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DE LA SALLE LIPA COLLEGES Admissions Office

( 1962 JP Laurel Highway, Lipa City 4217 Telephone Nos. (043) 756-2491 local 238 (Direct) (043) 981-3575
AO Form # 11

NAME: SCHOOL:

________________________________________________________________________________ Last First Middle ________________________________________________________________________________

SCHOOL ADDRESS: _________________________________________________________________________________

To The High School Registrar: Please type the students final grades for the following subjects. For failing grade/s, please indicate the summer grade/s. For letter grade/s, please indicate the numerical if available. If unavailable, please attach a copy of the grading system. Upon completion, please place your School Dry Seal to authenticate the information. Thank you very much.
FINAL GRADES YEAR II SY __ to __

SUBJECTS FILIPINO ENGLISH MATHEMATICS SCIENCE SOCIAL STUDIES CONDUCT / DEPORTMENT


* In case there are no conduct/deportment grades, please indicate the homeroom grades.

YEAR I SY __ to __

YEAR III SY __ to __

AVERAGE

GENERAL AVERAGE Highest Possible Grade Lowest Possible Grade Passing Grade

CERTIFIED CORRECT BY:

_________________________________ SIGNATURE OVER PRINTED NAME _________________________________ DESIGNATION _________________________________ DATE

Place School Dry Seal Here

NOTE: This grades form is not valid without the school seal.

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