STUDENT INFORMATION SHEET

School Year: 2023-2024 Semester: 2nd Semester

Name [Family Name, First Name]: Ureta, Mark Adrian Franz

Year/Course: 3 AB PH Religion: Roman Catholic Civil Status: Single

Name by which you would like to be called in class: Marco

Provincial Address: #28 Gamma Street Greensville 1 North, Bacolod City, Negros
Occidental 6100

City Address: #1 Wood Street Capitol Heights Golf Subdivision, Matandang Balara,
Quezon City

Father's Full Name: Mark Silverio Lopez Ureta

Mother's Full Maiden Name: Conchitina Halili Mirano

Church where you attend mass regularly: USLS Chaplaincy Bacolod

Language[s] that you can manage: English, Illongo, Chinese, and Tagalog

High School you graduated from [include the address]: Bacolod TayTung High
School - P. Hernaez Street, Bacolod City Negros Occidental, Philippines 6100

College you attended [if transferee]:

Co-curricular/extra-curricular activities: Playing Golf, playing the piano, and playing

video games with friends

Theo 11 Teacher: BELONG, Maria Florabel

Theo 12 Teacher: SANCHEZ, RACHEL JOYCE MARIE O.

Anything about yourself that you think I should know:

None so far.