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  • Ureg QF 02 PDF

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    Melgen Lapura
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    1) Mith Cyrus Solimanan Lapura is a new, regular student pursuing an unspecified course and section at Cavite State University. 2) He was born on January 2nd, 2001 in Sta. Cruz, Manila and is currently 18 years old. 3) His educational background includes Kalubkob Elementary School which he graduated from in 2013, and General Vito Belarmino National High School which he graduated from in 2019.

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    1) Mith Cyrus Solimanan Lapura is a new, regular student pursuing an unspecified course and section at Cavite State University. 2) He was born on January 2nd, 2001 in Sta. Cruz, Manila and is currently 18 years old. 3) His educational background includes Kalubkob Elementary School which he graduated from in 2013, and General Vito Belarmino National High School which he graduated from in 2019.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    167 views1 page

    Ureg QF 02 PDF

    Uploaded by

    Melgen Lapura
    1) Mith Cyrus Solimanan Lapura is a new, regular student pursuing an unspecified course and section at Cavite State University. 2) He was born on January 2nd, 2001 in Sta. Cruz, Manila and is currently 18 years old. 3) His educational background includes Kalubkob Elementary School which he graduated from in 2013, and General Vito Belarmino National High School which he graduated from in 2019.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    UREG-QF-02

    Republic of the Philippines


    CAVITE STATE UNIVERSITY
    Don Severino delas Alas Campus 1x1 picture
    Indang, Cavite

    STUDENT INFORMATION SHEET

    Name (please print) Lapura Mith Cyrus Solimanan


    Last Name First Name Middle Name

    Home Address Josephine Village Lucsuhin Silang Cavite


    House No. & Street Barangay Town Province

    Landline No. ___________________________ 09066801322


    Cellphone No. _________________________

    meljelapura@gmail.com
    E-mail Address _________________________________________________________________

    Course _______________________________ Section ______________________________

    Student Classification: /✘/ New / / Continuing / / Transferee / / Cross Enrollee


    / / Shiftee from ____________ / / Returnee

    Registration Status /✘/ Regular / / Irregular / / Temporary


    01/02/2001
    Date of Birth ________________________ Sta. Cruz, Manila
    Place of Birth ______________________________
    18
    Age ______ Male
    Sex _______ Seventh Day Nationality ________Civil
    Religion ___________ Filipino Single
    Status __________
    Adventist
    Educational Background

    Kalubkob Elementary School


    Elementary _____________________________________________________________
    2013
    Year Graduated _______________ /✘/ public / / private
    Kalubkob, Silang, Cavite
    Address ________________________________________________________________

    General Vito Belarmino National High School


    High School _____________________________________________________________
    2019
    Year Graduated _______________ /✘/ public / / private
    Kalubkob, Silang, Cavite
    Address ________________________________________________________________

    For Transferees/Cross Enrollees


    School Last Attended ______________________________________________________
    Address ________________________________________________________________
    ==========================================================================
    Genita S. Lapura
    Parent/Guardian ________________________________________________________________
    Lucsuhin, Silang, Cavite
    Address ______________________________________________________________________
    Sales Agent
    Occupation ____________________________________________________________________
    09264806331
    Landline No._____________________ Cellphone No. __________________________________

    _____________________________
    Signature of Student

    V01-2018-06-05

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