Professional Documents
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Enrollment Form SHS FINAL
Enrollment Form SHS FINAL
Learner's Reference Number (LRN) The School That Offers Something Better Senior High School
Dorm Non-Dorm Manticao, Misamis Oriental School Year:
____________Sem:_______
STUDENT'S PERSONAL INFORMATION
LAST NAME:__________________________FIRST NAME:_________________________________MIDDLE NAME: ______________________SEX: ______
Grade Level: _______Strand: ABM HUMSS STEM Complete Address: __________________________________________________
Religion: _____________________________If SDA: Baptized Non-Baptized Contact No.: ______________________ Email Address: _____________________
Last School Attended: _________________________________________ Vaccination Date: 1st dose_________________________ 2nd dose_________________________
Mother's Maiden Name: _________________________Father's Name: ____________________________Guardian's Name: ______________________
Parents/Guardian's Address: ______________________________________ Occupation:______________________ Employed in an SDA Institution
Parents/Guardian's Contact No: ____________________________________ Name of SDA Institution: ________________________________________________
*If employed in SDA Institution
I understand clearly the policies embodied in the Mindanao Mission Academy Student Handbook, and I am in full harmony with them. I
agree to obey all these and other regulations. If at any time I find myself out of harmony with the regulations and standard of the school, I
agree to withdraw when required by the duly constituted authorities.
_________________________________ _______________________________
Student’s Signature Parent’s Name/Signature
_____________________________
Date Signed
SF10-JHS LACHICA, ALLYANA TRISHA TANGHAL Page 2 of 2
78
86
School: MINDANAO MISSION ACADEMY School ID: 405164 District: MANTICAO Division: MISAMIS ORIENTAL Region: X
Classified as Grade: 10 Section: School Year: 2022-2023 Name of Adviser/Teacher: Signature:
Quarterly Rating FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino 0
English 0
Mathematics 0
Science 0
Araling Panlipunan (AP) 0
Values Education 0
Technology and Livelihood Education (TLE) 0
MAPEH 0
Music 0
Arts 0
Physical Education 0
Health 0
Computer 0
Pathfindering 0
0
0
Conduct
No. of School Days No. of Days Present General Average 0
I CERTIFY that this is a true record of with LRN and that he/she is eligible for admission to Grade
Name of School: School ID: Last School Year Attended:
Date Signature of Principal/School Head over Printed Name (Affix School Seal Here)
(May add Certifiation box if needed) SFRT Revised 2017