Generated: February 9, 2023 - 08:29:01 pm

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Admission Information - 58905- 1st semester 2023-2024
Campus - CvSU-Main
Entry: Transferee Applicant Type: Filipino
Preferred Course:
BSMT

Personal Information
Name: AZUR, CARL AXEL PARDINES Sex: Male
Address: 87 C, A. Pablo St.,38,,,
Email: carlaxelazur@gmail.com Mobile#: 09695379095
Birthdate: 2004-10-02 Nationality: Filipino Civil Status: Single
PWD: No Indigenous: No
Family Background
Contact Occupation
Father: Alex S. Azur 09989095941 Fast Food Worker
Trainer
Mother: Charlie P. Azur 09204285236 Business Owner
Guardian: Charlie P. Azur 09204285236 Business Owner
Educational Background
Elementary
Andres Bonifacio Elementary School HX3V+JM3, Sen. Gil J. Puyat 2016 Public
Ave, Pasay, 1300 Metro Manila
High School
Blessed Elena Academy 146 Villaruel, Pasay, 1300 Metro 2020 Public
Manila
Senior High School
St. Paul University Manila 680 Pedro Gil St, Malate, Manila, 2022 Private
1004 Metro Manila
College-Transferee
Centro Escolar University Makati 259 Sen. Gil J. Puyat Ave, Makati, Private
1203 Metro Manila
BSMT
Medical History Information
Medications: To be filled up by the OSAS/Guidance Staff
Medical Asthma SUBMITTED REQUIREMENTS
Condition/s: __ 2 copies of 1x1 ID Picture with name tag
I hereby certify that all the information stated above are true and __ Short ordinary folder
correct as to the best of my knowledge. I hereby give consent for my Transferee
personal data included in my offer to processed for the purposes of __ Certified True Copy of Transcript of Records/Certificate of Grades
admission and enrollment in accordance with Republic Act 10173 - __ Certified True Copy of Transfer Credentials/Honorable Dismissal
Data Privacy Act of 2012. __ Certified True Copy of Good Moral Certificate
__ Photocopy NBI Clearance
__ Photocopy Accomplished Interview Slip
Assessed by:___________________________
Control No.:58905
Signature over printed name

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