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Republic of the Philippines

Department of Education
Region X
Division of Mis . Or.
District of Alubijid
LUMBO ELEMENTARY SCHOOL
PUPILS PROFILE

LRN: 127913140021

NAME:_________________________________________________________________________________________________
Surname Given Name Middle Name
ADDRESS:_______________________________________________________________________________________________

BIRTHDAY:________________________________ BIRTHPLACE:___________________________________________________

AGE:___________ RELIGION:_____________________ DIALECT/LANGUANGE SPOKEN:_________________________

WEIGHT: ____________ HEIGHT 1:___________ HEIGHT 2: ___________ BMI:_________

FATHER’S NAME: ____________________________________________Age: _______ BIRTH DATE: ______________________

BIRTH PLACE:__________________ OCCUPATION: _______________

MOTHER’S NAME:___________________________________________Age: ________ BIRTH DATE:_______________________

MOTHER’S MAIDEN NAME:_____________________________________________

BIRTH PLACE:_________________________ OCCUPATION: _______________

CONTACT NUMBER/S: ________________________________________

# Books No. ______________________

K12 BOOKS ISSUED RETURNED

ENGLISH
MATH
SCIENCE
FILIPINO
EDUKASYON SA PAGPAPAKATAO
EDUKASYONG PANTAHANAN AT PANGKABUHAYAN
ARALING PANLIPUNAN
MUSIKA AT SINING
P.E AT HEALTH
TOTAL
KASUNDUAN: Anumang gamit ng paaralan lalo na ang mga aklat ay dapat pag-ingatan. Anumang bagay na nasira
Ng inyong mga anak ay kinakailangan ayusin o palitan. Ang mga aklat na nasira o nawala habang ito ay nasa
pangangalaga ng inyong mga anak ay kinakailangan ayusin o palitan kapag ito ay nawala. (DepEd Order.#25, s2003)

___________________________________
PARENTS NAME AND SIGNATURE
Date:
ARDIE J. GALUNO
Adviser