Generated: June 20, 2022 - 09:23:28 pm

Admission Information - 59411- 1st semester 2022-2023

Campus - CvSU-
Bacoor Entry: New Type: K12 (SHS Applicant Type: Filipino
Graduate/Graduating)
Strand: HUMSS
LRN: 121989090022
Preferred Course:
BSP
Final Average: 92.10
1st Quarter: 94.6 2nd Quarter: 87.33 3rd Quarter: 94.62 4th Quarter: 91.87
Personal Information
Name: HUSAYAN, JAMES JADER TALLE Sex: Male
Address: #13 Zone 1, Zapote V, Bacoor, CAVITE ,4102
Email: husahussyjams@gmail.com Mobile#: 09951448042
Birthdate: 2003-09-17 Nationality: Filipino Civil Status: Single
PWD: No Indigenous: No
Family Background
Contact Occupation
Father: Federico Husayan Construction
Worker
Mother: Zenaida Husayan Housewife
Guardian: Zenaida Talle Husayan 09267435541 Housewife
Educational Background
Elementary Tagbubunga, Villaba
Tagbubunga Elementary School Leyte 2015 Public
High School Public
Las Pinas East National High School KASOY ST., VERDANT ACRES 2020
SUBD., PAMPLONA TRES, LAS
PIÑAS CITY
Senior High School
St. Augustine School of Nursing 165 Alabang–Zapote Rd, Las 2022 Public
Piñas, 1740 Metro Manila
Medical History Information Medications:
Medical Condition/s: To be filled up by the OSAS/Guidance Staff
I hereby certify that all the information stated above are true and
correct as to the best of my knowledge. I hereby give consent for my
SUBMITTED REQUIREMENTS
personal data included in my offer to processed for the purposes of __ 2 copies of 1x1 ID Picture with name tag
admission and enrollment in accordance with Republic Act 10173 __ Short ordinary folder
Data Privacy Act of 2012. New Student (SHS,ALS)
__ Certified True Copy of G12 report/Certificate of ALS Rating
Assessed by:___________________________
Control No.:59411

Signature over printed name

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