Form 1B – GSTC – R2021 COURSE, YEAR LEVEL & SECTION: _
TAGUM DOCTORS COLLEGE, INC.
Mahogany St., Rabe Subd., Visayan Village, Tagum City
tdci.guidance@gmail.com; www.facebook.com/tdci.guidance
2 x 2 Photo
Guidance Services and Testing Center
Student Inventory Updating Form
(Grade 12, 2nd Year to 4th Year)
Student ID No:
I. PERSONAL INFORMATION
Name: Sex: Age: Civil Status:
(Surname) (First Name) (Middle Name)
Course (College): Year Level (SHS): Date of Birth: Height: Weight:
Place of Birth: Present Address:
Email Address: Religion: Mobile No:
Person to contact in case of Emergency: Relationship:
Address: Contact No:
II. HOME AND FAMILY BACKGROUND
Father’s Name: Age:
[ ] Living [ ] Deceased
Educational Attainment: Occupation:
Mother’s Name: Age: [ ] Living [ ] Deceased
Educational Attainment: Occupation:
Guardian’s Name: Age: Relationship:
Address: Occupation:
Parent’s Marital Relationship:
[ ] Single Parent [ ] Married & Staying Together [ ] Not married but living together [
] Married but Separated [ ] Others (Please Specify)
Who finances your schooling? [ ] Parents [ ] Spouse [ ] Relatives [ ] Brother/Sister
[ ] Scholarship [ ] Self-Support
How much is your total family income per month? (Combined monthly income of your father, mother, and other working members of your
family) Please check below.
[ ] below P10, 000 [ ] P10, 000 - P20, 000 [ ] P20, 001 – P30, 000 [ ] P30, 001 – P40, 000 [
] P40, 001 – P50, 000 [ ] above P50, 000
Do you have a quiet place to study? [ ] Yes [ ] No
Do you share a room with anyone? [ ] Yes [ ] No
III. HEALTH
A. Physical
If you have problems with the following aspect, please check: [ ] Vision [ ] Hearing [ ] Speech
[ ] General Health [ ] others, please specify:
B. Psychological (please check):
Consulted Yes No When Reason
Psychiatrist
Psychologist
Counselor
IV. INTERESTS and HOBBIES
Favorite Subject/s:
Least Favorite Subject/s:
What are your hobbies? Write them in order of your preferences:
1.
3.
2.
4.
Which of the following organizations have you participated in and which interests you the most?
[ ] Athletics [ ] Peer Counselors Club [ ] Student Club/Organization [
] Religious Organization [ ] Others (Please Specify)
_
(Student’s Signature over Printed Name)
Do not edit. Copyright © 2021
Tagum Doctors College, Inc. Guidance Services & Testing Center
