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Midterm 4,012.50
Finals 4,012.50
PERSONAL INFORMATION
Email Address: Landline: 09120083037 Mobile No.:
Permanent Address: Barangay San Isidro, San Luis, Aurora 3201
Baguio Address: Barangay San Isidro, San Luis, Aurora 3201
Name of Guardian in Baguio: Marialyn Flores Valencia
Gender: Male Civil Status: Single Citizenship: Filipino
Nationality: Filipino Religious Affiliation: Roman Catholic
Date of Birth: 6/27/1999 Place of Birth: BALER, AURORA
Name of Father: Ferdinand Pabillo Peralta Occupation: Government Employee
Name of Mother: Marialyn Flores Valencia Occupation: Private Employee
Last School Attended: Aurora State College of Technology
Secondary School:
Name of School Address Year
CONFORME:
STUDENT'S SIGNATURE: _______________________________
Subjects encoded by: PERALTA, WALTER V. Student load verified & confirmed by:
Signature of Authorized Personnel
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