Mshs 2019 Test
Mshs 2019 Test
Mshs 2019 Test
REPRODUCED ALL
ENTRIES /SIGNATURE
Republic of the Philippines IN THIS FORM MUST BE
DEPARTMENT OF EDUCATION ORIGINAL
National Capital Region
Schools Division Office- Makati City
MAKATI SCIENCE HIGH SCHOOL
Kalayaan Ave., Cembo, City of Makati 1214
Instruction: Write clearly in the box provided or check the box for the appropriate answer. Avoid erasures. For any
erasure, the applicant should countersign the item corrected along the page margin. PLEASE ANSWER ALL ITEMS
Deadline for Submission: 09 January 2020 (Thursday) Date of Examination: 11 January 2020 (Saturday)
Name of Applicant Print full name of students. Place one letter in each box and leave one box blank between names.
1. Name of Applicant Learner Reference Number (LRN)
LAST
C
FIRST C
7. Permanent Address
No. Street District City/Municipality Province Zip Code
8. Number of Children in the family 9. Birth Order of Applicant (1st child, 2nd child, etc.)
10. Name Relationship Age Civil Highest Grade or Occupation of Gross Income
(Put Family to Applicant Status Educational Year Working for
Head* Attainment Attending if Family the Year (in
as first in the list; (Specify grade, Currently in Member pesos)
include name of year or degree) School
applicant)
14. Elementary School Mailing Address (Number and Street, Subd. Village Barangay, City Town Province)
Type of School Public Private School Marking System (For letter grades, please attach a copy of the
Grading Scale with the numeric equivalent of each grade in the scale.)
Affixed here is the school dry seal I certify to the completeness and corrections of
This school has no dry seal correctness of the foregoing record
FORM A
CERTIFICATE OF GOOD MORAL CHARACTER
FORM B
PRINCIPAL CERTIFICATION
FORM C
PARENT’S CERTIFICATION
This is to certify that my son/daughter, ___________________________________, has no pending application for immigration to the USA
or any other country. ___________________________________________
Printed Name & Signature of Parent
rreyes11-05-19