Republic of the Philippines

Department of Education
Region 02 (Cagayan Valley)
Schools Division Office of Isabela
District of Santo Tomas
103862-BARUMBUNG ELEMENTARY SCHOOL
Barumbong, Santo Tomas, Isabela 3327
LRN:______________________

SOCIO/ ACADEMIC/ ANECDOTAL RECORD

Barumbung Elememntary School
Name:TRICCY NICOLE ROMUALDO MANAYAN Residence: BARUMBONG,STO.TOMAS,ISABELA Birthdate: AUG. 08, 2015
Father: JOE RAMENTO MANAYAN Mother: MARICEL PASCUA ROMUALDO
No. of Children in the Family: 3 Boy: Girl: / Living with Parents: Yes: /_ No:
State if both parents are living:_______ Yes: / No: ____ If no, pls. specify: ______
Parents Monthly Income: Php______________ Economic Status: Very Poor ____ Poor ___ Average ____ High ____

I. Pre-Elementary Education
Entrance Age: Nursery: / Kinder: _____

II. Elementary Education

Graduate with Honors? Yes ____No ____(Please check) If yes, specify _(to be filled after graduation)
A. Academic Profile
1. Reading

Kinder GRADE I GRADE II GRADE III GRADE IV GRADE V GRADE VI

1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4
Non-Reader

Frustration

Instructional

Independent

Legend: 1-Non Reader 2-Frustration 3-Instructional 4-Independent

(Please check appropriate box in each grade applicable opposite Nos. 1, 2, 3, or 4 and case may be.)
 2. Mathematics

Kinder GRADE I GRADE II GRADE III GRADE IV GRADE V GRADE VI

1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4
Addition
Subtraction
Multiplication
Division
Problem Solving

Legend: W- level of mastery is very poor X- some degree of mastery but needs more practice
Y- just enough mastery Z- manifest excellence
(Above code shall be entered for each of the curriculum year)

B. Oral Participation/Recitation

Kinder GRADE I GRADE II GRADE III GRADE IV GRADE V GRADE VI

1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4
Passive
Poor
Active

C. Any Academic honor obtained in: D. Special Talents/Skills/Winnings

K I II III IV V VI
Grade
Kinder 1. Singing
Gr.1 2. Dancing
Gr.2 3. Music Reading
Gr.3 4. Drawing/Painting
Gr.4 5. Dramatics
Gr.5 6. Speaking
Gr.6 a. Declamation
b. Oratorical
7. Athletics
8. Leadership
9. Others (Pls. Specify)
E. Cases of Significant Misdemeanor/s

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CERTIFICATION is hereby made on the veracity of the above-mentioned entries per item.

ANNIE G. LOSARIA _____________________

Kinder Adviser Grade 04- Adviser

____________________ ______________________
Grade 01-Adviser Grade 05- Adviser

____________________ ______________________
Grade 02- Adviser Grade -06- Adviser

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Grade 03- Adviser

ANNA LIZA R. GALASINAO

Teacher In- Charge