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Personal Data
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Calamba Doctors' College

Virborough Subdivision, Parian, Calamba City, Laguna 4027 Philippines
(049) 545-9921
STUDENT DATA SHEET
 
 
PERSONAL INFORMATION
I understand that I am freely and voluntarily providing my personal data information and I am knowingly giving my consent to Calamba Doctor's College, the Registrar and their representative to save, store and process my personal data provided herein for enrolment in this institution and for whatever legal purpose that may deem appropriate and necessary.
 
 
 
FAMILY BACKGROUND
 
FATHER
MOTHER
GUARDIAN
Brothers/Sisters
Reason for choosing CDC
 
REQUIREMENTS SUBMITTED (To be accomplised by Admissions Staff)
 
 
INTERVIEWED BY
PROCESSED BY
DATE
     
     
PRINCIPAL`S SIGNATURE
NAME & SIGNATURE OF REGISTRAR STAFF
  
 
I certify that the information herein is correct and complete. Falsification or withholding of information on this form will automatically void my application and/or subject me to dismissal from the College.
 
 Access to my personal information can be obtained by :
   
  me ONLY
  my parents and authorized guardian.

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Student Signature Over Printed Name/Date