MARIANO MARCOS STATE UNIVERSITY Document SAS-SD-FRM--005

Student Affairs and Services Code

Revision No. 3 Page 1 of 2
BIO-DATA OF OFFICER FORM Effectivity February 3, 2020
Date

BIO-DATA OF OFFICER
AY__2020-2021_________

NAME:_______Galano_______________Jazon_______________Bumanglag_____________
Family Name Given Name Middle Name
POSITION: __Peace Officer
ORGANIZATION: Association of Industrial Technology Students
Nickname:_Ison/Eson________________ Age:_21___ Sex:_M___ Religious
Affiliation:_Roman Catholic_________________
Nationality:_Filipino ____________ Birth Date:_March 17,1999____________
Birthplace:_Solsona, Ilocos Norte_____________________________
Boarding house/Campus Address: ______________________ Telephone No. ____________
Home Address: _Brgy. Bubuos Solsona, Ilocos Norte Telephone No. : _09616299580

CLASS SCHEDULE:
Subject Time Day Room Professor
SocSc 01 3:30-5 TTH AC208 CIT PROFESSOR
EMON ESPEJO
ENGL 01 11-12/8-9 MW/M TB207/ AC202 PROFESSOR CHIT
CIT LAGAZO
Math 01 9-10:30 MW AC207 CIT PROFESSOR
RLENE BAYOC
HUM 11 1-2:30 TTH AC205 CIT PROFESSOR
EVAGELINE
AGCAOIILI
ELTR 111 8-11:30 TF TB 206 CIT PROFESSOR
DAVY ONG
ELTR 112 1-4:30 MV TB205 CIT PROFESSOR
DIEGO CALARO
CWTS 1 2-3:30 F AC207 CIT PROFESSOR
ROULETTE
SAMPAYAN
REYES
PE 01 10-11/4-5 TH/F AC RM/AC204 PROFESSOR
CIT JANNA MARIE
QUINTO

Membership in other student organization(s):

Name of Organization Position Reason(s) for joining the

organization
___________________________ _09/19/2020__
Signature of Officer Date

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