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Shs-Registration SAMPLE 1

This document is a senior high school registration form containing fields for a student to provide personal details such as name, date of birth, place of birth, current and previous school information, as well as contact details and socioeconomic data about themselves and their parents. The form allows the student to choose their first and second choice tracks for their senior high school as well as the specific school they are applying to.

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KialicBetito
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3K views2 pages

Shs-Registration SAMPLE 1

This document is a senior high school registration form containing fields for a student to provide personal details such as name, date of birth, place of birth, current and previous school information, as well as contact details and socioeconomic data about themselves and their parents. The form allows the student to choose their first and second choice tracks for their senior high school as well as the specific school they are applying to.

Uploaded by

KialicBetito
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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DEPARTMENT OF EDUCATION

_____________________________________________________

SENIOR HIGH SCHOOL REGISTRATION FORM


SY____________

Division: _______________________

Current School Classification:

Private

Public

TVI

Ethnicity:
Name:
Surname
Sex:

Male

First Name

Middle Name

Day

Year

Female

Date of Birth:
Month
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:
Citizenship:
Highest educational attainment:

Single

Married

Separated

Widow/Widower

Widow/Widower

Widow/Widower

APPLICANT'S FATHER SOCIO-ECONOMIC DATA


Name:
Civil Status:
Citizenship:
Highest educational attainment:

Single

Married

Separated

APPLICANT'S MOTHER SOCIO-ECONOMIC DATA


Name:
Civil Status:
Citizenship:
Highest educational attainment:

Single

Married

Separated

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