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FORM 137-8 A A REPUBLIC OF THE PHILIPPINES nin cota fae’ he paren — WY Gaescticncratie tegen Principal Diision of Surigao del Sur PANIKIAN NATIONAL HIGH SCHOOL Reena Pekan, Gora, Suto alu SECONDARY STUDENT'S PERMANENT RECORD Nave Aecvedo y Arnold Dae ofits Your 2002 Moh Tusly_Dy_ A Pace of Bh Province Ti Bee eatig e Purcat or Guardian: LT Address of Parent of Guardian: fe {aa Carrascad Surigao Sow Intermediate course competed School): PariLi wa Elenearaty ate ‘Year S0N— Sie Goneral Average 1 OO TASES Tei a FATT one lil = aaa eres atin Scho | sero Year 2015 20 ly cs | Acton ‘averse | TAKEN Pag a. 7a ‘School Head = 30. 2 1 School Year BO Ne = 2013 cs | actow averace | TAKEN REMARKS ‘Remarks on the heath, character and habits ofthe student peters emma betters t me. 2 Teal nanber of years th school al ‘ee yy a ad ee we rn nt ih ‘tioenttcandr aeons Passos REQUEST FOR LEARNER INFORMATION SYSTEM (LIS) DATA CORRECTION Distt CARRASCAL | ‘School Name: PANIKIAN NATIONAL HIGH SCHOOL ___School 1D: 204900 Name of School Head:__ALMA D. PLAZA. Position TEACHER tt! ‘AL Please check the type of data correction(s) needed: _——Comretion of Leamer Profle, Merging of LRN _—Comtection of Grace Level —— Request for Une Correction of 1 Date of Attendance fr Transfer-in Deactivation of LRN LRN Approval ——Eriment of neipitie _—J__ Enrolment of w/ Gap B. Leamer Details: ‘LastName: __ARREZA URN: __132657080004 ‘First Name: __ROSALITO ‘Grade Level: GRADE 8_ (Middle Name:_CABADONGA __ ‘Secton: AMETHSYT __ C. Please state the nature of request. 10, Attached supporting documents: Scanned Copy of Birh Certificate ECD Assessment Resut ‘Scanned Copy of School Form 05, ‘Coxttication —J___ Scanned Gapy of School Form 10 (F137) Others (specify) ____Stanned Copy of School Form 09 (F136)

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