Mauswagon Integrated School
Mauswagon Integrated School
Mauswagon Integrated School
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: ________________________
1. _______________________________ 6. _______________________________
2. _______________________________ 7. _______________________________
3. _______________________________ 8. _______________________________
4. _______________________________ 9. _______________________________
5. _______________________________ 10. ______________________________