Republic of the Philippines

Department of Education
Region XI
Division of Davao Occidental

ALBERTO OLARTE SR. NATIONAL HIGH SCHOOL

Mabila, Sarangani, Davao Occidental

JUNIOR HIGH SCHOOL REGISTRATION FORM

Surname Grade Level LRN

First Name Age

Middle Name
Ethnicity/Tribe
Birthdate
Month Date Year Religion

Birthplace

Address
Sitio Barangay Municipality Provin

Father's Name Ethnicity/Tribe

Last First Middle
Occupation Religion

Mother's
Maiden Name Ethnicity/Tribe
Last Fisrt Middle
Occupation Religion

Address
Sitio Barangay Municipality Provin

Contact # Signature

Type of Student Credentials Submitted

Regular Form 138
Repeater Birth Certificate
Balik - Aral Cert. of Good Moral Charac

Last School Attended & School Year Reading Status

Transferee

Last School Attended & School Year

CELERINA L. LARAÑO SHERRY PAREDA

Librarian PTA Representative

RODRIGO S. YANGA NELIDA R. HERMINA

Prefect of Discipline School Guidance Counselor

NUTRITIONAL STATUS
Height cm Body Mass Index (BMI)
Severly Wasted Overweight
Weight kg Wasted Obese
 Normal

HEDDY N. ARENDAIN
School Nurse - Designate

Approved:
DENIEMEL B. PADILLON
School Head
 Date

Gender
Male
Female

Province

Province

rth Certificate
ert. of Good Moral Character

eading Status
Independent
Instructional
Frustration
Non Reader

PAREDA
esentative

HERMINA
nce Counselor

verweight
 Republic of the Philippines
Department of Education
Region XI
Division of Davao Occidental

ALBERTO OLARTE SR. NATIONAL HIGH SCHOOL

Mabila, Sarangani, Davao Occidental

SENIOR HIGH SCHOOL REGISTRATION FORM

Surname Grade Level LRN

Track

First Name Age

Middle Name
Ethnicity/Tribe
Birthdate
Month Date Year Religion

Birthplace

Address
Sitio Barangay Municipality Provin

Father's Name Ethnicity/Tribe

Last First Middle
Occupation Religion

Mother's
Maiden Name Ethnicity/Tribe
Last Fisrt Middle
Occupation Religion

Address
Sitio Barangay Municipality Provin

Contact # Signature

Type of Student Credentials Submitted

Regular Form 138
Repeater Birth Certificate
Balik - Aral Cert. of Good Moral Charac

Last School Attended & School Year Reading Status

Transferee

Last School Attended & School Year

CELERINA L. LARAÑO SHERRY PAREDA

Librarian PTA Representative

RODRIGO S. YANGA NELIDA R. HERMINA

Prefect of Discipline School Guidance Counselor

NUTRITIONAL STATUS
Height cm Body Mass Index (BMI)
Severly Wasted Overweight
Weight kg Wasted Obese
Normal

HEDDY N. ARENDAIN
School Nurse - Designate

Approved:
DENIEMEL B. PADILLON
School Head
 Date

Strand

Gender
Male
Female

Province

Province

rth Certificate
ert. of Good Moral Character

eading Status
Independent
Instructional
Frustration
Non Reader

PAREDA
esentative

HERMINA
nce Counselor

verweight
 NAME: NAME:
DATE: GRADE LEVEL: DATE: GRADE LEVEL:
TIME STARTED: TOTAL NO. OF TIME STARTED: TOTAL NO. OF
TIME ENDED: HOURS: TIME ENDED: HOURS:
ACCOMPLISHED: ACCOMPLISHED:
TEACHER'S SIGNATURE TEACHER'S SIGNATURE
NAME: NAME:
DATE: GRADE LEVEL: DATE: GRADE LEVEL:
TIME STARTED: TOTAL NO. OF TIME STARTED: TOTAL NO. OF
TIME ENDED: HOURS: TIME ENDED: HOURS:
ACCOMPLISHED: ACCOMPLISHED:
TEACHER'S SIGNATURE TEACHER'S SIGNATURE
NAME: NAME:
DATE: GRADE LEVEL: DATE: GRADE LEVEL:
TIME STARTED: TOTAL NO. OF TIME STARTED: TOTAL NO. OF
TIME ENDED: HOURS: TIME ENDED: HOURS:
ACCOMPLISHED: ACCOMPLISHED:
TEACHER'S SIGNATURE TEACHER'S SIGNATURE
NAME: NAME:
DATE: GRADE LEVEL: DATE: GRADE LEVEL:
TIME STARTED: TOTAL NO. OF TIME STARTED: TOTAL NO. OF
TIME ENDED: HOURS: TIME ENDED: HOURS:
ACCOMPLISHED: ACCOMPLISHED:
TEACHER'S SIGNATURE TEACHER'S SIGNATURE
NAME: NAME:
DATE: GRADE LEVEL: DATE: GRADE LEVEL:
TIME STARTED: TOTAL NO. OF TIME STARTED: TOTAL NO. OF
TIME ENDED: HOURS: TIME ENDED: HOURS:
ACCOMPLISHED: ACCOMPLISHED:
TEACHER'S SIGNATURE TEACHER'S SIGNATURE
NAME: NAME:
DATE: GRADE LEVEL: DATE: GRADE LEVEL:
TIME STARTED: TOTAL NO. OF TIME STARTED: TOTAL NO. OF
TIME ENDED: HOURS: TIME ENDED: HOURS:
ACCOMPLISHED: ACCOMPLISHED:
TEACHER'S SIGNATURE TEACHER'S SIGNATURE
NAME: NAME:
DATE: GRADE LEVEL: DATE: GRADE LEVEL:
TIME STARTED: TOTAL NO. OF TIME STARTED: TOTAL NO. OF
TIME ENDED: HOURS: TIME ENDED: HOURS:
ACCOMPLISHED: ACCOMPLISHED:
TEACHER'S SIGNATURE TEACHER'S SIGNATURE
NAME: NAME:
DATE: GRADE LEVEL: DATE: GRADE LEVEL:
TIME STARTED: TOTAL NO. OF TIME STARTED: TOTAL NO. OF
TIME ENDED: HOURS: TIME ENDED: HOURS:
ACCOMPLISHED: ACCOMPLISHED:
TEACHER'S SIGNATURE TEACHER'S SIGNATURE
NAME: NAME:
DATE: GRADE LEVEL: DATE: GRADE LEVEL:
TIME STARTED: TOTAL NO. OF TIME STARTED: TOTAL NO. OF
TIME ENDED: HOURS: TIME ENDED: HOURS:
ACCOMPLISHED: ACCOMPLISHED:
TEACHER'S SIGNATURE TEACHER'S SIGNATURE
NAME: NAME:
DATE: GRADE LEVEL: DATE: GRADE LEVEL:
TIME STARTED: TOTAL NO. OF TIME STARTED: TOTAL NO. OF
TIME ENDED: HOURS: TIME ENDED: HOURS:
ACCOMPLISHED: ACCOMPLISHED:
TEACHER'S SIGNATURE TEACHER'S SIGNATURE