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    FM CE 17 03 Lecturer Profile

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    almira layugan
    The document outlines a lecturer profile form used by a university center for continuing education. The form collects personal and academic details as well as notice and consent from lecturers regarding use of their information.

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    © All Rights Reserved
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    FM CE 17 03 Lecturer Profile

    Uploaded by

    almira layugan
    6 views2 pages
    The document outlines a lecturer profile form used by a university center for continuing education. The form collects personal and academic details as well as notice and consent from lecturers regarding use of their information.

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    The document outlines a lecturer profile form used by a university center for continuing education. The form collects personal and academic details as well as notice and consent from lecturers regarding use of their information.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    6 views2 pages

    FM CE 17 03 Lecturer Profile

    Uploaded by

    almira layugan
    The document outlines a lecturer profile form used by a university center for continuing education. The form collects personal and academic details as well as notice and consent from lecturers regarding use of their information.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    LECTURER PROFILE Document No.

    : FM-CE-17-03
    Center for Continuing Education and Special Competencies Effective Date: March 23, 2020

    Personal Background

    Name:
    Picture
    Address:

    Contact Nos.:

    Position:

    No. of Years in Service: Employment Status:

    Employment Other than Mapua:

    SSS Number : TIN Number:

    Date of Birth : Citizenship

    Civil Status : Nationality:

    Email Address :

    Academic and Professional Attainment

    Bachelor:

    Masters:

    Doctorate:

    If PhD on going, state the no. of units

    Post-Doctorate:

    PRC details:

    Specialization:

    Credentials:

    Other Certification Exam Passed


    Trainings / Seminars Attended:

    Professional Experiences:
    NOTICE and CONSENT

    “All information shall be used by the University for legitimate purposes specifically for trainer’s accreditation
    and shall be processed by authorized personnel in accordance with the Data Privacy Policies of the University”.

    “I hereby allow/authorize CCESC to use, collect and process the information for legitimate purposes
    specifically for trainer’s accreditation, and allow authorized personnel to process the information”.

    “I agree to be a lecturer of Mapua CCESC”.

    _________________________________
    Signature over Printed Name

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