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Republ ic of the Phil ippines Republ ic of the Phil ippines

Department of Education Department of Education


Region VIII Region VIII
Schools Division of Eastern Samar Schools Division of Eastern Samar
Gen. MacArthur District Gen. MacArthur District
GEN. MACARTHUR NATIONAL AGRICULTURAL SCHOOL GEN. MACARTHUR NATIONAL AGRICULTURAL SCHOOL
Brgy. Aguinaldo, Gen. MacArthutr, Eastern Samar Brgy. Aguinaldo, Gen. MacArthutr, Eastern Samar

LEA R NER TR A CK ER SH EET LEA R NER TR A CK ER SH EET


Date: ______________ Date: ______________

Name of Learner: _____________________________________________________________________________ Name of Learner: _____________________________________________________________________________


(Last Name) (First Name) (Middle Initial) (Last Name) (First Name) (Middle Initial)

LRN: ______________________________________ LRN: ______________________________________


Gender: ___________________________________ Gender: ___________________________________
Birthday: __________________________________ Birthday: __________________________________
Age: ______________________________________ Age: ______________________________________
Contact Number: ___________________________ Contact Number: ___________________________
Grade and Section: _________________________ Grade and Section: _________________________
Future Enrolment: Future Enrolment:
 Planning to study next school year? Yes No  Planning to study next school year? Yes No
 If Yes, specify name of prospective school.  If Yes, specify name of prospective school.
__________________________________________________________ __________________________________________________________
 If No, state the reason for not planning to study next school year  If No, state the reason for not planning to study next school year
__________________________________________________________ __________________________________________________________

_______________________________________ _______________________________________
Parent’s Signature over Printed Name Parent’s Signature over Printed Name

Republ ic of the Phil ippines Republ ic of the Phil ippines


Department of Education Department of Education
Region VIII Region VIII
Schools Division of Eastern Samar Schools Division of Eastern Samar
Gen. MacArthur District Gen. MacArthur District
GEN. MACARTHUR NATIONAL AGRICULTURAL SCHOOL GEN. MACARTHUR NATIONAL AGRICULTURAL SCHOOL
Brgy. Aguinaldo, Gen. MacArthutr, Eastern Samar Brgy. Aguinaldo, Gen. MacArthutr, Eastern Samar

LEA R NER TR A CK ER S H EET LEA R NER TR A CK ER S H EET


Date: ______________ Date: ______________

Name of Learner: _____________________________________________________________________________ Name of Learner: _____________________________________________________________________________


(Last Name) (First Name) (Middle Initial) (Last Name) (First Name) (Middle Initial)

LRN: ______________________________________ LRN: ______________________________________


Gender: ___________________________________ Gender: ___________________________________
Birthday: __________________________________ Birthday: __________________________________
Age: ______________________________________ Age: ______________________________________
Contact Number: ___________________________ Contact Number: ___________________________
Grade and Section: _________________________ Grade and Section: _________________________
Future Enrolment: Future Enrolment:
 Planning to study next school year? Yes No  Planning to study next school year? Yes No
 If Yes, specify name of prospective school.  If Yes, specify name of prospective school.
__________________________________________________________ __________________________________________________________
 If No, state the reason for not planning to study next school year  If No, state the reason for not planning to study next school year
__________________________________________________________ __________________________________________________________

_______________________________________ _______________________________________
Parent’s Signature over Printed Name Parent’s Signature over Printed Name

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