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STUDENT-TRAINEES-PROFILE-_F_05-2

The document is a personal profile form for Regie Macatingrao Dacer, a 23-year-old male student in the 4th year of the Bachelor of Science in Industrial Technology program, majoring in Food Trades at Central Bicol State University of Agriculture. It includes personal information, family background, and emergency contact details. The form is certified by the student, affirming the accuracy of the provided information.

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Triscia Joy Nocillado
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16 views1 page

STUDENT-TRAINEES-PROFILE-_F_05-2

The document is a personal profile form for Regie Macatingrao Dacer, a 23-year-old male student in the 4th year of the Bachelor of Science in Industrial Technology program, majoring in Food Trades at Central Bicol State University of Agriculture. It includes personal information, family background, and emergency contact details. The form is certified by the student, affirming the accuracy of the provided information.

Uploaded by

Triscia Joy Nocillado
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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Republic of the Philippines

CENTRAL BICOL STATE UNIVERSITY OF AGRICULTURE


Impig, Sipocot, Camarines Sur 4418
Website: www.cbsua.edu.ph
Email Address: [email protected]
Trunkline: (054) 881-6681

Picture
STUDENT TRAINEE’S PERSONAL PROFILE (Passport size)

Name of Trainee: Regie Macatingrao Dacer Course &Level: BSIT-FT 4A


Agency/Company Assignment: _____________________________________________________
Unit/Department Assignment: ______________________________________________________
Agency/Company Address: ________________________________________________________

Student’s Information:
LAST NAME: FIRST NAME: MIDDLE NAME:
DACER REGIE MACATINGRAO
AGE: 23 SEX: MALE HEIGHT: WEIGHT: 60 KG
170 CM
BIRTHDATE: 02-20-2001 BIRTHPLACE: LUPI, CAM.SUR CIVIL STAUS: SINGLE
CITIZENSHIP: FILIPINO RELIGION: ROMAN CATHOLIC
PERMANENT ADDRESS: BULAWAN SR. LUPI CAM. SUR TEL. NO. 09564239914
Family Background:
FATHER’S NAME: ABELARDO C. DACER OCCUPATION: FARMER
MOTHER’S NAME: EMILIA M. MACATINGRAO OCCUPATION: VENDOR
ADDRESS OF PARENTS: BULAWAN SR. LUPI CAM. SUR TEL. NO. 09674232152
GUARDIAN’S NAME: EMILIA M. MACATINGRAO TEL. NO. 09674232152
School Information:
COURSE: BACHELOR OF SCIENCE IN YEAR LEVEL: 4TH YEAR
INDUSTRIAL TECHNOLOGY
MAJOR: FOODTRADES DEPARTMENT/COLLEGE: INDUSTRIAL
TECHNOLOGY
ADVISER: AILEEN F. PAITAN DEAN: ODELIO C. MACINAS

In Case of Emergency, notify:


NAME: EMILIA M. MACATINGRAO RELATIONSHIP: MOTHER
ADDRESS: BULAWAN SR. LUPI CAM. SUR TEL. NO. 09674232152

I hereby certify that the foregoing answers are true and correct to the best to my
knowledge, belief and ability.

_______REGIE M. DACER_____
Student’s Signature over Printed Name

ILD-FR-005 Rev: 1
Effectivity Date: May 2, 2022 Page 1 of 1

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