Masagana High School
School Pandan St., Kalookan City
logo Here 1 x 1 pic
STUDENTS PROFILE
Write in PRINT the necessary information below.
Name:
Surname Name First Name Middle Name
LRN No: Contact Number/s: Email Address:
Address:
House No./ St. Barangay Municipality/City Province
Birthdate: Birthplace: Gender:
Religion: Age as of June 2022: Mother Tongue: 4P’s beneficiary
Mother’s Maiden Name:
Last Name First Name Middle Name
Occupation: Contact Number/s:
Father’s Name:
Last Name First Name Middle Name
Occupation: Contact Number/s:
Guardian’s Name:
Last Name First Name Middle Name
Occupation: Contact Number/s:
Relationship to the Guardian: Address:
Occupation: Contact Number/s:
Previous School Attended: Previous Grade & Section:
General Average: Talents/Hobbies:
Failed Subject/s last school year: Teacher/s:
SKETCH OF THE DIRECTION GOING TO YOUR HOUSE:
STUDENTS SIGNATURE MOTHER’S SIGNATURE FATHER’S SIGNATURE GUARDIAN’S SIGNATURE