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Date of birth: August 11, 1963 Place of birth: Manila Citizenship: Filipino
Complete address: 3512 Buenos Aires St., Sta. Mesa, Manila
Ownership(Owned or Rented): If Rented, how much: Years of Stay:
Home Tel. #: 7145038 Mobile #: 09238889942 Mobile # 2: 09179651123
E-mail Address: alecs2328@yahoo.com TIN#: 139538125
Marital Status: separated How long?:
Mother’s Maiden Name:Corazon Salonga Educational Attainment: College graduate
SPOUSE OR CO-APPLICANT INFORMATION
Name:
SU RNAM E FI RS T NAM E MI D D L E NAM E