Scribd
Upload
28 views2 pages

Student Individual Inventory Form

This document is a student inventory form containing personal information about a student. It includes sections for the student's personal background such as name, age, address; family background including information about parents and siblings; educational background; social involvement; and health. The form is used to collect important details about a student that can help the school support their needs and development.

Uploaded by

Michael Junio
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
28 views2 pages

Student Individual Inventory Form

This document is a student inventory form containing personal information about a student. It includes sections for the student's personal background such as name, age, address; family background including information about parents and siblings; educational background; social involvement; and health. The form is used to collect important details about a student that can help the school support their needs and development.

Uploaded by

Michael Junio
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

GC FORM 001

REPUBLIC OF THE PHILIPPINES


Region I
PANGASINAN DIVISION II
Latest Photo Binalonan
(Passport Size) BAUTISTA NATIONAL HIGH SCHOOL
BAUTISTA, PANGASINAN

STUDENT INDIVIDUAL INVENTORY


I. PERSONAL BACKGROUND II. FAMILY
BACKGROUND FATHER MOTHER

Name: Nickname:
Name
(Surname, First Name, M. I.)
Date of Birth
Age: Date of Birth: Place of Birth:
Place of Birth
Gender: M F Birth Order Among Siblings:
Current Address
Current Address:
Permanent Address

Landline / Cellphone
Permanent Address:
Highest Educational Attainment

Occupation
Landline: Cellphone: Email:
Business Address
Language/Dialect Spoken at Home:
Business Telephone
Language/Dialect Most Fluent in:

Religion: * Note: Write (+) for deceased.


A. Parents: (Please check)
Living together Temporarily Separated
Permanently Separated Father OFW
Interests/Talents/Skills/Hobbies: Marriage Annulled/Legally Separated Mother OFW

Father with another partner Mother with another partner


1 of 2
B. (Please write below siblings from Eldest to Youngest. Include yourself.) IV. EDUCATIONAL BACKGROUND
LIVING W/ GRADE/YEAR HONORS/AWARDS INCLUSIVE YEARS
NAME OF SIBLINGS STATUS SCHOOL / PLACE OF WORK AGE SCHOOL ATTENDED
FAMILY OR NOT LEVEL RECEIVED OF ATTENDANCE

C. Guardian (If not living with Parents)


Name: V. SOCIAL INVOLVEMENT
Landline / Cellphone No.:
Relationship with guardian: A. IN SCHOOL
NAME OF ORGANIZATION POSITION/TITLE
D. Person to contact in case of
emergency: Name:
Contact No.:

E. Closest Member of the Family: (Please check)


Father Mother Sibling (Write the name) B. OUTSIDE SCHOOL
NAME OF ORGANIZATION POSITION/TITLE

III. HEALTH

Disabilities / Impairment

Latest Ailment / Illness

Medicine Regularly

Taken

SIGNATURE OVER PRINTED NAME OF STUDENT

Date Accomplished:

2 of 2

You might also like