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Students Profile HUMSS

The document is a Student Information Sheet for Sorsogon National High School in the Philippines for the school year 2020-2021. It collects personal details about the student, including name, contact information, family background, previous school records, and future plans. It also includes sections for emergency contact information and a certification of the accuracy of the provided details.

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John Carlo Dogillo
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23 views3 pages

Students Profile HUMSS

The document is a Student Information Sheet for Sorsogon National High School in the Philippines for the school year 2020-2021. It collects personal details about the student, including name, contact information, family background, previous school records, and future plans. It also includes sections for emergency contact information and a certification of the accuracy of the provided details.

Uploaded by

John Carlo Dogillo
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 V- Bicol
Sorsogon City Division
SORSOGON NATIONAL HIGH SCHOOL
Sorsogon City
SY: 2020-2021
STUDENT INFORMATION SHEET
Learning Modality ______ ODL ______ MDL
NAME: _______________________________________________________
Last Name First Name Middle Name
Current Address: _____________________________________________
_____________________________________________________________
Permanent Address:
_________________________________________________________
_______________________________________________________Blood Type: _______
Date of Birth: _______________________________________Age: ________________
Place of Birth: ________________________________________________Sex:
________
Student’s Mobile No.:________________Learner’s Reference
No:_______________
Email Address: ___________________________________________________________
Facebook Account Name: _________________________________________________
Facebook Messenger Account Name:
______________________________________
Current Grade Level: ________________________ Section: ____________________
Last School Attended:
_____________________________________________________
Previous School Records:
SCHOOL GRADE TEACHER-ADVISER GWA
LEVEL
Year Graduated in Elementary______________________ GWA ________________
Awards received: ________________________________________________________
Elementary School: _____________________________________________________
FAMILY BACKGROUND:
Father’s Name: : _______________________________________________________
Last Name First Name Middle Name
Father’s Contact No.: _________________________________________________
Father’s Occupation: _________________________________________________
Mother’s Name: : _______________________________________________________
Last Name First Name Middle Name
Mother’s Contact No.: _________________________________________________
Mother’s Occupation: _________________________________________________
Living with parents: __________(Yes) _________(No)
Name of Guardian (if any) ________________________________________________
Last Name First Name Middle
Name
No. of siblings in the family: _________ Member of IP :_______(Yes)
______(No)
Student’s interest and hobbies:
___________________________________________________________________________
___________________________________________________________________________
Post Senior High School Plans:
___________________________________________________________________________
___________________________________________________________________________
IN CASE OF EMERGENCY, PLEASE CONTACT
Name: __________________________________________________
Relationship: ___________________________________________
Mobile No: ______________________________________________
I hereby certify to the veracity of all information herein provided to the
best of my knowledge and belief.
______________________________________________________________
SIGNATURE OVER PRINTED NAME OF STUDENT

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