SANTA MARIA NATIONAL HIGH SCHOOL

GROUP
POBLACION SUR, SANTA MARIA, ILOCOS SUR
SCHOOL YEAR : ________________ 1X1 PICTURE

SECTION
STUDENT’S RECORD

_________________
LAST NAME FIRSTNAME M.I CONTACT NUMBER
W R I T T E N W O R K S
1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5
1ST T 2ND T 3RD T 4TH T

MUSIC MUSIC MUSIC MUSIC

ARTS ARTS ARTS ARTS
PE PE PE PE
HEALTH HEALTH HEALTH HEALTH
P E R F O R M A N C E T A S K S
1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5
1ST T 2ND T 3RD T 4TH T

MUSIC MUSIC MUSIC MUSIC

ARTS ARTS ARTS ARTS
PE PE PE PE
HEALTH HEALTH HEALTH HEALTH
PARENT’S/GUARDIAN SIGNATURE

M A PE H T M A PE H T M A PE H T M A PE H T

1ST QUARTER EXAM 2ND QUARTER EXAM 3RD QUARTER EXAM 4TH QUARTER EXAM 1ST 2ND 3RD 4TH
 LAST NAME FIRST NAME M.I

SPECIAL HEALTH CONDITION PARENT’S GUARDIANS NAME CONTACT NUMBER

COMPLETE ADDRESS
Weight Height BMI Class Weight Height BMI Class
MONTHS DATES

R E C I T A T I O N
1ST
2ND
3RD
4TH