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Student Drop-Out Form

The document is a drop form for students who have dropped out of school in the Republic of the Philippines. It requires personal information about the student and their parent/guardian, as well as reasons for dropping out and any additional comments or interventions. The form is prepared by a school adviser and noted by the head teacher.

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T Niel
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6 views1 page

Student Drop-Out Form

The document is a drop form for students who have dropped out of school in the Republic of the Philippines. It requires personal information about the student and their parent/guardian, as well as reasons for dropping out and any additional comments or interventions. The form is prepared by a school adviser and noted by the head teacher.

Uploaded by

T Niel
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

Republic of the Philippines

Department of Education
Region V – Bicol
SCHOOLS DIVISION OFFICE OF CAMARINES NORTE
Malaya Integrated School
Brgy. Malaya, Labo, Camarines Norte

DROP FORM
This form is to given for the students dropped out of school during the school year. Please complete and
attach this form ONLY if the student dropped out of school
Full Name of Student : ______________________________________ LRN: ________________________
Grade and Section: ___________________________ Address: ______________________________________
Birth Date: ____________________________________________ Gender: ___________________________
Full Name of Parent/ Guardian: _____________________________ Contact Number:
_____________________
Please Mark The reason for dropping out of school ( Check all that apply).
 Poor academic performance  Overage
 Had to take care of siblings  Death
 Early marriage/ pregnancy  Drug Abuse
 Parents’ attitude toward schooling  Lack of interest/ Distractions
 Family problems/ feuds  Hunger/ Malnutrition
 Illness  Teacher Factor

Additional comments:
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________.
Intervention:
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________.

_________________________________________
Parent/Guardian Signature over Printed Name
__________________________________
Student’s Signature over Printed Name
Prepared By:
Daniel E. Asis
Grade 10- Enthusiastic Adviser
Noted:
PEPITO R. MAÑAGO
Head Teacher III

Brgy. Malaya, Labo, Camarines Norte


+639104059865
[Link]/[Link]?id=100063743481846

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