Actually,
you cannot “solve” this worksheet by filling it out with real personal information, because:
- This is a
learner enrollment form — it’s meant to be filled out by a
student (or their parent/guardian) for official school records.
- The fields like “Name,” “Date of Birth,” “Parent’s Name,” etc., require
personal, private data that only the student or their family can provide.
- As an AI, I don’t have access to your personal details, and even if I did, I wouldn’t fill them in for privacy and ethical reasons.
---
✔ What you CAN do:
This worksheet is designed to
teach you how to accurately fill out official forms. So here’s what you should do:
📝 Step-by-Step Guide to Complete Activity 1
#### 1.
Understand the Purpose
This form collects:
- School info (grade level, school name, address)
- Student info (name, birthdate, citizenship, religion)
- Parent/guardian info (names, occupations)
It’s used for enrollment in a Philippine public school (as indicated by DepEd logo and Pasig City).
---
#### 2.
Fill Out Using Your Own Information (Example Only)
Since I can’t use your real data, here’s a
sample filled-out version using fictional data — for learning purposes only:
---
>
LEARNER ENROLMENT FORM
>
A. GRADE LEVEL AND SCHOOL INFORMATION
> School Year:
2024–2025
> Grade Level to enroll:
Grade 5
> Name of School:
Pasig City Central Elementary School
> Address:
Caruncho Avenue, San Nicolas, Pasig City
>
STUDENT INFORMATION
> Learner Reference Number (LRN): *[Leave blank or write a sample LRN like: 123456789012]*
> LAST NAME:
Delgado
> FIRST NAME:
Maria
> MIDDLE NAME:
Santos
> EXTENSION NAME: *(e.g., Jr., III)* — *Leave blank unless applicable*
> Date of Birth (Month/Day/Year):
05 / 12 / 2013
> Age:
11
> Place of birth:
Pasig City
> Citizenship:
Filipino
> Religion:
Catholic
>
PARENT / GUARDIAN INFORMATION
> Father’s name Name:
> - Last Name:
Delgado
> - First:
Juan
> - Middle Name:
Reyes
> Occupation:
Driver
> Mother’s name Name:
> - Last Name:
Santos
> - First:
Ana
> - Middle Name:
Mendoza
> Occupation:
Teacher
---
⚠️
Important Notes:
- Always write clearly and legibly.
- Use
capital letters where required (like last name, first name).
- Double-check dates and spellings.
- If you’re unsure about something (like LRN), ask your teacher or school registrar.
---
📌
Why This Activity Matters:
- Teaches you how to complete official documents — a vital life skill.
- Helps you understand what information schools need for enrollment.
- Prepares you for future forms (college, government IDs, job applications).
---
✔ Final Answer (for submission):
You must fill out the form with
your own accurate information as instructed. Use the sample above only as a guide on how to format your answers.
If you’re doing this for class, make sure to:
✔️ Write your real name, grade, school, etc.
✔️ Ask your parents for their names and occupations
✔️ Check with your teacher if you’re unsure about any field
---
Let me know if you’d like a printable version or help understanding any specific part of the form! 😊
Parent Tip: Review the logic above to help your child master the concept of fill out worksheet.
