Navotas Elementary School Enrolment Form                                   SY 2023-2024
2023-2024
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NA123480170026Learner's Reference Number ( Ito po ay 12 number na makikita sa Report Card or sa ID) Lagyan ng NA kung hindi alam *
Your answer
Royo,Mariah Yanah Jean Monares - Last Name Cagunan (Apelyido), First Name jhon Rainiel (Pangalan), Middle Name Amarille (Gitnang 
Guban, Joshua Dnalor Arana
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Your answer
PSA Birth Certificate number ( ito ay makikita sa itaas na bahagi ng Birth Certificate (kung wala pa pong birth certificate, ilagay po ang NA)


N/A
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Your answer
NA  *
MM
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DD
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YYYY
Contact No.09167722553 *
Your answer
Sex (Kasarian)
Birthplace maternity clinic(Lugar ng Kapanganakan)


Navotas City
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Your answer
Mother Tongue (Unang natutunang wika) *
Mother Tongue
Ilagay ang unang wika (Mother Tongue)

Tagalog
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Your answer
Indigenous People
Belonging to Indigenous People? *
Indigenous People
If yes, what particular Indigenous People? *
Your answer
4Ps
Is your family a beneficiary of 4Ps? (Kasali ba sa 4Ps ang iyong pamilya?) *
4Ps
If yes, write the 4Ps Household ID number. *
Your answer
Address daanghari 
Current Address ( Tirahan) House no., Street name, Brgy *
Your answer
Parent's Information
Father's Name (Last NameCaguan, Name Ruben, Middle Name)Andalinque *
Your answer
Father's Name in Facebook (kung wala, lagyan ng NA) *
Your answer
Mother's Name (Last Name, Amarille Name hydejoy, Middle Name)parado *
Your answer
Mother's Name in Facebook  princess Cagunan(kung wala, lagyan ng NA) *
Your answer
Previous Enrolment Information
Last Grade Level Completed (Huling pinasukang Baitang) *
Last School Attended(Huling pinasukang paaralan) *
Your answer
Last School Year Completed (Huling taong pinasukan) *
Your answer
Covid-19 Vaccination Information of Students
Is the child vaccinated against Covid-19? *
I hereby certify that the above information given is true and correct to the best of my knowledge and I allow the Department of Education to use my child's detail to create and/or update his/her learner's profile in the Learner's Information System. The information herein shall be treated as confidential in compliance with the data privacy act of 2012. *
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