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PERSONAL DATA SHEET

Name : _________________________________________
Address : _________________________________________ PICTURE

Tel. No. : _________________________________________

Date of Birth : _________________________________________


Birth Place : _________________________________________
Height : _________________________________________
Weight : _________________________________________
Religion : _________________________________________
Citizenship : _________________________________________
Marital Status : _________________________________________
Father’s Name : _________________________________________
Occupation : _________________________________________
Mother’s Name : _________________________________________
Occupation : _________________________________________
Language / Dialect Spoken : _________________________________________

EDUCATIONAL BACKGROUND

Elementary : _________________________________________ Year : ___________


High School : _________________________________________ Year : ___________
College : _________________________________________ Year : ___________
Course : _________________________________________

Special Skills : _________________________________________

Person to Contact in Case of Emergency: _________________________________________

I hereby certify that all data entered in the above are true and correct.

_______________________________
Signature

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