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DEPARTMENT OF EDUCATION EARLY REGISTRATION FORM

School ID School Name : ___________________________ : ___________________________ Region : IV- A CALABARZON Division : LAGUNA School District : SANTA MARIA

________________________ Kindergarten/ Grade / Year Level


CATEGORY OF C/Y WITH DISABILITY *** (for Children and Youth with Disabilities only)

NAME

SEX

AGE

BIRTHDATE

ADDRESS

REMARKS*

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