You are on page 1of 6

Profile: 06-m-115 ATS New York City public schools

User: mrodri10 Verification of pupil registration (RFTF)

TO : Bureau of income maintenance date: 05-01-2018

Pupil s name : Diaz, Omal

Grade level : 29/11/2012

Grade level : 02

Address : 501 west 176 state Apt. 6A

City : new york state: NY ZIP code :10033

Parent s /guardian s name : Diaz, Rosa

The above names pupil is currently registered at this school and the information on our files indicate
the date of birth student ID number listed above.

Student s attendance rate, based on 80 days of attendance date, is 91% for this school year, above
the city-wide average.

Yours truly,

Principal

I authorize the N.Y.C. department of education to provide information to department of social


services about my child s registration date of birth, student ID number, hone address and grade
level.

I understand that the information will be used only for determining my child s eligibility for public
assistance, Medicaid or food stamps.

Parent/guardian
Profile: 06-m-115 ATS New York City public schools

User: MRODRI10 Verification of pupil registration (RFTF)

TO : Bureau of income maintenance date: 05-01-2018

Pupil s name : Diaz, JASELIN

Grade level : 18/07/2007

Grade level : 05

Address : 501 west 176 state Apt. 6A

City : new york state: NY ZIP CODE :10033

Parent s /guardian s name : Diaz, Rosa

The above names pupil is currently registered at this school and the information on our files indicate
the date of birth student ID number listed above.

Student s attendance rate, based on 80 days of attendance date, is 91% for this school year, above
the city-wide average.

Yours truly,

Principal

I authorize the N.Y.C. department of education to provide information to department of social


services about my child s registration date of birth, student ID number, hone address and grade
level.

I understand that the information will be used only for determining my child s eligibility for public
assistance, Medicaid or food stamps.

Parent/guardian
Profile: 06-m-115 ATS New York City public schools

User: MRODRI10 Verification of pupil registration (RFTF)

TO : Bureau of income maintenance date: 05-01-2018

Pupil s name : Diaz, Malbin

Grade level : 02/07/2008

Grade level : 04

Address : 501 west 176 state Apt. 6A

City : new york state: NY ZIP CODE :10033

Parent s /guardian s name : Diaz, Rosa

The above names pupil is currently registered at this school and the information on our files indicate
the date of birth student ID number listed above.

Student s attendance rate, based on 80 days of attendance date, is 91% for this school year, above
the city-wide average.

Yours truly,

Principal

I authorize the N.Y.C. department of education to provide information to department of social


services about my child s registration date of birth, student ID number, hone address and grade
level.

I understand that the information will be used only for determining my child s eligibility for public
assistance, Medicaid or food stamps.

Parent/guardian
Profile: 06-m-115 ATS New York City public schools

User: MRODRI10 Verification of pupil registration (RFTF)

SCHOOL : P.S . 115 Alexander Humboldt


ELEMENTARY SCHOOL 115
ADDRESS : 586 WEST 177 STREET, NEW YORK 10033

TELPHONE NO : (212) 927-9233

TO : Bureau of income maintenance Date: 05-01-2018

Pupil s name : cintron, Marco

Grade level : 09

Address : 501 west 176 state Apt. 6A

City : new york state: NY ZIP CODE :10033

Parent s /guardian s name : Diaz, Rosa

The above names pupil is currently registered at this school and the information on our files indicate
the date of birth student ID number listed above.

Student s attendance rate, based on 80 days of attendance date, is 91% for this school year, above
the city-wide average.

Yours truly,

Principal

I authorize the N.Y.C. department of education to provide information to department of social


services about my child s registration date of birth, student ID number, hone address and grade
level.

I understand that the information will be used only for determining my child s eligibility for public
assistance, Medicaid or food stamps.

Parent/guardian
Profile: 06-m-115 ATS New York City public schools

User: MRODRI10 Verification of pupil registration (RFTF)

SCHOOL : P.S . 115 Alexander Humboldt

ELEMENTARY SCHOOL 115

ADDRESS : 586 WEST 177 STREET, NEW YORK 10033

TELPHONE NO : (212) 927-9233

TO : Bureau of income maintenance date: 05-01-2018

Pupil s name : Diaz, laisa

Student ID : 214-686-313

Birth date : 30/07/2001

Grade level : 11

Address : 501 west 176 state Apt. 6A

City : new york state: NY ZIP code:10033

Parent s /guardian s name : Diaz, Rosa

The above names pupil is currently registered at this school and the information on our files indicate
the date of birth student ID number listed above.

Student s attendance rate, based on 80 days of attendance date, is 91% for this school year, above
the city-wide average.

Yours truly,

Principal

I authorize the N.Y.C. department of education to provide information to department of social


services about my child s registration date of birth, student ID number, hone address and grade
level.

I understand that the information will be used only for determining my child s eligibility for public
assistance, Medicaid or food stamps.

Parent/guardian
Profile: 06-m-115 ATS New York City public schools

User: MRODRI10 Verification of pupil registration (RFTF)

SCHOOL : P.S . 115 Alexander Humboldt

ELEMENTARY SCHOOL 115

ADDRESS : 586 WEST 177 STREET, NEW YORK 10033

TELPHONE NO : (212) 927-9233

TO : Bureau of income maintenance date: 05-01-2018

Pupil s name : Diaz, Angelina

Birth date : 30/07/2004

Grade level : 06

Address : 501 west 176 state Apt. 6A

City : new york state: NY ZIP code:10033

Parent s /guardian s name : Diaz, Rosa

The above names pupil is currently registered at this school and the information on our files indicate
the date of birth student ID number listed above.

Student s attendance rate, based on 80 days of attendance date, is 91% for this school year, above
the city-wide average.

Yours truly,

Principal

I authorize the N.Y.C. department of education to provide information to department of social


services about my child s registration date of birth, student ID number, hone address and grade
level.

I understand that the information will be used only for determining my child s eligibility for public
assistance, Medicaid or food stamps.

Parent/guardian

You might also like