Student Profile. Innovation .M.andaya 2017.final
Student Profile. Innovation .M.andaya 2017.final
Student Profile. Innovation .M.andaya 2017.final
STUDENT PROFILE
Name: ________________________________________
Grade/ Section: ________________________ Track /Strand: _____________________
Permanent Address: ________________________________________________________________ 1x1
________________________________________________________________
Birthdate: _______________ Age: ______ Birth Place: ____________________________ Picture
Contact Number: Email Address: ____________________________
LRN: ____________________________ Household No. (if 4P’s recipient)_________________
Name of School (JHS/SHS):_______________________________________________________
Public ( ) Private ( )
FAMILY BACKGROUND:
(Please check the corresponding box of the subjects already taken. Indicate the school year and semester in the columns provided.)
_________________________________________________
(Signature over Printed Name of Student)
Date:_________________
ANECDOTAL RECORDS
(Please attach student’s anecdotal records (untoward behavior/incidents) for future reference.
__________________________________________________ ___________________________________________
(Signature over Printed Name of Grade -11 Adviser) (Signature over Printed Name of Grade -12 Adviser)
SY________________ SY________________