Region I

DIVISION OF PANGASINAN II
DALUMPINAS ELEMENTARY SCHOOL
San Nicolas
Guidance Center

STUDENT PROFILE

Name: _________________________________________________________________________________
Date of Birth: ____________________ Age: ________ Sex: ________ Nationality: ____________________
Address: _________________________________________________ Contact No. ____________________
Educational Attainment: ____________________________ Religion: _______________________________
Father: ______________________________ Age: ________ Occupation: ____________________________
Mother: ______________________________ Age: ________ Occupation: ___________________________
No. of Children in the Family: ______ No. of Boys: ______ No. of Girls: ______ Sibling Position: ________
Elementary School Graduated: _______________________________ School Year: ____________________
Living with Whom: _______________________________________________________________________

Schools Attended:

SCHOOL SCHOOL YEAR & CLASS

YEAR SECTION ADVISER

Date enrolled:______________________________

Credential Submitted: ________________________

Reading: ___________________________________

MDAS: ____________________________________

Entrance Exam: _____________________________

Enrolment Officer: ___________________________

Prepared by:

_____________________
Adviser
Noted:
DIVINA GRACIA Q. BIBAT, PhD
Principal I
 Region I
DIVISION OF PANGASINAN II
DALUMPINAS ELEMENTARY SCHOOL
San Nicolas
Guidance Center

INDIVIDUAL PUPIL PROFILE

Name: _________________________________________________________________________________
(Family Name) (Given Name) (Middle Name)
Age on Last Birthday: _____________________________ Date of Birth: ___________________________
Place of Birth: ___________________________________________________________________________
Home Address: __________________________________________________________________________
(House No./Street/Brgy.) (Town) (Province)

Family Background: FATHER: MOTHER:

Name: ______________________________ ______________________________
Date & Place of Birth ______________________________ ______________________________
Education/Occupation: _____________________________ ______________________________
Religion: ______________________________ ______________________________
No. of Children in the Family: ____________________ Living or Dead: __________________________
a. Older Brothers: __________ d. Younger Sisters: __________
b. Younger Brothers: __________ e. Your Serial No. in the Family: __________
c. Older Sisters: __________

No. of Children in the Family Attending School: __________

a. In College: __________
b. In High School: __________
c. In Elementary: __________
No. of Children Employed: __________
Approximate Income: __________

Who supports you to school? ____________________________________________________________

Are you boarding? __________ How much do you pay for your board a month? ____________________
Do you cook your food? __________ Do you commute from your home to school every day? _________
If yes, how much time would you spend to commuting from your home to school? ____________________
Give the name of persons you wish to be notified to attend to your needs/problems in school?

Name: ______________________________ Address: ________________________________________

Relationship: _________________________________

Educational Backround:
Name & Address of School: Inclusive Date: Teacher/Adviser:
Grade I ______________________________ _____________ ______________
Grade II: ______________________________ _____________ ______________
Grade III: ______________________________ _____________ ______________
Grade IV: ______________________________ _____________ ______________
Grade V: ______________________________ _____________ ______________
Grade VI: ______________________________ _____________ ______________

Other Information:
Who are the heroes you know? _____________________________________________________________
What are the problems in your house? _______________________________________________________
What do you like with your teacher? _________________________________________________________
Who do you like to the president? ___________________________________________________________
 Region I
DIVISION OF PANGASINAN II
SALUD-SAN EUGENIO NHS
Natividad

Petsa: ___________________

APO _________________________
_________________________

Iyanos yo kadi ti umay ditoy escuelaan tayo intono Agosto 18, 2014 (Lunes) oras ti alas 7:30 iti bigat.

Agpakaasi kami koma nga agpatulong nga aglinis kn agisimpa iti aglaolao ditoy escuelaan ta adda umay nga ag-evaluate nga
taga-Division Office iti daytoy nga umay nga domingo ti SIPAG PNOY (Garden) tayo

Agnamnama ken agyaman kami unay apo iti iyuumay yo ditoy escuelaan ken iti pinangpateg yo iti daytoy nga dawat mi.

DIYOS TI AGNGINA APO.

Toy agnamnama kadakayo,

________________________
Class Adviser

Pirmaan yo ditoy baba nu naawat ken nabasa yo daytoy a surat ta isubli yo met laeng ditoy escuelaan apo.
 ________________________________
Pirma ti nagannak

Region I
DIVISION OF PANGASINAN II
SALUD-SAN EUGENIO NHS
Natividad

Petsa: ___________________

APO _________________________
_________________________

Iyanos yo kadi ti umay ditoy escuelaan tayo intono Agosto 18, 2014 (Lunes) oras ti alas 7:30 iti bigat.

Agpakaasi kami koma nga agpatulong nga aglinis kn agisimpa iti aglaolao ditoy escuelaan ta adda umay nga ag-evaluate nga
taga-Division Office iti daytoy nga umay nga domingo ti SIPAG PNOY (Garden) tayo

Agnamnama ken agyaman kami unay apo iti iyuumay yo ditoy escuelaan ken iti pinangpateg yo iti daytoy nga dawat mi.

DIYOS TI AGNGINA APO.

Toy agnamnama kadakayo,

________________________
Class Adviser

Pirmaan yo ditoy baba nu naawat ken nabasa yo daytoy a surat ta isubli yo met laeng ditoy escuelaan apo.

________________________________
Pirma ti nagannak