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QUIRICO G.

MANZANO MEMORIAL NHS STUDENTS PROFILE


AUGUST 10, 2020
GRADE/TRACK/STRAND: GRADE 12 HUMSS- EDUCATION
BARANGAY:
SUBMITTED DOCUMENTS
STUDENT STATUS FORM
SEX BIRTHDAY IP'S 4P'S (REGULAR, F138 PSA/ NSO/
NO. LAST NAME FIRST NAME MIDDLE NAME AGE (2) ACTIVE MOBILE NUMBER BIRTH CERT./ 137 SIGNATURE
(M/F) (MMDDYY) (Y/N) (Y/N) TRANSFEREE, BALIK
ARAL)
CARD BRGY. CERT / (PLEASE
(PLEASE PUT OTHERS PUT
CHECK) CHECK)

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