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Student Profile

This document is a student profile form that collects personal information such as name, birthdate, address, contact details, parents' names and occupations, monthly income, preferred university or college, and first and second preferred courses of study. It instructs the student to write in capital letters using black ink and provide legible and accurate information consistent with their PSA record. It includes spaces for the student's signature and ID picture.
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0% found this document useful (0 votes)
37 views1 page

Student Profile

This document is a student profile form that collects personal information such as name, birthdate, address, contact details, parents' names and occupations, monthly income, preferred university or college, and first and second preferred courses of study. It instructs the student to write in capital letters using black ink and provide legible and accurate information consistent with their PSA record. It includes spaces for the student's signature and ID picture.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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STUDENT PROFILE

SY 2021 -2022
Write in CAPITAL LETTERS. Use BLACK INK. Write Legibly. Make sure that all the data are correct and
consistent with your PSA record.

LRN: Age:
First Name:
Middle Name:
Last Name:
Birth date (MM/DD/YYYY) eg. 05/03/1991: / /
Birth place:
Address:
Contact No.:
Email Address: ______________________________________

Mother’s Full name: _________________________________________________________


Mother’s Occupation: ________________________________
Mother’s Monthly Income: ___________________________
Mother’s Contact Number: ___________________________

Father’s Full name: _________________________________________________________


Father’s Occupation: ________________________________
Father’s Monthly Income: ___________________________
Father’s Contact Number: ___________________________

Preferred University / College: _______________________________________________


1st Preferred Course: ________________________________________________________
2nd Preferred Course: ________________________________________________________

1x1
Affix Signature inside the box ID Picture

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