DAVAO DOCTORS COLLEGE

Gen. Malvar St., Davao City

NURSING PROGRAM

PERSONAL DATA SHEET

I. PERSONAL INFORMATION
1. SURNAME: CUERPO
FIRST NAME: JULIE ROSE
MIDDLE NAME: BETE
2. DATE OF BIRTH: MAY 1, 1999 8. SEX: FEMALE
3. PLACE OF BIRTH: MINTAL, DAVAO CITY 9. CIVIL STATUS: SINGLE
4. CITIZENSHIP: FILIPINO 10. RELIGION: IGLESIA NI CRISTO
PASTE PICTURE HERE
5. RELIGION: IGLESIA NI CRISTO 11. DDC ID NUMBER: 18-02158
6. HEIGHT (CM): 158 13. CELLPHONE No.: 0961-394-3304
7. WEIGHT (KG.): 58 14. EMAIL ADDRESS: Jrose.cuerpo@yahoo.com
15. CITY ADDRESS: STO. NIṄO ST., BRGY. 5-A, BALAY-PASILUNGAN,
BANKEROHAN, DAVAO CITY, 8000, PHILIPPINES

16. PERMANENT STO. NIṄO ST., BRGY. 5-A, BALAY-PASILUNGAN,

ADDRESS: BANKEROHAN, DAVAO CITY, 8000, PHILIPPINES

II. FAMILY BACKGROUND

NAME OCCUPATION
17. FATHER JOEL L. CUERPO HELPER
18. MOTHER ROSALIE C. BETE DOMESTIC HELPER
19. NAME OF THE SIBLINGS (if any) AGE OCCUPATION EDUCATIONAL ATTAINMENT
19.1 JULIE MAE B. CUERPO 18 FIRST YEAR COLLEGE
19.2
19.3
19.4
19.5
20. NAME OF SPOUSE

21. NAME OF CHILDREN DATE OF BIRTH

21.1
21.2

II. III. EDUCATIONAL BACKGROUND

22. LEVEL NAME OF SCHOOL (Write in Full) INCLUSIVE DATES OF ATTENDANCE
FROM TO
ELEMENTARY WIRELESS ELEMENTARY SCHOOL 2006 2011
SECONDARY DAVAO CITY NATIONAL HIGH SCHOOL/BACULIN 2012 2016
NATIONAL HIGH SCHOOL
COLLEGE DAVAO DOCTORS COLLEGE, INC. 2018 PRESENT
FOR SHIFTEE OR TRANSFEREE
PREVIOUS SCHOOL
PREVIOUS COURSE
ACADEMIC HONORS RECEIVED YEAR
1. LEADERSHIP AWARD 2011
2. WITH HONORS 2011
3. WITH HONORS 2018

III. IV. MEDICAL INFORMATION

23. BLOOD TYPE 24. KNOWN ALLERGIES NONE
25. EXISTING MEDICAL CONDITIONS URINARY TRACT INFECTION
26. ARE YOU CURRENTLY ON REGULAR MEDICATION? YES
27. IF YES, PLEASE SPECIFY COTRIMOXAZOLE (800mg) TABLET
CONTACT PERSON IN CASE OF EMERGENCY RELATIONSHIP CONTACT NUMBER
1. JOEL L. CUERPO FATHER 0920-396-6513
“We Value Life”
 DAVAO DOCTORS COLLEGE
Gen. Malvar St., Davao City
NURSING PROGRAM

PERSONAL DATA SHEET

ADDRESS

“We Value Life”