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STUDENT’S SOCIO- ECONOMIC PROFILE
Read carefully and answer the following questions with honesty.
Choose "None" if needed or type the correct answer on the blank on "Other" option.
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* Indicates required question
Student's Grade Level
*
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
ALS
Other:
Section
*
Your answer
Student's Firstname
*
Your answer
Lastname
*
Your answer
Middle Name
*
Your answer
Religion
*
Roman Catholic
Iglesia ni Cristo
Jehovah's Witnesses
Bible Baptist Church
Protestant
Seventh-day Adventist
Islam
Other:
Nationality
*
Filipino
Other:
House#, Street, Subdivision
Your answer
Purok
Your answer
Barangay
*
Your answer
City/Town
*
Your answer
Telephone Number
*
None
Other:
Cellphone Number
*
None
Other:
E-mail Address
*
None
Other:
Birthdate
*
MM
/
DD
/
YYYY
Age
*
Your answer
Sex
*
Male
Female
Father's Lastname
*
Your answer
Father's First Name
*
Your answer
Father's Middle Name
*
Your answer
Father's Age
*
Your answer
Father's Contact Number
*
None
Other:
Father's Religion
*
Roman Catholic
Iglesia ni Cristo
Jehovah's Witnesses
Bible Baptist Church
Protestant
Seventh-day Adventist
Islam
Other:
Father's Nationality
*
Filipino
Other:
Father's Profession (Permanenteng Trabaho)
*
None
Other:
Father's Occupation (Pansamantalang Trabaho)
*
None
Other:
Mother's Last name
*
Your answer
Mother's First name
*
Your answer
Mother's Middle Name
*
Your answer
Mother's Maiden Name (Buong Pangalan ng Nanay nung Dalaga)
*
Your answer
Mother's Age
*
Your answer
Mother's Contact Number
*
None
Other:
Mother's Religion
*
Roman Catholic
Iglesia ni Cristo
Jehovah's Witnesses
Bible Baptist Church
Protestant
Seventh-day Adventist
Islam
Other:
Mother's Nationality
*
Filipino
Other:
Mother's Profession (Permanenteng Trabaho)
*
None
Other:
Mother's Occupation (Pansamantalang Trabaho)
*
None
Other:
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