Holy Trinity College of Cam. Sur Inc.

Don Domingo D. Fortuno St., Santiago Bato, Camarines Sur

(054) 2774296 – htca_1964@ymail.com
HIGH SCHOOL DEPARTMENT

Students Information
S/Y 2021-2022
______________________ ____________________ ________________
First Name Middle Name Last Name
Learning Reference Number ( LRN) _________________________________
Address _____________________________________________________________________________
Zone /Purok /Street Barangay Municipality Province
Date of Birth _____________________________________________________
Month Date Year
Fathers Name : ________________________________________________________________________
First Name Middle Name Last Name
Mother Maiden Name:__________________________________________________________________
First Name Middle Name Last Name
Religion: ___________________________________________
Active Contact No. of Parents / Guardian __________________________________________
Active Conatct No. of Students: __________________________________________________

__________________________ ____________________________
Students Signature Adviser

Holy Trinity College of Cam. Sur Inc.

Don Domingo D. Fortuno St., Santiago Bato, Camarines Sur
(054) 2774296 – htca_1964@ymail.com
HIGH SCHOOL DEPARTMENT

Students Information
S/Y 2021-2022
______________________ ____________________ ________________
First Name Middle Name Last Name
Learning Reference Number ( LRN) _________________________________
Address _____________________________________________________________________________
Zone /Purok /Street Barangay Municipality Province
Date of Birth _____________________________________________________
Month Date Year
Fathers Name : ________________________________________________________________________
First Name Middle Name Last Name
Mother Maiden Name:__________________________________________________________________
First Name Middle Name Last Name
Religion: ___________________________________________
Active Contact No. of Parents / Guardian __________________________________________
Active Conatct No. of Students: __________________________________________________

__________________________ ____________________________
Students Signature Adviser
 Holy Trinity College of Cam. Sur Inc.
Don Domingo D. Fortuno St., Santiago Bato, Camarines Sur
(054) 2774296 – htca_1964@ymail.com
HIGH SCHOOL DEPARTMENT

________________________________________
Year & Section
S/Y 2021-2022

NO NAME OF STUDENT LEARNING REFERENCE NUMBER ( LRN)

Prepared by:
______________________________________

Class Adviser