Republic of the Philippines

Department of Education
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE OF NUEVA ECIJA
AGBANNAWAG ELEMENTARY SCHOOL
AGBANNAWAG, RIZAL, NUEVA ECIJA

CERTIFICATE OF ENROLLMENT

This is to certify that according to the records of this office, the child / person with details
below is enrolled in this school for School Year 2021 – 2022 with Learner’s ID Number:
____________________.

Name: _________________________________________________

Address: _________________________________________________

Date of Birth: _________________________________________________

Age: _________________________________________________

Gender: _________________________________________________

Place of Birth: _________________________________________________

This certification is issued upon the request of the herein interested party for the purpose of
PHILIPPINE IDENTIFICATION SYSTEM STEP 2 REGISTRATION only.

Issued this 25th day of April 2022 at Agbannawag, Rizal, Nueva Ecija.

__________________________

Class Adviser

SUHITA D. ALCANTARA

School Principal III

Address: Agbannawag, Rizal, Nueva Ecija

Telephone No.:
Email:
Facebook Page: https://www.facebook.com/agbannawages
Webpage: