FORM #2

Junior Chamber International Philippines

Developing Leaders for a Changing World
14 Don A. Roces Avenue, Quezon City
Tel/Fax 3744138
Email:NOM@philjaycees.com

2022 LOCAL ORGANIZATION PRESIDENT

Personal Data Sheet

Name of Local Organization: JCI BOUGAINVILLEA Region:_WESMIN 2 Area: 5

PERSONAL INFORMATION

NAME: CANOY KATHERINE M NICKNAME: KATE

Last First M.I.
Email Address: Katherine.m.canoy@gmail.com Mobile No.: 09176693100

ADDRESS:
RESIDENCE : Montezum Heights, Canelar Moret, Zamboanga City
TEL. NO : 09176693100
OFFICE: City Health Office , Rizal Street Zamboanga City
TEL. NO.:(062) 991-3780 Fax NO. : n/a

AGE :::39 BIRTHDATE :September 21, 1982 BIRTHPLACE ZAMBOANGA CITY

NATIONALITY:FILIPINO CIVIL STATUS: SINGLE
EDUCATIONAL BACKGROUND:

SCHOOL COURSE YEAR GRADUATED

Grade School BALIWASAN CENTRAL SCHOOL_ INTERMEDIATE 1992
High School or DONPABLO LORENZO MEMPRIAL HIGH SCHOOL SECONDARY 1996
Trade School
College/University WESTERN MINDANAO STATE UNIVERISTY BACHELOR IN SCIENCE IN BIOLOGY 2000
Vocational/GRADUATES:
OCCUPATIONAL AND PROFESSIONAL DATA:

Occupation or Profession CITY HEALTH SURVEILANCE OFFICER Company:CITY HEALTH OFFICE

Business address:RIZAL STREET ZC Telephone No (0762) 991-3780
Line of business: ( ) Owned ( / ) On Employment
Product Lines : HEALTH
Position presently held:JANUARY 01, 2021

JCI MEMBERSHIP RECORD :

Date Inducted : JAN 1 2020

HIGHEST POSITION HELD PERIOD HELD

IN LO : LO PRESIDENT 2022
IN AREA : _________________________________________ _______________________________
IN REGION : _________________________________________ _______________________________
IN NOM : _________________________________________ _______________________________

Note: Please attach 2 pieces of 2x2 photo.

KATHEINE M. CANOY
(Signature over Printed Name)
LO President
Date:11/09/2021