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MANAGPI ELEMENTARY SCHOOL

ENROLMENT FORM
Name of Pupil: _______________________________ LRN: _______________/Gen. Average:______
Grade Level: _________________________________ Address: ______________________________
Birth Date: __________________________________ Age: __________________________________
Birthplace: __________________________________ Sex: __________________________________
Height: _____________________________________ Weight: _______________________________
Nutritional Status: ____________________________ Ailment ( Specify): _______________________
Name of Father: ______________________________ Occupation: ____________________________
Name of Mother: _____________________________ Occupation: ____________________________
Contact Number: _____________________________ 4Ps Not 4Ps
Date Enrolled: ________________________________ Signature of Parent: ______________________

BOOKS BORROWED
CODE NAME OF BOOK CODE NAME OF BOOK
_________ _____________________________________ ___________ ____________________________________
_________ _____________________________________ ___________ ____________________________________
_________ _____________________________________ ___________ ____________________________________
_________ _____________________________________ ___________ ____________________________________
_________ _____________________________________ ___________ ____________________________________
_________ _____________________________________ ___________ ____________________________________
_________ _____________________________________ ___________ ____________________________________

MANAGPI ELEMENTARY SCHOOL

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