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Sample Husdar

This document provides a human source data report for Jose Delos Santos. It includes personal information like his name, date of birth, addresses, contact details, physical description, education history, family background, and fingerprint charts. The report is marked confidential and was prepared by the Central Mindanao University ROTC unit for intelligence purposes.

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Merry Joy Soliza
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1K views2 pages

Sample Husdar

This document provides a human source data report for Jose Delos Santos. It includes personal information like his name, date of birth, addresses, contact details, physical description, education history, family background, and fingerprint charts. The report is marked confidential and was prepared by the Central Mindanao University ROTC unit for intelligence purposes.

Uploaded by

Merry Joy Soliza
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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CONFIDENTIAL

HEADQUARTERS
CENTRAL MINDANAO UNIVERSITY NSTP- ROTC UNIT
DEPARTMENT OF MILITARY SCIENCE AND TACTICS FIXED & PROPER
1003rd CDC, 10th RCDG, RESCOM, PA
2X2 PICTURE
University Town, Musuan, Maramag, Bukidnon

CMUROTCU2 04/29/2023
Date

HUMAN SOURCE DATA REPORT (HUSDAR)

DELA CRUZ JOSE DELOS SANTOS


(Surname) (First Name) (Middle Name)
Cover Name/Aliases: DODONG Date of Birth: 11/10/2000
Place of Birth: PROVINCIAL HOSPITAL MALAYBALAY CITY
Present Address: COLLEGE PARK, MUSUAN, MARAMAG BUKIDNON
Past Address: CASISANG, MALAYBALAY CITY, BUKIDNON

GENERAL INFORMATION:
Mobile Phone Number: 09xxxxxxxxx Email Address: [email protected]
Sex: MALE Civil Status: SINGLE Religion: ROMAN CATHOLIC
Blood Type: B Occupation: N/A
Employment Address: N/A
TIN No: N/A GSIS/SSS Policy No: N/A
Pag-Ibig No: N/A Phil Health No: N/A
Complexion: BROWN SKIN Built: Race: FILIPINO
Color of Hair: BLACK Weight: 60 KG General Appearance: AVERAGE
Identification Characteristic: N/A
Physical Abnormalities: N/A
Language/Dialects: BISAYA, TAGALOG AND ENGLISH
Other Distinguishing Features: N/A
In case of Emergency Contact: INDAY DELA CRUZ Relation: MOTHER
Education: UNDERGRADUATE STUDENT Foreign Training: N/A
Name of School:
Elementary: AIRPORT VILLAGE ELEMENTARY SCHOOL Year Graduated: 2013
High School: BUKIDNON NATIONAL HIGH SCHOOL Year Graduated: 2018
College: CENTRAL MINDANAO UNIVERSITY Year Graduated:
Post Graduate: N/A
Ethic Origin: CEBUANO
Profession: STUDENT

CONFIDENTIAL
CONFIDENTIAL

Place of Employment: N/A


FAMILY BACKGROUND:
Name of Spouse: N/A Contact No: N/A
Address: N/A
Profession: N/A
Children:
Name Age DOB/POB

PERSONAL IDENTIFICATION
(Fingerprint Chart)
RIGHT HAND

LEFT HAND

Date/Place or Recruitment: 04/29/2023

Signature/Specimens:

NOTED BY:

CDT LTC JEE LYCA C JORQUIA 1CL LTC MANOLITO D SANTOS (MI) PA
(Agent Handler) (Intel Officer/CDC Director)

CONFIDENTIAL

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