Republic of the Philippines

DEPARTMENT OF EDUCATION
REGION XI
Division of City Schools
Photo
Davao City
LOWER TAMUGAN NATIONAL HIGH SCHOOL
STUDENT CUMULATIVE RECORD
PERSONAL DATA LRN:
Name: Sex:
Family Name First Name Middle Name Date of Birth:
Address: Place of Birth:
Religion: Contact No.:
Father's Name: Age: Birth Place:
Occupation: Place of Work: Educ'l. Attainment:
Mother's Name: Age: Birth Place:
Occupation: Place of Work: Educ'l. Attainment:
Guardian's Name: Age: Birth Place:
Occupation: Place of Work: Educ'l. Attainment:

CHILDREN IN THE FAMILY (Oldest to Youngest)

NAME AGE SCHOOL/WORK NAME AGE SCHOOL/WORK
1 7
2 8
3 9
4 10
5 11
6 12

Language/ dialect Spoken:

Name of Musical Instruments you play:
What hobbies do you have?
What are your special talents?
What do you plan to be when you grow up?
Do you have any Physical defects or sickness? Yes: No: ̸̸̸ If yes, what?
Do you encounter any serious accident? Yes: No: ̸̸̸ If yes, what?
Are you living with your parents? Yes: No: If No, with whom? Relationship:
Are you a working student?
Address and Contact Number:

in case of emergency, contact:

Name: Address: Contact No.

ELEMENTARY LEVEL DATE

School attended in the past

NAME LOCATION

Elementary School Graduated: Date Graduated:

Address: General Average: 82

RECORD OF OUTSTANDING ACHIEVEMENTS

GRADE 7 GRADE 8 GRADE 9 GRADE 10 GRADE 11 GRADE 12
Name: Name:

Grade & Section: School Year: Grade & Section: School Year:

LEARNING AREAS/ PERIODIC RATING Action LEARNING AREAS/ PERIODIC RATING Action
C.S AVE. C.S AVE.
SUBJECT 1 2 3 4 Taken SUBJECT 1 2 3 4 Taken

Filipino 0 FAILED Filipino

English 0 FAILED English

Mathematics 0 FAILED Mathematics

Science 0 FAILED Science

Araling Panlipunan 0 FAILED Araling Panlipunan

Edukasyon sa Pagpapakatao 0 FAILED TLE

TLE 0 FAILED MAPEH

MAPEH 0 FAILED Music

Music 0 FAILED Arts

Arts 0 FAILED Physical Ed.

Physical Ed. 0 FAILED Health

Health 0 FAILED Edukasyon sa Pagpapakatao

General Average General Average

No. of School Days:_ No. of Days Present: No. of School Days:_ No. of Days Present:

Lack Unit in: Lack Unit in:

Has Advanced Unit in: Has Advanced Unit in:

Classified as: Classified as:

MS. GLYDELL ANN A. PERTOS

Adviser Adviser

Name: Name:

Grade & Section: School Year: Grade & Section: School Year:

LEARNING AREAS/ PERIODIC RATING Action LEARNING AREAS/ PERIODIC RATING Action
C.S AVE. C.S AVE.
SUBJECT 1 2 3 4 Taken SUBJECT 1 2 3 4 Taken

Filipino Filipino

English English

Mathematics Mathematics

Science Science

Araling Panlipunan Araling Panlipunan

TLE TLE

MAPEH MAPEH

Music Music

Arts Arts

Physical Ed. Physical Ed.

Health Health

Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao

General Average General Average

No. of School Days:_ No. of Days Present: No. of School Days:_ No. of Days Present:

Lack Unit in: Lack Unit in:

Has Advanced Unit in: Has Advanced Unit in:

Classified as: Classified as:

Adviser Adviser

Name: Name:

Grade & Section: School Year: Grade & Section: School Year:

LEARNING AREAS/ PERIODIC RATING Action LEARNING AREAS/ PERIODIC RATING Action
C.S AVE. C.S AVE.
SUBJECT 1 2 3 4 Taken SUBJECT 1 2 3 4 Taken

Filipino Filipino

English English

Mathematics Mathematics

Science Science

Araling Panlipunan Araling Panlipunan

TLE TLE

MAPEH MAPEH

Music Music

Arts Arts

Physical Ed. Physical Ed.

Health Health

Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao

General Average General Average

No. of School Days:_ No. of Days Present: No. of School Days:_ No. of Days Present:

Lack Unit in: Lack Unit in:

Has Advanced Unit in: Has Advanced Unit in:

Classified as: Classified as:

Adviser Adviser