ARMY 2040: WORLD-CLASS. MULTI-MISSION READY.

CROSS-DOMAIN CAPABLE

DEPARTMENT OF MILITARY SCIENCE AND TACTICS

UNIVERSITY OF THE CORDILLERAS ROTC UNIT
1401ST (BNT) CDC, 14RCDG, RESCOM, PA
Legarda, Baguio City

CADET’S INFORMATION SHEET

(Print all Entries)

Name: __Tacio__________________________Jasmin___________________Tacay______________
(Last Name) (First Name) (Middle Name)
Temporary Address:
No/St/Vill/Brgy: ________Loacan________________________________________________
Municipality: _______Itogon______________________________________________________
Province:_______Benguet____________________________________________________
Telephone/Cell Number:______0985-910-3164____________________________
Course: Criminology School: University of the Cordilleras Religion: Roman Catholic
Date of Birth: Jan. 30,2004 Place of Birth: La Trinidad,Benguet______
Height: 5’3____ Weight:_72_______ Complexion: Tan___ Blood Type:___________
Permanent Address:
No/St/Vill/Brgy:____Loacan__________________________________________________
Municipality:______Itogon_______________________________________________
Province:_______Benguet_______________________________________________
Region: ___________CAR______________________________________________________
Telephone/CellNumber:__0985-910-3164___________________________________
Father: Joey A Tacio Occupation: Laborer________________
Mother: Mary Joyce T Tacio_______ ___________Occupation: Hog raising___________
Person to be notify in case of emergency:
Name: Janet T Gawidan_____________________Relationship: Aunt_______________
Address: Ambiong ,La Trinidad_______________ Tel No: 0930-461-9711_____________
Beneficiaries
Name:_______________________________ Relationship:__________________________

Military Science Completed:

MS SEMESTER SCHOOL YEAR/ GRADE REMARKS
SCHOOL
_________1_____ _______1st_ ___ ___2022-2023___ _81____ _Passed_______
_______________ ______________ _______________ _______ ________________
_______________ ______________ _______________ _______ ________________
_______________ ______________ _______________ _______ ________________

Educational Background:
a. Elementary:
Name of School Location Date of Attendance
___Tocmo Elementary school______ Tocmo,Loacan Itogon,Benguet_ 2010-2016_____
General: Average:________90_________________________________________________________
Honors Received: With Honor_________________________________________________
Clubs, Organization and other Affiliations (Indicate Position):
_None_______________________________________________________________________
____________________________________________________________________________
b. High School:
Name of School Location Date of Attendance
Baguio City High School __Gov. Pack Rd.Baguio City___ 2016-2022_______
General: Average:___85______________________________________________________________
Honors Received: none________________________________________________________________
Clubs, Organization and other Affiliations (Indicate Position):

HONOR. PATRIOTISM. DUTY

 ARMY 2040: WORLD-CLASS. MULTI-MISSION READY. CROSS-DOMAIN CAPABLE

None________________________________________________________________________
____________________________________________________________________________

c. College:
Name of School Location Date of Attendance
_University of the Cordilleras____ __Gov.Pack Rd. Baguio city_____. ___2022-present_____
General: Average:___________________________________________________________________
Honors Received:____________________________________________________________________
Clubs, Organization and other Affiliations (Indicate Position):
_____none___________________________________________________________________
____________________________________________________________________________

Other personal information:

____________________________________________________________________________
____________________________________________________________________________

Hobbies: (Writing, Essay, Poetry, etc.) _______________________________________

____________________________________________________________________________
• Do you intend to take the Advance ROTC/Probationary Training Course (POTC) and pursue a
military career? ( ) Yes ( ) No.
• Why?
To gain more knowledge and skill in military science, to become a good follower and a leader in
order prepare and mold us to become disciplined and respectful Filipino citizens.

This is to certify that the above data is true and correct:

___________________________
(Signature of Student)

HONOR. PATRIOTISM. DUTY

ARMY 2040: WORLD-CLASS. MULTI-MISSION READY. CROSS-DOMAIN CAPABLE

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HONOR. PATRIOTISM. DUTY