Republic of the Philippines

City of Taguig
Taguig City University
Gen. Santos Avenue, Central Bicutan, Taguig City
Guidance and Testing Center
Student Personal Information Form (SPIF)

All information shared in this form will be kept confidential to the fullest extent possible. However, if there is a situation
where a student's safety is in imminent danger or if their life is at risk, then it may be shared with the approval of the
respective College Dean and in consultation with the Guidance Director. Please be assured that we take your privacy very
seriously and will only share information when necessary to ensure the safety and well-being of our students.

Guidance and Testing Center

Date : _____________________ Academic Year 202 __ - 202 __

Student No. : _____________________ ( ) 1st SEM ( ) 2nd SEM ( ) summer
Year Level : _____________________
Course : _____________________ 1x1 Picture
Section : _____________________
College : ( ) CAS ( ) CBM ( ) CCJ ( ) CED ( ) CET ( ) CICT ( ) CHTM

For Graduate School: ( ) Master of Arts in Educational Management (MAEd) ( ) Master in Public Administration (MPA)
( ) Master of Science in Criminal Justice (MSCJ) ( ) Master in Business Administration (MBA)

I. PERSONAL DATA

Name: __________________________________________________ Nickname: _____________________

Surname First Name Middle Name
Address_________________________________________________________________________________
(No.) (Street) (Barangay) (City)
Birthday _____________ Birth Place ____________ Gender: ( ) M ( ) F ( ) L ( ) G ( ) B ( ) T ( ) Q ( ) I ( ) A
Nationality _____________ Height ______ Weight ______ Email address: ___________________________
SocMed Account (FB, IG, Twitter, TikTok, etc.): _________________________ Mobile No.: ___________________
Religion: ________________ Athlete: ( ) Yes ( ) No If yes, what Sport ____________________________
Working Student: ( ) Yes ( ) No Occupation: ________________Name of Company: ___________________
Civil Status: ( ) Single ( ) Married ( ) Live in ( ) Separated ( ) Widow/Widower ( ) others _____________
If Married: Spouse Name: ___________________________________ Number of Children: ______________
Living with: ( ) Family ( ) Relatives ( ) Alone ( ) Friends ( ) Others __________________________________
II. FAMILY DATA
FATHER MOTHER
Name
Date of Birth
Religion
Educational Attainment
Occupation
Business Address
Contact Number
Annual Income
Parent Marital Status: ( ) Single ( ) Married ( ) Live in ( ) Separated ( ) Divorced ( ) Widowed
Birth order: _______________ Number of Siblings: __________ No. of Boys: ________ No. of Girls: ________
Person to Contact in case of Emergency: Name: _______________________ Contact No: ___________________
What is your relationship with this person? ______________________________________________________
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III. EDUCATION (from present to previous)
Name of School Year Graduated Honors/Awards
Received
Elementary ____________________________ _____________ __________________
Secondary ____________________________ _____________ __________________
Voctl./SHS ____________________________ _____________ __________________
College ____________________________ _____________ __________________

IV. MEMBERSHIP IN CLUBS/ORGANIZATIONS/SOCIETY

Name of Clubs/Org/Society
___________________________
___________________________
___________________________
___________________________
___________________________
Position Held Inclusive Years
__________________ ____________________
__________________ ____________________
__________________ ____________________
__________________ ____________________
__________________ ____________________

V. HEALTH HISTORY
A. Physical Condition: (Do you have problems with the following?)
a. Your Vision ( ) NO ( )YES (Pls. specify ____________________________________
b. Your Hearing ( ) NO ( )YES (Pls. specify ____________________________________
c. Your Speech ( ) NO ( )YES (Pls. specify ____________________________________
d. Physical Disabilities ( ) NO ( )YES (Pls. specify ____________________________________
e. Your General Health ( ) Above Normal (e.g. Obese, overweight) ( ) Normal ( ) Below Normal (underweight)
B. Special Condition: (dyslexic, ADHD, Autism) ( ) NO ( )YES (Pls. specify _________________________
C. Psychological Condition: (e.g. depression, anxiety, borderline personality disorder, and PTSD, etc.)
( ) NO ( ) YES (Pls. specify ________________________________________________________

VI. PERSONAL CHARACTERISTICS

a. Talents:_______________________________________________________________________________
b. Hobbies:______________________________________________________________________________
c. Interest :______________________________________________________________________________
d. Skills:________________________________________________________________________________
e. Kindly mark the item/s that caused you the most concern (you may select more than one).
( ) Academic Concern
( ) Dating, boy-girl romantic relationship
( ) Discipline Concern
( ) Feeling anxious, stress and overthinking
( ) Feeling sad, lonely or depressed
( ) Feeling suicidal (self-harming, suicidal ideation)
( ) Home/family situations/family issues
( ) Low self-confidence / self esteem
( ) Social Conflicts
( ) Work or career concerns
( ) Others (pls. identify) _________________________________________________________

I affirm the information provided in this form is true, accurate, and complete to the best of my
knowledge. I understand and acknowledge its use for guidance, counseling, and support services.

____________________________/_______________
Signature over Printed Name/ Date

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