Republic of the Philippines

DEPARTMENT OF EDUCATION
Region IV– A (CALABARZON)
DIVISION OF QUEZON

QUEZON NATIONAL HIGH SCHOOL

Iyam, Lucena City

STUDENT’S PROFILE
2 X 2 PICTURE

PERSONAL
Name: _____________________________________________________________________________
(Surname) (First Name) (M.I.)
Nick Name: ____________________ Grade & Section : _____________________
Birthplace: ____________________ Birthdate: __________________ Age: _____ Gender: M( ) F( )
Present Adviser: ____________________________________________
Previous Grade Level/Section: _________________________________
Previous Adviser: ___________________________________________
Address_____________________________________________________________________________
School Graduated: ( Elem) ________________________________ ____________________________
Tel. No. _____________________________ Cellphone number. _____________________________
Email add: ___________________________ FB Account: __________________________________

FAMILY BACKGROUND
Mother: __________________________________________ Occupation: ________________________
Father: ___________________________________________ Occupation: ________________________
Guardian: _________________________________________ Occupation: _______________________
Guardian contact no.: _______________________________ Relationship: _______________________

Hobbies and interest: __________________________________________________________________

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Achievements:
Academic: __________________________________________________________________________
___________________________________________________________________________________
Non- academic:______________________________________________________________________
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MYSELF
___________________________________________________________________________________
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(Please sketch the location of the house at the back)