::::

GENERAL STUDENT PERSONAL INFORMATION SHEET (GSPIS) ::::

  COURSE Bachelor of Science in Hospitality Management
  MAJOR
  CURRICULUM YEAR 2018
to 2019

  YEAR LEVEL/TERM 2nd/

2nd Semester SCHOOL YEAR : 2019
to 2020

 
I A – PERSONAL DATA
  Last Name First Name Middle Name
  Mercurio Jasper De La Cruz

  Name in Native Language Character:  

  Gender Religion Nationality
 
Male ROMAN CATHOLIC Filipino
  Date of Birth(mm/dd/yyyy) Place of Birth  
 06/21/1999 BACOLOD CITY  

  Civil Status (If Married ->) Woman : State Maiden's Name Man : Name of Spouse

 Single

  No. of children : Email Address:

  Birth Order      : Mobile Number: 09096789411

 
I B – ALIEN STATUS DATA (for alien/foreigner student only)
  Visa Status Authorized Stay  
   
  Passport No. Place of Issue Expiration Date (mm/dd/yyyy)
 
  ACR NO. Date of Issue(mm/dd/yyyy) Expiration Date (mm/dd/yyyy)
 

  CRTS NO. Date of Issue(mm/dd/yyyy) Expiration Date (mm/dd/yyyy)

 
II – RESIDENCE DATA
 
Home Address:
  Apartment Name/House
No./Street/Barangay City/Municipality
  Zone 5 Prk. Masinadyahon Brgy. Bata BACOLOD CITY
  Province/State Country
  NEG OCC
  Zipcode Telephone Nos.
  4334061
 
Current Contact Address:
  Contact
Person/Guardian Name Relation
  Ma. Teresa D. Mercurio MOTHER
  Apartment
Name/House No./Street/Barangay  
 
Zone 5 Prk. Masinadyahon Brgy. Bata
  City/Municipality Province/State
 
Bacolod City Negros Occidental
  Country Zipcode
  Philippines 6100
  Telephone
Nos. Email Address
  09228607016
  Emergency
Contact Address: (if not same as above)
  Contact
Person Name Relation
 
  Apartment
Name/House No./Street/Barangay  
 
  City/Municipality Province/State
 
  Country Zipcode
 
  Telephone
Nos.  
   

 
III – PHYSICAL DESCRIPTION
  Height(cms) Weight(lbs) Built Eye color Hair color Complexion
 
  Other Distinguishing
Features  
 
  Physical Handicap
or Disability (if any)  
 

 
IV– FAMILY DATA
 
Parents:
 
Father’s Name Occupation
 
  Company Name Telephone Nos.
 
  Company
Address Father’s Email Address
 
  Mother’s
Name Occupation
 
  Company Name Telephone Nos.
 
  Company
Address Mother’s Email Address
 
  Brother(s)/Sister(s):      
  NAME DATE OF BIRTH COURSE/OCCUPATION SCHOOL/COMPANY

 
V– EDUCATIONAL BACKGROUND
  NAME COURSE/YEAR GRADUATED HONORS/AWARDS

  Elementary

  High School

  College
  Post Graduate
  Vocational

  VI–
GENERAL QUALIFICATION
 Languages:

 Hobbies:

 Skills:

 Talents:

 Sports:
 Honors/Awards/Merits: (ex. "Model
Student, 1990")
 
 Extra-Curricular Activities
: (Organizations, Clubs, etc)
 

 
VII– REFERENCES
   Write two or three references
who can vouch or guarantee for your total
behavior.

   NAME ADDRESS/TEL. NOS.