CAGAYAN VALLEY MEDICAL CENTER

DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE

Carig Sur, Tuguegarao City, Cagayan

ROTATOR’S PERSONAL DATA SHEET

I. PERSONAL INFORMATION

1x1 PICTURE
LAST NAME APRICIO FIRST NAME REINA ARIAN MIDDLE NAME LUNGAN
(NOT OLDER THAN 6 MOS)
NICKNAME ARIAN AGE 24 SEX FEMALE CIVIL STATUS SINGLE

DATE OF BIRTH Oct 31, 1995 PLACE OF BIRTH CENTRO, ILAGAN, ISABELA CITIZENSHIP FILIPINO

RELIGION CHRISTIAN HEIGHT 167.61cm WEIGHT 60kg BLOOD TYPE A+

RESIDENTIAL ADDRESS BRGY. BLISS VILLAGE CITY OF ILAGAN

PERMANENT ADDRESS BRGY. BLISS VILLAGE CITY OF ILAGAN

CELLPHONE NO. 0977-008-3441 E-MAIL ADDRESS reinaarainaapricio@gmail.com

II. FAMILY BACKGROUND

NAME OF SPOUSE N/A OCCUPATION N/A

CELLPHONE NO.

NAME(S) OF CHILDREN DATES OF BIRTH NAME(S) OF CHILDREN DATES OF BIRTH

FATHER’S NAME FELIX L. APRICIO MOTHER’S MAIDEN NAME LOLITA T. LUNGAN

PARENTS’ ADDRESS BRGY. BLISS VILLAGE, CITY OF ILAGAN

III. EDUCATIONAL BACKGROUND

HIGHEST GRADE/ INCLUSIVE DATES ACADEMIC HONORS RECEIVED

NAME OF SCHOOL DEGREE/COURSE
LEVEL LEVEL/UNITS EARNED OF ATTENDANC
(WRITE IN FULL) (WRITE IN FULL)
(IF NOT GRADUATED) (FROM - TO)
ELEMENTARY ILAGAN EAST CENTRAL SCHOOL ELEMENTARY 14TH Honor 2006-2011
th
SECONDARY ISABELA NATIONAL HIGH SCHOOL HIGH SCHOOL 9 Honor 2011-2014
VOCATIONAL/TRADE
COURSE
TERTIARY CAGAYAN STATE UNIVERSITY BS- MEDICAL TECHNOLOGY 2014-2017

GRADUATE STUDIES SAINT PAUL UNIVERSITY 2018-PRESENT

NON-DEGREE
COURSE(S)

IV. ROTATION EXPECTATIONS

SIGNATURE
DATE

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