STUDENT INFORMATION SHEET

Name: __________________________________________________________________ Nickname: _______________________

LAST NAME FIRST NAME MIDDLE NAME
Birthdate: _____________________________________________ Age: ______________________________

Address: __________________________________________________________________________________________________________

Contact Nos. ___________________________________________________________ Email Add: _______________________

Facebook Name: ______________________________________________________

Father’s Name: ________________________________________________________

Mother’s Name: ________________________________________________________

Guardian’s Name: ______________________________________________________

Lesson/s Enrolled in: __________________________________________________

Date/s of Payment:
Date Amount Parent’s Signature Likhaan’s Signature

ATTENDANCE

NO. DATE TEACHER SIGNATURE STUDENT SIGNATURE

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