STA.

TERESA COLLEGE
Bauan, Batangas
JUNIOR HIGH SCHOOL DEPARTMENT Picture

SY 2020 - 2021

INFORMATION SHEET

(Last) (First) (Middle)

Name: _____________________________________________ Section: _________________

Complete Address: ___________________________________ Adviser: _________________
Birthday: ___________ Age: ____ Birthplace: _______________ Cel/Tel. No. ______________
(Last) (First) (Middle)
Father: _______________________________________________ Age: __________________
Business Address: ______________________________________ Cel/Tel. No._____________
STC Alumni ( ) Yes ( ) No if Yes, Batch __________
(Last) (First) (Middle)
Mother: ______________________________________________ Age: __________________
Business Address: ______________________________________ Cel/Tel. No._____________
STC Alumni ( ) Yes ( ) No if Yes, Batch __________

FATHER
Highest Educational Attainment
( ) Elementary Undergraduate
( ) Elementary Graduate
( ) High School Undergraduate
( ) High School Graduate
( ) Vocational Course
(Pls. specify) _______________
( ) College Undergraduate
( ) College Graduate (Course) _____________
( ) Postgraduate (Pls. specify) ______________
Occupation: __________________
( ) OFW/OCW Land-based: __ Sea-based: ___
Country: ________ Years of Stay Overseas: ___
( ) Local ( ) Government ( ) Private
MOTHER
Highest Educational Attainment
( ) Elementary Undergraduate
( ) Elementary Graduate
( ) High School Undergraduate
( ) High School Graduate
( ) Vocational Course
(Pls. specify) _______________
( ) College Undergraduate
( ) College Graduate (Course) _____________
( ) Postgraduate (Pls. specify) ______________
Occupation: __________________
( ) OFW/OCW Land-based: __ Sea-based: ___
Country: ________ Years of Stay Overseas: ___
( ) Local ( ) Government ( ) Private

Name of Brothers & Sisters (from eldest to youngest)

Name Age Civil Highest Occupation
Status Educational (if student of STC indicate
Attainment Grade & section)

Note: If the brother/sister is an alumni of STC GS/JHS/SHS/College mark an asterisk * opposite the name.

Means of going home: (Place X on appropriate answer.)

(__) with service (__) going home alone (__) fetched

TO BE ACCOMPLISHED IF THE CHILD IS UNDER THE CARE OF A GUARDIAN

(Last) (First) (Middle)
Guardian: ____________________________________________ Cel/Tel. No.______________
Relationship: ____________________ Age: ______ Educational Attainment: ______________
Occupation: _________________________________ Business Address: __________________

__________________________________________
Note: Please fill up all items in this form completely and accurately.
 Parent’s / Guardian’s signature over printed name

Note: Please fill up all items in this form completely and accurately.