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Revised as of September 26, 2019

Republic of the Philippines


Department of Education
REGION V
SCHOOLS DIVISION OF SORSOGON
Magallanes III District
DOŇA OLIMPIA DE CASTRO MELLA ELEMENTARY SCHOOL
Bacalon Magallanes, Sorsogon
114278

CERTIFICATE OF ENROLLMENT

Date: APRIL 4, 2023

This is to certify that __________________________________________ with


LRN:__________________________, is a bonafide pupil of Doña Olimpia De Castro
Mella Elementary School, , Schools Division of Sorsogon this School Year 2022-2023.
He/She is currently enrolled in ________________.
This further certifies that based upon the records available in this office the
above-mentioned learner has the following information/data:
Birthdate : ______________________________________
Birth Place : ______________________________________
Father : ______________________________________
Mother : ______________________________________
Address : ______________________________________
This certification is issued this 4th day of April, 2023, at Doña Olimpia de Castro
Mella Elementary School, Bacalon, Magallanes, Sorsogon for reference purposes.

JOEY P. HICOM
Elementary School Head Teacher I

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