Kindl

yfi
ll
-upthi
sform andemaili
npdff
ormat
/scanned/hi
ghqual
i
typi
ctur
eto
udmguidanceone2020@gmail
.com

UNI
VERSI
DADDEMANI
LA
Admi
ssi
on,
Gui
dance,
andPl
acementOf
fi
ce

PERSONALDATAFORM

Cour
se:Publ
i
cAdmi
nist
rat
ion YearLev
el:2ndy
ear SchoolYear
:2020-2021

Ful
lName Lachi
ca Jonah Fr
anci
sco
(
Surname) (
Fir
stname) (
Middl
ename)
19-
71-
012 Femal
e
St
udentNo. Gender
Mar
ch2,
2001 20
Bi
rt
hdat
e Age
Four
squar
e 4
Rel
i
gion Di
str
ictNo.

Pr
ovi
nci
alAddr
ess Gui
nhay
a-an,
Looc,
Rombl
on Bi
rt
hPl
ace Looc,
Rombl
on

Mani
l
aAddr
ess 3399SanJoseSt
,Sampal
oc,
Mani
l
a
JonahFr
anci
scoLachi
ca
Landl
i
ne Facebook
j
onahl
achi
ca2@gmai
l
.com 09097327429
Emai
lAddr
ess Cel
l
phone
1.
6256 61kl
.
Hei
ght(
inmet
er) Wei
ght

Ar
eyouawor
kingst
udent
?Ify
es,
fil
lthedat
abel
ow:
Empl
oyer
’sName Of
fi
cenumber
Wor
kAddr
ess

Persontocont
acti
ncaseofemer gency:
AtheniaF.Lachi
ca Mot
her
Name Rel
ati
on
Guinhaya-anLooc,
Rombl
on
Address
09108564315
ContactNo.

EDUCATI
ONALBACKGROUND
SCHOOL YEARS
GRADUATED ADDRESS ATTENDED ACHI
EVEMENTS
Pr
eschool
Guinhay
a-anElement
ary Guinhaya-an,Looc, 2007-
2013 Graduat
e
Gr
adeSchool
School Romblon 2ndHonors
LoocNational
HighSchoolCl
ement eSt, 2013-
2015
Hi
ghSchool
Pobl
acion,Looc,
Romblon

Alcant
araNat
ional
High Pobl
acion,
Alcant
ara,2015-
2017 Gr
aduat
e
School Romblon Wi
thHonor
s
ALS/PEPT
Passer
Alcanat
araNat
ional
High Pobl
aci
on, 2017-
2019 Gr
aduat
e
Vocat
ional
School Al
canat
ara,
Rombl
on Wi
thHonor
s
Coll
ege
(i
fany)
Bl
acken/shadey
ouranswer
.

Doy
ouhav
eanymi
sbehav
iorr
ecor
dsf
rom y
ourpr
evi
ousschool
? Yes No
Whydi
dyout
ransf
ert
oUDM?(
Fort
ransf
ereest
udent
sonl
y)

Hav
eyoubeenst
udy
ingcont
inuousl
y? Yes No
I
fnot
,howl
ongdi
dyoust
opf
rom school
i
ng? 1y
r 2y
rs 3y
rs ot
her
spl
sspeci
fy

Dat
eofEnt
ranceEx
ami
nat
ionatUDM: Apr
il27,
2019
Di
dyouappl
yforr
econsi
der
ati
on? Yes No
 I
NTERESTS&SKI
LLS

Whati
s/ar
eyourf
avor
it
esubj
ect
/s? Mat
h

Whi
chsubj
ect
/sdi
dyouexcel
in? Mat
h

Whati
s/ar
esubj
ect
syoul
i
kel
east
? Sci
ence

Whichorgani
zat
ionsi
nUDM ar
eyou
i
nterest
edin?
Org/
Clubscur
rent
lyorpr
evi
ousl
y
i
nvol
vedin
Whatar
eyourhobbi
es? Wat
chi
ngK-
DRAMAS/
C-DRAMAS/
THAISERI
ES/
BLSERI
ES.Readi
ng

books.Cooki
ng.

Doy
ouhav
eanyspeci
alt
alent
sorski
l
ls Tambour
inceDanci
ng,
Play
ingUkul
ele,
Cooki
ng

FAMI
LYBACKGROUND

NameofFat her:ElmerS.Lachica Age:51

Occupation:
Far
mi ng Educat
ional
Att
ainment
:Vocat
ional
Govt.Employ
ee SelfEmpl
oyed
Pri
vateEmployee None/Unempl
oyed

Mot
her
’sMai
denName:
Atheni
aM.Fr
anci
sco Age:58
Occupation:
Teachi
ng Educat
ional
Att
ainment
:Col
l
egeGr
aduat
e
Govt.Employee Sel
fEmpl
oyed
Pri
vateEmployee None/
Unempl
oyed

I
fpar
ent
sar
eunavai
labl
e…
NameofGuar
dian: Age:

Occupation: Educat
ional
Att
ainment
:
Govt.Employ
ee Sel
fEmpl
oyed
Pri
vateEmployee None/
Unempl
oyed

Parent
sRelati
onshipStat
us
Marr
ied&li
vingtoget
her RaisedbySingleParent
Notmarr
ied&livi
ngtogether Rai
sedbyGuar dians
Marr
iedbutSeparat
ed Others.Pl
easespecify

Howmanybr
other
s&si
ster
sdoy
ouhav
e? 3 Br
other
s 1 Si
ster
s
Howmanyext
endedf
ami
l
ymember
sar
eli
vi
ngwi
thy
ou? 0

Whoi
s/ar
esuppor
ti
ngy
ouf
ami
l
yfi
nical
l
y? None

Howmuchi syourdai
l
yal
l
owance?
50pesosbelow 151–200pesos
51–100pesos Abov
e200pesos
101–150pesos
Howmuchi s/ar
eyourpar
ent
/st
otal
monthl
yincome?
NoIncome 10,
000–14,999
Bel
ow1,000 15,
000–19,999
1,
000–4, 999 20,
000andAbove
5,
000–9, 999
Doy
out
hinkt
hisi
senought
osust
ainy
ourf
ami
l
yforamont
h? Yes No

Doy
ouhav
eadependent
?Ify
es,
stat
ethenameandr
elat
ionshi
p Yes No

May18,2021
DateAccompli
shed
Theinfor
mat i
oncollect
edinthisPer
sonalDataFormisi
ntendedfortheuseoftheUni
versi
daddeManilaGuidanceOffi
ce.Thi
swil
l
serv
easanupdat edpersonal
dataofthestudent
s.TheGuidanceOff
iceshal
lensur
ealli
nformat
ionpr
ov i
dedwillbet
reatedwi
thst
rict
confi
denti
ali
ty.Thankyou!