Annex 1 NLC Registration Template

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Republic of the Philippines

Department of Education
Region VI – Western Visayas
Schools Division of Iloilo

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 __________

Teacher Adviser in the currently enrolled Grade Level:

Name: ______________________________

Contact Number: _________________________

Address: Luna St., La Paz, Iloilo City 5000


Tel./Fax No. (033) 320-1402 | (033) 320-0719 | (033) 320-0707 | (033) 327-2252
Website: http://www.depediloilo.ph | e-mail: iloilo@deped.gov.ph

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