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  • Grade 11 - Female - Carillo, Catherine, Labrador (304261 Grade 10 - Last Section Attended)

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    Catherine Labrador Carillo
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    Catherine Labrador Carillo is enrolling in Grade 11 at Tagum National Trade School for SY 2021-2022. She is taking the TVL tracks of Cookery NC II and Technical Drafting NC II through the modular learning modality. Her guardian, Carlito Gemilga Carillo, completed the enrollment and survey form providing Catherine's personal details, family and household information, and access to distance learning. The form certifies that the information is true and allows the Department of Education to create and update Catherine's learner profile and treat the data confidentially under the Data Privacy Act.

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    Grade 11 - Female - Carillo, Catherine , Labrador (304261 Grade 10 - Last Section Attended)

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    Catherine Labrador Carillo is enrolling in Grade 11 at Tagum National Trade School for SY 2021-2022. She is taking the TVL tracks of Cookery NC II and Technical Drafting NC II through the modular learning modality. Her guardian, Carlito Gemilga Carillo, completed the enrollment and survey form providing Catherine's personal details, family and household information, and access to distance learning. The form certifies that the information is true and allows the Department of Education to create and update Catherine's learner profile and treat the data confidentially under the Data Privacy Act.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    4 views1 page

    Grade 11 - Female - Carillo, Catherine, Labrador (304261 Grade 10 - Last Section Attended)

    Uploaded by

    Catherine Labrador Carillo
    Catherine Labrador Carillo is enrolling in Grade 11 at Tagum National Trade School for SY 2021-2022. She is taking the TVL tracks of Cookery NC II and Technical Drafting NC II through the modular learning modality. Her guardian, Carlito Gemilga Carillo, completed the enrollment and survey form providing Catherine's personal details, family and household information, and access to distance learning. The form certifies that the information is true and allows the Department of Education to create and update Catherine's learner profile and treat the data confidentially under the Data Privacy Act.

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    © All Rights Reserved
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    of 1

    LEARNER ENROLLMENT AND SURVEY FORM

    SY: 2021 - 2022


    Enrolling for: Grade 11 Learning Modality: Modular (Print)
    Specialization (Option 1): TVL - Cookery NC II
    Specialization (Option 2): TVL - Technical Drafting NC II

    CATHERINE LABRADOR CARILLO


    First Name Middle Name Last Name Extn.
    LRN: 128770100075 PSA Birth Certificate No:
    Height: 1.52 m m Weight: 50 kg GWA: 91.3 % Date: 7/24/2021

    A. Student Information
    Address: BLK 2 LOT 27, , Mankilam, Tagum City, Davao Del Norte, Region XI
    Date of Birth: 1/6/2005 Birth Place: DAVAO REGIONAL HOSPITAL, APOKON, TAGUM CITY Blood Type: O+
    Sex: Female Civil Status: Single Citizenship: Filipino
    Religion: Roman Catholic Ethnicity: Mother Tongue: Tagalog
    Contact No.: 09071314252 Email Address: carillokathy16@gmail.com

    Belonging to Indigenous People: No - Assistive Devices: Yes - Cellphone


    Special Education Needs: No - Returning (Balik-Aral): No
    B. Grade Level and School Information
    Last Grade Level Completed: Grade 10 - AGUINALDO
    Last School Attended: TAGUM NATIONAL TRADE SCHOOL - 304261 - Public
    Last School Address: APOKON, TAGUM CITY, DAVAO DEL NORTE

    C. Guardian Information
    Father’s Name: CARILLO, CARLITO GEMILGA Guardian’s Name: CARILLO, CARLITO GEMILGA
    Highest Educational Attainment: Vocational Vocational
    Highest Educational Attainment:
    Employment Status: Full time Employment Status: Full time
    Working from home due to ECQ: Yes Working from home due to ECQ: Yes
    Contact Number: 09465997899 Contact Number: 09465997899

    Mother's Name: CARILLO, ARCILY LABRADOR


    Highest Educational Attainment: CARILLO, ARCILY LABRADOR Beneficiary of 4P’s?: No
    Employment Status: Vocational
    Working from home due to ECQ: No
    Contact Number: 09304016244

    D. Household Capacity and Access to Distance Learning


    D1. How does your child go to school? Public
    D2. Kinder: 1 Grade 3: 0 Grade 6: 0 Grade 9: 0 Grade 12: 0
    Grade 1: 0 Grade 4: 0 Grade 7: 0 Grade 10: 0 College: 0
    Grade 2: 0 Grade 5: 0 Grade 8: 0 Grade 11: 1
    D3. Household members that can provide instructional support:
    - elder siblings
    D4. Devices Available: smartphone
    D5. Connected to the Internet? Yes
    D6. How do you connect to the internet? mobile data
    D7. Learning Modality: others
    D8. What Challenges: difficulty in independent learning, others
    E. Limited Face to Face: No - Fear of Getting Infected of Corona Virus
    I hereby certify that the above information given are true and correct to the best of my knowledge and I allow the Department of Education to use my child’s details to create and/or
    update his/her learner profile in the Learner Information System. The information herein shall be treated as confidential in compliance with the Data Privacy Act of 2012.

    CARILLO, CARLITO GEMILGA 8/16/2021


    Full Name of Parent/Guardian answering this form Date Today

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