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  • Rotc-Javison BSHM 1D

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    Kylie Anne
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    This document is a ROTC registration form for Javison Rowie Ann Santillan, a first year student at Cavite State University majoring in Business and Hospitality Management. It provides her personal details such as name, date of birth, address, family information, and emergency contact. The form is signed by the student and tactical officer to register her for the ROTC program at Cavite State University for the school year.

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    ROTC-JAVISON BSHM 1D

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    This document is a ROTC registration form for Javison Rowie Ann Santillan, a first year student at Cavite State University majoring in Business and Hospitality Management. It provides her personal details such as name, date of birth, address, family information, and emergency contact. The form is signed by the student and tactical officer to register her for the ROTC program at Cavite State University for the school year.

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    © All Rights Reserved
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    3 views1 page

    Rotc-Javison BSHM 1D

    Uploaded by

    Kylie Anne
    This document is a ROTC registration form for Javison Rowie Ann Santillan, a first year student at Cavite State University majoring in Business and Hospitality Management. It provides her personal details such as name, date of birth, address, family information, and emergency contact. The form is signed by the student and tactical officer to register her for the ROTC program at Cavite State University for the school year.

    Copyright:

    © All Rights Reserved
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    of 1

    DEPARTMENT OF MILITARY SCIENCE AND TACTICS

    CAVITE STATE UNIVERSITY (IMUS CAMPUS) ROTC UNIT


    402ND (CAV) CDC, 4TH RCDG, ARESCOM
    Cavite Civic Center Palico IV, Imus Cavite

    ROTC REGISTRATION FORM


    *Student No:_202211125_________ MS:_1______ Date:_10-13-
    22________
    Name:___JAVISON_______ROWIE ANN ________________SANTILLAN___________________
    (Last Name) (First Name) (Middle Name)
    Temporary Address: If living in temporary. e.g. boarding house):
    No/St/Vill/Brgy:___N/A___________________________________
    Municipality:____N/A____________________________________
    Province:_____N/A_____________________________________
    Telephone/Cell Number:__09677793834_______________
    *Course:_BSHM______ Last School attended:___PCU
    DASMARINAS________________ Religion:__CATHOLIC_______
    *Contact #:09677793834___________ *Date of Birth:_SEPTEMBER 29,
    2003__________ *Place of Birth:_PARANAQUE___________
    *Height:_5’0___feet *Weight:_46__kg Complexion:_FAIR SKIN_____ *Blood
    Type:_0+__ *Gender:_FEMALE___
    *Permanent Address:
    No/St/Vill/Brgy:_BLK 10 LOT 16 SATURDAY ST. SUNNYDALE HOMES
    SABANG______________________________________________

    Municipality:__DASMARINAS___________________________________________
    ______
    Province:
    CAVITE_____________________________________________________
    Telephone/Cell Number:
    09677793834_________________________________________
    *Father:__ROWEN M. JAVISON_____________________________
    *Occupation:_JEEPNEY OPERATOR__________________
    *Mother:__CRESTITA S.
    JAVISON_____________________________*Occupation:_HOUSEWIFE________
    __________
    *Person to notify in case of emergency:
    *Name:__CRESTITA S.
    JAVISON_____________________________*Relationship:_MOTHER___________
    _______
    *Address:_BLK 10 LOT 16 SATURDAY ST. SUNNYDALE HOMES SABANG
    DASMARINAS CAVITE_____________________________________*Tel
    No:_09977110314______________
    Military Science Completed:
    MS SEMESTER SCHOOL YEAR GRADE REMARKS

    (Signature of Student) MARK GIL G PABLO


    2LT (RES) PA
    Tactical Officer
    --------------------------------------------------------------------------------------------------------------------------------
    DEPARTMENT OF MILITARY SCIENCE AND TACTICS
    CAVITE STATE UNIVERSITY (IMUS CAVITE) ROTC UNIT

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