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Student Information and Attendance Form

This document contains student information including their name, address, birthdate, sex, school details, parent and emergency contact information, attendance summary, and remarks section. The information provided includes the student's last name, first name, middle name if applicable, address, birth certificate submission status, learner reference number, birthdate, sex, name and details of elementary school, mother and father's maiden names and contact numbers, guardian's name, address and contact number, a summary of the student's monthly attendance, and a remarks section.

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Mello Jane Garcia Dedosin
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261 views1 page

Student Information and Attendance Form

This document contains student information including their name, address, birthdate, sex, school details, parent and emergency contact information, attendance summary, and remarks section. The information provided includes the student's last name, first name, middle name if applicable, address, birth certificate submission status, learner reference number, birthdate, sex, name and details of elementary school, mother and father's maiden names and contact numbers, guardian's name, address and contact number, a summary of the student's monthly attendance, and a remarks section.

Uploaded by

Mello Jane Garcia Dedosin
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Section: Section:

Student's Information Student's Information


Last Name: First Name: Name Middle Name: Last Name: First Name: Name Middle Name:
Extension: Extension:

Address: Submitted NSO Birth Certificate Address: Submitted NSO Birth Certificate

YES NO YES NO
Learner's Reference Number: Birth date: mm/dd/yy Sex: Learner's Reference Number: Birth date: mm/dd/yy Sex:

Name of Elementary School: School ID No: Age: Name of Elementary School: School ID No: Age:

Address of Elementary School: Requested Form Received Form Address of Elementary School: Requested Form Received Form
137 137 137 137

Parent’s Information and Emergency Parent’s Information and Emergency


Contacts Contacts
Mother's Maiden Name: Contact Number: Mother's Maiden Name: Contact Number:

Father's Maiden Name: Contact Number: Father's Maiden Name: Contact Number:

Guardian's Name: Contact Number: Guardian's Name: Contact Number:

Guardian's Address: Guardian's Address:

Summary of Attendance Summary of Attendance


JUN JUL AUG SEPT OCT NOV DEC JAN FEB MAR TOTAL JUN JUL AUG SEPT OCT NOV DEC JAN FEB MAR TOTAL

REMARKS:____________________________________ REMARKS:____________________________________

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