PALAWAN NATIONAL SCHOOL

ENROLLMENT FORM
THIS FORM IS NOT FOR SALE.

School Year: 2 0 2 2 - 2 0 2 3 Grade level to Enroll:

INSTRUCTIONS: Print legibly all information required in CAPITAL letters. Drop the accomplished form in the
designated drop boxes of the school. Use black or blue pen only.
STUDENT INFORMATION
Learner Reference No.
(LRN)
LAST NAME

FIRST NAME

MIDDLE NAME

EXTENSION NAME e.g., Jr., III (if applicable)

DATE OF BIRTH / / SEX MALE FEMALE AGE
(Month/Day/Year)

Belonging to any Indigenous Peoples (IP)

If yes, please
Community/Indigenous Cultural Community? No Yes specify:
Mother Tongue Religion 4Ps Recipient Yes No
ADDRESS
House Number and Street

Barangay

City/Municipality/Province/Country
Zip Code

PARENT’S/GUARDIAN’S INFORMATION
Father’s Name (Last Name, First Name, Middle Name) Mother’s Maiden Name (Last Name, First Name, Middle Name)

Guardian’s Name (Last Name, First Name, Middle Name)

Enrollee’s Contact No. Parent’s Cellphone No.

Enrollee’s FB Account/URL

SKETCH OF RESIDENCE
Eligibly sketch your residence’s address with landmarks.
 For Returning Learners (Balik-Aral) and Those Who Shall Transfer/Move In

Last Grade Level Completed Last School Year Completed

School Name School ID
School Address

For Learners in Senior High School

Semester 1st Sem 2nd Sem
Track Strand (if any)
(See back page for your reference)

Specialization/Bundle for TVL ___________________________________________________________

SENIOR HIGH SCHOOL PROGRAM OFFERINGS:
• ACADEMIC Track

a. Accountancy, Business and Management (ABM) Strand

b. General Academic Strand (GAS)
c. Humanities and Social Sciences (HUMSS) Strand
d. Science, Technology, Engineering and Mathematics (STEM) Strand
• ARTS & DESIGN Track

a. Dance Strand
b. Vocal Music Strand
c. Instruments Strand
d. Theater Strand
e. Visual Arts Strand
f. Media Arts Strand
g. Literary Arts Strand
• SPORTS Track

• TECHNICAL-VOCATIONAL-LIVELIHOOD (TVL) Track

a. Agri-Fishery Arts (AFA) Strand

Specializations: Agri-crops Production (ACP) and Landscape Installation and Maintenance (LIM)

b. Home Economics (HE) Strand

Specializations:
*Bundle 1 Bread and Pastry Production (BPP) and Food, Beverage Services (FBS) & Cookery
*Bundle 2 Wellness Massage (WM), Front Office Services (FOS), Housekeeping & Travel Services
*Bundle 3 Local Guiding Services (LGS), Tourism Promotion Services (TPS) & Events Management

c. Industrial Arts (IA) Strand

Specializations: Electrical Installation and Maintenance (EIM) & Electronics Products Assembly and
Servicing (EPAS)

d. Information and Communications Technology (ICT) Strand

Specializations:
*Bundle 1 Computer System Servicing (CSS) & Java Programming
*Bundle 2 Computer Programming - Website Dev. (.NET) and System Dev. (ORACLE)

For Old Student

Name of Previous Adviser _______________________________________________________________

Previous Grade level & Section/Block ____________________________________

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.

Signature Over Printed Name of Parent/Guardian Date