Republic of the Philippines

Department of Education
Region 02 (Cagayan Valley)
Schools Division Office of Isabela
Aurora District
DIAMANTINA ELEMENTARY SCHOOL
Diamantina, Aurora, Isabela 3316

SOCIO/ ACADEMIC/ ANECDOTAL RECORD

Name: ACOB,CHRISTOPHER JOHN, Residence: Diamantina, Aurora, Isabela Birthdate 08-26-2008

SEBASTIAN
Father: ACOB, REGIE CASTILLO Mother: SEBASTIAN, MAY RATMUNDO
No. of Children in the Boy: _/__ Girl: ____ Living with Parents: Yes: ___No: ____
Family:____2____
State if both parents are living: Yes: _/__ No: ____ If no, pls. specify: _______________
Parents Monthly Income: Php______________ Economic Status: Very Poor ____ Poor ___ Average ____ High _
Health Illness _______________________________ CP no of Parents:_____________________________

I. Pre-Elementary Education
Entrance Age: Nursery: ____

II. Elementary Education

Graduate with Honors? Yes ____ No ____(Please check) If yes, specify
_____________________
(to be filled after graduation)
A. Academic Profile
1. A. Reading English

KINDER GRADE I GRADE 2 GRADE 3 GRADE 4 GRADE 5 GRADE 6

1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4
Non-Reader
Frustration
Instructional
Independent
Legend: 1-Non Reader 2-Frustration 3-Instructional 4-Independent
(Please check appropriate box in each grade applicable opposite Nos. 1, 2, 3, or 4 and case may be.)

B. Reading Filipino

KINDER GRADE 1 GRADE 2 GRADE 3 GRADE 4 GRADE 5 GRADE 6

1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4
Non-Reader
Frustration
Instructional
Independent
Legend: 1-Non Reader 2-Frustration 3-Instructional 4-Independent
(Please check appropriate box in each grade applicable opposite Nos. 1, 2, 3, or 4 and case may be.)

2. Mathematics

KINDER GRADE 1 GRADE 2 GRADE 3 GRADE 4 GRADE 5 GRADE 6

1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4
Addition
Subtraction
Multiplication
Division
Problem Solving

Legend: W- level of mastery is very poor X- some degree of mastery but needs more practice
Y- just enough mastery Z- manifest excellence
(Above code shall be entered for each of the curriculum year)
 B. Oral Participation/Recitation

KINDER GRADE 1 GRADE 2 GRADE 3 GRADE 4 GRADE 5 GRADE 6

1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4
Passive
Poor
Active

C. Any Academic honor obtained in: D. Special Talents/Skills/Winnings

Kinder -------------------------------
Grade 1 _________________ K I 2 3 4 5 6 Remarks
_
Grade 2 _________________ 1. Singing
_
Grade 3 _________________ 2. Dancing
_
Grade 4 _________________ 3. Music Reading
_
Grade 5 _________________ 4.
_ Drawing/Painting
Grade 6 _________________ 5. Dramatics
_
6. Speaking
(Please Specify) a. Declamation
b. Oratorical
7. Athletics
8. Leadership
9. Others (Pls.
Specify)

III Incident Report

Date Type of Incident Place Observer Remarks

CERTIFICATION is hereby made on the veracity of the above-mentioned entries per item.

TEACHER

KINDER GRADE 1 GRADE2 GRADE 3 GRADE 4 GRADE 5 GRADE 6

---------------- --------------- ----------------- ----------------- ------------------ ------------------ ----------------------

PRINCIPAL

KINDER GRADE 1 GRADE2 GRADE 3 GRADE 4 GRADE 5 GRADE 6

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