ESC No.

________ ARELLANO UNIVERSITY

F-137 _________ JUAN SUMULONG CAMPUS
F-138 _________ SENIOR HIGH SCHOOL DEPARTMENT
P.E.P.T. _________ 2600 LEGARDA ST., SAMPALOC, MANILA 2 X 2

L.R.N. ________________ Picture

PERSONAL DATA SHEET
Public Private
S.Y 2023-2024

Track/Strand _____________ Section _____________________

FAMILY NAME FIRST NAME MIDDLE NAME GENDER

DATE OF BIRTH AGE PLACE OF BIRTH CIVIL STATUS RELIGION

_______________ ___________________________________ _________________________

# St. Brngy Zone City Zip Code TEL. NO. / CELL NO.

MAIDEN NAME OF MOTHER

__________________________________________________ ____________ ________________

Last Name First Name Middle Name Occupation Contact No.
NAME OF FATHER

__________________________________________________ _____________ ________________

Last Name First Name Middle Name Occupation Contact No.

___________________________________ _________________ ________________

GUARDIAN’S NAME OCCUPATION Contact No.

___________________________________ _________________________
ELEMENTARY SCHOOL GRADUATED SCHOOL YEAR

___________________________________ _____________ _________________________

LAST SCHOOL ATTENDED Year & Sec SCHOOL YEAR

CORE SUBJECT 1ST 2ND FINAL 3rd 4th FINAL Consultation Meeting Date

APPLIED SUBJECT

SPECIALIZED

Final Gen
First Semester Gen Ave = 2 nd Semester Gen Ave = Ave
=

JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR TOTAL
DAYS OF SCHOOL
DAYS PRESENT
TIMES TARDY

Student Status if Payee, ESC & QVAN: ____________

CONSULTATION REMARKS:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

Class Adviser ______________________