Republic of the Philippines

Department of Education
Region IV- MIJMAROPA
Division of Oriental Mindoro
FRANCISCO KIKO MANLISES CALINGAG HIGH SCHOOL
Pinamalayan

ENROLMENT FORM
BASIC PROFILE
Name: _________________________________________________________ Birth Date: ____________Gender: ____
(Last Name, First Name Middle Name) (Month/day/Year)
Address: __________________________________________ Learners Reference Number (LRN) ________________
( Sitio, Barangay, Town )
STATUS
Regular Transferee Balik-Aral Repeater
Mother Tongue: _____________________Religion: _______________Ethnicity: ___________Dialect:____________
4Ps Ips ECD PWD State: ____________________________
ENROLMENT PROFILE
Previous Enrolment
School ID No. __________________________ Grade Level: ________
Name of School: ___________________________________________________________________________________
School Address : ___________________________________________________________________________________
PARENT’S/GUARDIAN INFORMATION
Father’s Name: ___________________________________________________________________________________
( Last Name First Name Middle Name )
Mother’s Maiden Name: ___________________________________________________________________________
( Last Name First Name Middle Name )
Guardian’s Name: __________________________________________________Relationship: ___________________
( Last Name First Name Middle Name )
Documents Submitted:
Birth Certificate Form 137 Form 138 Good moral

KASUNDUAN NG MAGULANG AT GURONG TAGAPAYO

Ako si ______________________________________________________________ magulang ni

________________________________________________ ay nanunumpang magiging aktibong
kaagapay ng paraalan ng FRANCISCO KIKO MANLISES CALINGAG HIGH SCHOOL sa
pagtupad ng mga sumusunod na gampanin:
1. Maiwasan ang madalas na pagliban nga aking anak sa klase nang walang sapat na dahilan.
2. Pagtiyak sa paggawa ng takdang aralin at proyektong pampaaralan
3. Pagsuporta sa lahat ng gawaing pampaaralan (Academics and Extra Curricular)
4. Pagtugon sa panawagan nang paaralan na may kinalaman sa aspetong moral.
5. Patuloy na susuportahan sa pag-aaral ang aking anak hanggang sa makatapos ng Junior High School
sa paaralang ito.

Bilang katunayan ay inilagda ko ang aking pangalan ngayong ika ______ ng ________ taong
__________.

_____________________________________________________
(Lagda ng Magulang)

Pinatotohanan ni:

_____________________________________________________
(Gurong Tagapayo)