

NAME OF THE REQUESTOR

REGISTRAR OFFICE

REQUEST FORM

NAME OF STUDENT: Bryan Castillo


GRADE AND SECTION: 10- Fortitude
LAST SCHOOL YEAR ATTENDED: 2020-2021
CONTACT NUMBER: 09512281993
PARENT/GUARDIAN’S NAME: Aniway Clutario
PRESENT ADDRESS OF THE PARENT/ LEGAL GUARDIAN: 047 E. QUIOGUE ST. BRGY.
AGUHO,PATEROS,METRO MANILA

Type of Request

26. Form137-A / SF10


27. Report Card / SF9
28. Good Moral
29. Diploma
30. Certification/s:
Enrollment
Graduation

Purpose of Request: (pls. check)


26. Enrollment
27. Employment
28. Transfer
29. Scholarship

Mayor Simplicio Manalo National High School


E. Quiogue St. Brgy. Aguho, Pateros, Metro Manila
Tel. No. 866-0466
sdotapat.msmnhs@deped.gov.ph
Republic of the Philippines
Department of Education
NATIONAL CAPITAL REGION
DIVISION OF TAGUIG CITY AND PATEROS
MAYOR SIMPLICIO MANALO NATIONAL HIGH SCHOOL

E. QUIOGUE ST. BRGY. AGUHO, PATEROS, METRO MANILA

30. Others: __________________________

Aniway Clutario

NAME OF THE REQUESTOR

REGISTRAR OFFICE

REQUEST FORM

NAME OF STUDENT: Ferdinand D. Reyes


GRADE AND SECTION: 10- Obedience
LAST SCHOOL YEAR ATTENDED: 2020-2021
CONTACT NUMBER: 09516613767
PARENT/GUARDIAN’S NAME: Jocelyn Divinia
PRESENT ADDRESS OF THE PARENT/ LEGAL GUARDIAN: 047 E. QUIOGUE ST. BRGY.
AGUHO,PATEROS,METRO MANILA

Type of Request

31. Form137-A / SF10


32. Report Card / SF9
33. Good Moral
34. Diploma
35. Certification/s:
Enrollment
Graduation

Purpose of Request: (pls. check)


31. Enrollment
32. Employment

Mayor Simplicio Manalo National High School


E. Quiogue St. Brgy. Aguho, Pateros, Metro Manila
Tel. No. 866-0466
sdotapat.msmnhs@deped.gov.ph
Republic of the Philippines
Department of Education
NATIONAL CAPITAL REGION
DIVISION OF TAGUIG CITY AND PATEROS
MAYOR SIMPLICIO MANALO NATIONAL HIGH SCHOOL

E. QUIOGUE ST. BRGY. AGUHO, PATEROS, METRO MANILA

33. Transfer
34. Scholarship
35. Others: __________________________

Jocelyn Divinia

NAME OF THE REQUESTOR

REGISTRAR OFFICE

REQUEST FORM

NAME OF STUDENT: ________________________________________


GRADE AND SECTION: _______________________________________
LAST SCHOOL YEAR ATTENDED: _____________________________
CONTACT NUMBER: __________________________________________
PARENT/GUARDIAN’S NAME: _________________________________
PRESENT ADDRESS OF THE PARENT/ LEGAL GUARDIAN:
_____________________________________________________________________________________

Type of Request

36. Form137-A / SF10


37. Report Card / SF9
38. Good Moral
39. Diploma
40. Certification/s:
Enrollment
Graduation

Purpose of Request: (pls. check)

Mayor Simplicio Manalo National High School


E. Quiogue St. Brgy. Aguho, Pateros, Metro Manila
Tel. No. 866-0466
sdotapat.msmnhs@deped.gov.ph
Republic of the Philippines
Department of Education
NATIONAL CAPITAL REGION
DIVISION OF TAGUIG CITY AND PATEROS
MAYOR SIMPLICIO MANALO NATIONAL HIGH SCHOOL

E. QUIOGUE ST. BRGY. AGUHO, PATEROS, METRO MANILA

36. Enrollment
37. Employment
38. Transfer
39. Scholarship
40. Others: __________________________

NAME OF THE REQUESTOR

Mayor Simplicio Manalo National High School


E. Quiogue St. Brgy. Aguho, Pateros, Metro Manila
Tel. No. 866-0466
sdotapat.msmnhs@deped.gov.ph

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