Fecha:                                                                                                      Nr:

Informashon di alumno 
Fam:  
Nòmbernan:                                                         Nòmber di kariño:
Fecha di nasementu                                            Na:                Sekso:
Adrès:                                                                   Parokia/Bario:
Religion:                                                               Batisá:                     Misa:
Idioma materno: 
Skol di hunga ku a bishitá:                                 Skol preparatorio ku a bishitá:
Malesa spesífiko:                                                 Dokter di kas:                       na:

Informashon di tata                                             Informashon di mama
Fam:                                                                     Fam: 
Profeshon:                                                           Profeshon
Ta traha na:                                                         Ta traha na:
Telefòn di kas:                                                     Telefòn di kas:
Trabou:                                                                Trabou:
Selular :                                                               Selular:

Pèrsona(nan) responsabel:
Konstelashon di famia:
Tin ruman hòmber/muhé na skol preparatorio: si/nò
Kua  skol preparatorio:
Tin ruman hòmber/muhé na skol básiko: si/nò
Kua skol básiko,klas:
Ken ta buska despues di skol: