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Revised Dropping Form

This document is a form from Partida National High School in the Philippines for students who are dropping out or transferring to another school. It collects information about the student such as name, birthdate, grade, parent/guardian details, address, reason for leaving, transfer school if applicable, withdrawal date, and any outstanding obligations. Teachers and school administrators sign the form to acknowledge the student's departure.

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Elizabeth Cruz
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0% found this document useful (0 votes)
108 views1 page

Revised Dropping Form

This document is a form from Partida National High School in the Philippines for students who are dropping out or transferring to another school. It collects information about the student such as name, birthdate, grade, parent/guardian details, address, reason for leaving, transfer school if applicable, withdrawal date, and any outstanding obligations. Teachers and school administrators sign the form to acknowledge the student's departure.

Uploaded by

Elizabeth Cruz
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 III
Division of Bulacan
Partida National High School
Partida, San Miguel, Bulacan

Dropping Out/Transfer of Students


S.Y. 2018-2019

Student Name: _____________________________________ LRN #: ___________________

Date of Birth: ________________ Grade: _______________________

Name of Parent/Guardian: ___________________________________________________________

Signature of Student: _______________________________________________________________

Parent/Guardian Signature: __________________________________________________________


Must have parent/guardian signature if under 18 years of age.

Address: _________________________________________________________________________

Reason for leaving: ________________________________________________________________

Transferring to: ____________________________________________________________________

Date of withdrawal: ___________________________ Parent’s Celphone #: ________________________

Subject Grade level Teacher’s initials

**Please indicate if there are any outstanding obligations and any other comments:_______________

________________________________________________________________________________

ELIZABETH I. CRUZ
Adviser’s Signature Date

ANDY G. TAYAMORA __________________________


Grade 7- Chairman’s Signature Date

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