PAMANTASAN NG LUNGSOD NG MARIKINA

Brazil Street, Greenheights Subdivision Phase 1, Concepcion Uno, Marikina City

SCHOLAR’S INFORMATION SHEET

____ Marikina Resident ✓Non-Marikina Resident PM -18-03105-A 2x2 colored ID picture with

TYPE OF SCHOLARSHIP/GRANT: DEAN'S LISTER Date: 07-15-2020

First Semester, AY 2020-2021 Program, Year & Section: BSAC- 3RD YR 3BSA5A GWA: 1.33
RAMIREZ MARK IRENEA
Name
Surname First Name Middle Name
Permanent Address 02C LOPE K. SANTOS ST., MARIKINA HEIGHTS, MARIKINA CITY Contact No.: 09504916709
Company Name (for working student) Company Address Nature of work Work Schedule Contact No.
N/A N/A N/A N/A N/A

Father’s Name: JOSEPH M. RAMIREZ Mother’s Name: LORNA I. RAMIREZ Guardian’s Name: RAFAEL M. RAMIREZ
Occupation: LABORER Occupation: HOUSEWIFE Occupation: CARPENTER
Contact No. N/A Contact No N/A Contact No. 09206735908
Remarks (by the Scholarship coordinator):

ATTACHMENTS: __Grade Slip _____Sponsor’s Certificate/Documents Others: ________________________________

PAMANTASAN NG LUNGSOD NG MARIKINA

Brazil Street, Greenheights Subdivision Phase 1, Concepcion Uno, Marikina City

SCHOLAR’S INFORMATION SHEET

____ Marikina Resident ✓Non-Marikina Resident PM - 18-03105-A

TYPE OF SCHOLARSHIP/GRANT: DEAN'S LISTER Date: 07-15-2020

Firts Semester, AY 2020 - 2021 Program, Year & Section: BSAC -3RD YR 3BSA5A GWA: 1.33
RAMIREZ MARK IRENEA

Name
Surname First Name Middle Name
Permanent Address 02C LOPE K. SANTOS ST., MARIKINA HEIGHTS, MARIKINA CITY Contact No.: 09504916709
Company Name (for working student) Company Address Nature of work Work Schedule Contact No.
N/A N/A N/A N/A N/A

Father’s Name: JOSEPH M. RAMIREZ Mother’s Name: LORNA I. RAMIREZ Guardian’s Name: RAFAEL M. RAMIREZ
Occupation: LABORER Occupation: HOUSEWIFE Occupation: CARPENTER
Contact No. N/A Contact No N/A Contact No. 09206735908
Remarks (by the Scholarship coordinator):

ATTACHMENTS: _____Grade Slip _____Sponsor’s Certificate/Documents Others: ________________________________