STUDENT'S CUMULATIVE REPORT

Personal Data

NAME : ______________________________ _______________________________________ ____________________________ __________

(Last) (First) (Middle) (Suffix)

HOME ADDRESS:
__________ _______________________________________ ___________________________ __________________________ _________
(No. Street) (Barangay) (Municipality/City) (Province) (Zip Code)

AGE : _________ SEX : _____________ RELIGION : __________________________ CITIZENSHIP : _____________________

DATE OF BIRTH : ________________________ PLACE OF BIRTH: ______________________________________________________________
CONTACT NUMBER : ________________________

PERSONALITY TRAITS
Traits 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter
Truthfullness
Honesty
Courtesy
Cooperativeness
Industry
Sel-Confidence
Emotional Stability
Initiative
Sociability
Reliability
STRENGTHS WEAKNESSES
1 1
2 2
3 3
3 4
4 5
5

Family Background/Circumstances
Father : ( ) Living ( ) Deceased Mother : ( ) Living ( ) Deceased

Name: ______________________________________________________ Mother's Maiden : _________________________________________________

(Last) (First) (Middle) (Suffix) (Last) (First) (Middle)

Occupation : _________________________________________________ Occupation : ______________________________________________________

Guardian : ___________________________________________________
(Last) (First) (Middle) (Suffix)

Educational Data
SCHOOLS ATTENDED
Month and Year
Seq. No. Name of School Class from which left Reasons for Leaving
of Joining
1
2
3
SCHOLASTIC ACHIEVEMENT
Subject 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter Average
English
Filipino
Mathematics
Science
Mapeh-----

ATTENDANCE
 Quarter Possible Actual Nature of long absence, if any, with reasons
1st Quarter
2nd Quarter
3rd Quarter
4th Quarter
CO-CURRICULAR AND EXTRACURRICULAR ACTIVITIES
Average grade of the student for each performance throughout a year.
Activities :
1st Quarter 2nd Quarter 3rd Quarter 4th Quarter
Sports and Games
Leadership
Personal hygiene
Literary Activities
Cultural Activities
Social Service

Health Data
PHYSICAL DATA
Chest Measurement
YEAR HEIGHT WEIGHT GENERAL CONDITION
Normal Expanded Contracted

MEDICAL REPORT
Year Any Serious Illnes