THE APPLICATION FORM IS NOT

FOR SALE.
IT MAY BE PHOTOCOPIED.
HINIGARAN NATIONAL HIGH SCHOOL
Rizal Street, Barangay III, Hinigaran, Negros Occideantal
STE JUNIOR HIGH SCHOOL GRADE 7 SY 2021-2022
APPLICATION FORM

Instructions: QUALIFICATIONS FOR ENTRY: Staple Only

1. Please accomplish this form. 1. The applicant should have no grades lower than 88% in Math,
2. Type or print legibly all information needed. DO NOT English and Science – 85% in other subjects. 1” x 1”
ABBREVIATE. DO NOT LEAVE ANY ITEM BLANK. Countersign
all erasures and corrections made.
2. The applicant should pass the written exam. Photo
3. Please attach the following: 3. Students “With Highest Honors” will be given priority but should
* Photocopy of Grade 6 quarters 1 and 2 Report Card undergo the screening process.
* Photocopy of Birth Certificate/PSA

Personal Data
1.) NAME OF APPLICANTS: (Last Name, First Name, Middle Name)

2.) BIRTHDAY: 3) AGE as of June 30, 2022 4) SEX: MALE

M MDDYEA R
FEMALE
5) COMPLETE HOME/PERMANENT ADDRESS:

6) CONTACT NUMBERS:
(Include all possible numbers) Zip Code

SCHOOL’S CERTIFICATION:
2) COMPLETE SCHOOL ADDRESS:
1) NAME OF SCHOOL:

3) SCHOOL TYPE: PUBLIC PRIVATE 4) CURRENT LEVEL: Grade 6 5) SCHOOL CONTACT NO.:
Grade 7

6) Student’s FINAL GENERAL AVERAGE in Grade 5 7) BATCH RANK (Grade 5)

8) Under Special Science Curriculum
YES NO
Major Achievements/ Recognitions/ Awards Received:

Title of Competition/Contest Achievements/Recognitions/Awards LEVEL: School, District, Division, Region,

National or International

I hereby certify that the pupil applicant is officially enrolled in the I hereby certify that the pupil-applicant is of good moral character.
school for SY 2020-2021
I also certify to the accuracy of the foregoing data/information.

Principal/School Head’s Signature Over Printed Name Guidance Counselor’s signature over Printed Name
---------------------------------------------------------------------------- (PLEASE DO NOT DETACH) ----------------------------------------------------------------------------

FOR THE USE OF ADMISSION COMMITTEE RECOMMENDATION:

Remarks: As per data above:
Processed by:
Date: Approved: [ ] Disapproved:[]

REMINDERS TO THE APPLICANT:

Be at the testing center (HinNSH campus) one (1) hour before your scheduled examination. EXAM SCHEDULE: May 5-7, 2021 (tentative)
Submit the following requirements together with the APPLICATION FORM and place inside the long plastic envelop: Photocopy of PSA (Birth Certificate) and Photocopy of Grade 6 Quart
Testing Fee Php 100.00 (to be paid on the testing date)
The test will start at 8:00 am.
For inquiries, please text/call during office hours (8:00am to 5:00pm).: Connie A. Absin (09074956999) / Johnry G. Colmenares (09166675000)

NOTE:
Application forms are available at the following offices: HinNHS Grade 7 STE Info Desk (March 26- April 30), Science Office and can be downloaded at Hinigaran National High S