O'REISCO

Personal Record Form

O'REISCO > Personal Record Form

Personal Details of the Student

Surname

First Name

Other Names

Gender

Male Female

Date of Birth

Place of Birth

Nationality

Hometown

Region

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Junior High School Education

Name of School

Year of Completion

Index Number

Aggregate

Enrolment Code

Particulars of Parents/Guardian

Father

Name

Residental Address

Postal Address

Occupation

Tel.

Email

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Mother

Name

Residential Address

Postal Address

Occupation

Tel.

Email

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Guardian (any person responsible for the ward aside from his/her parent(s))

Name

Residential Address

Postal Address

Occupation

Tel.

Email

For Official Use Only (PLEASE DO NOT FILL)

Course

Class

Residency

House