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This document contains a ROTC registration form for Sonny Magpayo Estrella, a student at Balanga Peninsula State University majoring in BSEd- Values Education. The form provides his personal details like name, date of birth, address, family information, military science completed, and certification from the Commandant that he is registered for the ROTC program. Estrella indicates he is willing to take the advanced ROTC course.

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Sonny Estrella
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35 views

Documents

This document contains a ROTC registration form for Sonny Magpayo Estrella, a student at Balanga Peninsula State University majoring in BSEd- Values Education. The form provides his personal details like name, date of birth, address, family information, military science completed, and certification from the Commandant that he is registered for the ROTC program. Estrella indicates he is willing to take the advanced ROTC course.

Uploaded by

Sonny Estrella
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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NO.

_____
H E A D Q U A R T E R S DEPARTMENT OF MILITARY SCIENCE AND TACTICS
BATAAN PENINSULA STATE UNIVERSITY, NSTP, ROTC UNIT
305TH (BAT) COMMUNITY DEFENSE CENTER, 3RD RCDG, RESCOM, PA
Balanga City, Bataan

ROTC REGISTRATION FORM (PRINT


ALL ENTRIES)

Student No: ___22-02119_____________MS: ______2________Date: _______________________

Last Name: E S T R E L L A J R

First Name: S O N N Y

Middle Name: M A G P A Y O

Course/Major: ___BSEd- Values Education_________________________________________________


Gender: ______Male__________
School: __Balanga Campus_____
Date of Birth: ________January 25 1993_
Place of Birth: _____Balanga City, Bataan
Religion: _Christian (Born Again)_ Blood Type: ____O____ Height: ____5’8”__ Weight: ___42_____

Permanent Address:
No/St/Vill/Brgy: ___462 Lati,Omboy_________________________________________________________
Municipality/City: __________Abucay ______________________________________________________
Province: _____Bataan____________________________________________________________
Telephone/Cell No.: 09193862308

Father: _________Sonny V.Estrella_________________________Occupation: ____Deceased_______


Mother: _________Teresita Magpayo Estrella_________________ Occupation: __Canteen Personel___

Person to be notify in case of emergency:


Name: ______Teresita Estrella_____________________ Relationship: ______Parent___________
Address: ___462 Lati, Omboy, Abucay Bataan,_______ Tel No.: _0921 958 8387_____________

Military Science Completed:


MS SEMESTER SCHOOL YEAR GRADE REMARKS
________ _____________ ________________ ________ ____________
________ _____________ ________________ ________ ____________

Are you willing to take this advance course? ( ) Yes ( ) No

_____________________________
(Signature of Student)

ALBERT M ORTIZ
LTC (OS) PA
Commandant

-----------------------------------------------------------------------------------------------------
H E A D Q U A R T E R S DEPARTMENT OF MILITARY SCIENCE AND TACTICS
BATAAN PENINSULA STATE UNIVERSITY, NSTP, ROTC UNIT
305TH (BAT) COMMUNITY DEFENSE CENTER, 3RD RCDG, RESCOM, PA
Balanga City, Bataan

BPSUROTCU ___________________
(Date)
CERTIFICATION To
Whom it May Concern:

THIS IS TO CERTIFY THAT ___________________________________________________________


College of _______________________________________________________________________________
Is duly registered in the NSTP ROTC Program for the _____________________ Semester SY: ____________

ALBERT M ORTIZ
LTC (OS) PA
Commandant

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