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Individual Inventory Record Form Pnu

This document is an individual inventory record form for a student named Ryan Carl Alcantara. It provides personal details about Ryan such as his name, age, address, family, socioeconomic status, and living situation. Ryan is a 19 year old male from Pampanga studying to become a teacher. He comes from a family of 4 children, lives in a rented apartment, and has parents and siblings who are still living.
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0% found this document useful (0 votes)
371 views

Individual Inventory Record Form Pnu

This document is an individual inventory record form for a student named Ryan Carl Alcantara. It provides personal details about Ryan such as his name, age, address, family, socioeconomic status, and living situation. Ryan is a 19 year old male from Pampanga studying to become a teacher. He comes from a family of 4 children, lives in a rented apartment, and has parents and siblings who are still living.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Student No.

: UG201800135

Paste your 2x2 Picture here


PHILIPPINE NORMAL UNIVERSITY (in semi-formal wear or
National Center for Teacher Education by virtue of RA 9647 smart casual or school
uniform) print your picture in
best quality you can
INDIVIDUAL INVENTORY RECORD FORM

Date: September 23, 2019

Please PRINT clearly

My Philosophy in life: When you least expect it, nature has cunnings ways of finding our weakest spot.
I. PERSONAL INFORMATION

Name: Alcantara Ryan Carl Carpio Sex: M Age: 19


(Surname) (First Name) (Middle Name)
E-mail: [email protected]
Course: Outcome Based Teacher Education Curriculum Year and Section:BFE II-5 Civil Status: Single
City Address: Tagulod, Candaba, Pampanga Cellphone No.: 09554156604 Tel.No.: N/A
Provincial Address: Tagulod, Candaba, Pampanga Tel.No.: N/A
Date of Birth: May 14, 2000 Place of Birth: Candaba, Pampanga Religion: Roman Catholic
If working, please indicate the name and address of Company:

II. HOME AND FAMILY

Name of Father: Ronaldo M. Alcantara Age: 46 Living: Yes Deceased:


Educational Attainment: High School Occupation: Farmer
Name of Company: N/A Address of Company: N/A

Name of Mother: Carol C. Alcantara Age: 42 Living: Yes Deceased:


Educational Attainment: High School Occupation: Store Owner
Name of Company: N/A Address of Company: N/A

Name of Guardian: Olivia D. Navarro Age: 40 Living: Yes Deceased:


Educational Attainment: High School Occupation: Housewife
Name of Company: N/A Address of Company: N/A

Parent's Marital Relationship (please Check)


[ / ] Married and staying together [ ] Not married but staying together
[ ] Married but separated [ ] Other's (please specify):

Socio-Economic Status of the Family (please check)


[ ] P 5,000-Below [ ] P 15,001-P 20,000 [ ] P 30,001-P 35,000 [ ] P 45,001-P 50,000
[ ] P 5,000-P 10,000 [ ] P 20,001-P 25,000 [ ] P 35,001-P 40,000 [ ] P 50,001-Above
[ ] P 10,001-P 15,000 [/ ] P 25,001-P 30,000 [ ] P 40,001-P 45,000

Number of Children in the Family including yourself: 4 No. of Boys: 1 No. of Girls: 3
Number of brothers/sisters gainfully employed: 3 No. of Brother/s: 0 No. of Sister/s: 3
Ordinal position in the Family (1st child, 2nd Child, only child): 4th Child
Do you have a quiet place to study? (please check) [ / ] Yes [ ] No
Do you share your room with anyone? (please check) [ ] Yes [ / ] No
If yes with whom? N/A

Nature of Residence while attending school: (please check)


[ ] Family Home [ ] Bed Spacer
[ ] Relative's House [ / ] Rented Apartment
[ ] with Married Brother/Sister [ ] shares Apartment with friends
[ ] Dormitory [ ] other's (please specify) N/A

cod-revised 2014

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