Senior High School Registration Form: Department of Education SY
Senior High School Registration Form: Department of Education SY
Senior High School Registration Form: Department of Education SY
Annex 3
Department of Education
TO THE STUDENT AND PARENT/GUARDIAN: Print legibly all information required. Place X marks in appropriate boxes.
2. SEX
1. NAME OF STUDENT: Print or type your full name in the following sequence: LAST, FIRST, MIDDLE.
Place one letter in each box. Leave one box blank between names.
Male
Female
LAST
FIRST
MIDDLE
5. NATIONALITY
Month/Year of Completion
Region
Month/Year of Completion
Are you a passer of Philippine Educational Placement Test (PEPT) for Elementary Level?
No
Yes
Are you a passer of Accreditation and Equivalency (A&E) Test for Elementary Level?
No
Yes
Month/Year of Completion
7. JUNIOR HIGH SCHOOL (JHS) (where you completed/are completing JHS / Grade 10)
JHS Name (Do not abbreviate)
Month/Year of Completion
Region
Month/Year of Completion
Are you a passer of Philippine Educational Placement Test (PEPT) for JHS Level?
No
Yes
Are you a passer of Accreditation and Equivalency (A&E) Test for JHS Level?
No
Yes
Month/Year of Completion
8. SENIOR HIGH SCHOOL (SHS) APPLIED FOR: Choose from the list of schools offering SHS (up to two choices allowed). Do not indicate the same SHS
twice. Make sure that track (Academics, TVL, Sports, Arts and Design), strand, and specialization choices are offered in the SHS indicated. Write NONE on
the blank if you do not have other choices of SHS/track/strand/specialization.
Name of First Choice SHS (Do not abbreviate)
Address (City/Town or Province)
First Choice
Track:
Specializations:
1.
Strand:
Second Choice
Track:
Specializations:
1.
2.
2.
3.
3.
4.
4.
THIS REGISTRATION FORM IS NOT FOR SALE AND MAY BE REPRODUCED.
Strand:
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