Republic of the Philippines
DEPARTMENT OF EDUCATION
REGION XI
Division of City Schools
Photo
Davao City
LOWER TAMUGAN NATIONAL HIGH SCHOOL
STUDENT CUMULATIVE RECORD
PERSONAL DATA LRN:
Name: Sex:
Family Name First Name Middle Name Date of Birth:
Address: Place of Birth:
Religion: Contact No.:
Father's Name: Age: Birth Place:
Occupation: Place of Work: Educ'l. Attainment:
Mother's Name: Age: Birth Place:
Occupation: Place of Work: Educ'l. Attainment:
Guardian's Name: Age: Birth Place:
Occupation: Place of Work: Educ'l. Attainment:
CHILDREN IN THE FAMILY (Oldest to Youngest)
NAME AGE SCHOOL/WORK NAME AGE SCHOOL/WORK
1 7
2 8
3 9
4 10
5 11
6 12
Language/ dialect Spoken:
Name of Musical Instruments you play:
What hobbies do you have?
What are your special talents?
What do you plan to be when you grow up?
Do you have any Physical defects or sickness? Yes: No: ̸̸̸ If yes, what?
Do you encounter any serious accident? Yes: No: ̸̸̸ If yes, what?
Are you living with your parents? Yes: No: If No, with whom? Relationship:
Are you a working student?
Address and Contact Number:
in case of emergency, contact:
Name: Address: Contact No.
ELEMENTARY LEVEL DATE
School attended in the past
NAME LOCATION
Elementary School Graduated: Date Graduated:
Address: General Average: 82
RECORD OF OUTSTANDING ACHIEVEMENTS
GRADE 7 GRADE 8 GRADE 9 GRADE 10 GRADE 11 GRADE 12
Name: Name:
Grade & Section: School Year: Grade & Section: School Year:
LEARNING AREAS/ PERIODIC RATING Action LEARNING AREAS/ PERIODIC RATING Action
C.S AVE. C.S AVE.
SUBJECT 1 2 3 4 Taken SUBJECT 1 2 3 4 Taken
Filipino 0 FAILED Filipino
English 0 FAILED English
Mathematics 0 FAILED Mathematics
Science 0 FAILED Science
Araling Panlipunan 0 FAILED Araling Panlipunan
Edukasyon sa Pagpapakatao 0 FAILED TLE
TLE 0 FAILED MAPEH
MAPEH 0 FAILED Music
Music 0 FAILED Arts
Arts 0 FAILED Physical Ed.
Physical Ed. 0 FAILED Health
Health 0 FAILED Edukasyon sa Pagpapakatao
General Average General Average
No. of School Days:_ No. of Days Present: No. of School Days:_ No. of Days Present:
Lack Unit in: Lack Unit in:
Has Advanced Unit in: Has Advanced Unit in:
Classified as: Classified as:
MS. GLYDELL ANN A. PERTOS
Adviser Adviser
Name: Name:
Grade & Section: School Year: Grade & Section: School Year:
LEARNING AREAS/ PERIODIC RATING Action LEARNING AREAS/ PERIODIC RATING Action
C.S AVE. C.S AVE.
SUBJECT 1 2 3 4 Taken SUBJECT 1 2 3 4 Taken
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
TLE TLE
MAPEH MAPEH
Music Music
Arts Arts
Physical Ed. Physical Ed.
Health Health
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao
General Average General Average
No. of School Days:_ No. of Days Present: No. of School Days:_ No. of Days Present:
Lack Unit in: Lack Unit in:
Has Advanced Unit in: Has Advanced Unit in:
Classified as: Classified as:
Adviser Adviser
Name: Name:
Grade & Section: School Year: Grade & Section: School Year:
LEARNING AREAS/ PERIODIC RATING Action LEARNING AREAS/ PERIODIC RATING Action
C.S AVE. C.S AVE.
SUBJECT 1 2 3 4 Taken SUBJECT 1 2 3 4 Taken
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
TLE TLE
MAPEH MAPEH
Music Music
Arts Arts
Physical Ed. Physical Ed.
Health Health
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao
General Average General Average
No. of School Days:_ No. of Days Present: No. of School Days:_ No. of Days Present:
Lack Unit in: Lack Unit in:
Has Advanced Unit in: Has Advanced Unit in:
Classified as: Classified as:
Adviser Adviser
