Andres Bonifacio Andres Bonifacio Andres Bonifacio Andres Bonifacio Andres Bonifacio

Elementary School Elementary School Elementary School Elementary School Elementary School

Name of Child: Name of Child: Name of Child: Name of Child: Name of Child:

Grade: Grade: Grade: Grade: Grade:

Documents Submitted: Documents Submitted: Documents Submitted: Documents Submitted: Documents Submitted:
Birth Certificate Birth Certificate Birth Certificate Birth Certificate Birth Certificate
PSA Copy PSA Copy PSA Copy PSA Copy PSA Copy
LCR Copy LCR Copy LCR Copy LCR Copy LCR Copy
Report Card Report Card Report Card Report Card Report Card
ECCD checklist ECCD checklist ECCD checklist ECCD checklist ECCD checklist

Other Notes: Other Notes: Other Notes: Other Notes: Other Notes:

Recieved by: Recieved by: Recieved by: Recieved by: Recieved by:
 PUPILS PROFILE
School Year 2020- 2021

Punan ng wasto ang lahat ng impormasyong hinihingi sa form na ito

LRN NUMBER

Pupils Information:
Surname: First Name: Middle Name:

Age : Birthday: Birthplace:

Sex:
Mother Tongue ( Salitang ginagamit):
Barangay: Barangay Captain:
Adress: No: Street City
Religion: Pupils common sickness:
Parents Information
FATHER Surname: First Name: Middle Name:

Age : Contact #: Job Description

MOTHERSurname: First Name: Middle Name:

Age : Contact #: Job Description

GUARDIAN:
Surname: First Name: Middle Name:

Age : Contact #: Relationship

KINDER HISTORY
Name of School:________________________________ Please Check P your answer
School Adress: ____________________________________ 1. 4 P's Benificiary? Yes No
Kinder Teacher :___________________________________

Please Submit the following:

PSA Copy of Birthcertificate
Diploma
Kinder Progress Report Card
Pupils Profile Pangalan at lagda ng sumulat ng form na ito: