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    NEU Ruby Ann Gollena GSPIS

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    Ruby Ann Gollena
    This document is a general student personal information sheet for Ruby Ann Gollena, who is enrolling in the Bachelor of Science in Medical Technology program at New Era University. It provides details about her personal information like name, date of birth, address, family, education history, skills and references. The sheet confirms she is 18 years old, single, from Bulan, Sorsogon and will be starting her 1st year of study in the 2020-2021 school year.

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    NEU Ruby Ann Gollena GSPIS

    Uploaded by

    Ruby Ann Gollena
    68 views2 pages
    This document is a general student personal information sheet for Ruby Ann Gollena, who is enrolling in the Bachelor of Science in Medical Technology program at New Era University. It provides details about her personal information like name, date of birth, address, family, education history, skills and references. The sheet confirms she is 18 years old, single, from Bulan, Sorsogon and will be starting her 1st year of study in the 2020-2021 school year.

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    This document is a general student personal information sheet for Ruby Ann Gollena, who is enrolling in the Bachelor of Science in Medical Technology program at New Era University. It provides details about her personal information like name, date of birth, address, family, education history, skills and references. The sheet confirms she is 18 years old, single, from Bulan, Sorsogon and will be starting her 1st year of study in the 2020-2021 school year.

    Copyright:

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

    NEU Ruby Ann Gollena GSPIS

    Uploaded by

    Ruby Ann Gollena
    This document is a general student personal information sheet for Ruby Ann Gollena, who is enrolling in the Bachelor of Science in Medical Technology program at New Era University. It provides details about her personal information like name, date of birth, address, family, education history, skills and references. The sheet confirms she is 18 years old, single, from Bulan, Sorsogon and will be starting her 1st year of study in the 2020-2021 school year.

    Copyright:

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

    NEW ERA UNIVERSITY

    No. 9 Central Ave. New Era, Quezon City

    GENERAL STUDENT PERSONAL INFORMATION SHEET


    (GSPIS)
    Date(YYYY-mm-dd) : 2020-06-22 Term : 1st Sem
    STATUS : New        [photo 2x2]
    DEGREE : Baccalaureate    
     
    TEMP. STUDENT ID # : 20058516
    STUDENT ID # :
    COURSE/YEAR : Bachelor of Science in Medical Technology / 1 Year         School Year - 2020 - 2021
    CURRICULUM YEAR : 2019 - 2020
     
    I - PERSONAL DATA
    Last Name :GOLLENA First Name :RUBY ANN Middle Name: PACRES
    Name in Native Language Character :Tagalog
     Religion : Iglesia Ni
    Gender : Female             Nationality : Filipino
    Cristo
    If Alien/Foreigner, ACR No. :  
    Age : 18 yrs. old                    Date of Birth :9/2/2001 Place of Birth : LAHONG,BULAN,SORSOGON
    Civil Status : Single
    If Married:
                   Woman : State Maiden's Name :
                   Man      : Name of Spouse        :
                   No. of children :  0
                   Birth Order :         0
     
    I B - ALIEN STATUS DATA (for alien/foreigner student only)
    Visa Status Authorized Stay  
     
    Passport number Place of Issue Expiration Date

    ACR No Date of Issue Expiration Date

    CRTS No Date of Issue Expiration Date

         
    II - RESIDENCE DATA
    Home Address:
    House No./Street/Barangay : LAJONG City/Municipality : BULAN
    Province/State : SORSOGON Country : Philippines
    Zipcode : 4706 Telephone Nos.:
     
    Current Contact Address:
    Contact Person/Guardian Name : JOVITA GOOLENA Relation :
    Apartment Name/House No./Street/Barangay : LAJONG
    City/Municipality : BULAN Province/State : SORSOGON Country : Philippines
    Zipcode : 4706 Telephone Nos.: 09086157945
    Email Address :
     
    Emergency Contact Data: (if not same as above)
    Contact Person Name : jovita gollena Relation : brgy.lahong bulan sor.
    Apartment Name/House No./Street/Barangay purok 3 brgy.lahong
    City/Municipality : bulanemergency Province/State :sorsogon Country : Philippines
    Zipcode : 4706 Telephone Nos.:09086157945
     
    III - PHYSICAL DESCRIPTION
    Height :5 Weight :56 Built :28 Eyes :black Hair :black Complexion :natural268
    Other Distinguishing Features :none
    Physical Handicap or Disability (if any) :none
     
    IV - FAMILY DATA
    Parents:
    Father’s Name :Roque Gollena Occupation :bus driver
    Company Name :Telephone Nos.:09362467021
    Company Address :Batangas city
    Father’s Email Address :none
    Mother’s Name :Jovita Gollena Occupation :Secretary
    Company Name : Telephone Nos. :0565552649
    Company Address :Padre diaz street Bulan Sorsogon
    Mother’s Email Address :none
     
    Brother(s)/Sister(s):
    NAME COURSE/OCCUPATIONSCHOOL/COMPANY
           
     
    V - EDUCATIONAL BACKGROUND
     
     COURSE/YEAR
       NAME  HONORS/AWARDS
    GRADUATED
    Bulan North Central
    Elementary 2013-2014  
    School-B
    High Bulan National High
    2019-2020   with honors
    School School
    College   
    Post
      
    Graduate
    Vocational   
     
    VI – GENERAL QUALIFICATION
     
    Languages: VISAKOL,TAGALOG,ENGLISH
    Hobbies: ,GAMING,READING
    Skills : COOKING
    Talents : COOKING
    Sports : BADMINTON
    Honors/Awards/Merits: (ex. "Model Student, 1990") : NONE
    Extra-Curricular Activities : (Organizations, Clubs, etc) : NONE
     
    VII – REFERENCES
     
    Write two or three references who can vouch or guarantee for your total behavior.
    NAME ADDRESS  
    MARJUNE CHUA PADRI DIAZ ST, ZONE 4 BULAN SORSOGON
    LAWRENCA DE GUZMAN SAN RAFAEL BULAN SORSOGON
       
       
       
    I HEREBY CERTIFY that the foregoing answers are true and correct to the best of my knowledge and belief.
     
     
     
     
        _________________________________________
                          Student’s Signature

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