SSU Info Sheet

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8/10/2019 SSU Info Sheet

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DLSU NROTCU - SPECIAL SUPPORT UNIT INFORMATION SHEETPERSONAL INFORMATION

Full Name (Last, First, Middle)

Nickname Unit Batch

College Course ID Number

Date of Birth Place of Birth Religion

Contact Number/s E-mail Address Language Spoken

Provincial Address City Address

MEDICAL HISTORY

Sex Height Weight Blood Type Other Identifying Data

EDUCATIONAL BACKGROUND

Level School Duration

Primary

Secondary

Tertiary

Former Military Training (Scouting, CAT, etc.; indicate year, last rank attained, position)

Current Organization/s Affiliated with and Position

FAMILY BACKGROUND

Father’s Name Mother’s Name

Occupation/ Firms connected with Occupation/ Firms connected with

Siblings’ Names Occupations/ Firms connected with

ATTACH 2X2 PHOTO HERE 

(FATIGUE UNIFORM, NAME MUST BE

SEEN, NO EMOTIONS SEEN) 

Ramones, Maynard, Villorente

Nard247th ROTC

Science 11333871BS Chemistry

05/01/1997 Manila Roman Catholic

09175059722 [email protected] English, Filipino

None 4749-A Road 1, V. Mapa St., Sta. Mesa, Mla.

None

M 162 57.6 A Birthmarks on left biceps, left hip; dead nail on left indexfinger; callus on right ring finger; scar on left brow

San J uan Little People's Montessori

Immaculate Heart of  Mary College-Quezon City

De La Salle University-Manila

2003-2009

2009-2013

2013-Present

CAT; 2013, Marshal, Marshal

None

Vivencio V. Ramones Jr. Enelyn V. Ramones

Proprietor, Liquigaz LPG Trading Housewife

NoneVivencio V. Ramones III

Julius V. Ramones

Veronica V. Ramones

None

None

THIS FORM MUST BE PRINTED ON ONE PAGE - BACK TO BACK

THIS FORM MUST BE PRINTED ON ONE PAGE - BACK TO BACK

2013-2014

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MISCELLANEOUS INFORMATION

My interests are… 

Life is…

I believe that…

Love is…

I hate…

I usually think of…

My favorite color/s is/are…

My dream is…

I joined ROTC because..

I joined my unit because…

Why do you think your unit is the best?

The officers…

My COIC… 

Because of ROTC.. 

My most unforgettable ROTC moment was when.. 

IN CASE OF EMERGENCY NOTIFY:

Name Relationship

Address Contact number

I duly certify that allinformation givenabove are true and

correct.

Date Signature over printed Name

science, literature, philosophy, arts, strategy, action, cats, guns, spontaneous other things.

about myths and facts, and all coalesced together.

there are different perspectives in an understanding.

the semblance of the kinds of matter, yet in the end it's all particles and infitesimal things.

whatever irks me.

possible situations.

combination of green and black, or green itself.

to serve the country at my utmost efforts.

my cousin who is an almnus in DLSU-M and ROTC coaxed me.

I perceived most experiences in light to the curriculum.

I was able to prove that my best can never reach the limit: that, I think why.

are relatively trained well in both morale and military science.

taught us whatever was taught of them at the most comprehensive degree.

I realized that I have more strengths in me other than what I used to have.

we won the nationals (NAGTI), and ironically lost the locals (LAGTI).

Vivencio V. Ramone Jr.

4749-A Road 1, V. Mapa St., Sta. Mesa, Mla.

Father

09178286086

4/20/2014

Maynard V. Ramones

THIS FORM MUST BE PRINTED ON ONE PAGE - BACK TO BACK

THIS FORM MUST BE PRINTED ON ONE PAGE - BACK TO BACK