TARLAC STATE UNIVERSITY

COLLEGE OF TEACHER EDUCATION

CENTER OF DEVELOPMENT IN TEACHER EDUCATION
Lucinda Extension Campus
Tel. No. (045) 493-0182; Fax No. (045) 982-0110
Re-accredited Level III by the Accrediting Agency of Chartered Colleges and Universities of the
Philippines (AACUP), Inc.

PERSONAL DATA SHEET

Course Code : FSSM 104

Course Title : PLACES AND LANDSCAPES IN CHANGING WORLD
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Course, Year & Section : SOCIAL STUDIES 2C
Name : RODRIGUEZ, MARK REYNARD MARCOS
Student Number : 2018201058

Age : 19
Home Address : Sto. Domingo 2nd, Capas, Tarlac
Religion : Roman Catholic
Civil Status : Single
Contact Number : 0930 – 047 – 2622
Gmail Account : rodriguezmark233@gmail.com

Contact Person
Name of Parent/ Guardian : RODRIGUEZ, MELODY MARCOS
Home Address : Sto. Domingo 2nd, Capas, Tarlac
Contact Number : 0930 – 926 – 3624