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Comulative Profile Kindergarten

This document contains a cumulative profile form for Mananao Elementary School. It collects socio-demographic information about a student such as their name, date of birth, address, religion, siblings, emergency contacts, and medical history. The form is divided into sections for personal details, parents' information, siblings, emergency contacts, immunizations, feeding, and family medical history. It will be used to keep record of the student's background and health over their time at the school.

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Leodigaria Reyno
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141 views2 pages

Comulative Profile Kindergarten

This document contains a cumulative profile form for Mananao Elementary School. It collects socio-demographic information about a student such as their name, date of birth, address, religion, siblings, emergency contacts, and medical history. The form is divided into sections for personal details, parents' information, siblings, emergency contacts, immunizations, feeding, and family medical history. It will be used to keep record of the student's background and health over their time at the school.

Uploaded by

Leodigaria Reyno
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
Region 02
Division of Isabela
San Manuel District
MANANAO ELEMENTARY SCHOOL
COMULATIVE PROFILE
I.SOCIO-DEMOGRAPHIC DATA
NAME: ______________________ __________________________ _______________________
Family Name

First Name

Middle Name

DATE OF BIRTH:____________________ AGE:_______________GENDER:__________________


HOM E ADDRESS:________________________________________________________________
RELIGION:__________________CITIZENSHIP:_________________CP No.____________________
HOBBIES:_______________________________________________________________________
TALENTS/SKILLS:_________________________________________________________________
LANGUAGE/DIALECTS SPOKEN:_____________________________________________________
PREVIOS SCHOOL IF THERE IS ANY (If there is please specify)_____________________________
ADDRESS OF THE SCHOOL OF THE SCHOOL:__________________________________________
FATHER

MOTHER

PARENTS NAME
RELIGION
HOME ADDRESS
CP NO.
OFFICE ADDRESS
TEL.NO. OFFICE
HIGHEST EDUCATIONAL
ATTAINMENT
OCCUPATION

2. BROTHERS AND SISTERS FROM YOUNGEST TO ELDESTCHILDS ORDER IN THE FAMILY


NAME

GRADE/YEAR LEVEL

SCHOOL ATTENDING

OCCUPATION IF
EMPLOYED

3. CONTACT PERSON/GUARDIAN IN CASE OF EMERGENCY


NAME:____________________________________OCCUPATION________________________________

ADDRESS:_____________________________________________________________________________
RELATIONSHIP WITH THE CHILD:__________________________________________________________

Who will fetch the child after class hour? Please check before the line.
______grandfather

_______father

______nanny/yaya

______grandmother

_______mother

______Others(specify)

II.MEDICAL AND HEALTH HISTORY


1. Immunization/s taken by the child:__________________________________________
______________________________________________________________________
2. Means of feeding (please check)
______breastfed
_______bottle fed
_______other(please specify)
3. Family History: (Pls. check)
YES
NO
Hypertension
Cardiovascular disease
Diabetes melitus
Kidney disease
Cancer
Asthma
Allergy
Other remarks

________________________________________________
Signature over printed name of the person enrolling the child
Relationship with the child:____________________________

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