Republic of the Philippines

DEPARTM EN T OF EDUCAT I ON
Region IV-A CALABARZON
Division of Rizal
District of Taytay II-A
MANUEL I. SANTOS MEMORIAL NATIONAL HIGH SCHOOL
San Juan, Taytay, Rizal

GUIDANCE AND COUNSELING

INCOMING GRADE 7 ENROLMENT FORM

NAME: _____________________________________________ AGE: __________ SEX:____________

DATE OF BIRTH: ____________________________ PLACE OF BIRTH: __________________________

FATHER:_______________________________________ MOTHER:_______________________________________
AGE:______OCCUPATION: ________________________ AGE:______OCCUPATION: ________________________
EDUCATIONAL ATTAINMENT: ______________________ EDUCATIONAL ATTAINMENT: ______________________
ADDRESS:______________________________________ ADDRESS:______________________________________
CONTACT NUMBER: ______________________________ CONTACT NUMBER: ______________________________
PRESENT ADDRESS: ____________________________________________________________________
ELEMENTARY SCHOOL: _____________________________________________ GEN.AVE: ____________________
YEAR GRADUATED: ______________________ HONOR/S RECEIVED : __________________________________
LRN __________________________________ ARE YOU A 4P’s MEMBER? : ___________________________

ENROLLING GUARDIAN (NAME): _____________________________________

RELATION WITH THE STUDENT: _____________________________________
CONTACT NUMBER: _______________________________________________
ADDRESS: ______________________________________________________

DOCUMENTS SUBMITTED (PUT A CHECK √)

FORM 138 (CARD)

CERTIFICATE OF GOOD MORAL CHARACTER
FORM 137
NSO/PSA ORIGINAL AND PHOTOCOPY BIRTH
CERTIFICATE
2 X 2 PICTURES (2 PCS WHITE BACKGROUND)
PRINTED RESPONSE RECEIPT
IG7EF (INCOMING GRADE 7 ENROLMENT FORM)

ANY MEDICAL PROBLEM?: ___________________________________________________________

DOCUMENT SUBMITTED FOR REPORTED MEDICAL PROBLEM : _________________________
REMARKS: _________________________________________________________________________
INTERVIEWED BY: __________________________________________
SIGNATURE OVER PRINTED NAME OF INTERVIEWER
MEMBER, SCHOOL ADMISSION COMMITTEE
_________________________________________________________________________________________

DOCUMENTS RECEIVED: ALL ORIGINAL COPIES EXCEPT THE PSA/NSO

FORM 138 (CARD)
CERTIFICATE OF GOOD MORAL CHARACTER
FORM 137
NSO/PSA ORIGINAL AND PHOTOCOPY BIRTH
CERTIFICATE
2 X 2 PICTURES (2 PCS WHITE BACKGROUND)
PRINTED RESPONSE RECEIPT
IG7EF (INCOMING GRADE 7 ENROLMENT FORM)

RECEIVED BY: _____________________________________________________

SIGNATURE OVER PRINTED NAME OF MEMBER, SCHOOL ADMISSION COMMITTEE
_______________________________________________________________________________________

PARENT ORIENTATION ATTENDANCE

NAME OF PARENT ________________________________________ DATE:__________TIME: _______
CONFIRMATION OF ENROLMENT
NAME OF STUDENT : _______________________________________________ GENDER: ______________
ENROLLED AS GRADE 7 SECTION: _______________________ CONFIRMED BY: ______________________
GRADE LEVEL COORDINATOR
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