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Applicationform

This document appears to be a college cumulative record form for a student named Logie Alipaopao Canua. It collects personal information like contact details, family background, socioeconomic status, educational history, and records of performance. The form is used to document a student's profile and progress for guidance services at Davao del Norte State College.

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logiealipaopao
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0% found this document useful (0 votes)
41 views2 pages

Applicationform

This document appears to be a college cumulative record form for a student named Logie Alipaopao Canua. It collects personal information like contact details, family background, socioeconomic status, educational history, and records of performance. The form is used to document a student's profile and progress for guidance services at Davao del Norte State College.

Uploaded by

logiealipaopao
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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Republic of the Philippines DDNSC-GSC-CCR-01

DAVAO DEL NORTE STATE COLLEGE


New Visayas, Panabo City, Davao del Norte Philippines 8105
Website: www.ddnsc.edu.ph; Telephone #: 6384 6284301
Email Address: [email protected];[email protected]
GUIDANCE SERVICE CENTER

COLLEGE CUMULATIVE RECORD

Instruction: Please fill-out all entries legibly. Do not leave any blank Item PHOTO

SCHOOL YEAR 2024-2025 SEMESTER First Second

STATUS NEW OLD TRANSFEREE RETURNEE SHIFTEE

COURSE: BACHELOR OF SCIENCE IN ENTREPRENEURSHIP YEAR LEVEL:________________

LRN #: 129441100009 IP 4PS Foreign Student


STUDENT CODE: 2324AT35751 Household #: __________________
N/A

I. PERSONAL and FAMILY DATA


Name: LOGIE, ALIPAOPAO CANUA Birthdate: 03-15-2005 Birthplace LA UNION SAN ISIDRO DAVAO
Family First Middle Name Month - Day - Year Municipality/City Province

Present addr: COGON 4 BRGY JP LAUREL Age: 54 Civil Status: Single

Permanent addr: COGON 4 BRGY JP LAUREL Gender: Female Blood Type: O+

Email/FB acct: [email protected] Height: 5'3 Weight(kg): 45

Contact #: 09927512572 Religion: Christian Nationality: Filipino

Name of Parents Age Educational Attainment Occupation Monthly Income Religion Contact #

Lyngen Lubiano Alipaopao 37 High School Collector 8.00 Roman Catholic 09959603869

Regielou N/A Canua 36 High School House wife 0.00 Roman Catholic 09127758916

Name of Spouse (If married) Age Educational Attainment Occupation Monthly Income Religion Contact #

Angcla Joshua jade Capitle 20 HS Vendors 3.00 Christian 09927512572

Number of Children: ______________________


1 Solo Parent Yes No

Name of Brothers/Sisters Age Educational Attainment Occupation Monthly Income Religion Contact #

Logen Alipaopao 20 Bachelor's Degree N/A 0.00 8 N/A

Number of siblings currently enrolled at DNSC: 0 Your Birth Order : First

Name of Guardian Relationship Complete Address Contact Number

Alipaopao, Lyngen Lubiano Father Concordo Prk 12 Toril Davao City 09127758916

Please Check your Answer:


Ethnic Origin
Bagobo Boholano Cebuano Dabaweno Ilocano
Ilongo Mandaya Manobo Muslim Others:
Language Spoken
Dabaweno English Muslim Ilocano Ilongo
Tagalog Visayan Others:
Special Skills/Talents
Painting/Drawing Cooking/baking Singing Playing Musical Instrument
Dancing Sport games Theater Arts Others:
Type of Disability
Psychosocial Disability Hearing Disability Learning Disability Mental Disability
Chronic Illness Visual Disability Speech Impairment Others:

Handedness
Right Left
Problems Encountered
Computer Addiction Family Problem Finances
Lack of Time-Management Low Academic Performance Parents Working Abroad
Peer Pressure Personal/Emotional Problem Relationship with Same Sex
Relationship with Opposite Sex Separated Parents Others:

II. SOCIO-ECONOMIC STATUS


Status of the house where you live: Owned Rented/Leased None Others
Status of the residential lot where you live: Owned Rented/Leased None Others:
Light Facilities used: Electricity Petroleum Others
Means of water supply: Open Well Hand Pump Electric Pump
Rain Dumoy Nawasa
Others:
Type of toilet used: Flush type Antipolo (Close Pit) Public Toilet Others
Vehicle owned: Car Jeepney Motorcycle/Tricycle
Bicycle/Trisikad Others:
Appliance/s owned: Refrigerator Stereo/CD/Radio Television
Electric Iron Air Conditioner
Electric Fan Electric/Gas Stove
Computer/Laptop Washing Machine Others
Furniture/s owned: Sala Set Dining Set Cabinet
Bed Others:

III. EDUCATIONAL DATA


Name of School/Address Year General Awards
Course/Strand or Track (K-12) Graduated Average Received

Elementary: N/A 2017 86 86


Junior High School: F. Bangoy National High School DRESSMAKING 2021 85 85
Senior High School: Panabo National High School Information Communication Technology 2023 85 85
Vocational: TVL 2023 85 N/A
College: Bsba major in financial management 2024 92 N/A

IV. RECORD OF OUTSTANDING PERFORMANCE


Name of Events/Contest Date Awards Received
Certificate of active participant in finance 2024-01-01 N/A

I certify that the data herein are true and correct, thereby allow Davao Del Norte State College to use my
information for academic purposes.

LOGIE, ALIPAOPAO CANUA / 2024-02-17


_________________________________________
Student's Signature/Date

V. TESTS TAKEN
Name of Test Date Taken Raw Score Stanine Qualitative Description
NON-VERBAL
OLSAT N/A VERBAL
TOTAL

OASIS N/A

SATT N/A

OTHERS N/A

VI. COUNSELLING RECORDS


Date Problem Encountered Remarks Attending Counselor

Checked and Verified By: __________________________________________


MARICIELO PAULA E. FUNA
Guidance Personnel
Printed by: LOGIE, ALIPAOPAO CANUA / Feb 17,2024

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