Annex 1-NLC Registration Form

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Republic of the Philippines

Department of Education
Region IX, Zamboanga Peninsula
SCHOOLS DIVISION OF ZAMBOANGA DEL SUR

Annex 1: The National Learning Camp Registration Template

Name:

Grade Level:

Section:

Age:

Residential Address:

Parent/Guardian:

Name:

Contact Number:

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___________
___

To be filled out by the Adviser/Learning Area Teacher:

If Grades 1 to 3, assessment results in:


CRLA
RMA
Recommended Camp Placement:
Reading
Mathematics

If Grades 7, 8, 9, 10, academic performance and/or NLCA results:


English
Science
Mathematics

Recommended Camp Placement:


English
Science
Mathematics

Teacher Adviser in the currently enrolled Grade Level:


Name:
Contact Number:

Provincial Government Center, Dao, Pagadian City


(062) 214 – 1991
depedzambosur@gmail.com
www.suresasur.net 1

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