BAGO CITY COLLEGE
GUIDANCE CENTER
INDIVIDUAL INVENTORY RECORD FORM
Please fill out in ALL CAPS the information below. Be sure NOT to skip anything. Attach
Answer honestly as possible. In accordance with the Data Privacy Act, rest
recent 2x2 ID picture here.
assured that all information will be treated with confidentiality.
Thank you for your cooperation.
I. PERSONAL INFORMATION
Student ID No: 2020116036
Name: NIM ROWELA ALCEDO Course/Year/Section: BSED SS 4-A
(Last Name) (First Name) (Middle Name)
Age: 22 YEARS OLD Date of Birth:11-24-2001 Place of Birth: BACOLOD CITY
(MM-DD-YYYY)
Sex: FEMALE Civil Status: SINGLE Contact No.: 09950591175
Religion: SEVENTH-DAY ADVENTIST Email Address: rowelanim024@gmail.com
Height: ___________
5'2" Weight: ____________
80 kg Blood Type: _____________tyoe O Nationality:FILIPINO
Permanent Address:VERAGUTH ST. BRGY XONE 5 PULUPANDAN NEGROS OCCIDENTAL
Present Address: VERAGUTH ST. BRGY ZONE 5 PULUPANDAN NEGROS OCCIDENTAL
If working, please indicate the following: Name of Employer: NA
Address: NA Contact No.:NA
Person to be contacted in case of emergency: ROGENA NIM
PULUPANDAN
Address: _______________________________________ Relationship: MOTHER Contact No.:09167491803
II. EDUCATIONAL BACKGROUND:
Honors/Awards
School Attended Inclusive Year/s
Received
Elementary: PULUP. EAST ELEM. SCHOOL 2014 WITH HONORS
Junior High School: OUR LADY OF LOURDES ACADEMY 2018 WITH HONORS
Senior High School: RTNHS SHS MAIN 2020 WITH HIGH HONORS
Vocational School:
College, if any:
Is this course really your First Choice? ✓ Yes No
Reason: IVE ALWAYS WANTED TO BE A TEACHER
III. HOME AND FAMILY BACKGROUND:
Father's Name: ANTONIO NIM Age: 59 Living ✓ Deceased
Educational Attainment: COLLEGE GRADUATE Contact No. _______________
________________ NA NA
Occupation: _________________
Name of Employer:NA Address of Employer: NA
Mother's Name: ROGENA NIM Age: 61 ✓ Living Deceased
Educational Attainment: MASTERS Occupation: RETIRED TEACHER
Name of Employer: NA Address of Employer: NA
Guardian's Name: ________________________________________ Age: __________
Age: _______ Relationship: _________________
Educational Attainment: ________________ Contact No. _______________ Occupation: __________________
Name of Employer: ___________________________ Address of Employer: _____________________________
Parents' Marital Status: (Please Check)
Married and Living Together Married but Separated
Not Married but Living Together Others (please specify)
✓
No. of children in the family including yourself: _______ 2 No. of Brothers: ______ No. of Sisters: ______1
Who finances your schooling? ___________________________
ROGENA NIM Relationship: __________________________
MOTHER
Parents' Total Monthly Income:
Below Php 5,000 Php 20,001 - Php 30,000
Php 5,001 - Php 10,000 Php 30,001 - Php 40,000
✓ Php 10,001 - Php 20,000 Above Php 40,000
Nature of Residence while attending school: (Please Check)
✓ Family Home Bed Spacer
Relative's House House of Married Brother/Sister
Rented Apartment Employer's House
IV. HEALTH AND PHYSICAL RECORD
Do you have problems with the following: (YES/NO, If Yes, please specify, If No, Write N/A)
Your Vision: YES Your Hearing: NO Your Speech:NO
Do you have any physical disabilities? (YES/NO, If Yes, please specify) NO
Are you suffering from illness/disease? (YES/NO, If Yes, please specify)NO
Date of Last Hospitalization: NA Reason of Hospitalization: _NA
V. HOBBIES/INTEREST
List down your hobbies in order of your preferences:
1.MUSIC 3. SLEEP
2.READIG BOOKS 4. EAT
What is/are your favorite subjects? _HISTORY
What is/are the subjects you like least?MATH
VI. ACTIVITY/ORGANIZATION RECORD
Name of Organization Position Inclusive Year/s
THE VOICES CLUB SECRETARY 2023-2024
BAGO CITY BRASS BAND MEMBER 2023-2024
GREEN SOCIETY PIO
VI. PERSONAL DESCRIPTION: ( Tell something about yourself)
I AM A SIMPLE PERSON WITH A BIG DREAM. I AM VERY ACTIVE IN PARTICIPATING EXTRA
CURRICULAR ACTIVIES THAT WILL BOOST MY CONFIDENCE AND DEVELOP MY TALENTS.
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
I hereby certify that the above information is true and correct.
ROWELA A. NIM
Signature over Printed Name
Date: Dec. 09, 2023
