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FORM Individual Inventory FINAL

The document is an individual inventory form used by West Visayas State University to collect personal and family information from students. It requests details such as the student's name, contact information, date of birth, address, parents' names and occupations, siblings, educational background, health, and extracurricular activities. The form is used to understand the student's personal circumstances and support needs.

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Hanz Christian Padios
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92 views1 page

FORM Individual Inventory FINAL

The document is an individual inventory form used by West Visayas State University to collect personal and family information from students. It requests details such as the student's name, contact information, date of birth, address, parents' names and occupations, siblings, educational background, health, and extracurricular activities. The form is used to understand the student's personal circumstances and support needs.

Uploaded by

Hanz Christian Padios
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Document No.

WVSU-UGS-SOI-01-F01
INDIVIDUAL INVENTORY
Issue No. 1
FORM
Revision No. 0
Date of Effectivity: April 27, 2018
WEST VISAYAS STATE
Issued by: Guidance Services
UNIVERSITY
Page No. Page 1 of 1

INDIVIDUAL INVENTORY FORM

I. PERSONAL INFORMATION
Student No:_________________
Name:________________________________ Nickname:_________________________
Course/Yr/Sec.:_________________ Civil Status: ( ) Single ( ) Married ( ) Others: ________
If married, indicate name of spouse and contact no.: _______________________________
Date of Birth:___________Place of Birth:______________ Age:_____ Gender: _________
Present address:____________________________________________________________ 2x2 ID
Phone No:____________ E-mail address:_______________Religion:_________________ Picture
Home/Provincial Address:_______________________________ Phone No:____________
Living arrangement:
( ) living with parents ( ) living with relative/s Others: (Specify)_______________
If member of a minority group/indigenous people, please specify ______________________

II. HOME AND FAMILY


Father/ Guardian Mother/ Guardian
Name: _____________________________ _______________________________
Age:_______________________________ _______________________________
Occupation: _________________________ _______________________________
Office/Address:_______________________ _______________________________
Contact No.:_________________________ _______________________________
Estimated annual family income: Php_____________________
Sources of income (check which is applicable to you) :
( ) salaries/wages ( ) business others (specify):_____________
Siblings (Brothers/Sisters): If more than four, please use a separate sheet.
Name Age School/Occupation
________________________ __________ __________________________
________________________ __________ __________________________
________________________ __________ __________________________
________________________ __________ __________________________

III. EDUCATIONAL BACKGROUND


School Year Graduated
Elementary:________________________________________________________________
High School:_______________________________________________________________
College(for transferees):_____________________________________________________
Membership in school organization (High School):__________________________________
_________________________________________________________________________
Extra-curricular activities (High School):__________________________________________
_________________________________________________________________________

IV. HEALTH
General condition of health: ( ) good ( ) not good, why? _____________________
Physical Disabilities/Defects:__________________________________________________

__________________________________ __________________
Student’s Signature Date

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