STUDENT PROFILE SHEET

LRN SECTION
Last Given Middle
Name Name name
Birth Date Age (June 1) Sex O Male O Female
Religion
O Tagalog O Pangasinense O Iloko
O Bikol O Waray O Hiligaynon ADDRESS
O Cebuano O Maguondanaoan O Tausug House # or Street
Mother
O Maranao O Chabacano O Ybanag
Tongue Barangay
O Ivatan O Sambal O Aklanon
O Kinaray-A O Surigaonon O Yakan Municipality
O Kapampangan
Province
Previous School
Name of Father Occupation
Name of Mother Occupation
Name of Guardian Occupation
Relationship to Guardian No. of Brothers
Contact Number No. of Sisters
OTHERS
Food Allergies TEACHER REMARKS:
Phobia/ Trauma
Illnesses
Parent Status
Living with

STUDENT PROFILE SHEET

LRN SECTION
Last Given Middle
Name Name name
Birth Date Age (June 1) Sex O Male O Female
Religion
O Tagalog O Pangasinense O Iloko
O Bikol O Waray O Hiligaynon ADDRESS
O Cebuano O Maguondanaoan O Tausug House # or Street
Mother
O Maranao O Chabacano O Ybanag
Tongue Barangay
O Ivatan O Sambal O Aklanon
O Kinaray-A O Surigaonon O Yakan Municipality
O Kapampangan
Province
Previous School
Name of Father Occupation
Name of Mother Occupation
Name of Guardian Occupation
Relationship to Guardian No. of Brothers
Contact Number No. of Sisters
OTHERS
Food Allergies TEACHER REMARKS:
Phobia/ Trauma
Illnesses
Parent Status
Living with