Republic of the Philippines

Department of Education
Region VI- Western Visayas
Division of Negros Occidental
BULWANGAN NATIONAL HIGH SCHOOL
Bulwangan, Hinoba-an, Negros Occidental

STUDENT PROFILE
STUDENT'S INFORMATION
Learner's Reference No. 117139120288

Family Name AMBROCIO

Given Name JENY-ANN
Middle Name TEOLULA Place of Birth ASIA,HINOBA-AN
Gender / Female Date of Birth
Age
Male Month Day Year
NOVEMBER 25 2005 13
Religion Roman Catholic / Baptist Iglesia ni Cristo Jesus is Lord
Seventh Day Adventist Church of Christ Assemblies Pentecostal
Aglipay Born Again of God
Islam Others: ( please specify name of Church Affiliation)

CONTACT DETAILS
House No. Purok/Sitio 5
Barangay ASIA Municipality/City HINOBA-AN
Province NEGROS OCCIDENTAL
E-mail Address Cellphone No.
FAMILY INFORMATION
Name of Family Family Name Given Name Middle Name Suffix Occupation
Members
Father AMBROCIO DEMETRIO BALCENA FARMING
Mother TEOLULA GEMMA DEQUIÑA HOUSEKEEPER
Guardian
No. of Siblings 9 Monthly Family Income: P 11,000.00
Address of Parent/Guardian Purok-5, Brgy. Asia, Hinoba-an, Neg. Occ
Contact no. of Parent/Guardian
GENERAL AVERAGE PER GRADE LEVEL
Grade level Section Average Award Grade level Section Average Award
Grade 6 1 89 Grade 10
Grade 7 Grade 11
Grade 8 Grade 12
Grade 9
ANECDOTAL RECORD : Grade 7
First Quarter Second Quarter Third Quarter Fourth Quarter

Prepared by:
SHIELA O. NINAL
SSP-7 Adviser/SST-I