pst he | DefED Department of Edvation Learner's Permanent Academic Record for Junior High School (SF10-JHS) tromery fom 17) LEARNER'S INFORMATION. usrae: apse RST NAME: REME_ NAME ET IR DOLE NAME: mAYORDO eae ference Number (WW; auDaTIBO08} Brine Fly 12/98/2008 See mate ELIGIBILITY FOR sHS ENROLMENT (a arrears (coasimmpe Faia arya 5 Centr Schoo DIONE MENTARY SCHOOL Set Adres of Sd asad Oral Peed PPT Passer Rating 7 Asagerasser Rating Tonnes (ts. Soca Oat of aration eset n Name andr Trina Ctr SCHOLASTIC RECORD too ARAN RETNA a SOXOO. ODD EXTENSION Soho HEI OW HOSES ADILA Dron: GRGRGEGEORENTAL GE esesines ax crate: 7 Section: _AMETIIST School Year ani: Name of Adie stone: halen — LEARNING AREAS eran Fates nat REMARS Fe ae pin 7 [se [as Passe eosin 7 [6 1 [ss | 2 PASSED Ivatnenats 7 [oo | s | [| «| = PasseD scence 7 [| 2 |» | 0 | 2 PasstD [ating Paipunan (APL 7 [a [7 | | | 7 PASSED esotayon sa Poppapatatao(em] 7 | |e | ss | as | as Passe0 feenoology and Uvethood Eaueation Ti?” | so | ez | 8 | wo | at Passed waren 7 es | > | Passed Muse 7 [- [ [os | os acts 7s [es | Physi Euan 7s | | o | wo Heath Fo oe Genera Anas = mROMOT Toned Gnas [condeaea Fon fne/adlemn oT | emedist cians mare | Recomputed Fi iemar Learning Areas Fal Rating mend emais choot SEEDS IEP scr Sen E Soc ROR PROTA — riven WGRGE IEE, Jiassited as Grade: Section TAPEcnoct Year ={E8F Name of Adviseleacher MEMeeh uaa signature: Sakina, LEARNING AREAS a eMaris tine gol aol ea | a PASED engish go] 2 [go | a | el PASSED Ivatnenancr F 35 as | te | & | ae PASSED scene | 82 sf [ a. PASSED [wating Panton aP)_9 ao | eb | [ae | Re PASSED. eavtsyon sa Pagpapakaao P) 7 PESSED. [reehlory and Uvethood Esueavon tml @ | 87 | 89 | 7g | ae | a9 PASSED waren 8 S| 83 | ee | go | ed PASIED Music fae __|f0 [eof ro Sf 165 les Phys Education a Heats of [ee as fe General Averoge a PROMCTED Teed Gass [bonded Rom tn [eal IT ‘Recomputed Fal teaming Areas Fat fating | Remedial Cass Mark rote fears CERTIFICATION cm iat ties true recordot______wintt__andat en's efile for admisono Gade ame ot coo Seal Gs sea Year Atede o Rare ot Pipa Sool Read ave Peano (at seroo Sea here)eral Crm [landing aang 8 Flag a OS ao ree aT Cased ERIE ttt erence aun sritaniensipiotraneimbcni_| honest ae Tae or ani (aya CateninHd : ” Scbice ‘OF REGISTRAR GENENAL ste ia ie | 4 f- ; | Negros Occidental | rogintesth | | vty Meiges Padilla i =| 4 RE, MaYOUDC Arsrmo Re | oe Ta. DATE OF BIRT “ Za 08 Ddoaenber 2005.5 “ 1 | chine diate ogy Lay Nggros Cocidental, | Le z BodD as NAOH. Cooter at : F jsenio sre} A : +f 15. RELIGION RY nL a is Roman. Gatholio._ t e| CPR 7. Agwattha Gow bez P Rl Laborer . s oe | . Pea oe pane OF EE tase Mbit Za, LiDy tion 40 Pads fe top CERTIFICAI BIRTH | Trey it teu hemo aves waking oO J i | ~ = t oun Bs rr eacey i igo Braye Ollongs Motaca | " saicawlacion. ” m1G0R Padillay sogroe Cove F Nelfniwe B= Biot 9 HEC Days Cdiong, Moises | a * Woibee Padill a, lege Cope coo 28 DEC 22005 j MA, - “MA. CECILIA L. BULARON MUN, CIVIL REGIST RASR RTEE A Sree Pore a aaiiene and Eat parents/parent of te @hild mentioned in this Cerdficatg,af Live, Birth, do hereby solemnly ‘information contained. hereinsare. true and correct to We best\of- outfnt knowledge and elif 7 “Gignature of Moher an MEG Sod % Cogumunity Tax No.2 ait | Community Tax No. —— Date Issued. El fe “Date Issued Place Issued ie Place Issued. SUBSCRIBED AND SWORN (0 before me this __ a Sie eis Signature ot Asministoringy Once) ay ge ‘Ware in Print) Not applicable for births before 27 February 1931 AFFIDAVIT FOR DELAYED REGISTRATION OF BIRTH (ithe the plrsan inself 18 yours old or aver, af fatber/mather/guardian may accemplish ths afidevit) ae of legal age, single/macried and with residence and postal ‘address at ——- 3 ue after having been duly sworn to in accordance with law, do hereby depose and say: aiat 1a ie Mitant: for ibe Gekeds cepwuatle ot sa. BRA/OE/ ke bir ot ‘That T/he/she was born On 3 That I/he/she was attended at birth by. Who resides at ‘That I/he/she-is a citizen of 5 That my/his/her parents were ‘married on at ‘ot married but was acknowledge by my/his/Rer father whose ‘That the reason for the delay in registering my/his/her birth was due to. ‘That @ copy of may7his/her bin cenicate Is needed Tor the purpose oF & (Ly Gor te applicant only) That T am nustied to anens : [04 ar the father/mother/guardian) ‘That {am the ‘of the said person. TST Bone ot arian Community "Tax No. ———— Date Issued Place bssued SUBSCRIBED AND SWORN (0 before me this day of _—— , Philippines, Tie/Oesignation)