Form Eff
Form Eff
Form Eff
for SY ____________.
_______________________________________
Printed Name & Signature of Principal
Date __________________________________
graduating/graduated class under the NON-STEM Strand for the SY________ and is classified within the
________________________________
NOTE: If applicant is an ongoing grade 12, please certify based Printed Name & Signature of Principal
on Applicant’s academic standing as of Grade 11
(i.e. Top 5% of his/her class) Date ___________________________
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Republic of the Philippines
Department of Science and Technology
SCIENCE EDUCATION INSTITUTE
He/She is a graduating Grade 12 student in SY 2022-2023 and belongs to the upper 5% of the class.
_______________________________________
Printed Name & Signature of Principal
Date __________________________________
_______________________________________
Printed Name & Signature of Principal
Date __________________________________
Page 2 of 3
Republic of the Philippines
Department of Science and Technology
SCIENCE EDUCATION INSTITUTE
_______________________________________
Printed Name & Signature of Principal
Date __________________________________
Page 3 of 3