Professional Documents
Culture Documents
Blank SF 10
Blank SF 10
Department of Education
LAST NAME: VENUS FIRST NAME: NATHAN NAME EXTN. (Jr,I,II) MIDDLE NAME: PAMINTUAN
106429160020
Learner Reference Number (LRN): ______________ Birthdate (mm/dd/yyyy): Sex: MALE
ELIGIBILITY FOR ELEMENTARY SCHOOL ENROLMENT
Credential Presented for Grade 1: ✘ Kinder Progress Report ✘ ECCD Checklist Kindergarten Certificate of Completion
Name of School: DUNGAN ELEM. SCHOOL School ID: 106429 Address of School: DUNGAN CONCEPCION, TARLAC
Science Science
Araling Panlipunan 86 87 87 87 87 PASSED Araling Panlipunan 89 90 91 91 90 PASSED
School:DON ANTONIO LEE CHI UAN IS School ID: 159524 School: DON ANTONIO LEE CHI UAN IS School ID: 159524
District: BACOLOR SOUTH Division: PAMPANGA Region: III District: BACOLOR SOUTH Division: PAMPANGA Region: III
Classified as Grade: III Section: NARRA School Year: 2019-2020 Classified as Grade: IV Section: RIZAL School Year: 2020-2021
Name of Adviser/Teacher: ______________________ Signature: Name of Adviser/Teacher: _______________Signature:
____________________________________
Date Name of Principal/School Head over Printed Name (Affix School Seal here)
CERTIFICATION
I CERTIFY that this is a true record of ___________________________________ with LRN ___________________ and that he/she is eligible for admission to Grade ________.
School Name: __________________________________ School ID ________________ Division: ___________ Last School Year Attended: _________________________
____________________________________
Date Name of Principal/School Head over Printed Name (Affix School Seal here)
CERTIFICATION
I CERTIFY that this is a true record of ___________________________________ with LRN ___________________ and that he/she is eligible for admission to Grade ________.
School Name: __________________________________ School ID ________________ Division: ___________ Last School Year Attended: _________________________
____________________________________
Date Name of Principal/School Head over Printed Name (Affix School Seal here)
May add Certification Box if needed SFRT Revised 2017