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shs registration form
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DEPARTMENT OF EDUCATION _____________________________________________________
SENIOR HIGH SCHOOL REGISTRATION FORM
SY____________
Division: _______________________
Current School Classification: o Private o Public o TVI
Ethnicity:
Name:
Surname First Name Middle Name
Sex: o Male o Female
Date of Birth:
Month Day Year
Place of Birth:
EDUCATIONAL BACKGROUND:
ELEMENTARY SCHOOL: (where you completed Elementary Level education / Grade 6)
Name of Elementary School:
Address:
Date Completed:
Region:
JUNIOR HIGH SCHOOL: (where you completed/are completing Junior High School / Grade 10)
Name of Elementary School:
Address:
Date Completed:
Region:
Have you attended Junior High School anywhere else?
o Yes o NO Where? Name of school and address:
Date From:______________________________ Date to: __________________________________ SENIOR HIGH SCHOOL (SHS) APPLIED FOR
SENIOR HIGH SCHOOL (SHS) APPLIED FOR: Choose from the list of schools offering SHS (up to two choices allowed).
Senior High School Name (1st Choice; Do not abbreviate)
Track (1st Choice) Track (2nd Choice)
o ABM
o GAS
o STEM
o HUMMS
o TVL
o ARTS AND DESIGN
o SPORTS
o ABM
o GAS
o STEM
o HUMMS
o TVL
o ARTS AND DESIGN
o SPORTS
PERMANENT HOME ADDRESS/CONTACT INFORMATION
HOUSE NO. AND STREET:
SUBDIVISION/BARANGAY:
TOWN/CITY:
PROVINCE : COTABATO
TEL/CEL NUMBER:
EMAIL ADDRESS:
APPLICANT SOCIO-ECONOMIC DATA
Name:
Civil Status: o Single o Married o Separated o Widow/Widower
Citizenship:
Highest educational attainment:
APPLICANT'S FATHER SOCIO-ECONOMIC DATA
Name:
Civil Status: o Single o Married o Separated o Widow/Widower
Citizenship:
Highest educational attainment:
APPLICANT'S MOTHER SOCIO-ECONOMIC DATA
Name:
Civil Status: o Single o Married o Separated o Widow/Widower
Citizenship:
Highest educational attainment:
