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Student Profile

This document contains a grade 11 student's profile from Cabay National High School. It collects personal information such as the student's name, address, family details, health status, and academic history. Specifically, it notes whether the student is a transferee, repeat student, recipient of government aid, or part of an Islamic education program. The profile aims to provide teachers with background details to understand the student's circumstances and needs.

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Anna Marie Andal Ranillo
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112 views1 page

Student Profile

This document contains a grade 11 student's profile from Cabay National High School. It collects personal information such as the student's name, address, family details, health status, and academic history. Specifically, it notes whether the student is a transferee, repeat student, recipient of government aid, or part of an Islamic education program. The profile aims to provide teachers with background details to understand the student's circumstances and needs.

Uploaded by

Anna Marie Andal Ranillo
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 IV-A CALABARZON
SCHOOLS DIVISION OF QUEZON PROVINCE
CABAY NATIONAL HIGH SCHOOL
Cabay, Tiaong, Quezon

GRADE 11 EMERALD STUDENT PROFILE


Learners Reference Number (LRN): ___________________________ 1X1
Picture
PART I
Name
Surname First Name Middle Name
Date of Birth
Month Day Year

House/Block/Lot Number Street Subdivision/Village


Address
Barangay City/Municipality Province

Zip Code Birth Place Religion

Father Surname First Name Middle Name

Age & Date of Birth Occupation & Status Contact Number

Mother Maiden Surname First Name Maiden Middle Name

Age & Date of Birth Occupation & Status Contact Number

Guardian Surname First Name Middle Name

Age & Date of Birth Occupation & Relation to the child Contact Number
PART II
Height Weight Body Mass Index (BMI)
Do you have ailments? (Attach medical record/certificate)
Specify:
PART III
Are you a TRANSFEREE? YES NO
If YES, what school were you from?

Are you a BALIK-ARAL Student? YES NO


If YES, what school were you from?
What year did you stop studying?
What are your reasons for stopping?

Are you a REPEATER? YES NO


If YES, what school were you from?
What subjects did you fail?
What are your reasons for failing?

Are you a 4PS BENEFICIARY? YES NO


If YES, since what year?
Are you a student from ALIVE
YES NO
(Arabic Language and Islamic Values Education)?

Accomplished by:
Signature Over Printed Name of Student

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