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Name of Institution: OBC Learning and

3rd & 4th Floor, Perez Bldg., Monte


ATTEN
HILOT (WELLNE
DOTR

SIGNATURE No. LAST NAME FIRST NAME MIDDLE NAME CP #

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Prepared by: Noted By:

SHALLIMAR R. ALCARION OFELIA BERBO-CANAL


School Registrar School President
Name of Institution: OBC Learning and Assessment Center - Alaminos City, Inc.
3rd & 4th Floor, Perez Bldg., Montemayor St., Alaminos City, Pangasinan
ATTENDANCE
HILOT (WELLNESS MASSAGE) NC II
DOTR SCHOLAR
Birth Birth date Civil
Address Age Sex
Place (MM/DD/YY) status
Educational
Attainment

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