Reference No. BatStateU-FO-OGC-02 Effectivity Date:Effectivity Date: July20, 2023 Revision No Revision No.

: 01

STUDENT INFORMATION SHEET

[ ] Pablo Borbon [  ] Alangilan Campus [ ] ARASOF-Nasugbu Campus
Please Check: [ ] JPLPC-Malvar Campus [ ] Lipa Campus [ ] Lemery Campus [ ] Mabini Campus
[ ] Rosario Campus [ ] Balayan Campus [ ] San Juan Campus [ ] Lobo Campus

Pursuant to Republic Act No. 10173, also known as the Data Privacy Act of 2012, Batangas State University, The National Engineering University recognizes its commitment to
protect and respect the privacy of its customers and/or stakeholders and ensure that all information collected from them are all processed in accordance with the principles of
transparency, legitimate purpose and proportionality mandated under the Data Privacy Act of 2012.

All information you will provide will be treated as strictly confidential and disclosure of individual response to anyone outside the Office of Guidance and Counselling (OGC)
without approved request and consent will be prohibited.

General Instruction: For sections with check boxes [ ], please use this mark () in answering. Information that is not applicable should be marked N/A.
PERSONAL INFORMATION SR Code : 22-05068
Full Name: PACILAN, JAMES GODFFREY UMALI Program: BS Information Technology Year Level: FIRST
Region province City/Municipality Barangay
Permanent Address:
REGION IV-A (CALABARZON) QUEZON ADAMS San Isidro
House No./Street/Subdivision: 0296 SITIO CALAMIAS BARANGAY SAN ISIDRO CANDELARIA
Region province City/Municipality Barangay
Present Address:
REGION IV-A (CALABARZON) QUEZON CANDELARIA San Isidro
House No./Street/Subdivision: 0296 SITIO CALAMIAS BARANGAY SAN ISIDRO CANDELARIA
Date of Birth: 11/06/2003 Sex at birth: [  ] Male [ ] Female Age: 21
Home Phone No.: N/a Email Address: [email protected]
Mobile No.: 09564127650 Religion: Roman Catholic
Civil Status: : [  ] Single [ ] Married [ ] Annulled/Divorced [ ] Legally separated [ ] Widowed
Citizenship
Are you a member of LGBTQIA+? [ ] Yes [  ] No [ ] Prefer not to say
Which hand do you primarily use for writing? [ ] Left [  ] Right
Are you a member of any indigenous group? [ ] Yes [  ] No If yes, please identify: N/A (Please refer to the attached list of Indigenous Groups)
(Please refer to the attached list of Indigenous Groups)

Are you an internally displaced person? [ ] Yes [  ] No If yes, please provide some
details:_________________________________________________________________________________
Are you a refugee? [ ] Yes [  ] No If yes, what type of refugee?______________ (Please refer to the attached list of Refugees and Countries) If yes, from what country?
_______________
Are you a foreign student? [ ] Yes [  ] No If yes, from what country?_______________¬¬¬¬¬¬_
Are you the first member in your immediate family to attend university at any level? [ ] Yes [  ] No
Are you currently undergoing your internship/OJT program? [ ] Yes [  ] No If yes, please specify:[ ] Both Inside and Outside[ ] Inside BatStateU [ ] Outside BatStateU (if
outside, [ ] Local [ ] International)
Compensation
Name of Company/Institution Hours of work per week (Paid/Unpaid) Months of Service

EDUCATIONAL INFORMATION
Level Schools Attended Year Graduated Honors/Awards Received
Elementary San Isidro Elementary School 2016 N/a
Junior High School Batangas Eastern Colleges 2021 N/a
Senior High School N/A N/A N/A
Vocational/Trade Course N/A N/A N/A
College N/A N/A N/A
Graduate Studies N/A N/A N/A
Post Graduate Studies N/A N/A N/A
SPOUSE INFORMATION
[  ] Not applicable
Spouse’s Name (if married): N/A Highest Educational Attainment: N/A
Date of Birth: N/A Age: Nature of Work: N/A
Contact Number: N/A Location of Employment: N/A
CHILDREN INFORMATION
[  ] Not applicable
Full Name Date of Birth Age School/Company Highest Educational Attainment

For additional child/children, kindly use separate sheet.

Do you have a Solo Parent ID? [ ] Yes [  ] No
Are you a solo parent? [ ] Yes [  ] No If yes, please provide ID No.: N/A
 PARENTS INFORMATION
(Please refer to the attached list of options for Highest Educational Attainment, Nature of Work, Location of Employment and Countries)
[ ] Not applicable [ ] Not applicable
Father’s Name: Regan B. PACILAN Mother’s Name: Julieta U Pacilan
Age:N/A Age:44
Mobile No.: N/A Mobile No.: 09605369358
Highest Educational Attainment: Junior High School graduate Highest Educational Attainment: College Graduate
Nature of Work: N/A Nature of Work: Education
Name of Company/Business:N/A Name of Company/Business:N/a
Office No.: N/A Office No.: N/a
Location of Employment/Business: N/A Location of Employment/Business: Philippines
If OFW, what country? N/A If OFW, what country? Philippines
Parent’s Marital Status: (Please check one)
[  ] Married [ ] Unmaried and Living Together [ ] Separated [ ] Annulled/Divorced [ ] Widowed
GUARDIAN INFORMATION
[ ] Not applicable
Guardian’s Name: Julieta U Pacilan Relationship to you: Mother
Home Address:0296 SITIO CALAMIAS BARANGAY SAN ISIDRO CANDELARIA
Home Phone No. 09605369358 Mobile No.: 09605369358
SIBLINGS INFORMATION
[ ] I am an only child
Full Name Date of Birth Age School/Company Highest Educational Attainment
Dwight Jethro Pacilan 08/05/2009 15 batangas eastern collegess Junior High School graduate
Reignne Ayohnee Pacilan 10/30/2012 12 batangas easstern colleges Elementary graduate
For additional sibling/s, kindly use separate sheet.
FINANCIAL INFORMATION

Family’s Monthly Income (Please check one): Is your family a member of 4Ps? [ ] Yes [  ] No
PhP 21,914 to less than PhP 43,828 Are you a recipient of any scholarship or financial assistance?
[ ] Less than PhP 10,957 [ ] Yes [  ] No
[ ] PhP 10,957 to less than PhP 21,914 If Yes, please check one:
[  ] PhP 21,914 to less than PhP 43,828 [ ] Private Funded
[ ] PhP 43,828 to less than PhP 76,699 [ ] Government-funded
[ ] PhP 76,699 to less than PhP 131,484 [ ] Both private and government
[ ] PhP 131,483 to less than PhP 219,140 [ ] Individual benefactor (e.g. relatives, family friend)
[ ] PhP 219,140 and above [ ] Others, please specify: ____

Are you a working student? [ ] Yes [  ] No

Hours of work per week

Nature of Work (Please refer to the attached list of options for Hours of work per week)

Are you currently working as a student assistant of the University? [ ] Yes [  ] No

If yes, how long have you been working as a student assistant? [ ] Less than one semester [ ] 1-2 semesters [ ] 1 year and above
How many hours per week do you work? [ ] Less than 10 hours [ ] 10-20 hours [ ] 21-40 hours [ ] Above 40 hours
CURRENT LIVING ARRANGEMENT
[ ] Own House [ ] Living with Relatives [  ] Boarding House [ ] Apartment [ ] Dormitory [ ] Others, please specify_____________
Address: 0296 SITIO CALAMIAS BARANGAY SAN ISIDRO CANDELARIA
Telephone No.: +09937007340 Name of Land Lady/Lord: Bhong Mercado
What kind of materials were used in the construction of the house? (Please check one)
[  ] Strong materials (galvanized iron/aluminum, tile, concrete, brick stones) [ ] Light materials (cogon, nipa, bamboo, pawid, wood)
[ ] Mixed but predominantly strong materials [ ] Mixed but predominantly light materials

Do you live in an area that is prone to natural disasters such as typhoons, earthquakes, floods, or landslides? [ ] Yes [  ] No
[ ] Walk [  ] Commute [ ] Own car/motorcycle/tricycle
How do you go to school?
[ ] Bicycle [ ] Carpool w/ relatives/friends [ ] Others, please specify
If you commute, how much is your total fare for the whole day? [  ] Not applicable [ ] Less than Php 50 [ ] Php 50- Php 100 [ ] Php 101- Php 500 [ ] Php 501- above
If you drive to school, how much is your total weekly gas expenses? [  ] Not applicable [ ] Less than Php 500 [ ] Php 500- Php 1,500 [ ] Php 1,501- Php 3,000 [ ] Php
3,001-Php 5,000 [ ] Php 5,001- above
MEDICAL INFORMATION
This section is to be filled out by the attending University physician.
Height (m): 169 Weight (kg): 73 Blood Type: O+
Are you a person with a disability? [ ] Yes [  ] No Note: Declaration of disability must be supported with a Medical Certificate from the respective authority or attending
physician.
[ ] Psychiatric Disorder [ ] Disability caused by chronic illness (Diabetes, cancer, kidney-failure)
Check all that apply: [ ]Learning disability [ ]Visual Disability (Total Blindness; Partial Blindness; Low-vision)
[ ] Orthopedic/Locomotor Disability [ ] Communication Disability [ ] Congenital

Have you received medical treatment, surgery, therapy, or counseling in the past? [ ] Yes [  ] No
If yes, please list them below: (For additional medical condition/s, kindly use separate sheet.)

Medical Condition Age Year Hospital/Clinic Name Status (confined/outpatient)

Do you have any current medical condition? [ ] Yes [  ] No If yes, please specify: N/a
Do you have a family history of medical and/or psychological problems? [ ] Yes [  ] No If yes, please specify: N/a
Are you currently taking any medications? [ ] Yes [  ] No
If yes, please list them below: (For additional medication/s, kindly use separate sheet.)
Medication Dosage Frequency

This second part of the Medical Information (starting this section), shall be filled out by the students.
Indicate which might have applied during your childhood and/or adolescence;
[ ] School Problems [ ] Medical Problems [ ] Legal problems
[ ] Family Problems [ ] Social Problems [ ] Drug/Alcohol Problems

Do you have a PWD ID? [ ] Yes [  ] No If yes, please provide ID No.: N/A
Have you experienced any kind of abuse from family members? [ ] Yes [  ] No [ ] Prefer not to say If yes, what type of abuse? (Check all that apply)
[ ] Physical Abuse [ ] Psychological/Emotional Abuse [ ] Sexual Abuse
[ ] Verbal Abuse [ ] Economic Abuse [ ] Others:__________ [ ] Prefer not to say
Did you report it to the authorities? [ ] Yes [  ] No [ ] Prefer not to say
Have you experienced any kind of abuse from your former and/or current partner? [ ] Yes [  ] No [ ] Prefer not to say If yes, what type of abuse? (Check all that apply)
[ ] Physical Abuse [ ] Psychological/Emotional Abuse [ ] Sexual Abuse
[ ] Verbal Abuse [ ] Economic Abuse [ ] Others:__________ [ ] Prefer not to say
Did you report it to the authorities? [ ] Yes [  ] No [ ] Prefer not to say
Have you experienced any kind of abuse from other people? [ ] Yes [  ] No [ ] Prefer not to say If yes, what type of abuse? (Check all that apply)
[ ] Physical Abuse [ ] Psychological/Emotional Abuse [ ] Sexual Abuse
[ ] Verbal Abuse [ ] Economic Abuse [ ] Others:__________ [ ] Prefer not to say
Did you report it to the authorities? [ ] Yes [  ] No [ ] Prefer not to say
Did you confide the abuse with any trusted person? [ ] Yes [  ] No [ ] Prefer not to say
Are you sexually active? [ ] Yes [  ] No [ ] Prefer not to say
Have you ever been tested for HIV/AIDS? [ ] Yes [  ] No [ ] Prefer not to say How many months ago was the most recent HIV test?[ ] Less than one year ago [ ] One year ago
or more Did you get the result? [ ] Yes [  ] No Where was the test done? [ ] Public Sector [ ] Private Sector [ ] Others, specify: N/A
*Are you currently pregnant? [ ] Yes [  ] No [ ] Prefer not to say If yes, how many months? [ ] Less than a month [ ] 1-3 months [ ] 4-6 months [ ] 7-9 months
*Have you ever given birth? [ ] Yes [  ] No If yes, how many times have you given birth? [ ] Once [ ] Twice [ ] Thrice or more
[ ] With pregnancy loss [  ] No pregnancy loss
**Have you ever impregnated anyone? [ ] Yes [  ] No [ ] Prefer not to say
*Questions for female only **Questions for male only

NUTRITIONAL INFORMATION
In the last 12 months, did you or other adults in your household ever cut the size of your meals or skip meals because there wasn't enough money for food? [ ] Yes [  ] No
In the last 12 months, did you ever eat less than you felt you should because there wasn't enough money for food? [ ] Yes [  ] No
In the last 12 months, were you ever hungry but didn't eat because there wasn't enough money for food? [ ] Yes [  ] No
In the last 12 months, did you lose weight because there wasn't enough money for food? [  ] Yes [ ] No
ACCESSIBILITY INFORMATION
Does your household have access [  ] Yes [ ] No
Do you have access to the internet? [  ] Yes [ ] No If yes, check all that apply: [ ] At home [ ] In the school to electricity?
What gadget/device do you have? (Check all that apply) [  ] Smartphone [ ] Desktop [  ] Laptop [ ] Tablet Computer [ ] Others, please specify: N/A [ ] I have no
available gadget
How do you access the internet? (Check all that apply) [  ] Wifi at home/school [  ] Data [ ] Others, please specify: N/A
OTHER INFORMATION
Do you have land area available at home for gardening? [ ] Yes [  ] No If yes, please identify the total land area in square meters. [ ] Less than 5 sqm [ ] 5-10 sqm [ ] 11-20 sqm
[ ] 21-50 sqm [ ] 51-100 sqm [ ] above 100 sqm If none, is there any space at your home for vertical gardening? [ ] Yes [ ] No
Are you in need of any legal assistance? [  ] Yes [ ] No If yes, please identify what type of legal assistance: _________________________
Are you a member of any recognized student organization at BatStateU? [ ] Yes [  ] No If yes, please check all that apply:__________________(Please refer to the attached list
of recognized Student Organizations)
Are you a member of any organization outside BatStateU? [ ] Yes [  ] No If yes, fill in the table below: (For additional organization/s, kindly use separate sheet.)
Name of Organization Years of Membership

We appreciate the effort you put into filling out this form. Your valuable input will help us understand your requirements better and enable us to provide you with the best possible
service. Thank you so much for your time and assistance
 List of Countries
Afghanistan Honduras Saint Vincent and the Grenadines
Albania Hungary Samoa
Algeria Iceland San Marino
Andorra India Sao Tome and Principe
Angola Indonesia Saudi Arabia
Antigua and Barbuda Iran Senegal
Argentina Iraq Serbia
Armenia Ireland Seychelles
Australia Israel Sierra Leone
Austria Italy Singapore
Azerbaijan Jamaica Slovakia
The Bahamas Japan Slovenia
Bahrain Jordan Solomon Islands
Bangladesh Kazakhstan Somalia
Barbados Kenya South Africa
Belarus Kiribati Spain
Belgium Korea, North Sri Lanka
Belize Korea, South Sudan
Benin Kosovo Sudan, South
Bhutan Kuwait Suriname
Bolivia Kyrgyzstan Sweden
Bosnia and Herzegovina Laos Switzerland
Botswana Latvia Syria
Brazil Lebanon Taiwan
Brunei Lesotho Tajikistan
Bulgaria Liberia Tanzania
Burkina Faso Libya Thailand
Burundi Liechtenstein Togo
Cabo Verde Lithuania Tonga
Cambodia Luxembourg Trinidad and Tobago
Cameroon Madagascar Tunisia
Canada Malawi Turkey
Central African Republic Malaysia Turkmenistan
Chad Maldives Tuvalu
Chile Mali Uganda
China Malta Ukraine
Colombia Marshall Islands United Arab Emirates
Comoros Mauritania United Kingdom
Congo, Democratic Republic of the Mauritius United States
Congo, Republic of the Mexico Uruguay
Costa Rica Micronesia, Federated States of Uzbekistan
Côte d’Ivoire Moldova Vanuatu
Croatia Monaco Vatican City
Cuba Mongolia Venezuela
Cyprus Montenegro Vietnam
Czech Republic Morocco Yemen
Denmark Mozambique Zambia
Djibouti Myanmar (Burma) Zimbabwe
Dominica Namibia
Dominican Republic Nauru
East Timor (Timor-Leste) Nepal
Ecuador Netherlands
Egypt New Zealand
El Salvador Nicaragua
Equatorial Guinea Niger
Eritrea Nigeria
Estonia North Macedonia
Eswatini Norway
Ethiopia Oman
Fiji Pakistan
Finland Palau
France Panama
Gabon Papua New Guinea
The Gambia Paraguay
Georgia Peru
Germany Philippines
Ghana Poland
Greece Portugal
Grenada Qatar
Guatemala Romania
Guinea Russia
Guinea-Bissau Rwanda
Guyana Saint Kitts and Nevis
Haiti Saint Lucia
 List of Indigenous Peoples (IPs) Groups Cont... of IPs Nature of Work
Abelling Northern Kankanaey (KankanaeyIyaplay) No employment
Abiyan (Aeta) Palawanon Agriculture/Forestry/Fishing
Aeta/Negrito/Baluga/Pugot Pullon Mining and Quarrying
Aggay Ratagnon Mangyan Manufacturing
Agta Remontado Electricity, Gas, Steam and Airconditioning Supply
Agutaynon Sama Water Supply, Sewerage, Waste Management and
Alangan Mangyan Sangil Remediation Activities
Apayao Subanen Construction
Aromanon Sulod/Bukidnon Wholesale and Retail Trade; Repair of Motor
Ata T-boli Vehicles, and Motorcycles
Ati Tabangon Transportation and Storage
Ayangan Tadyawan Mangyan Accommodation and Food Service Activities
Badjao Tagabawa Information and Communication
Badjao/Sama Laut Tagakaolo Financial and Insurance Activities
Bago Tagbanua Real Estate Activities
Bagobo Talaandig Professional, Scientific and Technical Activities
Banwaon Talaingod/Langilan Administrative and Support Service Activities
Batak Tao’t Bato Education
Batangan Mangyan Tigawahanon Human Health and Social Work Activities
Blaan Tinggian Arts, Entertainment and Recreation
Bugkalot Tiruray Other Service Activities
Bugkalot Tuwali Others, please specify_________
Buhid Mangyan Ubo Manobo
Bukidnon Umayamnon
Central Bontok (Bontok, Sadanga, Alab) Yakan
Cimaron Others, please specify_________
Cuyunon
Dagayanen
Dibabawon Type of Refugees
Dulangan
Dumagat Asylum seeker
Eastern Bontok Stateless Person
Escaya Religious or Political Affiliation Refugee
Gaddang War Refugee
Gubatnon Mangyan Hunger Refugee
Hanunuo Mangyan
Higaonon
Ibaloy Hours of Work per Week
Ibanag Less than 10 hours
Ifugao 10-20 hours
Iranon 21-40 hours
Iraya Mangyan 41 hours and above
Isarog
Isinai
Isneg Months of Service
Itawis
Itom Less than a month
Ivatan 1-2 months
Jama Mapon 3-4 months
Kabihug 5 months and above
Kalagan
Kalanguya
Kalibugan Location of Employment
Kalinga Philippines
Kamigin Asia (except Philippines)
KankanaeyIbenguet Africa
Karao Antarctica
Karintik Australia/Oceania
Kongking Europe
Korolanos North America
Lambangian South America
Magahat
Maguindanao
Mamanwa Educational Attainment
Mandaya
Mandek-ey Not Applicable
Manobo Pre-elementary graduate
Manobo B‟lit Elementary graduate
Mansaka Junior High School graduate
Maranao Senior High School graduate
Matigsalog Trade / Vocational Course Graduate
Molbog College Undergraduate
College Graduate
With MA/MS Units
Master’s Degree
With Doctorate Units
Doctorate
Post Doctorate
 List of Recognized Student Organizations
[ ] Aerospace Engineering Students' Society (AeESS) [ ] Future Hotelier and Restauranteur Society (FHARS)
[ ] Alliance of CABEIHM Graduate School Students (ACGSS) [ ] Geodetic Engineers of the Philippines BatStateU - Student Chapter (GEP
[ ] Alliance of Criminology Students (ACS) BatStateU-SC)
[ ] Alliance of Future Psychologist (AFP) [ ] Google Developer Student Club (GDSC)
[ ] Alliance of Industrial Technology Students [ ] Graduate Students Society of Informatics and Computing Sciences
[ ] Alliance of Informatics and Computing Sciences Students (AICSS) – Lipa (GRASSICS)
[ ] Aspiring Future Educators Guild (AFEG) [ ] Hotel Management Society
[ ] Association of Biomedical Engineering Students (ABMES) [ ] Human Kinesthetics Society
[ ] Association of Ceramics Engineering Students (ACerES) [ ] Institute of Electrical and Electronics Technology Students (IEETS)
[ ] Association of Civil Engineering Students (ACES) [ ] Integrated Information Technology Students' Society (IINTESS)
[ ] Association of College of Arts and Sciences Students [ ] Integrated Junior Executives (iJE)
[ ] Association of Committed Computer Science Students (ACCESS) [ ] Integrated School Student Council (IS SC)
[ ] Association of Computer Technology Students (ACTS) [ ] Interior Design Edifying Auxiliary of Students (IDEAS)
[ ] Association of DOST SEI Scholars - BatStateU (ADSS) [ ] Invincible Council of Accountants and Managers (INCAM)
[ ] Association of Food Engineering Students (AFES) [ ] Junior Financial Executives (JFINEX) JPLPC-Malvar
[ ] Association of Instrumentation and Control Engineering Students (AICES) [ ] Junior Financial Executives (JFINEX) Rosario Campus
[ ] Association of Psychology Students [ ] Junior Financial Executives ARASOF-Nasugbu
[ ] Association of Social, Physical, and Technopreneurial Enthusiasts [ ] Junior Hoteliers and Restaurateurs Association (JHRA) –JPLPC Malvar
(ASPHYTECH) [ ] Junior Institute of Electronics Engineers of the Philippines (JIECEP)
[ ] Association of Transportation Engineering Students (ATES) [ ] Junior Institute of Integrated Electrical Engineers (JIIEE)
[ ] Association of Young Public Administrators (AYPA) [ ] Junior Managers Society (JMS)
[ ] Balayan Student Council (CICS) [ ] Junior Marketing Association (JMA) - San Juan
[ ] Balayan Student Council (CIT) [ ] Junior Marketing Association ARASOF Nasugbu Chapter
[ ] BatStateU Camera Club (FOCUS BCC) [ ] Junior Marketing Executives (JME) –JPLPC Malvar
[ ] BatStateU Seeds of the Nations (BatStateSONS) [ ] Junior People Management Association of the Philippines (JPMAP)
[ ] Biology Major Students' Society (BIOMASS) ARASOF-Nasugbu
[ ] BSU-JPLPC Peer Facilitators’ Society (PFS) [ ] Junior People Management Association of the Philippines (JPMAP) Rosario
[ ] Cabeihm Student Council (CSC) [ ] Junior Philippine Association of Management Accountants (JPAMA)
[ ] Campus Connect JPLPC-Malvar
[ ] Campus Gospel Light Bringers (CGLB) [ ] Junior Philippine Association of Management Accountants (JPAMA) Lipa
[ ] CAS Honor Society [ ] Junior Philippine Association of Management Accountants (JPAMA) Pablo
[ ] Chemical Society (CHEMSOC) Borbon
[ ] Christian Campus Ministry (CCM) [ ] Junior Philippine Computer Society BatStateU Alangilan Chapter (JPCS)
[ ] Christ's Youth in Action (CYA) [ ] Junior Philippine Institute of Accountant (JPIA) - Pablo Borbon
[ ] Circle of Psychology Students [ ] Junior Philippine Institute of Chemical Engineers (JPICHE)
[ ] College of Accountancy, Business and Economics (CABE) Council [ ] Junior Philippine Institute of Industrial Engineers (JPIIE) Alangilan
[ ] College of Accountancy, Business, Economics and International Hospitality [ ] Junior Philippine Institute of Industrial Engineers (JPIIE) JPLPC-Malvar
Management Student Council (CABEIHM SC) [ ] Junior Philippine Institute of Industrial Engineers (JPIIE) Lipa
[ ] College of Arts and Science Student Council - Pablo Borbon [ ] Junior Philippines Institute of Accountants- BatStateU-ARASOF Nasugbu
[ ] College of Arts and Sciences Student Council –ARASOF Nasugbu Local Chapter
[ ] College of Engineering and Technology Student Council –ARASOF [ ] Junior Society of Metallurgical Engineers of the Philippines (JSMEP)
Nasugbu [ ] Junior Society of Naval Architects and Marine Engineers (JSONAME)
[ ] College of Industrial Technology Student Council (CITSC) –JPLPC Malvar [ ] League of Tourism Students of the Philippines (LSTP)
[ ] College of Informatics and Computing Sciences Student Council - ARASOF [ ] Lingap Mental Health and Psychosocial Support (LINGAP MHPSS)
Nasugbu [ ] Lobo Student Council (CAF)
[ ] College of Informatics and Computing Sciences Student Council (CICSSC) [ ] Mabini Student Council (CICS)
–JPLPC Malvar [ ] Machine, Engine, Toque, Arch, and Letters Technology Students
[ ] College of Nursing and Allied Health Sciences Student Council ARASOF- (METALTECH)
Nasugbu [ ] Mechanical Engineering Student Society (MESS)
[ ] College of Nursing and Allied Health Services - Student Council [ ] Mechatronics and Instrumentation and Control Society (MICS)
(CONAHS-SC) - Pablo Borbon [ ] Mechatronics Engineering Students Society (MEXESS) – Alangilan
[ ] College of Teacher Education - Doctors of Education & Philosophy Students [ ] Mechatronics Engineering Students’ Society (MEXESS) –Malvar
Association (CTE-DEPSA) [ ] Missionary Families of Christ (MFC)
[ ] College of Teacher Education Council [ ] Multi Faith Ministry (MFM)
[ ] College of Teacher Education Council ARASOF-Nasugbu [ ] Organization of Bachelor of Industrial Technology Students (ORBITS)
[ ] Communication Arts Society [ ] Party of Averse and Progressive Advocates for Gender Affinity and Youth
[ ] Computer Engineering Students Organization (CURSOR) Oneness - The Red Spartan Pride Council (PAPAGAYO)
[ ] CONAHS Honor Society [ ] Peer Counselor’s Group
[ ] Criminology Executive Student Organization [ ] Philippine Association of Nutrition Epsilon Sigma Chapter (PANE-S)
[ ] Criminology Student Organization –ARASOF Nasugbu [ ] Philippine Society of Customs Administration Students (PSCAS)
[ ] Criminology Student Society - Pablo Borbon [ ] Philippine Society of Sanitary Engineers (PSSE)
[ ] Differential Society of Integrated Mathematicians (DSIM) [ ] PoderosoCommunicador Sociedad
[ ] English Student Language Society (ELSS) [ ] Psychology Students' Society (PSS)
[ ] Federated Association of MAEd Students (FAMAS) [ ] Public Administration Student Association
[ ] Fisheries and Aquatic Environmentalist Organization [ ] Public Health Alliance for Spartan Society (PHASS)
[ ] Future Educators Association (FEA) –Balayan [ ] Red Spartan Law Student Council
[ ] Future Educators' Society (FES) [ ] Senior High School Student (SHS SC)
[ ] Future Elementary Mentors Society (FEMS) [ ] Social Science Society
[ ] Society for the Conservation of Coastal and Mountain Ecosystem (SCCME)
[ ] Society of Aspiring Managers (SAM)
[ ] Society of Automotive Engineering Students (SAES)
[ ] Society of Development Communication Students
[ ] Society of Development Communicators (SDC)
[ ] Society of Marketing Management Students
[ ] Society of Petroleum Engineers BatStateU Student Chapter (SPE BatStateU-
SC)
[ ] Society of Petro-Physicists and Well Log Analysts BatStateU Student
Chapter (SPWLA)
[ ] Society of Young Agriculturist (SOYA)
[ ] Spartan League of Nurses (SLN)
[ ] Sports and Cultural Club
[ ] Student Association of Geological Engineers (SAGE)
[ ] Student Body Organization Elementary
[ ] Student Body Organization High School
[ ] Student Broadcasters of Development Communication (SBDC)
[ ] Student Council (CAFAD Alangilan)
[ ] Student Council (CICS Alangilan)
[ ] Student Council (CIT Alangilan)
[ ] Student Council (CoE Alangilan)
[ ] Supreme Student Council (SSC) ARASOF-Nasugbu
[ ] Supreme Student Council (SSC) JPLPC-Malvar
[ ] Supreme Student Council (SSC) Lipa
[ ] Supreme Student Council (SSC) Pablo Borbon
[ ] Supreme Student Council-Alangilan Campus (SSC-Alangilan)
[ ] Teacher Education Association of Mathematics and Science Students
(TEAMS)
[ ] Teacher Education Society on Language and Communication
(TESLACOM) - Pablo Borbon
[ ] Teacher Education Student Council (TESC) –Malvar
[ ] Teacher Education Students' Association (TESA) Rosario
[ ] Teacher Education Students' Association (TESA) San Juan
[ ] Teacher’s Education Student Council (TESC) - Pablo Borbon
[ ] Thema Arts Society (TAS)
[ ] Tourism Management Society
[ ] United Architects of the Philippines Student Auxiliary (UAPSA)
[ ] Upright Marketing Organization (Upright MO)
[ ] Vox Cambiari
[ ] Young People Management Association of the Philippines (YPMAP)
[ ] Youth on the Rock
[ ] Others, please specify_______________