Republic of the Philippines DDNSC-GSC-CCR-01
DAVAO DEL NORTE STATE COLLEGE
New Visayas, Panabo City, Davao del Norte Philippines 8105
Website: [Link]; Telephone #: 6384 6284301
Email Address: president@[Link];jab@[Link]
GUIDANCE SERVICE CENTER
COLLEGE CUMULATIVE RECORD
Instruction: Please fill-out all entries legibly. Do not leave any blank Item PHOTO
SCHOOL YEAR 2021-2022 SEMESTER First Second
STATUS NEW OLD TRANSFEREE RETURNEE SHIFTEE
COURSE: BACHELOR OF TECHNOLOGY AND LIVELIHOOD EDUCATION MAJOR IN YEAR LEVEL: Fourth Year
HOME ECONOMICS
LRN #: 128787080063 IP 4PS Foreign Student
STUDENT CODE: 2021-01830 Household #: __________________
NA
I. PERSONAL and FAMILY DATA
Name: VERONA, MELODY RODRIPAS Birthdate: 09-24-2002 Birthplace
PRK. GALINGAN, MANKILAM, TAGUM
Family First Middle Name Month - Day - Year Municipality/City Province
Present
Km. 47,addr:
Prk. Rose Bincungan, Tagum City bincungan tagum city bincungan tagum city Age: 55 Civil Status: Single
Permanent
Km. 47, Prk.
addr:
Rose Bincungan, Tagum City bincungan tagum city bincungan tagum city Gender: Female Blood Type: N/A
Email/FB acct: veronamelody24@[Link] Height: 5'3 Weight(kg): 41
Contact #: 09366158474 Religion: Roman Catholic Nationality: Filipino
Name of Parents Age Educational Attainment Occupation Monthly Income Religion Contact #
Rodel Macasalong Verona 47 Undergraduate Farmer 500.00 Roman Catholic 09262796287
Maria lucita Gripo Rodripas 43 Elementary House wife 500.00 Roman Catholic 09262796287
Name of Spouse (If married) Age Educational Attainment Occupation Monthly Income Religion Contact #
Verona Maria lucita Rodripas 43 E House wife 500.00 Roman Catholic 09262796287
Number of Children: ______________________
1 Solo Parent Yes No
Name of Brothers/Sisters Age Educational Attainment Occupation Monthly Income Religion Contact #
Lovely R. Verona 17 High School NA 0.00 1 09366158474
Number of siblings currently enrolled at DNSC: Your Birth Order :
Name of Guardian Relationship Complete Address Contact Number
Verona, Leonarda Macasalong Grandmother Km. 47, prk. Rose Bincungan, Tagum city, bincungan 09262796287
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: NA
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 NA
Status of the residential lot where you live: Owned Rented/Leased None Others: Tenant
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: NA
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: Na
III. EDUCATIONAL DATA
Name of School/Address Year General Awards
Course/Strand or Track (K-12) Graduated Average Received
Elementary: BINCUNGAN ELEMENTARY SCHOOL NA 2015 86
Junior High School: Technical vocational livelihood 2019 92
Senior High School: Technical vocational livelihood 2021 92
Vocational: Davao del Norte State College Technical vocational livelihood 92
College: Bachelor of secondary education major in
IV. RECORD OF OUTSTANDING PERFORMANCE
Name of Events/Contest Date Awards Received
I certify that the data herein are true and correct, thereby allow Davao Del Norte State College to use my
information for academic purposes.
VERONA, MELODY RODRIPAS / 2025-01-13
_________________________________________
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: VERONA, MELODY RODRIPAS / Jan 13,2025