GENERAL INSTRUCTIONS

SEQUENCE NUMBER
LEARNER'S REFERENCE No.
STUDENT ID
LAST NAME

Student's Name GIVEN NAME

MIDDLE NAME
SEX
BIRTHDATE
Student's Data
COMPLETE PROGRAM NAME
YEAR LEVEL
LAST NAME

Father's Name GIVEN NAME

MIDDLE NAME
LAST NAME

Mother's Maiden Name GIVEN NAME

MIDDLE NAME
DSWD HOUSEHOLD NO.
HOUSEHOLD PER CAPITA INCOME
STREET & BARANGAY
TOWN/CITY/MUNICIPALITY
Permanent Address
PROVINCE
ZIP CODE
TOTAL ASSESSMENT
DISABILITY
Sequence Number (1 .. xxxx)
Learner's Reference Number from DepEd [Leave blank if not available]
8443
Minguito
Vanz Airho
Odto
Male or Female
5-Jan-05
Bachelor of Science in Custom Administration
1st year
Minguito
Roland
Antipala
Udto
Maria Irene
Nanoy
Encode as is. [Leave blank if not available]
Php 12,000,00 monthly
Brgy Pangan-an Lapu Lapu City
Lapu Lapu City
Cebu City
6016
50,000 per year
None
GENERAL INSTRUCTIONS
SEQUENCE NUMBER
LEARNER'S REFERENCE No.
STUDENT ID
LAST NAME

Student's Name GIVEN NAME

MIDDLE NAME
SEX
BIRTHDATE
Student's Data
COMPLETE PROGRAM NAME
YEAR LEVEL
LAST NAME

Father's Name GIVEN NAME

MIDDLE NAME
LAST NAME

Mother's Maiden Name GIVEN NAME

MIDDLE NAME
DSWD HOUSEHOLD NO.
HOUSEHOLD PER CAPITA INCOME
STREET & BARANGAY
TOWN/CITY/MUNICIPALITY
Permanent Address
PROVINCE
ZIP CODE
TOTAL ASSESSMENT
DISABILITY
Sequence Number (1 .. xxxx)
Learner's Reference Number from DepEd [Leave blank if not available]
8443
Minguito
Vanz Airho
Odto
Male or Female
5-Jan-05
Bachelor of Science in Custom Administration
1st year
Minguito
Roland
Antipala
Udto
Maria Irene
Nanoy
Encode as is. [Leave blank if not available]
Php 12,000,00 monthly
Brgy Pangan-an Lapu Lapu City
Lapu Lapu City
Cebu City
6016
50,000 per year
None
HEI Name: Complete School Name UPDATED TES 2018 TEMPLATE
HEI UII: 5 Characters HEI Unique Institutional Identifier
Acad Year: 2018-2019
Please read the instructions in the General Instructions tab of this template
STUDENT'S NAME STUDENT'S PROFILE FATHER'S NAME MOTHER'S MAIDEN NAME PERMANENT ADDRESS
LEARNER'S DSWD HOUSEHOLD TOTAL
STUDENT
SEQ REFERENCE SEX COMPLETE PROGRAM NAME HOUSEHOLD PER CAPITA ZIPCODE ASSESSMENT DISABILITY
ID BIRTHDATE YEAR LEVEL GIVEN MIDDLE GIVEN MIDDLE STREET & TOWN/
NO. LAST NAME GIVEN NAME MIDDLE NAME (Male or (Should be consistent LAST NAME LAST NAME NO. INCOME PROVINCE (TES (Semester)
(mm/dd/yyyy) (1,2,3,4,5) NAME NAME NAME NAME BARANGAY CITY/MUN
Female) with your HEI Registry) Applicant)

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