DEPARTMENT OF MILITARY SCIENCE AND TACTICS

IFUGAO STATE UNIVERSITY, ROTCU 2X2

1404 COMMUNITY DEFENSE CENTER, 14th RCDG, ARESCOM
TH

Nayon, Lamut, Ifugao PICTURE

CADET INFORMATION SHEET

Name: TAKINAN , Crismar Tambor

(Last Name) (First Name) (Middle Name)

Temporary Address: (Boarding House)

Street: N/A Barangay: N/A
Municipality/City: N/A

Province: Ifugao Region: CAR Cell Phone Number: 09165914368

Course: BSA-CS School: IFSU Religion: Christian
Date of Birth: 12/25/2002 Place of Birth: Baguio City
Height: 170.18cm Weight: 67kg Complexion: Brown Blood type: O
Email: takinancrismar23@gmail.com Facebook Account: Crismar Takinan

Permanent Address: (Home Address)

Street: Agoho St. Barangay: Kias
Municipality/City: Baguio Province: Benguet
Region: CAR Cell Phone Number: 09165914368

Name of Parents:
Father: Modesto N. Takinan Occupation: Laborer
Mother: Marites T. Takinan Occupation: Housewife
Person to be notified in case of emergency:
Name: Myrna N. Takinan Relationship: Aunt
Address: 6064 Purok 6 Kias, Baguio City Cell phone no: 09165914390

Military Science Completed:

MS SEMESTER SCHOOL YEAR GRADE REMARKS
_____________ ______________ _____________ ____________ ______________
_

Educational Background:
a. Elementary:
Name of school Location Date/ Year Graduated
Fort Del Pilar Elementary School PMA Compound, Fort Del Pilar, Baguio City 2015
General Average:89
Honor Received: none
Club, Organization and other Affiliation (Indicate Position)
________________________________________________________________________
b. Senior high school:

Name of school Location Date/ Year Graduated

University of the Cordilleras Gov. Pack Rd, Baguio City 2021
General Average: 84
Honor Received: none
Club, Organization and other Affiliation (Indicate Position)
_____________________________________________________________________________
_____________________________________________________________________________

c. College:
Name of school Location Date/ Year Graduated
Ifugao State University Nayun, Lamut Ifugao
General Average: ______________________
Honor Received _______________________
Club, Organization and other Affiliation (Indicate Position)
____________________________________________________________________________
_____________________________________________________________________________

Other personal Information

______________________________________________________________________________
____________________________________________________________________________
Hobbies: (Writing, Essay, Poetry. Etc.)
Road Biking
Do you intend to take the Advance ROTC /Probationary training Course (POTC) and pursue a
military career?
( ) Yes ( ✔️) No
Why?
I want to take the advance ROTC but due to physical injury I don’t think I can handle the training
that’s why I just want to do the basic.

This is to certify the above data is true and correct.

(Signature over Printed Name)