You are on page 1of 12

KATIPUNAN NG KABAT

NAME
CITY/ (Last Name, BIRTHDAY SEX
REGION PROVINCE MUNIICPAL BARANGAY First Name AGE ASSIGNED
ITY Middle AT BIRTH
Initial)

MONTH DAY YEAR


N NG KABATAAN YOUTH PROFILE

YOUTH YOUTH
CLASSIFICA AGE HIGHEST VOTED
CIVIL TION GROUP EMAIL CONTACT HOME EDUCATIO WORK REGISTERE LAST
STATUS (ISY/OSY/N (Child ADDRESS NUMBER ADDRESS NAL STATUS D VOTER ELECTION
EET/WY/YS Youth/ Core ATTAINME (Y/N) (Y/N)
N/PWD/IP) Youth/Youn NT
g Adult)
ANNEX 4

ATTENDED IF YES
A KK HOW
ASSEMBLY MANY
(Y/N) TIMES
KATIPUNAN NG KABAT

NAME
CITY/ (Last Name, BIRTHDAY SEX
REGION PROVINCE MUNICIPAL BARANGAY First Name AGE ASSIGNED
ITY Middle AT BIRTH
Initial)

MONTH DAY YEAR

Mendez- Dela Cruz,


IV-A Cavite Poblacion 1 18 January 15 2004 M
Nuñez Jose M.
N NG KABATAAN YOUTH PROFILE

YOUTH YOUTH
CLASSIFICA AGE HIGHEST VOTED
CIVIL TION GROUP EMAIL CONTACT HOME EDUCATIO WORK REGISTERE LAST
STATUS (ISY/OSY/N (Child ADDRESS NUMBER ADDRESS NAL STATUS D VOTER ELECTION
EET/WY/YS Youth/ Core ATTAINME (Y/N) (Y/N)
N/PWD/IP) Youth/Youn NT
g Adult)

13 JP Rizal
St. Poblacion
S ISY Core Youth bebeko14@gmail.com
9498887223 College Level NA Y Y
1 Mendez-
Nuñez, Caite
ANNEX 4

ATTENDED IF YES
A KK HOW
ASSEMBLY MANY
(Y/N) TIMES

N 0

You might also like