Tuano, Arianne Michael Sim Monderondo: (RA 7323, As Amended by RA 9547) Online ID No.: 11-20190208-AMT-000 CTRL No.
Tuano, Arianne Michael Sim Monderondo: (RA 7323, As Amended by RA 9547) Online ID No.: 11-20190208-AMT-000 CTRL No.
☑ Male ☑ Single
☐ Female ☐ Married
TUANO, ARIANNE MICHAEL SIM MONDERONDO
☑ Student ☐ Widower
☐ OSY ☐ Separated
Passport Size
Place of Birth: Picture
Date of Birth: Citizenship:
Davao Oriental Provincial 3.5cm x 4.5cm
November 25, 2000 Filipino
Medical Center, City of
Address: Contact No.:
Prk. 17-4C Magsaysay, Central, Mati City, Davao Oriental 09106500142
Father's Name: Mother's Maiden Name:
MICHAEL C. TUANO EVELYN M. TUANO
Occupation: Occupation:
Manager Storekeeper
INCLUSIVE
EDUCATION NAME OF SCHOOL DEGREE EARNED / COURSE YEAR/LEVEL DATE OF
ATTENDANCE
DAVAO ORIENTAL REGIONAL SCIENCE HIGH
Secondary 2019
SCHOOL
Tertiary
Technical
Vocational
Documentary Requirements:
(Original and other documents, when applicable, should be presented for validation)
[ ] 1. Copy of Birth Certificate or any document that shows his/her date of birth
[ ] 2. Certification by the School Registrar as to:
a) his/her last enrollment; and
b) his/her average passing grade or a copy of the original class or Form 138
[ ] 3. Copy of the latest Income Tax Return (ITR) of his/her parents or certification issued by BIR that the
parents are exempted from payment of tax or Certificate of Indigency issued by the Barangay where
the SPES applicant resides; and
[ ] 4. For Out of School Youth (OSY), certificate of good moral character issued by DSWD or the
authorized Barangay Official where the OSY resides.
Special Skills:
History of SPES Availments: YEAR SPES ID NUMBER
(if applicable) (if applicable)
1st Availment
2nd Availment
3rd Availment
4th Availment
Other related information / requests / intervention from DOLE:
I hereby attest that the information above are true and correct to the best of my knowledge, including attached
documents / requirements which I also attest to their veracity. I agree that any false statement would cause the automatic
disqualification / cancellation of the service / contract / grant and I shall refund amount recieved and/or pay damages to
DOLE or comply with other sanctions in accordance with law. Any material change in my financial status may affect my
eligibility to continue the program.
Signature of Applicant
http://spes.dole11.net/print/spes.php 1/1