Republic of the Philippines

Department of Education
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OF TARLAC PROVINCE
MALACAMPA NATIONAL HIGH SCHOOL
CAMILING. TARLAC

CHECKLIST

LRN: _________________________

______________________________ _________________________________ _______________

SURNAME FIRST NAME MIDDLE INITIAL

Grade Level 7 8 9 10 11 12
Section:

SUBJECTS
Filipino
English
Mathematic
s
Science
AP
EsP
TLE
MAPEH
Music
Arts
PE
Health

STATUS OF LEARNER
Promoted
Conditionally
Promoted
Balik-Aral
Repeater
Others:
(Please
Specify)

Class
Adviser
Principal’s
Signature

ADDRESS: Malacampa, Camiling, Tarlac

EMAIL: 307006.malacampanhs@deped.gov.ph
CONTACT NO: 09667300150