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Pupil___Lumawod Lorraine
D.__________________NICKNAME:___Lorraine_________
____________________________________________AGE:_____9______ SEX:____F___
Nationality __Filipino_____ Ethnic Affiliation:______________ Religion:
___Catholic____
Date of Birth: ___________ Place of Birth: ___________ Birth Registered
______Yes___
Drop Out History
__________________ No How long?_____________
Reasons:_____________________
Distance of School from home: ________________ Means of trans. To
ABSENTISM
Grade
Level AND DROPOUT
PROFILE
School
Year
Year Level
Nut.Status
No.of
Days Absent
Wt.
(kg)
Reasons
Remarks
Summer Dropout
Ht.(cm)
How long?
Immunization
BCGReasons:
DPT
Polio
Hepa
Whooping Cough
Chicken Fox
Measles
Illness Incurred during the
year
Major Accidents
school:________
Source of Financial Assistance: ____________ Yes ___________ No
Sources________
Students lives with:_____________ Person who helps child in
Homework:____________
BACKGROUND PROFILE
Pupils
Information
FATH
ER
MOTH
ER
EDUCATIONAL PROFILE
GRADE ONE
S.Y
GRADE THREE
GRADE FIVE
S.Y
S.Y
II
II
III
III
IVIV
VV
VI
VI