STI ORCA GCO 

Individual Inventory Form

STI College Ortigas-Cainta Guidance and Counseling Office

This form is intended to gather relevant information about you. By accomplishing this form, you are confirming that the provided
details are correct to the best of your knowledge and that you are allowing your guidance counselor/associate to access these
information.

Rest assured that all provided information will be kept confidential and will only be used as reference for guidance, counseling, or
consultation sessions onsite and/or online.

Personal Information

1. Student's Complete Name *

Format: Surname, First Name Middle Name

Timbal, Kym Joseph Amoncio

2. 11-digit STI Student Number *

ex. 02000XXXXXX

02000007081

3. Grade / Year Level *

Fourth Year

4. Tertiary Program *

Bachelor of Science in Information Technology (BSIT)

5. Section *
ex. 101/202/303/404/501/602/703/801

805

6. Birthdate *
 11/12/1999

7. Nationality *

Filipino

Other

8. Sex *

Male

Female

Other

9. Religion *

Roman Catholic

10. Civil Status *

Single

11. Upload your recent 1x1 photo (Non-anonymous question ) *

The photo has to be focused on the head and face, on a white background, with name tag, and using the file
name format: Last Name, First Name – STI Student Number (ex. Dela Cruz, Juan – 02000XXXXXX).

Timbal, Kym Joseph A - 02000007081.jpg

Contact Information

12. Present Home Address *

 #5 Bignay St. Evergreen Executive Village, Antipolo Rizal

13. Personal Contact Number (Mobile/Telephone) *

09396406798

14. Personal Email Address *

i.e. Gmail, Yahoo Mail, Rocket Mail

kymmienonawa@gmail.com

Family Background
Please indicate N/A if requested information is not applicable.

15. Father's Complete Name *

Format: Surname, First Name Middle Initial

Timbal, Jose Evan B.

16. Father's Occupation *

Research and Development Technical Head

17. Father's Contact Number *

09420722075

18. Father's Email Address *

jebtimbal5577@gmail.com

19. Mother's Complete Name *

Format: Surname, First Name Middle Initial

Timbal, Velia A.
20. Mother's Occupation *

Housewife

21. Mother's Contact Number *

09998892167

22. Mother's Email Address *

veliatimbal@gmail.com

23. Status of Parents *

Married

24. Name of Guardian *

Velia A. Timbal

25. Relationship with Guardian *

Mother

26. Guardian's Home Address *

Strawberry St., Sunrise Homes, San Juan, Taytay, Rizal

27. Guardian's Contact Number *

09998892167

28. List down the name/s of your sibling/s who are also studying in STI
Format: Surname, First Name M.I. and Section
 Enter your answer

29. Who are you living with at home? *

Parents

Siblings

Relatives

None

Friends

30. In case of emergency, the school will get in touch with your: *

Father

Mother

Guardian

Educational Background
Please indicate N/A if requested information is not applicable.

31. Name of Junior High School *

Christ the King College of Angono

32. Name of Senior High School *

STI Ortigas-Cainta

33. Name of Senior High School/College (For Transferees)

Enter your answer

 Work Experience

34. Currently working? *

Yes

No

35. Name of Company/Institution *

Freelance

36. Job Title *

Project Manager

Health
STI College Ortigas-Cainta acknowledges students with additional needs. We would like to understand these
circumstances in order to promote a positive learning environment for all students and provide equal opportunities for
academic and non-academic pursuits. This will also help our faculty members and staff assist the students better.

37. Do you have any health problems (physical or psychological) that would need assistance
for your academic and extracurricular performance, or any special education needs as a
result of a learning difficulty? *

Yes

No

Life Circumstances

38. Choose the area/s that you are currently concerned about: *

Academic

Personal

Behavioral
 Social

Career

None

39. Please specify the concern/s in the area/s you identified above: *

None

40. As we continue to work with the school on your academic, personal, behavioral, social, and
career development, we will exert all effort to guide you by: *

None

Declaration

41. Client Agreement *

I certify that the foregoing information is true and complete to the best of my knowledge. With this, I un‐
derstand that the STI College Ortigas-Cainta Guidance and Counseling Office reserves the right to uphold
confidentiality and proper documentation.

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