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Certification of Transfer

This document is a certification for transfer from Gumaca West Central School. It provides information about the student being transferred including name, birthdate, gender, learner reference number, grade/year level, section, dates of attendance. It also indicates if the student receives any public or private school assistance programs. Details about the transferring school are also listed such as school name, address, ID number and contact information for the adviser and school head. The advisers and school head sign the document to certify the information provided is true and correct for EBEIS/LIS purposes.

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141 views1 page

Certification of Transfer

This document is a certification for transfer from Gumaca West Central School. It provides information about the student being transferred including name, birthdate, gender, learner reference number, grade/year level, section, dates of attendance. It also indicates if the student receives any public or private school assistance programs. Details about the transferring school are also listed such as school name, address, ID number and contact information for the adviser and school head. The advisers and school head sign the document to certify the information provided is true and correct for EBEIS/LIS purposes.

Uploaded by

RELITO DATUR
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
Region IV-A CALABARZON
Gumaca West District
GUMACA WEST CENTRAL SCHOOL

CERTIFICATION FOR TRANSFER

Learner’s Information:

First Name:
Middle Name:
Last Name:
Birthday:
Gender:
LRN Number:
Current Grade/Year Level:
Section:
First Day of Attendance in this School:
Last Day of Attendance in This School:
4 P’s Recipient – for Public School (student(s)): Yes ( ) No ( )
GATSPE Recipient – for Private School (student(s)): Yes ( ) No ( )

School’s Information:

School Name:
School Address:
School ID No.:
E-mail Address:

Name of Adviser:
Adviser’s Contact No.:
Name of School Head:
School Head’s Contact No.:

I hereby certify that the above information is True and Correct to the best of my
knowledge and belief.

Given this _______of ______________ 20____ for EBEIS/LIS purposes.

______________________________
Adviser
(Signature over Printed Name)

______________________________
School Head/Principal
(Signature over Printed Name)

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