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    Wilfredo Enrollment Form

    Uploaded by

    Jeazel Mosendo
    This document contains a learner enrollment form for Wilfredo Mosendo Jr. for the 2020-2021 school year at Antonio V. Fruto Sr. National High School. It provides personal details about Wilfredo such as his birthdate, address, parents' names and contact information. It also notes that he will be in Grade 12 and lists the devices and internet access available to support his distance learning.

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    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    Wilfredo Enrollment Form

    Uploaded by

    Jeazel Mosendo
    16 views27 pages
    This document contains a learner enrollment form for Wilfredo Mosendo Jr. for the 2020-2021 school year at Antonio V. Fruto Sr. National High School. It provides personal details about Wilfredo such as his birthdate, address, parents' names and contact information. It also notes that he will be in Grade 12 and lists the devices and internet access available to support his distance learning.

    Original Description:

    enrollement

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    This document contains a learner enrollment form for Wilfredo Mosendo Jr. for the 2020-2021 school year at Antonio V. Fruto Sr. National High School. It provides personal details about Wilfredo such as his birthdate, address, parents' names and contact information. It also notes that he will be in Grade 12 and lists the devices and internet access available to support his distance learning.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    16 views27 pages

    Wilfredo Enrollment Form

    Uploaded by

    Jeazel Mosendo
    This document contains a learner enrollment form for Wilfredo Mosendo Jr. for the 2020-2021 school year at Antonio V. Fruto Sr. National High School. It provides personal details about Wilfredo such as his birthdate, address, parents' names and contact information. It also notes that he will be in Grade 12 and lists the devices and internet access available to support his distance learning.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 27

    A 1.

    School Year Check the appropriate boxes only: Grade Level to Enroll:
    2020-2021 With LRN Grade 12
    Last Grade Level completed Last School Year completed:
    Grade 11 2019-2020
    Last School Attended: School ID
    ANTONIO V. FRUTO SR. NATIONL HIGH SCHOOL 304221
    School Address: School Type:
    ANTONIO V. FRUTO SR. NATIONAL HIGH SCHOOL Public
    School to enroll in: School ID:
    ANTONIO V. FRUTO SR NATIONAL HIGH SCHOOL 304221
    School Address: Semester: Track: Strand (if any):
    CABAYANGAN BRAULIO E.DUJALI DAVAO DEL NORTE 1ST TVL SMAW
    PSA Birth Certificate No.(if available upon enrollment) Learner Reference Number (LRN):
    128625070025
    Last Name: First Name: Middle Name: Extension Name e.g. Jr. III (if applicable) Date of Birth:
    MOSENDO WILFREDO LIBOON JR. 9/9/1999
    Age: Sex: Belonging to Indigenous People (IP) Community/Indigenous Cultural Community
    20 MALE No
    If yes, please specify: Mother Tongue: Religion:
    ILONGGO ROMAN CATHOLIC
    Does the learner have Special Education Needs/Disabilities? If yes, please specify:
    No
    Do you have any assistive technology devices available at home? (For learners with special needs/disabilities i.e. screen reade
    If yes, please specify: Address (House Number & Street,Barangay,City/Municipality,Province)
    PUROK-1 ANIBONGAN, CARMEN,DAVAO DEL NORTE
    Father's Full Name: Highest Educational Attainment Employment Status
    WILFREDO ESTOBO MOSENDO ELEMENTARY NOT EMPLOYED
    Working from home due to ECQ? Contact Number(s): Mother's Full Name:
    No ELSA SAMINIAN LIBOON
    Highest Educational Attainment Employment Status Working from home due to ECQ?
    HIGHSCHOOL GRADUATE NOT EMPLOYED No
    Contact Number(s) Guardian's Full Name: Highest Educational Attainment Employment Status
    JIMMY ESTOBO MOSENDO HIGH SCHOOL GRADUATE NOT EMPLOYED
    Working from home due to ECQ? Contact Number(s): Is a recipient of the 4Ps?
    No No
    How does your child go to school? Choose all that applies. Kinder Grade 1 Grade 2 Grade 3
    Family-owned vehicle 0 0 0 0
    Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12
    0 0 0 0 0 1 0 0 2
    Others: (in college, vocational, etc.)
    0
    Who among the household members can provide instructional support to the child's distance learning? Choose all that applies
    parents/guardians;elder siblings;extended members of the family
    What devices are available at home that the learner can use for learning? Check all that applies.
    smartphone;desktop computer
    Do you have a way to connect to the internet?
    Yes
    How do you connect to the internet? (Choose all that applies)
    PLDT fiber
    What distance learning modality/modalities do you prefer for your child? Choose all that applies.
    online learning;modular learning;
    What are the challenges that may affect your child's learning process through distance education? Choose all that applies.

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