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College of Engineering and Technology: (Last Name, First Name Middle Name)
College of Engineering and Technology: (Last Name, First Name Middle Name)
College of Engineering and Technology: (Last Name, First Name Middle Name)
______________
Adviser
CONTROLLED COPY
WMSU-VPAA-FR-024.00 Effective Date: 07-Dec-2016
Date of Birth: October 1,1994 Civil Status: Single Married Others, specify: _____________________
Religion: Roman Catholic Skills:
Ethnicity/Tribe: Zamboangueo Others, specify: Bisaya
Zamboanga City Address: Fairview Village Zone 1 La paz Zamboang City Passport-Sized Photo
Contact Person:Anita Hisona Contact Number/s: 09151796587 White Background with
Are you living in the coastal area? Yes No
Name Tag
Is Zamboanga City Address your Permanent Address? Yes No If no, please specify:
Permanent Address: ________________________________________________________________________________________
Are you boarding/renting a house? Yes No If yes, please specify:
Dorm/Boarding House/Apartment Address: ______________________________________________
EDUCATIONAL BACKGROUND Student Contact Number: 09774708588
Year Honors E-mail Address: kathdelsomeday@gmail.com
Level Name of School Scholarship
Graduated Received
Talisayan Elementary School 2006 3rd
Elementary Honorable
mention
High School Ayala National High School 2011
College
Graduate
Post Graduate
FAMILY BACKGROUND
Fathers Name: Jhondy Hisona Mothers Name: Anita Hisona
Contact Number/s:09066443216 Contact Number/s: 09151796587
Occupation: Manager Occupation: Housewife
Parent/Guardians Income Tax (for undergrad): ______________________________________
Privacy Notice: In submitting this form I agree to my details being used for the purposes of student advising and academic record monitoring. The
information will only be accessed by the necessary university staff. I understand my data will be held securely and will not be distributed to third parties. I
have a right to change or access my information. I understand that when this information is no longer required for this purpose, official university
procedure will be followed to dispose of my data.
_____________________________
Signature over Printed Name
WMSU-VPAA-FR-024.00 Effective Date: 07-Dec-2016
CONTROLLED COPY
THIRD YEAR LEVEL
First Semester
Units ADVISING HISTORY
Grade Code Description Prereq
Lect Lab Total
Level: _______ Sem: _______ S.Y.: _____________
3.0 BEM 107 Differential Equation 3 0 3
3.0 BES 119 Engineering Mechanics 3 0 3 Code Units Notes
3.0 BES 120 Engineering Economy 3 0 3
2.5 ME 131 Machine Elements 1 2 1 3
3.0 ME 133 Thermodynamics 1 2 1 3
2.5 EE 130 Elements of Electrical Engineering 2 1 3
2.25 MeTech 131 Automotive 1 0 2 2
Total 15 5 20
Second Semester Total
Units
Grade Code Description Prereq Remarks:
Lect Lab Total
2.5 BEM 108 Advanced Engg. Math BEM 107 3 0 3
3.0 BES 121 Strength of Materials BES 119 3 0 3
1.75 BES 122 Engg. Management 3rd Year Standing 3 0 3
______________
3.0 ME 132 Machine Elements 2 ME 131 2 1 3 Adviser
3.0 ME 134 Thermodynamics 2 ME 133 2 1 3 Level: _______ Sem: _______ S.Y.: _____________
3.0 EE 137 Basic Electronics EE 130 3 0 3 Code Units Notes
MeTech 132 Automotive 2 MeTech 131 0 2 2
Total 16 4 20
Total
Remarks:
______________
Adviser
Level: _______ Sem: _______ S.Y.: _____________
Code Units Notes
Total
Remarks:
______________
Adviser
CONTROLLED COPY