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NATIONAL ARCHIVES OF THE PHILIPPINES
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Archivo Nacional National Archives

ARCHIVES REFERENCE LIBRARY

ACADEMIC RESEARCHERS INFORMATION SHEET
----------------
Date
NAME: ___________________________________________________________________________________
Last name First name Middle name

ADDRESS: (Residence) ______________________________________________________________________

(Institution or Business Firm) ________________________________________________________

Tel. No. /Cell. No:__________________ FAX NO.:________________________

OCCUPATION:_________________________________ NATIONALITY:_____________________________

EDUCATION BACKGROUND:

University/School: _________________________________________________

Address: _________________________________________________________

Degree / Course: ___________________________________________________

Date Graduated: ___________________________________________________

EMPLOYMENT RECORD (LAST THREE)

From To Position Company

___________ ___________ ________________ __________________________

___________ ___________ ________________ __________________________

___________ ___________ ________________ __________________________

REFERENCE (AT LEAST THREE):

Name Occupation Address

___________________ _____________________ ___________________________

___________________ _____________________ ___________________________

___________________ _____________________ ___________________________

PURPOSE OF RESEARCH

__________ I. THESIS Masteral Doctorate

Academic Degree or Title: ___________________________

Institution/School: __________________________________

Address: __________________________________________

Title of Thesis: _____________________________________

__________ II. STUDY GRANT

Institution/Firm: ____________________________________

Address: __________________________________________

Title of Study: ______________________________________

__________ III. PUBLISH BOOK MONOGRAPH ARTICLE

Title: ______________________________________________

Topic of Research: ___________________________________

Books Written: 1. ____________________________________

Publisher: _________________ Date of Publication: _____________

2. _______________________________________

Publisher: _________________ Date of Publication: _____________

__________ IV. FAMILY TREE

Name of Family: _______________________________________

Place (Municipality/City. Province): ______________________________

__________ V. RESEARCH ASSISTANT

Sponsor/Institution: ____________________________________________

Address: _____________________________________________________

Tel No./Cell No.: __________________ FAX No.: ___________________

__________ VI. OTHERS: _____________________________________________________

Title of Research: ______________________________________________

Topic of Research: _____________________________________________