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    RABACA

    Uploaded by

    Jeffriel Monares Lingolingo

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Form 2

    10TH PASUC Culture and the Form 2


    Arts Festival
    Host: Northwestern Mindanao State College
    of Science and Technology

    ELIGIBILITY FORM
    Category: CHORALE COMPETITION_____________________

    School/College/University: JH CERILLES STATE COLLEGE____

    PERSONAL INFORMATION
    Name of Contestant: RABACA, TONY DAVE N. _____________Date of Birth: April 12, 1995____ _____________
    Height: _5’ 6’’ Weight: 52_kg__
    City Address: _PAGADIAN CITY_______________________________ Tel No./Cel No.: 09098207118___________________
    Region Address: ZAMBOANGA DEL SUR______________

    EDUCATIONAL BACKGROUND
    School/College/University Date Graduated
    Elementary: _______ ELEMENTARY SCHOOL___ ______March 28, 2011____
    Secondary: ______ NATIONAL HIGH SCHOOL__ ______March 30, 2015____
    Vocational: ______________________________________ _______________________
    If Transferee (Please Specify) ______ ______________________ __ ______________________

    CULTURAL PARTICIPATION/INVOLVEMENT (Pls. check)

    ___ Dance
    ___ Visual Arts
     Music ___ Special Category
    ___ Performing Arts

    SUBJECT/COURSE INFORMATION DATA

    Course: Bachelor of Science in Information Technology_________ Year Level: _2nd year____ S.Y.: 2018-2019

    SUBJECTS BY SEMESTER
    1ST Semester Subjects No. of Units Grades 2nd Semester Subjects No. of Units Grades/
    On-Going
    _______________________ _________ _______ _______________________ _________ _______
    _______________________ _________ _______ _______________________ _________ _______
    _______________________ _________ _______ _______________________ _________ _______
    _______________________ _________ _______ _______________________ _________ _______
    _______________________ _________ _______ _______________________ _________ _______
    _______________________ _________ _______ _______________________ _________ _______
    _______________________ _________ _______ _______________________ _________ _______
    _______________________ _________ _______ _______________________ _________ _______
    _______________________ _________ _______ _______________________ _________ _______
    _______________________ _________ _______ _______________________ _________ _______
    _______________________ _________ _______ _______________________ _________ _______
    Attested by:
    ___________JEFFRIEL M. LINGOLINGO_________ __________TONY DAVE N. RABACA_____________
    Coach Contestant
    (Signature over printed name) (Signature over printed name)
    This is to certify that the above mentioned name is a bonafide student of this school and is enrolled for the 1 st and 2nd Semester, for the S.Y. 2012-2013. I further certify that the
    above subjects and grades entered therein and all other information are true and correct.
    Certified True and Correct:
    _________________DANTE S. BAYOCOT____________

    School/Colleges/University Seal The School/Colleges/University/Registrar

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