UNIVERSITY OF SANTO TOMAS
ENROLLMENT SYSTEM pan
PERSONAL DATA SHEET
(Graduate School, an, Mace)
student
TASTNANE FARSTONE THIDDTE NAME RATAN
Gok Li the)
STUDENT DETAILS:
City Address:
Zip Code: Contact Nos: E-mail address:
Home Address:
Zip Code Region
Birthday Age ee ae ee eC
Birthplace Religion
Citizenship Gender
ifalien, ACR # (see Registrar,
Legal Status: C2 ctizen of RP Civil Status: Dsingie
1D Permanent Resident Dntesies
D1 Person granted permission to enter and Divorces
remain as a student in RPon visa for widowed
4 defined period of time Dannutes
1 Person granted permision to enter and
remainasa chid or spouse of » worker Working CINot Working
‘ona visa for a defined period of time working: Offce/Bus. Tel #
O other visa
Lega status not known
FATHER’S INFORMATION: MOTHER'S INFORMATION:
Last Name Last Name
FirstName: First Name
Middle Name Middle Name
Auxiliary Name Auxiliary Name. :
‘Occupation/ Occupation/
Employment Employment
Educational Educational
Attainment Attainment
Parent's Address
Zipcode Parent's Contact Nos:
Contact Person in Case of Emergency (will be used for ID preparation):
Last Name
First Name ‘Address
Middle Name
Auxiliary Name Zip Code
Occupation/ Cofitaet INOS.
Employment
UST:S033-00-FO23EDUCATIONAL BACKGROUND:
DEGREE NAME OF SCHOOL YEAR GRADUATED
POSTGRADUATE (Master, Law, Medicine)
Parents / Brothers / Sisters / Husband / Wife / Children - Alumni - UST
NAME RELATION DEGREE
Brothers/Sisters enrolled in UST this semester
NAME DEGREE
| certify that the foregoing information is true and correct, made in good faith and verified by
‘me to the best of my knowledge and belief.
‘Student's Signature over Printed Name