Division of General Santos City

NEW SOCIETY NATIONAL HIGH SCHOOL

Paste recent 2x2 ID
Guidance and Counseling Center Picture if
available

STUDENT’S PERSONAL INFORMATION SHEET

(PLS. ACCOMPLISH THIS FORM TO BE SUBMITTED AT THE GUIDANCE OFFICE)

STUDENT’S LAST NAME FIRST NAME MIDDLE NAME NAME EXTENSION

(N/A if no middle name (e.g. Jr.,II)

SEX: AGE : CIVIL STATUS: DATE OF BIRTH : PLACE OF BIRTH:

NATIONALITY: RELIGION: HEIGHT: WEIGHT: BLOOD TYPE:

EMAIL ADDRESS: _ MOBILE& TELEPHONE NO.:

PRESENT ADRESS:
Lot No. Block No. Phase No. Street Brgy. Municipality/ City Province

PERMANENT ADRESS: _
Lot No. Block No. Phase No. Street Brgy. Municipality/ City Province

FAMILY BACKGROUND:

FATHER’S NAME: EDUCATIONAL ATTAINMENT: OCCUPATION:

OFFICE & ADDRESS:

MOTHER’S NAME: EDUCATIONAL ATTAINMENT: OCCUPATION:

OFFICE & ADDRESS:

NO. OF SIBLINGS (BROTHER’S) _ (SISTERS)

FAMILY GROSS MONTHLY INCOME: (Please check)

Below PhP 10,000.00

PhP 40,000.00 – PhP 50,000.00
PhP 10,001.00 – PhP 20,000.00
PhP 40,000.00 – PhP 50,000.00
PhP 20,001.00 – PhP 30,000.00
Above PhP 100,000.00
PhP 30,001.00 – PhP 40,000.00

EDUCATIONAL BACKGROUND:
LEVEL NAME OF SCHOOL AWARD/HONOR INCLUSIVE DATES
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12

SKILLS/ TALENTS / HOBBIES/ INTERESTS/ ACHIEVEMENTS:

SKETCH OF YOUR HOUSE (Draw it at the back page)

I DECLARE UNDER OATH THAT THIS PERSONAL INFORMATION SHEET HAS BEEN ACCOMPLISHED BY ME, AND IS TRUE, CORRECT AND
COMPLETE STATEMENT PURSUANT TO THE PROVISIONS OF PERTINENT LAWS, RULES AND REGULATIONS OF REPUBLIC OF THE PHILIPPINES.

STUDENT’S SIGNATURE OVER PRINTED NAME DATE