Polytechnic University of the Philippines Manila STUDENT CLEARANCE PERSONAL DATA Student Number : 201103465MN0 Student Name : TAGUBA , ERIKA PALINLIN Degree/Course : BSA BACHELOR OF SCIENCE IN ACCOUNTANCY Gender : Male Female Email Address : [email protected] Permanent Address : B4 L20 MOLAVE ST. CRISTINA HOMES CAMARIN CALOOCAN CITY Provincial Address : CAMIING, CABANGAN ZAMBALES Telephone No. : Mobile No. : 09265137009 Date of Birth : November 8 , 1993 Religion : ROMAN CATHOLIC Place of Birth : CABANGAN, ZAMBALES Name of Spouse (if married) : Children : Name Age Father's Name : Rito Taguba Tel. No : Mother's Name : Emerita PalinlinTaguba Tel. No : NATIONAL SERVICE RESERVE CORPS School where graduated in NSTP : Polytechnic University of the Philippines Address of school where graduated in NSTP : Anonas Street, Sta. Mesa, Manila Serial No : Special Order No : Date of Special Order : , Mobilization Center : Specialization (Please check boxes that may apply) : Safety Environment Education Health Recreation Entrepreneurship Morals of the Citizenry Morals of the Citizenry Basic Defense Preparedness CAREER DEVELOPMENT AND PLACEMENT OFFICE Working Experience/s: Department / Agency / Office Present Position or Title Business Address Tel. No. Length of Service Trainings/Seminars Attended: Title of Semincar/Conference/Workshop Inclusive Date , FEDERATION OF ALUMNI ASSOCIATIONS Educational Attainment : Name of School School Level Course Address Year Graduated

Student Clearance

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3/19/2015 STUDENTCLEARANCE

http://sis1.pup.edu.ph/aims/process/studentclearance.php?studNo=201103465MN0 1/2

PolytechnicUniversityofthePhilippinesManila

STUDENTCLEARANCE

PERSONALDATA

StudentNumber : 201103465MN0

StudentName : TAGUBA ,ERIKA PALINLIN

Degree/Course : BSABACHELOROFSCIENCEINACCOUNTANCY

Gender : Male Female EmailAddress : [email protected]

PermanentAddress

: B4L20MOLAVEST.CRISTINAHOMESCAMARINCALOOCANCITY

ProvincialAddress : CAMIING,CABANGANZAMBALES

TelephoneNo. : MobileNo. : 09265137009

DateofBirth : November 8 , 1993 Religion : ROMANCATHOLIC

PlaceofBirth : CABANGAN,ZAMBALES

NameofSpouse(ifmarried)

:

Children :

Name Age

Father'sName : RitoTaguba Tel.No :

Mother'sName : EmeritaPalinlinTaguba Tel.No :

NATIONALSERVICERESERVECORPS

SchoolwheregraduatedinNSTP

: PolytechnicUniversityofthePhilippines

AddressofschoolwheregraduatedinNSTP

: AnonasStreet,Sta.Mesa,Manila

SerialNo : SpecialOrderNo :

DateofSpecialOrder : ,

MobilizationCenter

:

Specialization(Pleasecheckboxesthatmayapply)

: SafetyEnvironmentEducationHealthRecreationEntrepreneurshipMoralsoftheCitizenryMoralsoftheCitizenryBasicDefensePreparedness

CAREERDEVELOPMENTANDPLACEMENTOFFICE

WorkingExperience/s:

Department/Agency/Office PresentPositionorTitle BusinessAddress Tel.No. LengthofService

Trainings/SeminarsAttended:

TitleofSemincar/Conference/Workshop InclusiveDate

,

FEDERATIONOFALUMNIASSOCIATIONS

EducationalAttainment:

NameofSchool SchoolLevel Course Address YearGraduated
3/19/2015 STUDENTCLEARANCE

http://sis1.pup.edu.ph/aims/process/studentclearance.php?studNo=201103465MN0 2/2

schoollevel

BLESSEDANGELSL.A.SCHOOL Elementary B46BJONAHST,CIELITOHOMESSUBD.,ZABARTEROAD,CALOOCANCITY2007

CIELITOZAMORAHIGHSCHOOLANNEX1 HighSchool MOLAVEST.CRISTINAHOMESCAMARINCALOOCANCITY2011

CivilService/BoardExams/BarExams(Statetheyeartaken/passed):

Civic,Professional,Fraternal,ReligiousorBusinessOrganizationandAffiliations(Statethepositionheldandtermofoffice):

Iherebycertifythatalltheinformationprovidedaretrueandcorrecttothebestofmyknowledge.

WAIVER

ThisistosignifythatIamwillingtobesubjectedtocompanycallsforplacementoremploymentpurposes. Yes NoThisshallalsoauthorizethePolytechnicUniversityofthePhilippinesCareerDevelopmentandPlacementOffice(PUPCDPO)toincludemynameandcontactdetailsinthedirectoryofgraduates.