RepublicofthePhilippines

DepartmentofEducation
CARAGAADMINISTRATIVEREGION
DIVISIONOFBUTUANCITY Picture
AGUSANNATIONALHIGHSCHOOL
SENIORHIGHSCHOOL

STUDENTINFORMATION

Learner’sReferenceNumber(LRN) 132107100121
LastName Espedido
FirstName Erika
MiddleName
ExtensionNamee.g.Jr.,I(ifapplicable):
FacebookAccount ErikaEspedido
ContactNumber 09097698051
DateofBirth 8/4/2005
Age 16
Sex Female
BelongstoanyIndigenousPeoples(IP)Community? No
Mothertongue Bisaya
Religion Catholic
CompleteAddress P-ApitongBrgyPangabuganButuanCity
Landmarknearyourhouse
ZipCode
Isyourfamilyabeneficiaryof4Ps? No

Parents/Guardian’s FATHER MOTHER’SMAIDEN GUARDIAN

Information
NAME
LastName Espedido Espedido
FirstName Maria Imelda
MiddleName Miole Miole
ExtensionNamee.g.Jr.,I(if Elena
applicable):
FacebookAccount AneleAriamOdidepse
ContactNumber 09485568009
Occupation O.F.W
OccupationAddress Dubai

SCHOOLLASTATTENDED
LastGradeLevelCompleted G-10
LastSchoolYearCompleted 2020-2021
SchoolName
AgusanNationalHighSchool
SchoolAddress
A.DCuratoStreet
Section
Pioneer
Adviser
Mrs.RowenaCordova

IherebycertifythattheaboveinformationgivenaretrueandcorecttothebestofmyknowledgeandIalowthe
DepartmentofEducationtousemychild’sdetailstocreateand/orupdatehis/herlearnerprofileintheLearner
InformationSystem.TheinformationhereinshalbetreatedasconfidentialincompliancewiththeDataPrivacyActof 2012.

AgusanNationalHighSchool
SeniorHighSchool
T.SanchezSt.,ButuanCity
(085)817–0875
RepublicofthePhilippines
DepartmentofEducation
CARAGAADMINISTRATIVEREGION
DIVISIONOFBUTUANCITY
AGUSANNATIONALHIGHSCHOOL
SENIORHIGHSCHOOL
SignatureOverPrintedNameofParent/Guardian Date

AgusanNationalHighSchool
SeniorHighSchool
T.SanchezSt.,ButuanCity
(085)817–0875