Republic of the Philippines

Department of Education
Region IX, Zamboanga Peninsula
DIVISION OF ZAMBOANGA SIBUGAY
SOCIO/ ACADEMIC/ ANECDOTAL RECORD
Guinoman National High School

Name: _________________ Residence: Guinoman, Diplahan, Zambo. Sibugay Birthdate: _______

Father: __ _ Mother: __ _
No. of Children in the Family:________ Boy: __ Girl: ____ Living with Parents: Yes: ___No: ____
State if both parents are living:_______ Yes: ____ No: ____ If no, pls. specify: _______________
Parents Monthly Income: Php______________ Economic Status: Very Poor ____ Poor ___ Average ____ High ____
I. Elementary Education
Graduate with Honors? Yes ____ No ____(Please check) If yes, specify _____________________
A. Academic Profile
1. Reading
GRADE 7 GRADE 8 GRADE 9 GRADE 10 GRADE 11 GRADE 12
1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4
Non-Reader
Frustration
Instructional
Independent
Legend: 1-Non Reader 2-Frustration 3-Instructional 4-Independent
(Please check appropriate box in each grade applicable opposite Nos. 1, 2, 3, or 4 and case may be.)
2. Mathematics
GRADE 7 GRADE 8 GRADE 9 GRADE 10 GRADE 11 GRADE 12
1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4
Addition
Subtraction
Multiplication
Division
Problem Solving
Legend: W- level of mastery is very poor X- some degree of mastery but needs more practice
Y- just enough mastery Z- manifest excellence
(Above code shall be entered for each of the curriculum year)
3. Oral Participation/Recitation
GRADE 7 GRADE 8 GRADE 9 GRADE 10 GRADE 11 GRADE 12
1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4
Passive
Poor
Active
B. Any Academic honor obtained in: C. Special Talents/Skills/Winnings
Grade 7 _________________ 7 8 9 10 11 12
_
Grade 8 _________________ 1. Singing
_
Grade 9 _________________ 2. Dancing
_
Grade 10 _________________ 3. Reading
_
Grade 11 _________________ 4. Drawing/Painting
_
Grade 12 _________________ 5. Dramatics
_
6. Speaking
(Please Specify) a. Declamation
b. Oratorical
7. Athletics
8. Leadership
9. Others (Pls. Specify)
D. Cases of Significant Misdemeanor/s
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
CERTIFICATION is hereby made on the veracity of the above-mentioned entries per item.
GRADE 7 GRADE 8 GRADE 9 GRADE 10 Remediation Remediation
Adviser ______________ __________ _____________ _____________ _____________ _____________

Principal _____________ __________ _____________ _____________ _____________ _____________