CONFIDENTIAL

HEADQUARTERS
CENTRAL MINDANAO UNIVERSITY NSTP- ROTC UNIT
DEPARTMENT OF MILITARY SCIENCE AND TACTICS FIXED & PROPER
1003rd CDC, 10th RCDG, RESCOM, PA
2X2 PICTURE
University Town, Musuan, Maramag, Bukidnon

CMUROTCU2 04/29/2023
Date

HUMAN SOURCE DATA REPORT (HUSDAR)

DELA CRUZ JOSE DELOS SANTOS

(Surname) (First Name) (Middle Name)
Cover Name/Aliases: DODONG Date of Birth: 11/10/2000
Place of Birth: PROVINCIAL HOSPITAL MALAYBALAY CITY
Present Address: COLLEGE PARK, MUSUAN, MARAMAG BUKIDNON
Past Address: CASISANG, MALAYBALAY CITY, BUKIDNON

GENERAL INFORMATION:
Mobile Phone Number: 09xxxxxxxxx Email Address: juandelacruz@gmail.com
Sex: MALE Civil Status: SINGLE Religion: ROMAN CATHOLIC
Blood Type: B Occupation: N/A
Employment Address: N/A
TIN No: N/A GSIS/SSS Policy No: N/A
Pag-Ibig No: N/A Phil Health No: N/A
Complexion: BROWN SKIN Built: Race: FILIPINO
Color of Hair: BLACK Weight: 60 KG General Appearance: AVERAGE
Identification Characteristic: N/A
Physical Abnormalities: N/A
Language/Dialects: BISAYA, TAGALOG AND ENGLISH
Other Distinguishing Features: N/A
In case of Emergency Contact: INDAY DELA CRUZ Relation: MOTHER
Education: UNDERGRADUATE STUDENT Foreign Training: N/A
Name of School:
Elementary: AIRPORT VILLAGE ELEMENTARY SCHOOL Year Graduated: 2013
High School: BUKIDNON NATIONAL HIGH SCHOOL Year Graduated: 2018
College: CENTRAL MINDANAO UNIVERSITY Year Graduated:
Post Graduate: N/A
Ethic Origin: CEBUANO
Profession: STUDENT

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Place of Employment: N/A

FAMILY BACKGROUND:
Name of Spouse: N/A Contact No: N/A
Address: N/A
Profession: N/A
Children:
Name Age DOB/POB

PERSONAL IDENTIFICATION
(Fingerprint Chart)
RIGHT HAND

LEFT HAND

Date/Place or Recruitment: 04/29/2023

Signature/Specimens:

NOTED BY:

CDT LTC JEE LYCA C JORQUIA 1CL LTC MANOLITO D SANTOS (MI) PA
(Agent Handler) (Intel Officer/CDC Director)

CONFIDENTIAL