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PERSONAL DATA SHEET sn JcAReERO lewnistian IwonTEcLARO — Bregino —C) Dat Criverseup iyo Cy ameter CALUBAN LEYTE sot atte, ie eocaacanty aad rT mrss ice Teneo Tae reer [son Cy me Dine D seers a = Borers z Ty Ta “cava tere cater ToT nee pee en or fs emer a Tamer * owe tho Shee jean ia me eon a ree ro, ‘osreotee caveat verte coor) cans mrewe =e fase aes Taino wa CARBERO Te AE I CALDEN Wr ara A Pe CTE AV CARERS ecu te ‘VERDEFLOR HRS TAN V CARBERO TR ae BORE WA nS ORS WA fa anes some ARBERO reste (GREGORO IR. weenie CABAL mouse ONTECLARO sue A PERLA EPA (Remus npuan et nh ma ‘wen ALWNN OUTH CENTRAL SeHOOL LEYTE WATIONAL GH SCHOOL ‘OEERSERVCURA NOBORU FADLICER Tayi ‘OME OF LGaSE we) ‘PEGA WS ex EE examnatons POF Bunun cxnrEmET > wamcrvenamy/omensucose | | Comremen an tl Ga DRIVER'S LICENSE NONE eaoit | LTONAVAL OSTRICT OFFICENAVAL BILRAN |Ho1.102s-7] awa023 rd ‘ome osmon me vepanmenr Acencrvorvicercowner | wrrar | 8%, | sarvecr | erty (Wie Dot ete (Prin abot aerate une | Foremey | omen | “rm = 7. ‘mace ‘TESOACALUBIAN NATIONAL ‘wnvaote | PRESENT ‘SECURITY GUARD MOOR eaboud uonco | wa | remmner | vane | aarane ‘SECURITY GUARD ‘TCO SECURITY AGENCY moo | wa | seome | ow re ‘SECURITY GUARD werrocuaRDsecuRmy acency | stom | wa | recur |W ow ao | oe 200 ‘SECURITY GUARD DAVAOSECURITY ANDINVESTIGATION | gapgon | wa | secur | 6 AGENCY. ow moor | e2 noo SECURITY GUARD [SUPERGUARD SECURITY CORPORATION| wm | wa | REGULAR | ‘SAFEGUARD ARHOR SECURITY fo ‘SECURITY GUARD ea woe | wa | Recuar |W a ce nti nn Serra) PAR pee [sain Anon ee _ [R «, Tre you reed by cneangunly or thy tthe apponing or econmendng aur, or be thief ofbuteauor ofl the parson wh has inmate supervision oer oun te Ofc, Bueauior Departmen whee you wllbe appohied, a. win the hie degre? ove 10 win the ert date or Los! Goverment Urit- Crear Employee)? owe es INVES, ge det: Fave you wr Dee urd gly any ana oreo? ae Ts YES, gv datas 1. Have you Bee tinny charged tefoe any cout? aves aK YES, gv dota Dale File Stats of Cant Te ave you ever oon envied ef any ete ot VEaion ot oy law, doa, odnanceor eAIINBY| cy ea 7a a YES, gv dole: {Five you eve bon separdd on the sno maya te alowng radon resanaTEn, aes aN relrement depp fom thera, sisal amination, endothe conc phased out] YES, ge dats {aboton inte pubte or prvate scar? {= Have you ever boen acandlae nanan or bel oloslon hed win a atyearawcopt | cy ves ae ace sete YES, ve deta ' Hove youregned om fe government serve dung he thee 3)-nonth pede telat | ves aN ‘deco fo promollately apg for aratlonal local candle? INYES, gv deta: [eave you soquved he aaa olan Higa 8 poral ean fanaa aT ae 7a IFYES, gv dela county "= Pursuant (9 niga People A [RA B31 (Magna Gata for Dated Persons (RA ‘72TT: and) Slo Parents Welle Act of 200 (RA 6972) lease ance flowing em: Je Are yous menber of ay indigenous group? a ae rvs, ease pest: sre you's person with seb? ows ano Ir YE, peas spctyO No Je Are yous soo paren? aves aK I+ YES, lease spect 0 No: (RePEc moe let npn Te ORES TE) ‘DR ZOILO, SABUYA ‘BRGY, GUTOSAN,CALUBIAN LEYTE | 09213673826 HON. EUGENIO A.CHING, JR BRGY, ESPNOSA,CALUBIAN, LEYTE HON. JAMES. EFE. BRGY. ESPNOSA,CALUBIAN LEYTE T dedatewnder oath Wa have personaly sooonpiched tis Pevsna’ Data Set which wwe, cored and ‘omplee stalement pusant fo the provisions of perinent aws, es and regains ofthe Republic of the Phipps. | aubore te agency headfautorzntrecreserative 1 veryvaliatn he contents sisted hein | ‘910 thal ay mispresaialon mace In th document and ie allachments shal caso the fling of _arinravelsininl case's against me

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