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DAVAO DOCTORS COLLEGE

Gen. Malvar St., Davao City


NURSING PROGRAM

PERSONAL DATA SHEET


CITY ADDRESS:
#60-B MILKYWAY ST. GSIS HEIGHTS SUBD, MATINA CROSSING, DAVAO CITY

I. PERSONAL INFORMATION
1. SURNAME: GONZAGA
FIRST NAME: SHERYL ANNE
MIDDLE NAME: DESCALSOTA
2. DATE OF BIRTH: MARCH 25, 2002 8. SEX: ______MALE ___✓__FEMALE
3. PLACE OF BIRTH: DAVAO CITY 9. CIVIL STATUS: SINGLE
4. CITIZENSHIP: FILIPINO 10. RELIGION: ROMAN CATHOLIC
5. RELIGION: ROMAN CATHOLIC 11. DDC ID NUMBER: 20-01791
6. HEIGHT (CM): 149cm 13. CELLPHONE No.: 09261928845
7. WEIGHT (KG.): 68kg 14. EMAIL ADDRESS: Sherylanne_gonzaga@davaodoctors.
eud.ph
15. PERMANENT #60-B MILKYWAY ST. GSIS HEIGHTS SUBD, MATINA CROSSING, DAVAO CITY
ADDRESS:

II. FAMILY BACKGROUND


NAME OCCUPATION
17. FATHER SHERWIN GONZAGA CIVIL ENGINEEER
18. MOTHER DONNA DESCALSOTA HOUSEWIFE
19. NAME OF THE SIBLINGS (if any) AGE OCCUPATION EDUCATIONAL ATTAINMENT
SOFIA SAMANTHA D. GONZAGA 14 HIGH SCHOOL ELEMENTARY SCHOOL GRADUATE
STUDENT
JAN MATHEW D. GONZAGA 19 COLLEGE STUDENT SENIOR HIGH GRAUATE
SHERWIN D. GONZAGA JR. 23 BAKER COLLEGE GRADUATE
APRIL SHANE D. GONZAGA 24 BAKER COLLEGE GRADUATE
MARIA ESTEFANI D. GONZAGA 26 FREELANCER COLLEGE GRADUATE
20. NAME OF SPOUSE
NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE
21. NAME OF CHILDREN DATE OF BIRTH
NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE
NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE

II. III. EDUCATIONAL BACKGROUND


LEVEL NAME OF SCHOOL (Write in Full) INCLUSIVE DATES OF ATTENDANCE
FROM TO
ELEMENTARY BUHAY NA TUBIG ELEMENTARY SCHOOL 2007 2011
WIRELESS ELEMENTARY SCHOOL 2012 2014
SECONDARY INTERCITY COLLEGE OF SCI & TECH 2014 2016
RIZAL MEMORIAL COLLEGE 2016 2017
AGRO-INDUSTRIAL FOUNDATION COLLEGE OF THE 2017 2019
PHILIPPINES
COLLEGE DAVAO DOCTORS COLLEGE 2020 PRESENT
FOR SHIFTEE OR TRANSFEREE
PREVIOUS SCHOOL
000PREVIOUS COURSE
ACADEMIC HONORS RECEIVED YEAR
1. WITH HONORS 2016-2017
2. WITH HIGH HONORS 2017-2018
3. WITH HONORS 2019-2020
4. BSN 1 (2ND HONOR) 2020-2021
5. BSN 2 (3RD HONOR) 2021-2022

III. IV. MEDICAL INFORMATION


23. BLOOD TYPE O+ 24. KNOWN ALLERGIES NONE
25. EXISTING MEDICAL CONDITIONS NONE

“We Value Life”


DAVAO DOCTORS COLLEGE
Gen. Malvar St., Davao City
NURSING PROGRAM

PERSONAL DATA SHEET


26. ARE YOU CURRENTLY ON REGULAR MEDICATION? ____ YES _✓_ NO
27. IF YES, PLEASE SPECIFY
CONTACT PERSON IN CASE OF EMERGENCY RELATIONSHIP CONTACT NUMBER
1. DONNA DESCALSOTA MOTHER 09054073898
ADDRESS #60-B MILKYWAY ST. GSIS HEIGHTS SUBD, MATINA CROSSING, DAVAO CITY

“We Value Life”

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