House of Representatives

STUDENT GOVERNMENT OF DUMAGUETE CITY I

HOUSE MEMBERSHIP PROFILE

Print legibly. Fill in all necessary items. Write N.A. if not applicable.All details of this document is confidential.

I. Personal Information
2” x 2”
Position: Representative

Contact No.: Recent Colored

Name: Kenneth John Bohol
09951323287 Picture
Mailing Address:
Purok Cebasca, Bagacay Dumagete City
Date of Birth: January 5, 1998 Place of Birth: Dumagute City
Sex: Male Age: 21 Civil Status: Single
Citizenship: Filipino Religion: Roman Catholic
Height:165 cm Weight: 68 kg E-Mail Address: zerloiixd@gmail.com
College/Department: Business Administration
Course: Business Administration Major: Financial Management
Position: Representative Committee: Audit

II. Family Background

Father’s Name: Mother’s(maiden)Name: Maribeth Bohol

Occupation: Occupation: Housewife

Contact Number: Contact Number:

Father’s Educational Attainment: Mother’s Educational Attainment:

Parent’s Address:
Number of Brothers: Number of Sisters:

III. Educational Background

Name of School Year attended Year graduated

Elementary: West City Elementary School 2004 2010
High School: Dumaguete City High School 2010 2014
College:
 Awards/Honors Received Year

Write N.A. if not applicable.

Write N.A. if not applicable.

Extracurricular Involvement(s) Year

For Married Couples only.

Name of Spouse: Contact Number:

Educational Attainment: Occupation: Address of Company/Business:

Number of Children
Telephone Number:
Boys:_________ Girls:_________

IV. Work Experience

Inclusive Dates
Department/Agency/Office/Company Position Title (mm/dd/yyyy)
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CERTIFICATION: I certify that the information given in this House Membership Profile is
completedand accurate to the best of my knowledge.

Date: ____________ Signature of Officer/Appointee:_______________________