Photo

1x1

COLLEGE OF SCIENCE
Student Information Sheet Photo
1x1

PERSONAL DATA:

Name: Lozano,Justine S. Student No. 2022032263

Course: Engineering Specialization: Electrical Year & Section: 1st EE-1B

Civil Status: Single Nationality:. Filipino

Residence: Pleasant Village San Pablo Malolos Bulacan Contact No.: 09350724546

Date of Birth: September 08, 2003 Place of Birth: Hagonoy Bulacan

Age: 18 Gender: Male Height: 169 cm Weight: 51 kg

Physical Disability, if any:

FAMILY BACKGROUND:

Father’s Name: Jonathan M. Lozano Occupation: Self Employed

Mother’s Name: Ritchie S. Lozano Occupation: Housewife
Address of Parents : Pleasant Village San Pablo Malolos Bulacan Contact No: 09169221067

IN CASE OF EMERGENCY, PLEASE NOTIFY:

Name: Ritchie S. Lozano Relationship: Mother

Address: : Pleasant Village San Pablo Malolos Bulacan Contact No.: 09169221067

I HEREBY CERTIFY THAT THE INFORMATION STATED ABOVE ARE TRUE

AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF.

Signature of Student

Date Accomplished: 08/30/22