Beruflich Dokumente
Kultur Dokumente
00 2019
O-19-09000-2382
Application Number
I. PERSONAL INFORMATION (To be filled in by APPLICANT)
A. Personal Data
Name: CAñETE EDWIN ALTERADO
Surname First Name Middle Name Name Extension
Sex MALE Civil Status SINGLE Nationality FILIPINO Religion ROMAN CATHOLIC
B. Family Background
Father's Name CAñETE ERLINDO SARCO Age 59
Surname First Name Middle Name Name Extension
If Married,
Age
provide your spouse's full name
Surname First Name Middle Name Name Extension
Is your family a beneficiary of 4Ps? [X] No [_] Yes, please provide the DSWD Household Number Average Monthly Household Income 10000
C. Educational Background
Curriculum: [_] ALS [X] BEC [_] SENIOR HIGH SCHOOL TRACK:
Schools Attended:
Name of School Year Graduated Average Grade Learner's Reference Number
Grade School BRGY.SANTO NIñO ELEMENTARY SCHOOL 2005
High School NEW ORMOC CITY NATIONAL HIGH SCHOOL 2009
Senior High School
College EASTERNN VISAYAS STATE UNIVERSITY
By signing below, I certify that above information are correct and true and that I give my consent to the collection and processing of my personal data in accordance with the needs and requirements of
the university.
EDWIN A. CAñETE
Signature over printed name of the Applicant
II. INTERVIEW (To be filled in by INTERVIEWER)
First Choice Second Choice Third Choice
Campus Preferred Course Campus Course Applied Campus Course Applied
ORMOC CAMPUS BSED SCI ORMOC CAMPUS BSED MATH
Average Rating To get the average, add earned points and divide by 3
Potential/Talent/ 1 2 3 4 5
Special Skills
Add-on Point: One (1) point will be earned for every potential /talent/special skill
Total Points: Average Rating + Add-on Points
Application No.:
O-19-09000-2382
Name: EDWIN A. CAñETE
Course Applied: BSED SCI
2x2 ID Picture
Examinee No.:
Date of Interview: Fri, Mar 29, 2019 9:00 AM
Date of Examination: Sat, Mar 30, 2019 8:00 AM
Testing Room ORMOC CAMPUS - ROOM 1