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PONTIEVEDRA\NATIONAIS HIGH SCHOOM| Pontavedhe, Negros Oscidenta! GrelgvoN(034)37/27300 KENNETH JAY C. PIALDA STUDENT REGIE B. SAMA. Principal Ii SENIOR HIGH SCHOOL PONTIEVEDRA\NATIONAISHIGHISCHOOLS Pontavedhe, Negros Occident! Tiel Now(034)537737306) REZHANE A. ESPISO STUDENT REGIE B. SAMA Prihcipal Il SENIOR HIGH SCHOOL PONTIEVEDRA\NATIONAIS HIGH SCHOO Pontavedhe, Negros Oscidenta! GrelgvoN(034)37/27300 RALPH JOSHUA M. ESTIAMBA STUDENT REGIE B. SAMA. Principal Ii SENIOR HIGH SCHOOL PONTIEVEDRA\NATIONAISHIGHISCHOOLS Pontavedhe, Negros Oscidenta! GrelgvoN(034)37/27300 CRISTINA S. GUYO STUDENT REGIE B. SAMA. Principal Ii a eee eee Bray. Miranda, Bray. Il, Pontevedra, Negros Occidental Pontevedra, Negros Oc Address Address May 31, 1998 Male July 29, 1998 Male B-Date Gender B-Date Gender Grade-Il IcT-B Grade-Il Cookery-B Year Level Section Year Level Section ‘Student's Signature ‘Student's Signature EDSEL G. ESCOBER QUERUBIN J. YMBALLA Adviser Adviser In case of emergency please notify: In case of emergency please notify: RODEL G. ESTIAMBA ELNIE PIALDA Brgy. Il, Broy. Miranda, Pontevedra, Negros. Occidental Pontevedra, Negros. Occidental Name & Address Name & Address Father 09469703483 Mother Relationship Contact ¥ Relationship Contact ¥ This ID is non-transferable and is vali ly for the S.¥, 2016-2017. This must be This ID is non-transferable and is vali rendered upon request of honorable ly for the S.¥, 2016-2017. This must be smissal or transfer credentials rendered upon request of honorable PDEs ‘ Bt dismissal or transfer creden Bray. San Isidro. Pontevedra, Negros Occidental Address Brgy. Gambarus, Pontevedra, Negros Occidental Address Mareh 17, 2000 Female Mareh 12, 2000 Female B=Date Gender B-Date Gender Grade-I HUMSS: Grade-I HUMSS-! Year Level Section Year Level Section Student's Signature Student's Signature BEULAH T. ESCANLAR BEULAH T. ESCANLAR Adviser Adviser In case of emergency please notify: In case of emergency please notify: GILBERT GUYO ZENY T. ESPISO Bray. Cambarus, Bray. San Isidro, “Pontevedra, Negros. Occidental “Pontevedra, Negros. Occidental Name & Address Name & Address Father Mother 09100287845 Relationship Contact # Relationship Contact # This ID is non-transferable and is valid only for the S.Y. 2016-2017, This must be surrendered upon request of honorable dismissal or transfer credentials This ID is non-transferable and is valid only for the S.Y. 2016-2017, This must be surrendered upon request of honorable dismissal or transfer creden

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