JOULE

SCHOOL FORM 1 DATA SHEET

ADVISER: Ms. Larraine Kris L. Navarro

LRN:___114501100114_____________________________

NAME:_CARRETERO_ FRANCHESKA_WINEY_CALISURA______
(Surname) (Given Name) (Middle Name)

GENDER:__FEMALE____ BIRTHDATE(mm/dd/yy):_11/13/2004________

AGE AS OF JUNE 1 :___15____ BIRTHPLACE:__NAGA CITY CAM SUR___

(Province)
RELIGION:ROMAN_CATHOLIC________ CONTACT NO.__09455806896____

ADDRESS:
House #/ Street/ Sitio/ Purok:_#49/M.H DEL PILAR/SALVADOR/DISTRICT 1__

Barangay:__BARANGAY PALATIW_____________________________
PARENTS:
FATHER’S NAME:_CARRETERO__JOSE WILBERTO___BALLARAN_____
(Surname) (Given Name) (Middle Name)
OCCUPATION:_ELECTICAL ENGINEER______ CONTACT NO.: 09455806897
MOTHER’S
MAIDEN NAME:_CALISURA____HONYLYN_________AZUTEA_____________
(Surname) (Given Name) (Middle Name)

OCCUPATION:_ONLINE SELLER/PRIVATE SECRETAR__

CONTACT NO. 09455806896

GUARDIAN (if any):_________________________________________________

(Surname) (Given Name) (Middle Name)
CONTACT NO.:_______________________ RELATIONSHIP :____________

MEDICAL INFORMATION:

MILD EPILEPSY
MILD SCOLIOSIS