NQCI - Student Portal - Inventory Details

Personal Information

Height (m):

Weight:

If married, age of spouse:

Who do you live with?

With Parents
With relatives (Please indicate your relationship)
Others (Please specify)

Permanent Address:

Person to contact in case of emergency:

Address:

Relationship:

Contact Number:

Educational Background

Primary:

Grade 7-10:

Grade 11-12:

Tertiary:

Grade 12 General Average:

Occupational Interest Based on NCAE Results:

Home and Family Background

Father

Name:

Age:

Life Status:

Living
Deceased

Occupation:

Educational Attainment:

Religion:

Mother:

Name:

Age:

Life Status:

Living
Deceased

Occupation:

Educational Attainment:

Religion:

Parent's Marital Relationship:

Married and living together
Married but separated
Single Parent
Unmarried
Others (Please specify)

Family Total Monthly Income:

Below Php 5,000.00
Php 5,001.00 - Php 10,000.00
Php 10,001.00 - Php 15,000.00
Php 15,001.00 - Php 20,000.00
Above Php 20,000.00
Others (Please specify)

Number of Siblings (Including yourself):

Brothers:

Sisters:

Birth Order:

Who finances your schooling?

Parents
Brother/Sister
Spouse
Relative
Grantor
Selft-Support/Working
Scholarship

Name of Employer:

Address of Employer:

Minimum Grade Qualification:

How much is your monthly allowance?

Do you have a conducive place to study?

Do you share your room with anyone?

Health

Physical:

Do you have a problem with the following conditions?

Vision:

Hearing:

Speaking:

General Health:

Psychological:

Have you consulted a counselor or psychiatrist before?

When?

For what?

For how long?

Interest and Hobbies

Academic:

What is/are your favorite subject/s?

What subject do you like least?

What club are you interested to join or presently involved in?

Math Club
Science Club
Debate Club
Quizzes Club
Others (Please specify)

Non-Academic (Extra - Curricular):

What are your hobbies? Write them in order of your preferences.

Which of the following organizations have you participated in and interest you the most?

Athletic
Phonetics
Glee Club
Religious
Theatre & Arts
Others (Please specify)

Test Result

Date	Name of Test	RS	PR	Description

Post SHS Studies/College

Course:

Major:

Year and Section:

Semester:

School Year:

No. of Units Taking:

Regular or Irregular?

Regular
Irregular