PERSONAL INFORMATION

NAME
Last: First: Middle: Student ID No...
BALDERAMA LILIA MILLANES 20196450

CONTACT DETAILS
Home Address:
#57 PELBEL STREET SANTA Zip Code: Telephone No.:
ANA SAN MATEO RIZAL 1850
Gender: Citizenship: Birth Date: Marital E-mail Address: Mobile No.:
FILIPINO MM/DD/YY Status: Balderamalilia09@gmail.com 09690654750
 Female
12/09/2002 SINGLE
FAMILY INFORMATION
FATHER's Name: Educational Attainment: Occupation: Contact No.:
EDUARDO BALDERAMA DECEASED

MOTHER's Name: Educational Attainment: Occupation: Contact No.:

MELANIE BALDERAMA DECEASED

ACADEMIC INFORMATION
SCHOOL/S
ATTENDED Yr. Graduated:
Primary Education: Address: 2013-2014
JUSTICE,VICENTE,SA B. MARIANO STREET SAN MATEO RIZAL
NTIAGO Type of School
ELEMENTARY  Public
SCHOOL Private
Secondary School: Address: Type of School: Yr. Graduated:
ALTERNATIVE LEARNING SYSTEM (ALS) MALANDAY SAN MATEO RIZAL  Public 2018-2019
Private

Technical/VocationaI School: Address: Type of School: Yr. Graduated:

Private
Semi-Public/Private
Course/Program:
SUC

U LUC
Tertiary School / Higher Education: Address: Type of School: Yr. Graduated
Private
Semi-Public/Private n SUC
Course/Program:
LUC

HOST TRAINING ESTABLISHMENT 1 INTERNSHIP SITE

Company Name: Address: Contact Person & Designation: Contact No.:
z
ICCT COLLEGES FOUNDATION INC. V.V SOLIVEN AVENUE II, CAINTA RIZAL MS. NIKKA ROSE MACALINAO/ CDJP

Company Name: Address: Contact Person & Designation: Contact No.:

z

Company Name: Address: Contact Person & Designation: Contact No.:

z

Remarks: I hereby certify that the above information given is true and correct.

LILIA MILLANES BALDERAMA APRIL 2023

Office of the Dean Office of the Academic Affairs Office of the Student Affairs I Career Development & Job Placement
Registrar Office Noted I Accepted.
 Recommended by: Noted / Approved by: Noted I Approved by:
MR. NOEL CARTATIVO
DR. RENE BOY BACAY MS. ANA LIZA R. KHO, MAT MR. RENATO A. PARINGIT
(Sig
(Signature Over Printed nature Over Printed Name & Date) (Signature Over Printed Name & Date)
Name & Date) (Signature Over Printed Name
& Date)
CDJP 09.06.2016