UNIVERSITY OF THE CORDILLERAS

SENIOR HIGH SCHOOL

PERSONAL INFORMATION SHEET

Date Filled Out: October 8.2021 Section: HUMMS 11 D
LRN: 481536151226

Student Name: Karl Ezekiel B. Angihan Nick Name: Karlo

Age: 16 Date of Birth: June 1,2005 Birthplace: Baguio City

Gender: Male Citizenship: Filipino

Birth Order Among Siblings: 3

Complete Current Address: Purok #12 Batbato, Bakakeng Sur, Baguio City
Complete Permanent Address: Purok #12 Batbato, Bakakeng Sur, Baguio City

Cell phone #: 09513288817 Cultural Affiliation: Ifugao

Languages/ Dialects Spoken at Home: Tagalog/Ifugao

Mother Tongue: Ilokano/Tagalog

Religious Affiliation from Birth: Christian Current Religious Affiliation: Christian

Father Mother
(Mark with + if deceased) (Mark with + if deceased)
Name: Gordy L. Angihan Noemi B. Angihan
Date of Birth: May 13,1970 April 10,1970
Current Address: Bakakeng Sur Bakakeng Sur
Permanent Address: Bakakeng Sur Bakakeng Sur
Cellphone #: 0927817413 09094315823
Email Address: Gordyangihan Noemiangihan
@yahoo.com @gmail.com
Highest Educational Attainment: College Graduate College Graduate
Occupation: Police (retired) Housewife
Business Address:
Business Telephone #:
Annual Income (optional):
Language(s) Spoken: Tagalog/Ifugao Tagalog/Ifugao
Religious Affiliation Raised With: Christian Christian
Current Religious Affiliation: Christian Christian

Number of Brothers: _______________ Number of Sisters: 3

Are you an adopted child? ___________Yes check No
Parents
Yes Married in the Church Not married in the Church
Yes Matrimonially intact Temporarily separated
Father OFW Mother OFW
Civilly married Marriage annulled
Father with another partner Mother with another partner
Unknown
Permanently separated
Single parent: Mother Father

If you are not living with your parents but with your guardian, please, write the reason:

Page 1 of 2
 __________________________________________
Address of guardian:
Cellphone # of your guardian: _________________________
Relationship with your guardian:
Person to contact in case of emergency:
Name: ________________________________
your relationship with this person: _________________________________
Address: ___________________________________
Contact No.:

EDUCATIONAL BACKGROUND
Last School Attended

Grade 7 Baguio City National High School

Grade 8 Saint Louis School Incorporated Center (SLSI)
Grade 9 Saint Louis University Laboratory High School (SLU)
Grade 10 Saint Louis University Laboratory High School (SLU)
Grade 11 University of the Cordilleras
Grade 12

Karl Ezekiel B. Angihan

Student’s Signature over Printed Name

[FOR CLASS ADVISER USE ONLY]

Grade/ Year Level Section Remarks

Page 2 of 2