College of Law: Student Information Form

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 2

Cagayan State University

COLLEGE OF LAW
Andrews Campus
Caritan, Tuguegarao City
Cagayan
[email protected]

STUDENT INFORMATION FORM


STUDENT NO. YEAR OF ENTRY SEMESTER SCHOOL YEAR
11-08167 2017 1ST 2020-2021
(LAST NAME) (FIRST NAME) (MIDDLE NAME)

RUECO REIA DOREEN MAPPALA


TERTIARY
CAGAYAN STATE UNIVERSITY-ANDREWS CAMPUS
SCHOOL
MAJOR
DEGREE BACHELOR OF SCIENCE IN BUSINESS ADMINISTRATION
MANAGEMENT ACCOUNTING
Freshman Transferee Cross Enrollee Returning Student

PERSONAL DATA

GENDER MALE X FEMALE NATIONALITY


X FILIPINO OTHERS:

RELIGION ROMAN CATHOLIC AGE 27

DATE OF BIRTH (mm/dd/yyyy) 06/26/1993 PLACE OF BIRTH TUGUEGARAO CITY


CIVIL STATUS:
X SINGLE MARRIED WIDOW NAME OF SPOUSE N/A

ADDREESS: (HOUSE NO./STREET/SUBD./BARANGAY/MUNICIPALITY/PROVINCE)


CONTACT NO. 0918 920 5499
BLK. 12 LOT 44, TAURUS STREET, CONSUELO HEIGHTS SUBDIVISION,
BARANGAY LEONARDA, TUGUEGARAO CITY, CAGAYAN EMAIL [email protected]

FAMILY RECORD

FATHER’S NAME REYNALDO A. RUECO MOTHER’S NAME TEODORA M. RUECO


OCCUPATION GOVERNMENT EMPLOYEE OCCUPATION GOVERNMENT EMPLOYEE

CONTACT NO. 0915 439 2221 CONTACT NO. 0915 796 1096
GUARDIAN
REYNALDO A. RUECO CONTACT NO. 0915 439 2221
NAME
RELATION FATHER
ADDRESS OF GUARDIAN: (HOUSE NO./STREET/SUBD./BARANGAY/MUNICIPALITY/PROVINCE)

BLK. 12 LOT 44, TAURUS STREET, CONSUELO HEIGHTS SUBDIVISION, BARANGAY LEONARDA, TUGUEGARAO CITY, CAGAYAN

LIVING WITH:

X PARENTS BED SPACER BOARDING HOUSE DORMITORY RELATIVE

OTHERS:
Health record
HEALTH X EXCELLENT FAIR POOR SPORTS/HOBBIES
STATUS
HEIGHT(FT/IN
WEIGHT(KGS) 52 KG 5’4”
)

Scholastic record

YEAR GRADUATED
ELEMENTARY SCHOOL ST. PAUL UNIVERSITY PHILIPPINES
2006
ADDRESS TUGUEGARAO CITY
YEAR GRADUATED
SECONDARY SCHOOL CAGAYAN NATIONAL HIGH SCHOOL
2010
ADDRESS TUGUEGARAO CITY
YEAR GRADUATED
TERTIARY SCHOOL CAGAYAN STATE UNIVERSITY-ANDREWS CAMPUS
2014
ADDRESS TUGUEGARAO CITY
MAJOR BSBA-MANAGEMENT ACCOUNTING
MASTERAL DEGREE MASTERS IN BUSINESS ADMINISTRATION (MBA) DOCTORAL DEGREE
SCHOOL ST. PAUL UNIVERSITY PHILIPPINES SCHOOL

COURSE COURSE

MAJOR MAJOR

YEAR YEAR

SCHOLARSHIPS

EMPLOYMENT RECORD

COMPANY CAGAYAN VALLEY MEDICAL CENTER


X EMPLOYED

SELF-EMPLOYED ADDRESS #02 DALAN NA PAGAYAYA CARIG TUGUEGARAO CITY

UNEMPLOYED POSITION ADMINISTRATIVE OFFICER I

*FOR TRANSFEREES/CROSS ENROLLEES

SCHOOL
ALTERNATE SCHOOL
NUMBER OF SEMESTERS ENROLLED DATE LAST ATTENDED

REASONS FOR
TRANSFERRING

Signature of Applicant Date of Application

FOR FRESHMEN ENROLLEES ONLY:

LAW APTITUDE INTERVIEW

RESULT: QUALIFIED TO ENROLL

NOT QUALIFIED TO ENROLL

INTERVIEWEE

You might also like