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NCLEX APPLICANT PROFILE

APPLICANT PROFILE: Lorenzo, Paul Lexus Gomez
FACEBOOK ACCOUNT NAME: Paul Lexus Gomez Lorenzo
CHOSEN STATE BOARD: Texas
FIRST NAME: Paul Lexus
MIDDLE NAME: Gomez
LAST NAME: Lorenzo
MARITAL STATUS: Single
IF MARRIED, INDICATE THE SINGLE NAME: n/a
DATE OF BIRTH: November 6, 1994 (11/06/1994)
COUNTRY OF BIRTH: Philippines
PLACE OF BIRTH: Paranaque, Metro Manila
EMAIL ADDRESS: plgl.0611@gmail.com
GENDER: Male
COMPLETE MAILING ADDRESS: Block 5 Lot 5, Coneland Village Zone 2, Alasas, San Fernando,
Pampanga 2000
CITY: San Fernando
PROVINCE: Pampanga
ZIPCODE: 2000
PHILIPPINES ADDRESS IF NOT THE SAME AS ABOVE: n/a
PHILIPPINES MOBILE NUMBER: 0936-242-3639
RECENTLY WORKING IN (CITY/STATE/PROVINCE): n/a
HOW MANY YEARS IN THE JOB: n/a
NAME OF ELEMENTARY SCHOOL: San Fernando Elementary School
STREET ADDRESS: B. Mendoza Street
CITY: San Fernando
ENTRY DATE: June, 2001
COMPLETION DATE: April, 2007
HAS THIS SCHOOL CLOSED?: No
IF YES, (NAME OF NEW SCHOOL): n/a
NAME OF SECONDARY SCHOOL: Pampanga High School
STREET ADDRESS: High School Boulevard
CITY: San Fernando
ENTRY DATE: June, 2007
COMPLETION DATE: April, 2011
HAS THIS SCHOOL CLOSED?: No
 IF YES, (NAME OF NEW SCHOOL): n/a
NAME OF UNIVERSITY: University of the Assumption
STREET ADDRESS: Unisite Subdivision
CITY: San Fernando
ENTRY DATE: May, 2012
COMPLETION DATE: April, 2016
HAS THIS SCHOOL CLOSED?: No
IF YES, (NAME OF NEW SCHOOL): n/a
LICENSE INFORMATION
NAME AS IT APPEARS IN YOUR LICENSE: Lorenzo, Paul Lexus Gomez
COUNTRY: Philippines
TITLE OF A PROFESSION: Nurse
LICENSE ISSUED: 07/07/2016
LICENSED EXPIRATION: 11/06/2019
REGISTRATION LICENSE NUMBER/ STATUS: 0882342
(FOR PHILIPPINES), WHERE DID YOU TAKE YOUR PNLE?: St. Jude College, Metro Manila
HAVE YOU TAKEN NCLEX BEFORE?: No
IF TAKEN, WHICH STATE AND WHEN IT WAS TAKEN: n/a
CURRENTLY WORKING AS A NURSE?: No
IF NOT, indicate the month and year that you last practiced as a nurse: n/a
Country/Countries where you have license: Philippines
Status of License : Professional/Valid