Bicol University

Extension Management Division

Legazpi City

photo
Faculty Expert Data Sheet

Name: _____________________________________ CP No. : ___________________

College/ Unit: _______________________________ E-mail Address: _____________
Position: ____________________________________ ___________________________
Designation/s: _______________________________
No. of Years in Service: _______________________

I. Educational Background

EDUCATIONAL ATTAINMENT SCHOOL MAJOR THESIS/ DISSERTATION/ STUDY

Baccalaureate Degree
Master’s Degree
Doctorate Degree
Other Relevant Degree
Earned

Licensed Profession/s: _________________________________________

II. Field of Specialization/s, Special Skills

Relevant trainings attended related to field of specialization/ skill at least within 10 years.
(Note: Continue on separate sheet if necessary)

Field of Title of
Specialization/ Training or Date Attended No. of Hours Conducted/
Skill Seminar Sponsored by

BU-F-EMD-20 Rev. 1 Page 1 of 2

Effectivity Date: October 3, 2018
III. Program/ Project Involvement within 10 years. (Note: Continue on separate sheet if
necessary).
Program/ Brief Period Designation Accomplishment Status
Project Description Covered

IV. Other Information:

Volunteer Works within 10 years. (Note: Continue on separate sheet if necessary).

Company Period Covered Nature of Work

V. Awards/ Citations:

Title Date Conferred Commending Unit/ Agency

VI. Books/ Researches/ Publications Published:

Title Designation Date Published

I hereby certify to the correctness of the above information.

_________________________________
SIGNATURE OVER PRINTED NAME

_________________________________
Date
BU-F-EMD-20 Rev. 1 Page 2 of 2
Effectivity Date: October 3, 2018