Republic of the Philippines

DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT

Region IV-A
Province of Laguna
City of Santa Rosa
Barangay Kanluran
REGISTRATION LIST 2022-2023

Parents’ Information

Tel. No.

Occupation

Occupation
Date of
Birth
Date

Religion

Religion
No.

Date of

Date of
Address

Attain.

Attain.
Name of Child Age

Educ.

Educ.
Birth

Birth
Father Mother

10
F02-36