Republic of the Philippines

DEPARTMENT OF EDUCATION
Region I
Schools Division Office II – Pangasinan
NANTANGALAN NATIONAL HIGH SCHOOL
Pozorrubio, Pangasinan

FICS ANALYSIS FORM

FIRST QUARTER
SY. 2023-2024

School Name: Nantangalan National High School

Name: AL RHAJIV E. ROLDAN______Birthdate: 4/18/2009_______Age:_14___ Gender:MALE__
Adress:NANTANGALAN, POZORRUBIO,PANGASINAN Grade & Section: 9-MOLAVE Contact #:_______
LRN: 101858140030

A. DOMESTIC-RELATED FACTORS B. INDIVIDUAL- ______b.1.

RELATED Illness
______a.1. Had to take care of siblings ______b.2.
______a.2. Early marriage/ pregnancy FACTORS
Overage
______a.3. Parents’ attitude towards schooling ______b.3. Death
___/___a.4. Family problems ______b.4. Drug Abuse
___/__b.5. Poor academic performance
___/__b.6. Lack of interest/distractions
______b.7. Hunger/Malnutrition

C. SCHOOL- ______c.1. D. GEOGRAPHIC/ ______d.1.

RELATED Teacher ENVIRONMENT Distance
FACTORS factor between home
______c.2. and school
Physical condition of classroom ______d.2. Armed conflicted (incl. Tribal wars
___/__c.3.3 Peer influence and clan feuds)
______d.3. Calamities Disasters

E. FINANCIAL F. OTHERS
RELATED
Cutting classes ; Violations such as doing over
______e.1. Child Labor/work the fence, vaping inside school premises

Prepared by: Noted:

CHERISH A. CALACHAN JULIETA Q. FERNANDEZ, EdD

 Adviser Principal III

Republic of the Philippines

DEPARTMENT OF EDUCATION
Region I
Schools Division Office II – Pangasinan
NANTANGALAN NATIONAL HIGH SCHOOL
Pozorrubio, Pangasinan

FICS ANALYSIS FORM

FIRST QUARTER
SY. 2023-2024

School Name: Nantangalan National High School

Name: JOHN JUNELL P. QUINTO______Birthdate: 6/18/2009_______Age:_14___
Gender:MALE__
Adress: MAAMBAL, POZORRUBIO,PANGASINAN Grade & Section: 9-MOLAVE__ Contact #:_______
LRN: 101855140012

G. DOMESTIC-RELATED FACTORS H. INDIVIDUAL- ______b.1.

RELATED Illness
______a.1. Had to take care of siblings ______b.2.
______a.2. Early marriage/ pregnancy FACTORS
Overage
______a.3. Parents’ attitude towards schooling ______b.3. Death
___/___a.4. Family problems ______b.4. Drug Abuse
___/__b.5. Poor academic performance
___/__b.6. Lack of interest/distractions
______b.7. Hunger/Malnutrition

I. SCHOOL- ______c.1. J. GEOGRAPHIC/ ______d.1.

RELATED Teacher ENVIRONMENT Distance
FACTORS factor between home
______c.2. and school
Physical condition of classroom ______d.2. Armed conflicted (incl. Tribal wars
___/__c.3.3 Peer influence and clan feuds)
______d.3. Calamities Disasters

K. FINANCIAL L. OTHERS
RELATED
Absenteeism, Cutting Classes
______e.1. Child Labor/work
Prepared by: Noted:

CHERISH A. CALACHAN JULIETA Q. FERNANDEZ, EdD

Adviser Principal III