Schools Division Office

STA. RITA HIGH SCHOOL

Olongapo City

STUDENT PROFILE
Name: _____________________________________________________ Age: _____ Sex: _____

Date of Birth: ___________________ Nationality: _______________ Religion: ______________

Address: ___________________________________ Tel./ Mobile No. ____________________

Elementary School Graduated: ____________________________ School Year: ___________

Fathers Name: ______________________________ Occupation: _____________________

Mothers Name: _____________________________ Occupation: _____________________

Total No. of children in the Family: _____ No. of Boys: _____ No. of Girls: ____ Sibling Position: ___

Medical Backround: (List any allergies/ chronic injuries and/ or illnesses, etc.) ____________________

____________________________________________________________________________________

Contact in case of Emergency:

Name: _____________________ Relationship: ____________________ Contact No. ________________

Schools Attended:

Name of School School Year Grade and Section Class Adviser