Republic of the Philippines

Department of Education
Region I
Division of Ilocos Norte
BADOC DISTRICT

SOCIO/ ACADEMIC/ ANECDOTAL RECORD

Sta. Cruz Elementary School
Birthdate: 12-21-2008__
Name: _Salvosa, Lovely Joy A.____ Residence: Brgy.7-A Sta. Cruz, Badoc, Ilocos. Norte
Father: __Jimmy R. Salvosa
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Mother: __Vilma E. Asis
_
No. of Children in the Family:________ Boy: __
Girl: ____
Living with Parents: Yes: ___No: ____
State if both parents are living:_______ Yes: ____
No: ____
If no, pls. specify:
_______________
Parents Monthly Income: Php______________ Economic Status: Very Poor ____ Poor ___ Average ____ High ____
I.
II.

Pre-Elementary Education
Entrance Age:
Nursery: ____

Kinder: _____

Elementary Education
Graduate with Honors?

No ____(Please check) If yes, specify _____________________

Yes ____

(to be filled after graduation)

A. Academic Profile
1. Reading
1

GRADE I
2 3 4

GRADE II
2 3 4

Non-Reader
Frustration
Instructional
Independent
Legend: 1-Non Reader

GRADE III
2 3 4

2-Frustration

GRADE IV
2 3 4

3-Instructional

GRADE V
2 3 4

GRADE VI
2 3 4

4-Independent

(Please check appropriate box in each grade applicable opposite Nos. 1, 2, 3, or 4 and case may be.)

2. Mathematics
1

GRADE I
2 3 4

GRADE II
2 3 4

GRADE III
2 3 4

GRADE IV
2 3 4

GRADE V
2 3 4

GRADE VI
2 3 4

Addition
Subtraction
Multiplication
Division
Problem Solving

Legend: W- level of mastery is very poor

Y- just enough mastery

X- some degree of mastery but needs more practice

Z- manifest excellence

(Above code shall be entered for each of the curriculum year)

B. Oral Participation/Recitation
1

GRADE I
2 3 4

GRADE II
2 3 4

GRADE III
2 3 4

GRADE IV
2 3 4

GRADE V
2 3 4

GRADE VI
2 3 4

Passive
Poor
Active
C. Any Academic honor obtained in:
Grade I
Grade II
Grade III
Grade IV
Grade V
Grade VI
(Please Specify)

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D. Special Talents/Skills/Winnings
I
1. Singing
2. Dancing
3. Music Reading
4. Drawing/Painting
5. Dramatics
6. Speaking
a. Declamation
b. Oratorical

II

III

IV

VI

7. Athletics
8. Leadership
9. Others (Pls. Specify)

E. Cases of Significant Misdemeanor/s

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CERTIFICATION is hereby made on the veracity of the above-mentioned entries per item.

Adviser
Principal

GRADE I

GRADE II

GRADE III

GRADE IV

GRADE V

GRADE VI

LORELAI C. TEVES

GERALDINE M. RONQUE

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ADELAIDA A. PADAONG

ADELAIDA A. PADAONG

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