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SOCIO-DEMOGRAPHIC PROFILE

Child’s Name: Sophia Claire B. Samson Sex:F Date of Birth:07/21/2016

Address: 1032 Block 3 District 6 Puntod Cagayan De Oro City

Father’s Name: Windy S. Samson Jr. Age:35 Occupation: Electrician

Contact Number: 09054017348 Educational Attainment: College

Mother’s Name:Catherine B. Samson Age:37 Occupation:Sales Clerk

Contact Number:09267726278 Educational Attainment:College

Child’s Number of Siblings:n/a

Child’s Birth order:n/a

Child’s Email Add:sophiaclairesamson21@gmail.com

Parent’s Email:windysamson86@gmail.com

Child’s Handedness: (Check Appropriate Box)

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KATHERINE T. DUAT
ODL Teacher

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