Republic of the Philippines
DEPARTMENT OF EDUCATION
Region XII
Division of City Schools
Pedro Acharon Sr. District
GENERAL SANTOS CITY SPED INTEGRATED SCHOOL
General Santos City
LEARNER’S INFORMATION SHEET
INSTRUCTIONS: Print legibly. All information required in BLOCK CAPITAL letters.
Use black or blue ink only.
Name: _______________________________________________________________________
Last Name Given Name Middle Name
School: ______________________________________________________________________
Grade and Section: ____________________________________________________________
Height: (cm) ________________ Weight: (kg) ________________ Sex: _____________
Birthdate(Month/Day/Year):___________ Birthplace(Town/City Province):
_______________
Religion: ________________________________ Citizenship: _______________________
Contact Number: ______________________________________________________________
Home Address : ________________________________________________________________
House Number and Street Barangay City/Municipality
Province
Father’s Name:_________________________________________________________________
Occupation: ___________________________ Contact Number: ________________________
Mother’s Name:________________________________________________________________
Occupation: __________________________ Contact Number: ________________________
I hereby certify that the above information given are true and correct to the
best of my knowledge and I allow the Department of Education to use my details to
create and/or update my profile in the Learner Information System. The information
herein shall be treated as confidential in compliance with the Data Privacy Act of
2012.
___________________
Signature
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region XII
Division of City Schools
Pedro Acharon Sr. District
GENERAL SANTOS CITY SPED INTEGRATED SCHOOL
General Santos City
BORROWER’S CARD
This card must be presented whenever a book is borrowed. No other borrower
should
use this card.
Name: _______________________________________________________________________
Last Name Given Name Middle Name
School: ______________________________________________________________________
Grade and Section: ____________________________________________________________
Classrrom Adviser: _____________________________________________________________
Contact Number: ______________________________________________________________
Home Address : ________________________________________________________________
House Number and Street Barangay City/Municipality
Province
Date Borrowed Title Remarks
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region XII
Division of City Schools
Pedro Acharon Sr. District
GENERAL SANTOS CITY SPED INTEGRATED SCHOOL
General Santos City
Student ID Application Form
ATTACH
2X2 PHOTO
HERE
PLEASE FILL-OUT THIS FORM PROPERLY. USE BLACK INK ONLY. WRITE IN BLOCK
CAPITALS.
FULL NAME: __________________________________________________________________________
FAMILY NAME FIRST NAME MIDDLE INITIAL
GRADE and
SECTION:
SCHOOL:
COMPLETE
ADDRESS:
BIRTHDAY:
MOTHER’S NAME:
FATHER’S NAME:
PERSON TO BE
NOTIFIED IN CASE
OF EMERGENCY:
RELATIONSHIP:
SIGNATURE:
Maria Elena C. dela Torre (Learner) San Pablo City
Johnny F. dela Torre 0912-2012-240
Company Doctor Sales lady
4 156cm.
Female Roman Catholic
46kls GSC SPED Integrated School
July 20, 2014 Grade 5 – Masipag
Ms. Anna Marie V. Masipag
Purok San Roque, Ligaya, General Santos City Maria Isabelle C. dela
Torre
Science Around the World August 2, 2024
Maria Elena C. dela Torre (Learner) San Pablo City
Johnny F. dela Torre 0912-2012-240
Company Doctor Sales lady
4 156cm.
Female Roman Catholic
46kls GSC SPED Integrated School
July 20, 2014 Grade 5 – Masipag
Ms. Anna Marie V. Masipag
Purok San Roque, Ligaya, General Santos City Maria Isabelle C. dela
Torre
Sciene Around the World August 2, 2024
Maria Elena C. dela Torre (Learner) San Pablo City
Johnny F. dela Torre 0912-2012-240
Company Doctor Sales lady
4 156cm.
Female Roman Catholic
46kls GSC SPED Integrated School
July 20, 2014 Grade 5 – Masipag
Ms. Anna Marie V. Masipag
Purok San Roque, Ligaya, General Santos City Maria Isabelle C. dela
Torre
Sciene Around the World August 2, 2024
