Region VI-Western Visayas
Division of Iloilo
District of San Dionisio
SAN DIONISIO CENTRAL ELEMENTARY SCHOOL
PUPIL CUMULATIVE REPORT
Pupil Personal Report
A. Name Age Sex
Date of Birth _____________________ Height ___________ Weight ____________
Address _________________________________Place of Birth _____________________
Teacher Advisers:
Kindergarten _______________ Grade IV _____________________________
Grade I ______________________________ Grade V ______________ _______________
Grade II ______________________________Grade VI ______________________________
Grade III ____________________________ _
B. Family Background
1. Name of Father ________________________________Living _____________________
Occupation __________________Salary _______________ Employed by ____________
Educational Attainment ____________________________________________________
2. Name of Mother ________________________________ Living ____________________
Occupation __________________Salary _________________ Employed by __________
Educational Attainment ____________________________________________________
3. In- School and Out-of-School Activities
What subject do you like best? ______________________________________________
What subject do you dislike best? ____________________________________________
Intelligence test score __________________________Type _______________________
What kind of creation do you like best? ________________________________________
Do you plan to graduate from elementary? _____________________________________
Do you plan to go to high school? _____________________________________________
What life occupation do you like? _____________________________________________
Talents for any musical instrument? ___________________________________________
Dramatics ______________Dancing _______________ Singing _______________
Church Preference _________________________________________________________
Language Spoken at Home __________________________________________________
4. Any Physical Handicaps _____________________________________________________
Guidance Form2Number _____________
ANECDOTAL RECORD
Name of Pupil ______________________________Grade and Section __________________
Date Place Incident Comment Observer
B. Family Background
1. Name of Father ________________________________Living _____________________
Occupation __________________Salary _______________ Employed by ____________
Educational Attainment ____________________________________________________
2. Name of Mother ________________________________ Living ____________________
Occupation __________________Salary _________________ Employed by __________
Educational Attainment ____________________________________________________
B. Family Background
3. Name of Father ________________________________Living _____________________
Occupation __________________Salary _______________ Employed by ____________
Educational Attainment ____________________________________________________
4. Name of Mother ________________________________ Living ____________________
Occupation __________________Salary _________________ Employed by __________
Educational Attainment ____________________________________________________
B. Family Background
1. Name of Father ________________________________Living _____________________
Occupation __________________Salary _______________ Employed by ____________
Educational Attainment ____________________________________________________
2. Name of Mother ________________________________ Living ____________________
Occupation __________________Salary _________________ Employed by __________
Educational Attainment ____________________________________________________
B. Family Background
1. Name of Father ________________________________Living _____________________
Occupation __________________Salary _______________ Employed by ____________
Educational Attainment ____________________________________________________
2. Name of Mother ________________________________ Living ____________________
Occupation __________________Salary _________________ Employed by __________
Educational Attainment ____________________________________________________
SAN DIONISIO CENTRAL ELEMENTARY SCHOOL
San Dionisio, Iloilo
LEARNER’S PROFILE
Name: _____________________________________________________________
Date of Birth: _______________________________________________________
Address: ___________________________________________________________
PARENTS
Father: ____________________________________________________________
Mother: ___________________________________________________________
Contact Number/s: __________________________________________________
SAN DIONISIO CENTRAL ELEMENTARY SCHOOL
San Dionisio, Iloilo
LEARNER’S PROFILE
Name: _____________________________________________________________
Date of Birth: _______________________________________________________
Address: ___________________________________________________________
PARENTS
Father: ____________________________________________________________
Mother: ___________________________________________________________
Contact Number/s: __________________________________________________
