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Republic of the Philippines

Department of Education
Region III
Division of NuevaEcija
Bartolome Sangalang National High School
Guimba, Nueva Ecija

STUDENT PROFILE

Name: ________________________________________LRN: ___________________________


Date of Birth: _________________________________ Age: ______________ Gender: _____
Place of Birth: ___________________________________________________________________
Present Address: _________________________________________________________________
Permanent Address: __________________________________________________________
Religion: _______________________________
Contact Number: _________________________
Name of Father: _________________________________ Occupation: ____________________
Name of Mother: ________________________________ Occupation: ____________________
No. of children in the family: __________ Boys: ______ Girls: _______ Sibling Position: _______
Living with whom: ______________________________________________
Elementary School Graduated: ____________________________ School year: _____________
Junior High School Completed: ____________________________ School year: _____________

Senior High School

School Attended:___________________________________________
Track: ______________________________________________________
Strand: _____________________________________________________

School Semester Sch. Yr. Yr./Sec. Class Adviser

National Certificates
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