Sample Husdar
Sample Husdar
Sample Husdar
HEADQUARTERS
CENTRAL MINDANAO UNIVERSITY NSTP- ROTC UNIT
DEPARTMENT OF MILITARY SCIENCE AND TACTICS FIXED & PROPER
1003rd CDC, 10th RCDG, RESCOM, PA
2X2 PICTURE
University Town, Musuan, Maramag, Bukidnon
CMUROTCU2 04/29/2023
Date
GENERAL INFORMATION:
Mobile Phone Number: 09xxxxxxxxx Email Address: [email protected]
Sex: MALE Civil Status: SINGLE Religion: ROMAN CATHOLIC
Blood Type: B Occupation: N/A
Employment Address: N/A
TIN No: N/A GSIS/SSS Policy No: N/A
Pag-Ibig No: N/A Phil Health No: N/A
Complexion: BROWN SKIN Built: Race: FILIPINO
Color of Hair: BLACK Weight: 60 KG General Appearance: AVERAGE
Identification Characteristic: N/A
Physical Abnormalities: N/A
Language/Dialects: BISAYA, TAGALOG AND ENGLISH
Other Distinguishing Features: N/A
In case of Emergency Contact: INDAY DELA CRUZ Relation: MOTHER
Education: UNDERGRADUATE STUDENT Foreign Training: N/A
Name of School:
Elementary: AIRPORT VILLAGE ELEMENTARY SCHOOL Year Graduated: 2013
High School: BUKIDNON NATIONAL HIGH SCHOOL Year Graduated: 2018
College: CENTRAL MINDANAO UNIVERSITY Year Graduated:
Post Graduate: N/A
Ethic Origin: CEBUANO
Profession: STUDENT
CONFIDENTIAL
CONFIDENTIAL
PERSONAL IDENTIFICATION
(Fingerprint Chart)
RIGHT HAND
LEFT HAND
Signature/Specimens:
NOTED BY:
CDT LTC JEE LYCA C JORQUIA 1CL LTC MANOLITO D SANTOS (MI) PA
(Agent Handler) (Intel Officer/CDC Director)
CONFIDENTIAL