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Chapter/Campus/High School 2
Please Fill-up with the necessary details especially the one inside this box
Family Name Given Name Middle Name Nickname
Osis
Address
Nadine Isabelle
Guyamin
Nadine
Birthday
16
School
Imus Institute
Telephone # (landline)
4 year
E-mail Address
th
Course
09164110982
471-5124
Occupation
Nadineisabelle_17_06@yahoo.com
Name of Father
Nestor A. Osis
Engineer
Fathers Organization (if member of Couples for Christ, pls. indicate sector/chapter) CFC __________________________________________ Name of Mother Other Org. __________________________________________________________________ Occupation
Edina G. Osis
Housewife
Mothers Organization (if member of Couples for Christ, pls. indicate sector/chapter) CFC __________________________________________ Name of Person to notify in case of emergency Other Org. __Handmaids of the Lord_________________________________ Relationship Contact No.
Edina G. Osis
Mother
09266579205/4715124