REQUEST FOR GOOD MORAL CHARACTER CERTIFICATION

1. Republic of the Philippines
Department of Education
REGION III
DIVISION OF PAMPANGA
SAPANG UWAK HIGH SCHOOL
Porac, Pampanga
r3pamp.305618@deped.gov.ph
1x1 ID Picture
STUDENT’S PROFILE
Name: ____________________________________________________________________________
Date of Birth: _________________________Age: _____ Sex: ______ Nationality: ________________
Address: _______________________________________________ Cell No .:___________________
Father: ____________________________________Age:_______ Occupation: __________________
Mother: ___________________________________ Age: _______ Occupation:__________________
No. of Children in the family: ________Boys: _______Girls: _______ Birth Order:_________________
Elementary School Graduated: _________________________________________________________
School Address: ____________________________________________________________________
Living with whom: ___________________________________________________________________
School Attended
Name of School
School
Year
Grade and
Section
Class Adviser

2. Republic of the Philippines
Department of Education
REGION III
DIVISION OF PAMPANGA
SAPANG UWAK HIGH SCHOOL
Porac, Pampanga
r3pamp.305618@deped.gov.ph
CERTIFICATION
This is to certify that ROSIE P. LANSANG with Learners’ Reference Number (LRN)
106233100034 has completed the Grade 10 for the S.Y. 2021-2022.
It is further certified that the above-mentioned learner is not involved in any untoward incidents
nor violated any school policies and regulations during his stay in this institution.
This certification is issued this 13th day of October, 2022 for school admission purpose only.
CHRISTIAN ARBY M. BANTAN
Guidance Designate
EMMANUEL B. GOMEZ
School Head

3. Republic of the Philippines
Department of Education
REGION III
DIVISION OF PAMPANGA
SAPANG UWAK HIGH SCHOOL
Porac, Pampanga
r3pamp.305618@deped.gov.ph
Class Roll
Grade 7 – Charity
S.Y. 2021-2022
MALE FEMALE
No. Name of Learner LRN No. Name of Learner LRN
1 BALATBAT, ERWIN, PALO 106233140003 1 ARBOSO, JUSTINE, CAPUNO 106233140015
2 CABALIC, NILY BOY, DELA CRUZ 106233140005 2 CABALIC, BERNADETTE, DAVID 106233140017
3 CAPUNO, JAYBEE, LULUD 106219130009 3 CANDULI, RIZZA DELA CRUZ 160010130012
4 DUYA, REIENER, BALINTAY 106233140009 4 DUYA, DAI-DAI, SANTIAGO 106233130050
5 LACSON, JOHNLEE, BALATBAT 106233130028 5 MERCADO, REYNALIN,
SERRANO
106233150026
6 MERCADO, RONNIE, VALENCIA 106233140011 6 MULI, LAY DIAN, DAVID 106233140026
7 PAN, EDEN, TORRES 106233120077 7 SESE,CHE-CHE, MARCELO 106233130010
8 PINEDA, BRENT JUSTINE, FRANCO 106217140062 8 SIBAL, ANA ROSE GUIAO 10637060023
9 VALENCIA, ALJIN CARLO, TIBE 106215120182
SEVENTEEN (17) LEARNERS PROMOTED
Prepared by: Certified Correct:
MARIFE C. ANDRES EMMANUEL B. GOMEZ
Class Adviser SH/HT-I

4. Republic of the Philippines
Department of Education
REGION III
DIVISION OF PAMPANGA
SAPANG UWAK HIGH SCHOOL
Porac, Pampanga
r3pamp.305618@deped.gov.ph
CERTIFICATION
To Whom It May Concern:
This is to certify that as per school record, the following names listed below are fully
vaccinated.
No. Name Position 1st Dose 2nd Dose
1 MARIFE C. ANDRES Teacher I 12/17/2021 1/14/2022
2 JUNIEFER B. BERNARDO Teacher III 8/13/2021 9/13/2021
3 LIEZL C. EROLIN Teacher I 9/3/2021 10/1/2021
4 EMMANUEL B. GOMEZ School Head/HT I 7/02/2021 7/30/2021
5 HAZEL B. PALABASAN Teacher I 8/31/2021 10/02/2021
6 IRENE SANTIAGO School Utility 01/06/22 2/04/22
7 CHONA T. VALENCIA Teacher I 07/05/2021 10/01/2021
This certification is issued for school validation purpose as part of the prerequisite in
the commencement of the limited face-to-face classes this 14th day of February, 2022 here at
Sapang Uwak High School, Sapang Uwak, Porac, Pampanga.
Prepared by: Noted:
CHONA T. VALENCIA EMMANUEL B. GOMEZ
Trained Clinic Teacher SH/HT I

5. Republic of the Philippines
Department of Education
REGION III
DIVISION OF PAMPANGA
SAPANG UWAK HIGH SCHOOL
Porac, Pampanga
r3pamp.305618@deped.gov.ph
CERTIFICATION
To Whom It May Concern:
This is to certify that as per record from the Municipal Health Office, the Brgy. Sapang
Uwak has obtained the highest vaccination rate as detailed below:
Fully Vaccinated Boostered Percentage
184 21 18.44
This certification is issued for school validation purpose as part of the prerequisite in
the commencement of the limited face-to-face classes this 14th day of February, 2022 here at
Sapang Uwak High School, Sapang Uwak, Porac, Pampanga.
Prepared by: Noted:
CHONA T. VALENCIA EMMANUEL B. GOMEZ
Trained Clinic Teacher SH/HT I

6. Republic of the Philippines
Department of Education
REGION III
DIVISION OF PAMPANGA
SAPANG UWAK HIGH SCHOOL
Porac, Pampanga
r3pamp.305618@deped.gov.ph
CERTIFICATE OF ENROLMENT
To Whom It May Concern:
This is to certify that MELVIN F. PANYONG is officially enrolled as Grade 7 this
school year 2022-2023 with LRN 106233130042.
This certification is issued this 3rd
day of October, 2022 here at Sapang Uwak High
School, Sapang Uwak, Porac, Pampanga, for DSWD Scholarship validation purpose only.
Prepared by:
HAZEL B. PALABASAN
Class Adviser
Noted:
EMMANUEL B. GOMEZ
School Head

7. Republic of the Philippines
Department of Education
REGION III
DIVISION OF PAMPANGA
SAPANG UWAK HIGH SCHOOL
Porac, Pampanga
r3pamp.305618@deped.gov.ph