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Appl Entrance Exam Revised
Appl Entrance Exam Revised
(Please do not leave any item unanswered. Write N/A if not applicable.)
PERSONAL BACKGROUND
Surname First Name Middle Name Nickname Gender
GARCIA CLYDE MARC LIC-O MAC-MAC MALE
Present Address Home Phone
U709 UNIVERCITY CONVENIENCE FLATS, 1115-1123 CONCEPCION AGUILA ST., QUIAPO, MANILA N/A
Provincial Address Cell Phone
PADDAD, ALICIA, ISABELA 09052979910
Email Address Date of Birth 12 26 Place ofALICIA,
1990 PADDAD, Birth Business Phone
FUJI_APPLE1990@YAHOO.COM
Month Day Year ISABELA N/A
Nationality Religion Civil Status No. of Children
FILIPINO ROMAN CATHOLIC SINGLE N/A
Name Address Occupation Tel. No.
Father TEODORICO A. GARCIA PADDAD, ALICIA, ISABELA BUSINESSMAN 652-1836
Spouse N/A
EDUCATION
Course/Degree Honors/Awards/
School From To Completed Scholarships
Elementary NORTHEAST LUZON ADVENTIST SCHOOL OF TECH.
High School
College
Graduate Studies
Others
Have you ever been dismissed or disqualified from enrolling in that law school by reason of scholastic standing
or disciplinary action? _______ Explain _________________________________________________________
I hereby affirm to the best of my knowledge that all the answers given are true and correct.
__________________________________________
Signature over Printed Name/Date