REQUIREMENTS: Department of Education

 School Card/
Region IX, Zamboanga Peninsula
Form 138
Division of Zamboanga City
 Birth Certificate
(Photocopy)
BALIWASAN SENIOR HIGH SCHOOL
 4 pcs 1x1 picture (white STAND-ALONE
background w/ Name Baban Sr. Street, San Jose, Baliwasan, Zamboanga City
Tag)
 Certificate of Good SENIOR HIGH SCHOOL ENROLMENT FORM
Moral Character School Year: 20____ - 20____
 1 long Brown Envelope  1ST SEMESTER  2ND SEMESTER
 GRADE 11  GRADE 12  TRANSFEREE
Date of enrolment: ______________
Print legibly all information needed. LRN: 
PART I. PERSONAL INFORMATION
Name:______________________________, _________________________________________________________________
(Family Name) (First Name) (Middle Name)
Home Address:_________________________________________________________________________________________
(House No./ Drive | Street | Road / Subdivision / Barangay / City )  Tausug  Visayan
 Samal  Zamboangueño
Date of Birth [MM/DD/YYYY]:____________________ Place of Birth_______________________ Tribe:  Badjao Others:_______
Father's Name: ____________________________ Occupation:___________________ Address:________________________
Mother's Name: ____________________________ Occupation:___________________ Address:________________________
Parent's Contact No.:__________________ No. of Siblings:_______ Order in the family:  Eldest  Youngest  Others: _____
Guardian (if not staying with parents)___________________________________________ Relationship:_______________________
Address:_____________________________________________________________ Contact No: _______________________

PART II. SCHOOL PREVIOUSLY ATTENDED

Name of JHS/SHS (Do Not Abbreviate) Section: Date of Completion

Address (City / Town or Province) Region & Division

PART III. SENIOR HIGH SCHOOL PROGRAM PREFERENCE

Please check  your chosen Track and Strand
ACADEMIC (ACAD) TRACK
 Science, Technology, Engineering & Mathematics (STEM)
 Humanities and Social Sciences (HUMSS)
 General Academic Strand (GAS)
 Accountancy, Business and Management (ABM)
TECHNICAL-VOCATIONAL & LIVELIHOOD (TVL) TRACK

HOME ECONOMICS (H.E.) INFORMATION & COMMUNICATION TECHNOLOGY (ICT)

 Bread & Pastry Production NC II (160 hrs), Cookery NC II (320 hrs),
Food and Beverage Services NC II (160 hrs)
 Dressmaking NC II (320 hrs) and Tailoring NC II (320 hrs)
 Caregiving NC II (640 hrs)
AGRI-FISHERY ARTS (AFA)
 Food (Fish) Processing NC II (640 hrs)
 Computer System Servicing NC II (640 hrs)
 Technical Drafting NC II (320 hrs) and Animation NC II (320 hrs)
INDUSTRIAL ARTS (I.A.)
 Electrical Installation & Maintenance NC II (640 hrs.)

We/I hereby certify that all information written in this enrolment form is true and accurate. If accepted as student of BALIWASAN
SENIOR HIGH SCHOOLSTAND-ALONE, we/I shall abide with the school rules/policies:

CONFORME: _____________________________________ ________________________________________

Student's Signature over Printed Name Parent's/Guardian's Signature over Printed Name

Evaluated by:
____________________________________ ____________________________
Enrolling Teacher Track Coordinator

Approved by:
ROMEO E. BALLESTEROS
Principal II