LRN
Republic of the Philippines
Department of Education
Region VI- Western Visayas
Schools Division of Iloilo
BAROTAC VIEJO NATIONAL HIGH SCHOOL
Barotac Viejo, Iloilo
(Junior High School)
STUDENT’S CUMULATIVE AND COUNSELLING RECORD
STUDENT’S PERSONAL DATA
Name ______________________________________________________Nickname _____________________Birthday_______________________Age____________________
Religion________________________ Elem. School Graduated_____________________________________ Date_________________Average_____________________
Address_______________________________________________________________________Birthplace ____________________________Birth order_________________
Father’s Name__________________________________________________________________Age:________ Contact No._________________________________________
Highest Educational Attainment: ________________________________________________________ Occupation___________________________________________
Mother’s Name_______________________________________________________________ Age:______ __Contact No.___________________________________________
Highest Educational Attainment: _________________________________________________________Occupation___________________________________________
Guardian (if not living with parents) : ____________________________________________________________ Age:______Relationship:_____________________
Occupation_________________________________Address_______________________________________________________ Contact No.:__________________________
With whom you are living?_____________ Father_____________ Mother_____________ Step Parents_____________ Relatives_________________________
Characteristics that describe you best____________________________________________________________________________________________________________
Special Interest/Hobbies: ________________________________________________________What is your ambition? _____________________________________
What is the general condition of your health?
Good ( )
fair ( )
poor ( )
Have you suffered from any ailment, eyes, nose, ears, throat, kidney, skin, etc? Name of ailment: _________________________________________
Have you been in an accident? Yes ( )
No ( )
Pls. specify: _______________________________________________________________________________
Do you have any physical deficiency? ______________ Is it inborn or acquired early in childhood? _________________ Allergy ________________
Personal doctor/physician: _____________________________________________________________________________Contact #: _____________________________
ANECDOTAL RECORD
Grade &
Section
Date
Place
Incident
Observer
REPORT ON LEARNING PROGRESS AND ACHIEVEMENT
Grade & Section:
Learning Areas
Filipino
English
Mathematics
Science
Araling Panlipunan
(AP)
Educakasyon sa
Pagpapakatao (EsP)
Technology and
Livelihood Education
(TLE)
MAPEH
Music
Arts
PE
Health
1
School Year:
QUARTER
FINAL
GRADE
2
3
4
REPORT ON LEARNING PROGRESS AND ACHIEVEMENT
REMARKS
Grade & Section:
Learning Areas
Filipino
English
Mathematics
Science
Araling Panlipunan
(AP)
Educakasyon sa
Pagpapakatao (EsP)
Technology and
Livelihood Education
(TLE)
MAPEH
Music
Arts
PE
Health
General Average
QUARTER
1
2
School Year:
FINAL
GRADE
3
4
General Average
Adviser:
Adviser:
REPORT ON LEARNING PROGRESS AND ACHIEVEMENT
REPORT ON LEARNING PROGRESS AND ACHIEVEMENT
Grade & Section:
Learning Areas
Filipino
English
Mathematics
Science
Araling Panlipunan
(AP)
Educakasyon sa
Pagpapakatao (EsP)
Technology and
Livelihood Education
(TLE)
MAPEH
Music
Arts
PE
Health
1
School Year:
QUARTER
FINAL
GRADE
2
3
4
REMARKS
Grade & Section:
Learning Areas
Filipino
English
Mathematics
Science
Araling Panlipunan
(AP)
Educakasyon sa
Pagpapakatao (EsP)
Technology and
Livelihood Education
(TLE)
MAPEH
Music
Arts
PE
Health
General Average
QUARTER
1
2
School Year:
FINAL
GRADE
3
4
General Average
Adviser:
Adviser:
Descriptors
Outstanding
Very Satisfactory
Satisfactory
Fairly Satisfactory
Did Not Meet Expectations
Grading Scale
90-100
85-89
80-84
75-79
Below 75
Remarks
Passed
Passed
Passed
Passed
Passed
ATTENDANCE RECORD
Grade 7
Grade 8
Grade 9
Grade 10
Grade 8
Grade 9
Grade 10
Days of School
Days of Present
Days of Absent
SOCIAL BEHAVIOR
Grade 7
Shy
Cheerful
Stubborn
Friendly
Quarrelsome
Dependable
Cooperative
Aggressive
REMARKS
REMARKS
0
