1. 昆明流动儿童单亲学生情况登记表
孤兒資料 ORPHAN INFORMATION
姓名 李慧仙 性別 女 F 編號
38
Name Huixian Li Sex Orphan ID
出生日期 2002 年 3 月 18 日 民族 汉族 健康狀況 健康
Date of Birth Y M D Ethnic Race Han Health Qualified
學校資料 SCHOOL INFORMATION
學校名稱 云南省昆明市盘龙区旭日学校 入學情況 就读: 四年级
Name Xuri School of District Panlong, Kunming, Yunnan Grade Grade 4
學校地址 郵編
Address 云南 省 昆明 市盘龙区龙泉镇羊肠大村
Postal Code
監護人資料 GUARDIAN INFORMATION
監護人姓名 李柄全 與孤兒關係 父亲 家庭年人均收入/總人口數(包括孤
¥ / 人
Name Bingquan Li Relationship Father 兒)Annual Income/Total Family Members
監護人地址 云南 省 曲靖市 会泽县 郵編
Address Huize, Qujing, Yunnan. Postal Code
孤兒 / 監護人家庭狀況 FAMILY BACKGROUND
家庭是因为妈妈离家出走了,只剩下爸爸带着李慧仙姐妹三一起生活。妈妈也不知道什么原因离
开家,爸爸说:之前两人也没有什么大的问题,她就这样什么也不说就走了,2011 年的中秋节回
来过一次,半夜又走了。孩子们很难过的。爸爸平时就在工地上做活,每天回来的也晚,他们三
姐妹就自己做作业,做饭吃,互相照应,三个的关系还不错,不会怎么吵架。
李慧仙小的时候生病很多,有一次从二楼掉下来,在医院治好了,现在就是个子不高,同学都
笑她。还有她的头不能被撞到,要很小心。成绩比姐姐好,在家也很听话,作业认真完成。爱和
朋友讲话,但还是很羡慕别人有妈妈。
Huixian’s left home several years ago. “I can’t remember any terrible things
between my wife and me. But she left without any words” according to Huixian’s
father. He has to work hard in building sites to raise Huixian and her 2 sisters.
Three sisters take care of each other and work out their homework together every
day. They admire their friends who have a mom.
Huixian had lots of illness when she was young. Once she fell down from 2nd floor and
was sent to hospital. Now she is so little a girl though she was cured in that
accident. But her classmates laugh at her that her head cannot be touched. She is an
excellent student and enjoys talking with friends.
助養期 起 止
助養者編號
Period From To
Donor ID
填表人 日期 年 月 日 ----------
助養者姓名
Prepared by Date Y M D
Name of Donor