NORTHERN CEBU COLLEGES, INC.
Sor D. Rubio Street Corner San Vicente Sts, Bogo City, Cebu
DepEd School I.D. 404317, Division City of Bogo
Region VII, Central Visayas
PAFTE: Member School
School Dictum: SCIENTIA CORONAT OP! PEAC: ESC Participating School
Guidance Office
Student Information Profile: Junior High School Department
Student LRN: ______________________Academic Year: 2022-2023 Grade & Section: ________________________
A. Personal Information
Full Name: ___________________________________________________________
Last Name First Name Middle Name
Date of Birth: _____________________ Age: ___ Place of Birth: ________________________________
Complete Address: ______________________________________________________________________
Provincial Address: _____________________________________________________________________
Contact Number: ________________________________________
Sex: Male ___ Female ___ Religion: ______________ Civil Status: Single ______ Married ______
Numbers of Siblings: _____
Person to Contact in case of emergency: _____________________________________
Relationship: ___________________ Contact Number: ___________________
B. Educational Background (to be filled up by NEW STUDENT)
School Last Attended School Year Awards/Honors/Citations
Graduated
Elementary
Secondary
(for transferees
only)
C. Medical History
Allergies: Yes____ No ____
If Yes, what kind of allergy? ________________________________
Maintaining Medicine: Yes ____ No ____
If Yes, for what? _________________________________________
Any history of hospital confinement: Yes ____ No ____
Physician’s Diagnose: Yes ____ No ____
If Yes, what is it? ________________________________________
I hereby declare that the information is written above true and correct according to the best of my knowledge and any
mental reservation.
________________________________
Signature over Printed Name
NORTHERN CEBU COLLEGES, INC.
Sor D. Rubio Street Corner San Vicente Sts, Bogo City, Cebu
DepEd School I.D. 404317, Division City of Bogo
Region VII, Central Visayas
PAFTE: Member School
School Dictum: SCIENTIA CORONAT OP! PEAC: ESC Participating School
Guidance Office
Student Information Profile: College Department
Student LRN: ______________________Academic Year: 2022-2023 Course &Year: __________________________
A. Personal Information
Full Name: ___________________________________________________________
Last Name First Name Middle Name
Date of Birth: _____________________ Age: ___ Place of Birth: ________________________________
Complete Address: ______________________________________________________________________
Provincial Address: _____________________________________________________________________
Contact Number: ________________________________________
Sex: Male ___ Female ___ Religion: ______________ Civil Status: Single ______ Married ______
Numbers of Siblings: _____
Person to Contact in case of emergency: _____________________________________
Relationship: ___________________ Contact Number: ___________________
B. Educational Background (to be filled up by NEW STUDENT)
School Last Attended School Year Awards/Honors/Citations
Graduated
Elementary
Secondary
(for transferees
only)
C. Medical History
Allergies
Yes____ No____ If Yes, what kind of allergy? ________________________________
Maintaining Medicine:
Yes ____ No ____ If Yes, for what? _________________________________________
Any history of hospital confinement?
Yes ____ No ____
Physician’s Diagnose?
Yes ____ No ____
I hereby declare that the information is written above true and correct according to the best of my knowledge and any
mental reservation.
________________________________
Guidance Office
NORTHERN CEBU COLLEGES, INC.
Sor D. Rubio Street Corner San Vicente Sts, Bogo City, Cebu
DepEd School I.D. 404317, Division City of Bogo
Region VII, Central Visayas
PAFTE: Member School
School Dictum: SCIENTIA CORONAT OP! PEAC: ESC Participating School
Student Information Profile: Senior High School Department
Student LRN: ______________________Academic Year: 2022-2023 Grade & Section: ________________________
A. Personal Information
Full Name: ___________________________________________________________
Last Name First Name Middle Name
Date of Birth: _____________________ Age: ___ Place of Birth: ________________________________
Complete Address: ______________________________________________________________________
Provincial Address: _____________________________________________________________________
Contact Number: ________________________________________
Sex: Male ___ Female ___ Religion: ______________ Civil Status: Single ______ Married ______
Numbers of Siblings: _____
Person to Contact in case of emergency: _____________________________________
Relationship: ___________________ Contact Number: ___________________
B. Educational Background (to be filled up by NEW STUDENT)
School Last Attended School Year Awards/Honors/Citations
Graduated
Elementary
Secondary
(for transferees
only)
C. Medical History
Allergies
Yes____ No ____ If Yes, what kind of allergy? ________________________________
Maintaining Medicine:
Yes ____ No ____ If Yes, for what? _________________________________________
Any history of hospital confinement?
Yes ____ No ____
Physician’s Diagnose?
Yes ____ No ____ If Yes, what is it? ________________________________________
I hereby declare that the information written above is true and correct according to the best of my knowledge and any
mental reservation.
________________________________
Signature over Printed Name
