HEADQUARTERS

SAINT MICHAEL COLLEGE OF CARAGA ROTC UNIT (AFFILIATED)

1501st (ADN) CDC, 15th (CARAGA) RCDG, ARESCOM
Nasipit, Agusan del Norte

ROTC REGISTRATION FORM

First Semester A.Y. 2021-2022

Year Level/Course: First Year/BSCRIMINOLOGY

Section: 8
Class Schedule: MONDAY (1:00-3:00)
Student No: 202150237 MS: 1 Date: OCTOBER 19, 2021
Name: TILLO JOHN LOUIE QUIJANO
(Last Name) (First Name) (Middle Name)
Temporary Address:
No/St/Vill/Brgy: D-3 ACLAN
Municipality: NASIPIT
Province: AGUSAN DEL NORTE
Telephone/Cell Number: 09514823942
Course: BS CRIMINOLOGY School: SAINT MICHAEL COLLEGE CARAGA
Religion: ROMAN CATHOLIC Date of Birth: DECEMBER 16, 2001
Place of Birth: BRGY ACLAN, NASIPIT AGUSAN DEL NORTE
Height: 5’9 Weight: 60klg Complexion: NORMAL Blood Type: TYPE O
Permanent Address:
No/St/Vill/Brgy: D-3 ACLAN
Municipality: NASIPIT
Province: AGUSAN DEL NORTE
Telephone/CellNumber: 09514823942
Father: LUIS ACERON TILLO Occupation: CONSTRUCTION WORKER
Mother: NORA TECSON TILLO Occupation: HOUSE WIFE
Person to be notify in case of emergency:
Name: LOURIE JANE TILLO Relationship: SISTER
Address: D-3 ACLAN NASIPIT AGUSAN DEL NORTE Tel No: 09631231715
Military Science Completed:
MS SEMESTER SCHOOL YEAR GRADE REMARKS
MS 1 1ST 2021-2022 _______ _____________
_______________ ______________ _______________ _______ _____________
_______________ ______________ _______________ _______ _____________
Are you willing to take the advance course? ( ✔️ ) Yes ( ) No
JOHN LOUIE TILLO
(Signature of Student) Armando I Bunio
Sgt (SC) PA
Admin NCO
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HEADQUARTERS
SAINT MICHAEL COLLEGE OF CARAGA ROTC UNIT (AFFILIATED)
1501st (ADN) CDC, 15th (CARAGA) RCDG, ARESCOM
Nasipit, Agusan del Norte
October 19, 2021
(Date)
CERTIFICATION

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY that JOHN LOUIE Q. TILLO a student of Saint Michael College
of Caraga is duly registered in the ROTC program for the 1st Semester, School Year 2021 –
2022.
Armando I Bunio
Sgt (SC) PA
Admin NCO