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PERSONAL DATA SHEET

Name

_________________________________________

Address

_________________________________________

Tel. No.

_________________________________________

PICTURE

Date of Birth

_________________________________________

Birth Place

_________________________________________

Height

_________________________________________

Weight

_________________________________________

Religion

_________________________________________

Citizenship

_________________________________________

Marital Status

_________________________________________

Fathers Name

_________________________________________

Occupation

_________________________________________

Mothers Name

_________________________________________

Occupation

_________________________________________

Language / Dialect Spoken

_________________________________________

EDUCATIONAL BACKGROUND
Elementary

_________________________________________ Year :

___________

High School

_________________________________________Year

___________

College

_________________________________________Year

___________

Course

_________________________________________

Special Skills

_________________________________________

Person to Contact in Case of Emergency:

_________________________________________

I hereby certify that all data entered in the above are true and correct.
_______________________________
Signature

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