HEADQUARTERS

Pamantasan ng Lungsod ng Marikina

1305TH Community Defense Center, NCRRCDG, ARESCOM
Rainbow St. Sss Village, Conception Dos, Marikina City

CADET’S INFORMATION SHEET

(Print all Entries)

Name: ____________________________________________________________________________
(Last Name) (First Name) (Middle Name)
Temporary Address:
No/St/Vill/Brgy: ______________________________________________________________
Municipality: ________________________________________________________________
Province:____________________________________________________________________
Telephone/Cell Number:________________________________________________________
Course:_________________________School:_____________________Religion:_________________
Date of Birth:____________________ Place of Birth:_______________________________________
Height:_____________ Weight:_____________ Complexion:___________ Blood Type:___________
Permanent Address:
No/St/Vill/Brgy:_______________________________________________________________
Municipality:_________________________________________________________________
Province:____________________________________________________________________
Telephone/CellNumber:_________________________________________________________
Father:_____________________________________Occupation:______________________________
Mother:____________________________________Occupation:______________________________
Person to be notify in case of emergency:
Name:_________________________________________Relationship:_________________________
Address:_____________________________________________ Tel No:_______________________
Military Science Completed:
MS SEMESTER SCHOOL YEAR GRADE REMARKS
_______________ ______________ _______________ _______ ________________
_______________ ______________ _______________ _______ ________________
_______________ ______________ _______________ _______ ________________
_______________ ______________ _______________ _______ ________________
Educational Background:
a. Elementary:
Name of School Location Date of Attendance
__________________________ __________________________ ______________________
General: Average:___________________________________________________________________
Honors Received:____________________________________________________________________
Clubs, Organization and other Affiliations (Indicate Position):
____________________________________________________________________________
____________________________________________________________________________
b. High School:
Name of School Location Date of Attendance
__________________________ __________________________ ______________________
General: Average:___________________________________________________________________
Honors Received:____________________________________________________________________
Clubs, Organization and other Affiliations (Indicate Position):
____________________________________________________________________________
____________________________________________________________________________
 c. College:
Name of School Location Date of Attendance
__________________________ __________________________ ______________________
General: Average:___________________________________________________________________
Honors Received:____________________________________________________________________
Clubs, Organization and other Affiliations (Indicate Position):
____________________________________________________________________________
____________________________________________________________________________

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?_________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

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

___________________________
(Signature of Student)

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