ALABEL NATIONALSCIENCE HIGH SCHOOL

Regional Science High School for Region XII Control #:

Alabel, Sarangani Province
Telefax No. (+63) 508-2228

2024 Entrance Examination for Junior High Application Form

TO THE PRINCIPAL/ SCHOOL HEAD OR HIS DULY AUTHORIZED REPRESENTATIVE:
INSTRUCTIONS:
Photo
1. Please type legibly all information. DO NOT ABBREVIATE.
2. Please countersign all erasures and corrections made. Passport size
3. All graduating Pupils and Students for SY 2022-2023 are eligible to register at ALABEL NATIONAL SCIENCE HGIH SCHOOL, DEPED XII RSHS Entrance
Examination provided they meet the prescribed qualifications / criteria.
4. The last day of registration is on March 19, 2024

NAME OF APPLICANT:

Last Name First Name Middle Name

COMPLETE HOME ADDRESS:

BIRTHDAY: Contact Number: Zip CODE

(MM/DD/YYYY)
AGE: SEX:
Male Female Email Address:
4Ps Recipient?
Yes No
Member of Cultural If Yes, specify group:
Minority Group?
Yes No
FATHER’S NAME: MOTHER’S NAME:

Last Name First Name Middle Initial Last Name First Name Middle Initial

GUARDIAN’S NAME:

Last Name First Name Middle Initial

NAME OF CURRENT SCHOOL (Do not Abbreviate):

COMPLETE SCHOOL ADDRESS:

SCHOOL CONTACT NO.: SCHOOL EMAIL ADDRESS: SCHOOL TYPE:

Public Private

1 GRADING PERIOD GRADE

st
2 GRADING PERIOD GRADE
nd I hereby certify to the accuracy of the
GRADE
foregoing data/ information:
SYSTEM
SCIENCE: SCIENCE:
USED:

MATHEMATICS: MATHEMATICS: Affix School’s

dry seal
ENGLISH: ENGLISH Signature of the Principal Over Printed Name

NO. OF CANDIDATES FOR GARDUATION: BATCH RANK:

The school has no dry seal

THIS FORM IS NOT FOR SALE. THIS MAY BE PHOTOCOPIED. (PLEASE DON’T DETACH)

Applicant’s Name:

Home Address:
Photo
School Name:
Passport size
School Address:

Processed by: Designation:

Signature over Printed Name Date Processed:

TO BE FILLED BY THE RECEIVING TEACHER/STAFF

Examinee ID No. Received by:
Signature over Printed Name

Date Received:

NOTE:
(1) During the examination day, present this slip to the room examiner.
(2) It is preferable to check your room assignment the day before the exam.
(3) Be in your assigned room at exactly 7:30 A.M
(4) Wear white T- shirt, pants, and shoes.
(5) Bring black ball point pen, pencil and long brown folder. For additional queries and
announcements