Republic of the Philippines

Department of Education
REGION IV A – CALABARZON
SCHOOLS DIVISION OF SAN PABLO CITY
CRECENCIA DRUSILA LOPEZ SENIOR HIGH SCHOOL
BARANGAY SAN ROQUE, SAN PABLO CITY, LAGUNA
TALAAN PARA SA PAGBASA NG MGA FORMS
ANTAS AT SEKSYON:_____________________ GURONG TAGAPAYO:________________________
RATING BUOD NG
Pangalan ng Mag-aaral KAARAWAN SF1 BIRTH SF 9 SF 10 SHEET BILANG NG PUNA
(MALALAKING LETRA) LRN CERTIFICATE IPINASOK
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Pangalan ng Mag-aaral Rating Buod ng

CRECENCIA DRUSILA LOPEZ SENIOR HIGH SCHOOL

DLMP Compound, Brgy. San Roque, San Pablo City, Laguna
(049) 564 6980
 Republic of the Philippines
Department of Education
REGION IV A – CALABARZON
SCHOOLS DIVISION OF SAN PABLO CITY
CRECENCIA DRUSILA LOPEZ SENIOR HIGH SCHOOL
BARANGAY SAN ROQUE, SAN PABLO CITY, LAGUNA

LRN kaarawan Sf1 Birth Sf 9 Sf 10 Sheets bilang ng Puna

(MALALAKING LETRA) certificate araw na
ipinasok
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Ang lahat ng dokumentong binasa ay sinuri at iniwasto. Bago ipasa sa registrar kailangang maipakitang muli ang Talaan (Checklist) na ito sa chairman ng
komite upang matiyak na ang ahat ng kailangang itama at baguhin ay naisagawa na.

___________________________________________
PANGALAN AT LAGDA NG GURONG TAGAPAYO

PANGALAN AT LAGDA NG KOMITE: ____________________________

LIDER

_________________ _________________ _________________ _______________ ________________ ______________ _______________

MIYEMBRO MIYEMBRO MIYEMBRO MIYEMBRO MIYEMBRO MIYEMBRO MIYEMBRO
(LRN) (KAARAWAN) (SF1) (BIRTH CERTIFICATE) (SF9) (SF10) (BUOD NG BILANG NG
ARAW NA IPINASOK)

CRECENCIA DRUSILA LOPEZ SENIOR HIGH SCHOOL

DLMP Compound, Brgy. San Roque, San Pablo City, Laguna
(049) 564 6980
 Republic of the Philippines
Department of Education
REGION IV A – CALABARZON
SCHOOLS DIVISION OF SAN PABLO CITY
CRECENCIA DRUSILA LOPEZ SENIOR HIGH SCHOOL
BARANGAY SAN ROQUE, SAN PABLO CITY, LAGUNA

CRECENCIA DRUSILA LOPEZ SENIOR HIGH SCHOOL

DLMP Compound, Brgy. San Roque, San Pablo City, Laguna
(049) 564 6980