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Student Picture

FORM3_STUDENT PROFILE:
SEAMEO TVET Exchange Programme – Virtual TVET Student Exchange
(1st Batch in 2022)

For Students: Please fill out this form by “TYPING” – Please do not use handwriting on
this form. Please submit this form to your Coordinating Teacher and include a photo and a
copy of the latest transcript and TOEFL/IELTS score (if available).

For Coordinating Teachers: Please submit the filled-out form directly to your partner
institution. Submission of the form to SEAMEO is not required.

1. Given Name: WILMA Family Name: RELENTE

2. Name of Institution:
CAPIZ STATE UNIVERSITY PILAR SATELLITE COLL

3. Country: PHILIPPINES
4. Current Education Level THIRD YEAR COLLEGE

5. Major Area of Study BACHELOR IN SCIENCE OF

HOSPITALITY MANAGEMENT

6. Current Academic Performance Your grade point average

7. Gender: 8. Student Nationality: FILIPINO

Male
✘ Female
Other

9. Date of Birth: 18/ 12/ 2000 10. Age: 21

11. Details of Coordinating Teacher:

Name: MR. RANDOLPH DELFIN
Position: COLLEGE EAL CHAIR
Mobile/WhatsA: +639088174228
Email: rvdelfin@capsu.edu.ph
Line ID (Optional): Click or tap here to enter text.

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12. Student’s Contact Details:
Home Address: NATIVIDAD PILAR CAPIZ
Home Telephone Number: Click or tap here to enter text.
Mobile/WhatsApp: +639385230030
Line ID (Optional): Click or tap here to enter text.

13. In Case of Emergency, Notify to:

Name: MERLINDA BAÑES
Address: NATIVIDAD PILAR CAPIZ
Relationship: AUNT
Tel: 09124295242

14. Proficiency in Language/s: (Please check ✘ one box per category)

Speaking Writing Reading

Language Good Fair Poor Good Fair Poor Good Fair Poor
English ☐ ☒ ☐ ☒ ☐ ☐ ☒ ☐ ☐
Others, please ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
specify
Others, please ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
specify
Others, please ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
specify
15. Work/Internship Experience:
Company Country Period Position Responsibilities

Month/ Year to
Click or tap here to enter text. Click or tap here to enter text.
Month/ Year Click or tap here to enter text.
Click or tap here to enter text.

Month/ Year to
Click or tap here to enter text. Click or tap here to enter text.
Month/ Year Click or tap here to enter text.
Click or tap here to enter text.

Month/ Year to
Click or tap here to enter text. Click or tap here to enter text.
Month/ Year Click or tap here to enter text.
Click or tap here to enter text.

Month/ Year to
Click or tap here to enter text. Click or tap here to enter text.
Month/ Year Click or tap here to enter text.
Click or tap here to enter text.

16. Computer Skills:

Programme Good Fair Poor None
MS-Word ☒ ☐ ☐ ☐
MS-Excel ☐ ☒ ☐ ☐
MS-PowerPoint ☒ ☐ ☐ ☐
MS-Project ☐ ☒ ☐ ☐
Web Design ☒ ☐ ☐ ☐
Graphic Design ☐ ☒ ☐ ☐
Programming ☐ ☒ ☐ ☐

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 Database Design ☒ ☐ ☐ ☐

Data Analytics ☐ ☒ ☐ ☐

Others (Please specify): ☐ ☐ ☐ ☐

17. Please identify topics related to
your study area on which you For example: You might want to focus on a specific subject withi
would like to focus on during
the exchange:

18. Please identify a specific

professional skill you would For example: You might like to improve communicating with cus
like to exercise during the
exchange:

19. Specific Research Area or Field

of Interest for a Project you This can be related to the above. You can suggest a project you m
would like to do (optional):

20. I, the student, certify that the above statements made by me in answer to the
foregoing questions are true and complete to the best of my knowledge and belief,
and that I have read and intend to comply with the objectives and conditions of the
exchange programme as attached.

………. ………. ……….06-01-22….......

Signature Date

After completing the Student Profile Form, please submit the signed form to your
Coordinating Teacher with the following attachments
 A copy of your updated transcript in English language
 A copy of TOEFL/IELTS (if available)

Remarks for Coordinating Teachers:

After selecting/screening students for the 1st Batch of the Virtual SEAMEO TVET Student
Exchange in 2022, the coordinating teachers should submit the Student Profile Form
directly to the partner institutions with the transcript and recent TOEFL or IELTS Scores (if
it is available).

Additional information/clarification, please contact Mr. Ansgar Schaefer at email:

tvetexchange@seameo.org.

Thank you very much