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Republic of the Philippines

Department of Education
Region VIII
Division of Leyte
BURAUEN SOUTH DISTRICT

SOCIO/ ACADEMIC/ ANECDOTAL RECORD


Paghudlan Elementary School

Name: ______________________ Residence: __________________________________ 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. Pre-Elementary Education
Entrance Age: Nursery: ____ Kinder: _____

II. Elementary Education


Graduate with Honors? Yes ____ No ____(Please check) If yes, specify _____________________
(to be filled after graduation)
A. Academic Profile
1. Reading

GRADE I GRADE II GRADE III GRADE IV GRADE V GRADE VI


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 I GRADE II GRADE III GRADE IV GRADE V GRADE VI


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)

B. Oral Participation/Recitation

GRADE I GRADE II GRADE III GRADE IV GRADE V GRADE VI


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

C. Any Academic honor obtained in: D. Special Talents/Skills/Winnings

Grade I _________________ I II III IV V VI


_
Grade II _________________ 1. Singing
_
Grade III _________________ 2. Dancing
_
Grade IV _________________ 3. Music Reading
_
Grade V _________________ 4. Drawing/Painting
_
Grade VI _________________ 5. Dramatics
_
6. Speaking
(Please Specify) a. Declamation
b. Oratorical
7. Athletics
8. Leadership
9. Others (Pls. Specify)

E. Cases of Significant Misdemeanor/s

__________ _____________________ _____________________ _____________________


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CERTIFICATION is hereby made on the veracity of the above-mentioned entries per item.

GRADE I GRADE II GRADE III GRADE IV GRADE V GRADE VI

____________________
Adviser _____________________
_____________ _____________ _____________ _____________
__

_____________________ _____________________
Principal _
_____________ _____________ _____________ _____________

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