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PP Form 1-A

GRADE SIX (VI) - AMETHYST


P U P I L S P R O F I L E
SY 2017-2018

A. IDENTIFYING DATA

Name:___________________________ ___________________________ ____________________ Sex:: ________ Age:___________

Birthdate: _______________________Birthplace: __________________________________________________ Status: _____________

Nationality:_____________________ Dialect:_________________________________ Religion: _________________________________

Guardian:___________________________________________________ - Relation of the Guardian:______________________________

Address:_________________________________________________________________________________________________________________

Are you living with your parent? _____________________ Are your parent living together? _______________________

B. FAMILY BACKGROUND

FATHER (CP#_________________________) MOTHER (CP#_________________________)

Name:______________________________________________________ Maiden Name: ____________________________________________

Birthdate:______________ Birthplace:_______________________ Birthdate:______________ Birthplace:______________________

Age:________ Religion:__________________________________ Age:________ Religion:_________________________________

Occupation: _______________________________________________ Occupation: _______________________________________________

Educational Attainment: _________________________________ Educational Attainment: _________________________________

Are you living with your parent? _____________________ Are your parent living together? _______________________

C. SOCIAL INVENTORY

Food/s:___________________________Color:________________Subject/s:_____________________________

Game/s: __________________________Hobbies/Activities:__________________________________________

Ambition:_________________________ Hopes:___________________________________________________

Movie/s:______________________________________ Fears:_____________________________________

Attitudes: __________________________________________________________________________________

D. ORGANIZATION:
NAME POSITION DATE

_____________________________________________ _____________________________ ____________________________


___________________________________________ ____________________________ __________________________
___________________________________________ ______________________ _____________________

Pupils Signature_____________________________ Parents/Guardians Signature_________________________________

DATE ACCOMPLISHED: ______________________________________

/2017/rosel/
PP Form 1-B PUPILS TRACKING RECORDS

A. LEARNING AREAS
1.A READING ABILITY
Can recognize/read
Level Remarks/Signature
Letter/Sound Syllables Words Phrases Sentences Paragraph
Pre Post Pre Post Pre Post Pre Post Pre Post Pre Post
Kinder
Grade I
Grade II
Grade III
Grade IV
Grade V
Grade VI
(Note: In order to categorize the reading fluency, pls. write Poor, Fair, Good and Very Good in appropriate column)
B. PHIL-IRI- READING INVENTORY
KINDER GRADE I GRADE II GRADE III GRADE IV GRADE V GRADE VI
FILIPINO ENGLISH FILIPINO ENGLISH FILIPINO ENGLISH FILIPINO ENGLISH FILIPINO ENGLISH FILIPINO ENGLISH FILIPINO ENGLISH
ORAL
SILENT
SPEED
(LEGEND: Oral & Silent- FRUS, INS, IND ; Speed ;VS-Very Slow, S-Slow, G- Good, VG-Very Good)
2. WRITING ABILITY
Can write dictated and of his/her own
Level Remarks/Signature
Letter Syllables Words Phrases Sentences Paragraph
Kinder Pre Post Pre Post Pre Post Pre Post Pre Post Pre Post
Grade I
Grade II
Grade III
Grade IV
Grade V
Grade VI
(Note: Write D dictation and O for of his/her own in appropriate column; DO if he/she can do both)

3. MATHEMATICAL ABILITY
Can read/write/compute/solve dictated and of his/her own
Level Problem Remarks/Signature
Numbers Addition Subtraction Multiplication Division Solving
Kinder Pre Post Pre Post Pre Post Pre Post Pre Post Pre Post
Grade I
Grade II
Grade III
Grade IV
Grade V
Grade VI
(Note: Write R-read, W- write , C-compute, S- solve in appropriate column; RWCS if he/she can do all)

C. HEALTH RECORD
KINDER GRADE I GRADE II GRADE III GRADE IV GRADE V GRADE VI
SEVERELY WASTED
WASTED
NORMAL
OVERWEIGHT
OBESE

D. ANECDOTAL RECORDS
KINDER GRADE I GRADE II GRADE III GRADE IV GRADE V GRADE VI

Signature: Signature: Signature: Signature: Signature: Signature: Signature:

/2017/rosel/