Republic of the Philippines

ONE CAINTA COLLEGE

ROTC – Hunters Road, Barangay San Juan, Cainta, Rizal

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STUDENT’S PROFILE 1x1

I. PERSONAL DETAILS

Name ____________________ _________________________ ________________

(Last Name) (First Name) (Middle Name)
______________ ________________________ ___________________
(House and Street No.) Subdivision Barangay
Permanent Address
___________________________ ________________________
Town/City/Municipality Province
Date of Birth Month : Day: Year:
Gender: Civil status:
Contact Numbers Mobile Number: Landline:
Email Address
Ordinal Position in
the Family
II. PROFILE OF PARENTS

Father Mother
Name
Present Employment
Highest Educational
Attainment

III. COMBINED FAMILY MONTHLY INCOME : ___________________________

IV. ACADEMIC RECORD
Inclusive Years:
1. Elementary School:
Year Graduated:
Inclusive Years:
2. JUNIOR High
School:
School
Year Graduated:
3. SENIOR High School:
School Year Graduated:
4. After High School graduation did you take other Academic Programs of Study or Courses?

______ Yes _______No

5. If Yes, what is the Program of Study or Course? ________________________________________

Total Number of Units? ______________ Year Completed: _________________________
School: ______________________________________________________
Address of School: _______________________________________________________________
______________________________________________________________________________

I hereby certify that the above information is true and correct to the best of my knowledge and belief.

_________________________________________ ________________________
Signature Over Printed Name of Student Date Signed