Informatics College-Northgate

IT Convergence Building, Indo-China Drive, Northgate Cyberzone, Filinvest Corporate

City. Alabang, Muntinlupa City

CUMULATIVE RECORD
I. PHOTOS

A. Senior High School

Grade 11 ________ Grade 12 ________

S.Y._____________ S.Y._____________

B. College Course: ____________________

First Year Second Year Third Year

S.Y._____________ S.Y._____________ S.Y._____________
Term: 1st __ 2nd __ 3rd __ Term: 1st __ 2nd __ 3rd __ Term: 1st __ 2nd __ 3rd __

II. PERSONAL DATA

Name: _________________________________________________________________________
(Surname) (First name) (Middle name)

Nickname: ______________ Sex:____________ Nationality: _____________________

Date of Birth:_________________ Place of Birth: _______________ Religion: ______________

City Address: ___________________________________________________________________

Provincial Address: ______________________________________________________________

E-mail Address: _____________________________________ Contact #: ___________________

III. EDUCATIONAL BACKGROUND

LEVEL School Location/Address Inclusive Dates Honors/Awards

Graduated of Attendance Received
ELEMENTARY
HIGH SCHOOL
SENIOR HIGH SCHOOL
VOCATIONAL
COLLEGE
IV. CAREER/VOCATIONAL/INTEREST

A. Inclination B. Goal Orientation

Hobbies/Interest and Special Talents Dreams and Aspirations

( Dreaming to become a )

C. Co-curricular and Extra-Curricular Involvement

Level Awards/Trainings Received Clubs/Organization

Elementary
High School
Senior High School
Vocational
College

V. FAMILY BACKGROUND

Parents married and living together? Yes _____

No Separated _____ Widowed_____
Mother re-married _____ Father re-married _____
Marriage annulled _____

A. Parents Profile

Mother Father Guardian

Name
Address
Date of Birth
Nationality
Religion
Tel. Number (Home)
Mobile Number
Tel. Number (Work)
Highest Educational
Attainment
Occupation
Employer

B. Siblings

Name of Brothers Date of Birth Education Occupation School/Employer

and Sisters
 C. Marital Information (If applicable)

Name of Spouse Date of Birth Education Occupation School/Employer

Name of Children Date of Birth Education Occupation School/Employer

VI. PSYCHOLOGICAL TESTS RECORD

Date Title of Test RS-PR Interpretation Recorded by:

VII. SIGNIFICANT NOTES (FOR GUIDANCE COUNSELORS ONLY)

DATE INCIDENT REMARKS

_________________________ ________________
STUDENT’S SIGNATURE DATE