Application Form for Incoming Grade 7 Students

Instructions:

Please accomplish this application form and submit to the Guidance office
together with the following documents:
2” x 2”
For Students:
1. Form 138 (Grade 5) PICTURE
2. Two copies of 2” x 2” picture with white background
3. Certificate of Good Moral Character.
4. Birth Certificate (Original and Photocopy)

For Parents/Guardian:
1. Updated Voter’s Certificates
2. Community Tax Certificate
3. For guardians, submit notarized Affidavit of Guardianship
Learner’s Reference Number (LRN):__________________________
FULL NAME OF THE STUDENT
TAMANI CARLA BRIELLE YECLA
LAST NAME FIRST NAME MIDDLE NAME
BIRTHDATE AGE GENDER RELIGION
JULY 12, 2012 11 FEMALE ROMAN CATHOLIC
HOME ADDRESS
BLDG M2 411 SORRENTO OASIS C. RAYMUNDO PASIG CITY
PHONE NO. MOBILE NO. E-MAIL ADDRESS
N/A 09164218908 kjfyecla@gmail.com
CURRRENT SCHOOL
Private
PASIG GREEN PASTURE CHRISTIAN SCHOOL Public

SCHOOL ADDRESS
137 F. Andres St. Brgy. Rosario, Pasig, Philippines
FATHER'S NAME
CHARLES FREDERICK M. TAMANI
HIGHEST EDUCATIONAL ATTAINMENT
COLLEGE UNDERGRADUATE
PHONE NO. MOBILE NO. E-MAIL ADDRESS
N/A N/A N/A
OCCUPATION
Deceased
COMPANY/BUSINESS NAME AND ADDRESS
N/A
VOTER REGISTRATION RECORD NO. BARANGAY PRECINT NO.
N/A N/A N/A

MOTHER'S NAME
KAREN JEAN Y. TAMANI
HIGHEST EDUCATIONAL ATTAINMENT
COLLEGE GRADUATE
PHONE NO. MOBILE NO. E-MAIL ADDRESS
N/A 09164218908 kjfyecla@gmail.com
OCCUPATION
IT
COMPANY/BUSINESS NAME AND ADDRESS
PROV INTERNATIONAL (PHILIPPINES) INC.
VOTER REGISTRATION RECORD NO. BARANGAY PRECINT NO.
10501893 (Application No. for Transfer) ROSARIO TBA

GUARDIAN'S NAME
KAREN JEAN Y. TAMANI
HIGHEST EDUCATIONAL ATTAINMENT
COLLEGE GRADUATE
PHONE NO. MOBILE NO. E-MAIL ADDRESS
N/A 09164218908 kjfyecla@gmail.com
OCCUPATION
IT
COMPANY/BUSINESS NAME AND ADDRESS
PROV INTERNATIONAL (PHILIPPINES) INC.
VOTER REGISTRATION RECORD NO. BARANGAY PRECINT NO.
10501893 (Application No. for Transfer) ROSARIO TBA