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    Personal History Mis

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    melvin.pamplona
    This document contains a personal history statement for student trainee Melvin Arquero Pamplona. It provides details such as his name, age, address, family background, school information, and emergency contact. Pamplona is a 23 year old male from Batangas City pursuing a BS in Information Technology at Golden Country Homes in Batangas City. The statement collects his personal information for his 500 hour on-the-job training program.

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    Personal History Mis

    Uploaded by

    melvin.pamplona
    22 views1 page
    This document contains a personal history statement for student trainee Melvin Arquero Pamplona. It provides details such as his name, age, address, family background, school information, and emergency contact. Pamplona is a 23 year old male from Batangas City pursuing a BS in Information Technology at Golden Country Homes in Batangas City. The statement collects his personal information for his 500 hour on-the-job training program.

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    PERSONAL HISTORY MIS

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    This document contains a personal history statement for student trainee Melvin Arquero Pamplona. It provides details such as his name, age, address, family background, school information, and emergency contact. Pamplona is a 23 year old male from Batangas City pursuing a BS in Information Technology at Golden Country Homes in Batangas City. The statement collects his personal information for his 500 hour on-the-job training program.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    22 views1 page

    Personal History Mis

    Uploaded by

    melvin.pamplona
    This document contains a personal history statement for student trainee Melvin Arquero Pamplona. It provides details such as his name, age, address, family background, school information, and emergency contact. Pamplona is a 23 year old male from Batangas City pursuing a BS in Information Technology at Golden Country Homes in Batangas City. The statement collects his personal information for his 500 hour on-the-job training program.

    Copyright:

    © All Rights Reserved
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    Download as docx, pdf, or txt
    of 1

    Reference No.: BatStateU-FO-OJT-02 Effectivity Date: May 18, 2022 Revision No.

    : 02

    “1X1”
    STUDENT TRAINEE’S PERSONAL HISTORY STATEMENT
    PICTURE

    Student Information

    NAME: PAMPLONA MELVIN ARQUERO

    LAST FIRST MIDDLE

    AGE:23 SEX: MALE ☐ FEMALE

    HEIGHT: 178cm WEIGHT: 122kg COMPLEXION:TAN

    DISABILITY(IF ANY)

    BIRTHDATE: BIRTHPLACE:

    1 1 2 3 0 0 MALOLOS CITY, BULACAN

    m m d d y y

    CITIZENSHIP:FILIPINO CIVIL STATUS:SINGLE

    PRESENT ADDRESS: DUMUCLAY SOUTH, BATANGAS CITY TEL. NO. (043) 781 3070

    PROVINCIAL ADDRESS: DUMUCLAY SOUTH, BATANGAS CITY TEL. NO. (043) 781 3070

    Family Background (if parents are deceased, give data for the nearest relative and indicate relationship to applicant)

    FATHER’S NAME: NOEL P. PAMPLONA OCCUPATION: FINANCIAL ADVISOR

    MOTHER’S NAME: MARLYNE A. PAMPLONA OCCUPATION: HOUSEWIFE

    ADDRESS OF PARENTS: DUMUCLAY SOUTH, BATANGAS CITY TEL. NO.: (043) 781 3070

    GUARDIAN’S NAME: TEL. NO.:

    SCHOOL INFORMATION

    PROGRAM: BS IN INFORMATION TECHNOLOGY YEAR LEVEL: 4TH YEAR

    MAJOR: NETWORK TECHNOLOGY LENGTH OF PROGRAM: 500 HOURS

    SCHOOL ADDRESS: GOLDEN COUNTRY HOMES, ALANGILAN, BATANGAS


    DEPARTMENT: COLLEGE OF INFORMATICS AND COMPUTING SCIENCES
    CITY

    OJT COORDINATOR: MS. RIA L. CASTILLO TEL. NO.: 09989899301

    OJT HEAD: ENGR. ADRIAN FERDINAND M. MELO TEL. NO.: 09218982774

    DEAN: DR. PRINCESS MARIE B. MELO TEL. NO.: 09209732337

    In case of emergency, notify

    NAME: NOEL P. PAMPLONA RELATIONSHIP: FATHER

    ADDRESS: DUMUCLAY SOUTH, BATANGAS CITY TEL. NO.: 09173276028

    Pursuant to Republic Act No. 10173, also known as the Data Privacy Act of 2012, the Batangas State University, the National Engineering University, recognizes its commitment to protect and respect the
    privacy of its customers and/or stakeholders and ensure that all information collected from them are all processed in accordance with the principles of transparency, legitimate purpose and proportionality
    mandated under the Data Privacy Act of 2012.

    I hereby certify that the foregoing answers are true and correct to the best to my knowledge, belief and ability.

    Signed at: Dumuclay, Batangas City Date:

    ____________Melvin A. Pamplona_____________
    Applicant’s Signature over Printed Name

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