Professional Documents
Culture Documents
Registration
Poblacion, Alcantara, Romblon
SLIP
Class: __________
Direction: Please write in CAPITAL LETTERS
Child’s information
Please attach your child’s Birth Certificate.
NAME: ____________________________________________________________________________________________________________
(Last) (First) (Middle)
Right Handed: ______ Left Handed: ______ Both: _______ Not yet established: ______
CHILD’S NUMBER OF SIBLINGS: _______ CHILD’S BIRTH ORDER: ________ (1st, 2nd, 3rd, etc.)
RELIGION: __________________________________
Health information
Physically Fit: _____
Under Observation: _____
With Illness: _____ What Illness? ______________________
Without Idea: _____
Enrolled by : ____________________________________
Signature Over Printed Name
Date: ____________________________________