18.student Information Sheet

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Republic of the Philippines

CAMARINES SUR POLYTECHNIC COLLEGES


Nabua, Camarines Sur
ISO 9001:2008 (054) 288-4421 loc. 144 CSPC-F-COL-18
File Code: 12.10.19.5
Control
VISIONNo.: ______
Polytechnic education at its best for the
Bicolanos.

MISSION
Transforming lives to be free of poverty
by creating a better future through world STUDENT INFORMATION SHEET
class polytechnic education and
technological innovation.

CSPC shall: PERSONAL DATA:


 Provide world class polytechnic
education that shapes
professionals with character and Name: ______________________________________________________
expertise toward sustainable Status: ______________________ Nationality: _______________
livelihoods and better lives,
 Promote a strong research culture Course: ______________________________ Year & Sec: ______________
to generate solutions and Major: ______________________ Length of Course in Years:
technologies for a vibrant local ___________
industry.
 Engage communities in meaningful City Address: _______________________________________________
partnerships for sustainable urban Provincial Address: ____________________________________________
and rural development.
 Work together with global Date of Birth: ____________ Place of Birth: ___________________________
stakeholders to pursue its regional Age: ____________ Sex: ___________ Height: __ TIN: _________________
leadership in polytechnic education
and research. Physical Disability, if any: ___________________________________
QUALITY POLICY

The CSPC commits to provide the


FAMILY BACKGROUND:
highest standards in total customer
satisfaction in accord with legal and
statutory requirements, current and future Father’s Name: _________________ Occupation: _______________
needs of clients and stakeholders by Mother’s Name: _________________ Occupation: _______________
sustaining good governance conditions
Address of Parents: ___________________ Tel. No. ___________________
and continual improvement of its quality
management system.
SCHOOL DATA:
CCS Goals and Objective: Name of School: Camarines Sur Polytechnic Colleges
Produce globally skilled, ethically upright Training Coordinator: Kezia Abegail T. Velasco Tel. No. 09094815289
and socially responsible computing School Address: San Miguel, Nabua, Camarines Sur____________________
professionals adaptable to technological Head of School: Dr. Charlito P. Cadag Tel. No. 288-44-21 to 23_______
and social changes, responsive to
sustainable development of the region
and beyond.
IN CASE OF EMERGENCY, NOTIFY:

Name: ____________________________Relationship: __________________


Address: __________________________ Tel. No. _____________________

I hereby certify that the data given above are true and correct to the best of my
knowledge and belief.

_________________
Signature of Student

___________________
Printed Name of Student

Date Accomplished: ___________________

Effectivity Date: February 2013 Rev.0 Page 1 of 1

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