Mauswagon Integrated School

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MAUSWAGON INTEGRATED SCHOOL

S.Y. 2024 – 2025


Grade 9 - Jaunty

INDIVIDUAL PROFILE
Name: ____________________________________________________________ Age: _________________
LRN No.: __________________________________________________________ Gender: ______________
Date of Birth: _____________________________ Place of birth: __________________________________
Religion: _________________ Nationality: ____________________ Contact No.: __________________
Number of Brothers: _____________________________ Number of Sisters: _________________________
(Please Check): Legitimate Child: _____________________ Illegitimate Child: ________________________
(Please Check) 4Ps Beneficiary: Yes _____ No _____ 4Ps No: ________________________

PARENT’S DATA FATHER MOTHER

1. Name _______________________ ________________________


2. Birthday _______________________ ________________________
3. Birthplace _______________________ ________________________
4. Occupation _______________________ ________________________
5. Educ’l Attainment _______________________ ________________________
6. Religion _______________________ ________________________
7. Civil Status Married: ___________ Widowed: ___________ Separated: ____________
8. Deceased/Caused/Date: ______________________ ________________________
9. Number of books: ______________________

(Please write the title of each books/modules)\

1. _______________________________ 6. _______________________________
2. _______________________________ 7. _______________________________
3. _______________________________ 8. _______________________________
4. _______________________________ 9. _______________________________
5. _______________________________ 10. ______________________________

JANNAICA MAE S. BALDON


Class Adviser

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