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Republic of the Philippines Form No.

:FM-DPM-CFCST-IIS-01
COTABATO FOUNDATION COLLEGE OF SCIENCE AND TECHNOLOGY Issue Status
Revision No.
: 01
: 00
Barangay Doroluman, Arakan, Cotabato Date Effective
Approved
: 25 May 2022
: President
Contact No. +639685331496 / +639670025670
Email Address: admin@cfcst.edu.ph Website: www.cfcst.edu.ph

OFFICE OF THE GUIDANCE SERVICES


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INDIVIDUAL INVENTORY FORM here

Direction: Please fill-up the form with correct information. Write legibly. Do not leave any space unanswered.

Complete Name: ____________________________ Present Address: ___________________________


Course: ____Year level: ___ Academic Status: ( ) Reg.Student ( ) Irreg.student ( ) Earning units
Permanent Address: ______________________ Religion: _______________ Tribe: _________________
Birth Date: ________________ Place of Birth: ___________________________ Age: ________________
Gender: _________________ Civil Status: ___________________
If married: __________________________ _________________________ ________________________
(Husbands/Wife’s name) (Occupation) (Number of Children)

Parents Name: (Father) _____________________________ Occupation ________________________


(Mother) ____________________________ Occupation ________________________
Where do you live? ( ) Orphanage ( )Parents house ( ) Relatives house ( ) Boarding house
If living with relatives or in boarding house please write the name of the owner:
Are you a scholar? ( ) Yes ( ) No If yes, type of scholarship: _________________________________
Elementary School: ________________________________ Address: _____________________________
High School: ______________________________________ Address: _____________________________
School Last Attended: _____________________________ Address: _____________________________
Are you a member of any fraternity? ( ) Yes ( ) No If yes, writes the name of the fraternity/sorority:
_____________________________________
Contact Number: ____________________________ Parents Contact: __________________________
Guardians Contact Number: _____________________________________

___________________________
Student’s Signature

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