G9-Aster
Student Information Sheet
PERSONAL INFORMATION
_________________________ ____________________________ __________________________
Surname Given Name Middle Name
Complete Address: ______________________________________________________________________________________
Gender: Male Female Birthday: ___________ _____ _______ Age: _____ Contact No: ____________________
Month Day Year
Are there any medical needs or conditions of which the teacher should be aware? (allergies, asthma, etc.)
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
FAMILY INFORMATION
Mother's Maiden Name:
_________________________ ____________________________ __________________________
Surname Given Name Middle Name
Occupation: ___________________ Contact No.: _____________________
Father's Name:
_________________________ ____________________________ __________________________
Surname Given Name Middle Name
Occupation: ___________________ Contact No.: ____________________
Student lives with (please check ALL that apply):
Both parents
Single parent (circle one) Mother Father
Guardian (specify) Name: _______________________ Relation: ______________ Contact No. ________________
Siblings (specify)
Name Age School Attending Contact No.
Student Information Sheet |Grade 9 Aster| 2018-2019| Noel de Ocampo|
Relatives currently enrolled in IMNHS:
Name Relation Year and Section
ON
SELF
Favorite Subject: ________________________________ Most Difficult Subject: ________________________________
Hobbies: ______________________________________ Talents: _____________________________________________
Use 3 adjectives to describe yourself: ______________________________________________________________________
Ambition: ________________________________________________________________________________________
Signature of Parents or Guardian: ______________________ ______________________ _____________________
Mother Father Guardian
Student Information Sheet |Grade 9 Aster| 2018-2019| Noel de Ocampo|