ST. ANNE COLLEGE LUCENA, INC.

DIVERSION ROAD, BRGY. GULANG-GULANG LUCENA CITY

OFFICE OF THE STUDENT AFFAIRS

I hereby certify that the facts in this form are complete and true to the best of my knowledge.
 
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ID
SY: 2021-2022________ NAME OF ORGANIZATION ___________________________
_____JOHN DELTHON S. RODIL________ DEPARTMENT: ___SCJE________
10/5/2021  
PICTURE

      SIGNATURE
  OVER PRINTED NAME
  DATE
     
POSITION IN THE
SURNAME FIRST NAME MIDDLE NAME GENDER ORGANIZATION
JOHN
 RODIL   DELTHON     SOTOMAYOR [ /] Male  MEMBER
          [ ] Female  
N-NAME AS IT SHOULD APPEAR IN THE ID  JOHN DELTHON S. RODIL COURSE & SEC.    BS CRIMINOLOGY (FIRST YEAR)  
RELIGION    ROMAN CATHOLIC CITIZENSHIP    FILIPINO  
DATE OF BIRTH (mm/dd/yy)  SEPTEMBER 22, 2002 PLACE OF BIRTH  PADRE BURGOS, QUEZON  
ADDRESS   CONTACT NUMBER  09098554951
 BRGY. MARAO,
PADRE BURGOS,
Home Address QUEZON   Residence #  
          Mobile #  
 BRGY. MARAO
PADRE BURGOS,
Provincial Address QUEZON     E-mail Address
             Johndelthonsotomayor22@gmail.com  
FATHER'S NAME    CESAR RODIL MOTHER'S NAME    ANALYN RODIL  
      EDUCATION       
Educational Attainment Name and Location of Institution Degree Earned Year of Graduation Honors received
       
 CHILD JESUS OF
Elementary NAZARETH
SCHOOL- PADRE
  BURGOS, QUEZON  ELEMENTARY 2015  
 ST. ANNE COLLEGE
Secondary   LUCENA INC. SECONDARY    2021  
         
 ST. ANNE COLLEGE
Tertiary   LUCENA INC.  BS CRIMINOLOGY      
           
           
Special Training
           

RECORD OF EXTRA CURRICULAR ACTIVITIES (Inside and outside of the School)

Name Of Organization Position Inclusive Dates

           
 BOY SCOUTS OF THE
PHILIPPINES     EAGLE    2014 TO PRESENT