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REGISTRATION FORM

PERSONAL INFORMATION

First Name: Isidore III


Middle Name: Tumadiang
Last Name: Tarol
Gender : Male
Marital Status: Single
Religion: Seventh-Day Adventist
Nationality: Filipino
Complete Address: Sambaludan, Oton, Iloilo, Philippines
City: Iloilo City
Zip Code: 5020
Birth date: June 27, 1989
Birth Place Lapaz, Iloilo City
Preferred Email: isidoretarol3@gmail.com
Primary Phone Number: 09276567000
Secondary Phone Number: None
Government ID Available: PRC license ID, Driver’s License, Passport
Passport Number: EB0604744 Expiration Date: July 19, 2015 (renewal ongoing)
No MUMARIS Account created.
____________________________________________________________________
EDUCATIONAL INFO
Country : Philippines
Educational Institution : Adventist University of the Philippines
College : College of Nursing
Degree : Bachelor
Certificate Title : Diploma
The period of study : 4 years
Graduation Date : March 28, 2010
Specialty : Nurse
BOARD PASSER : YES

Are you currently working?: YES


IMPORTANT INFORMATION
Did you take PROMETRIC EXAM BEFORE????
No
TARGET Exam Date: April 10, 2015 (Friday)
Time Choice: 10:00 am
Testing Site : Makati City
TARGETEXAM TYPE: Nurse Tech
I agree in terms and conditions.

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