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Polytechnic College of La Union

Criminology Department
Agoo, La Union

Criminology Student Files

I. PERSONAL DATA

Name _________________________________________ Course/Year ____________ Sex ___

Family Name First Name M.I
Tel./Cellphone No. ______________________
Home Address ______________________________________________________
Date of Birth: _______________________ Place of Birth _______________________

II. Family and Cultural Background

A. Name of Father __________________________ Name of Mother _____________________

Educational Attainment: __________________ Educ. Attainment: ____________________
Occupation: ______________________ Occupation: ______________________
B. Guardian : _____________________________ Relation : ____________________

III. Education
A. Scholastic Records
Name of School Honors Obtained
Elementary: _______________________________ ____________________________
Secondary: _______________________________ ____________________________

B. Scholastic Record

GWA(General Weighted Average): Senior High School: __________

Award received in Senior High School:_________________________
Favorite Subject in High School: ________________

IV. Course Preference:

1. Is it your 1st time/ 2nd the time take the Criminal Justice System subject? _______ time
2. Reasons for taking BSCriminology

3. Who supported your studies?______________________________________________

4. In case of emergency, please contact: _______________________________________
5. Address: ________________________________ Relationship: _________________