LOYOLA SCHOOLS FORM RO-G-07 (REV. -1-2007)
Ateneo de Manila University
Loyola Schools
OFFICE OF THE REGISTRAR
▪Submit the accomplished form together with the Registration Form during the designated
registration day.
▪Issuance of any document from the Registrar's Office requires submission of this Information
Sheet.
▪If there are any subsequent changes in this information, please contact the Registrar's Office.
STUDENT
INFORMATION SHEET
(GRADUATE LEVEL)
Married Name, if applicable Surname (in Birth Certificate)
ID #
Sex
Birthdate (month/day/year)
/
Civil Status
Birthplace
Blood Type
Middle Name
Citizenship
/
Single
Degree & Concentration
First Name (in Birth Certificate)
Married
Landline (Country code -
Separated
Mobile Number
Widowed
E-mail Address
Area code) Tel. No.
WEEKDAY
ADDRESS
WEEKEND
ADDRESS
MAILING
ADDRESS
PERMANENT
ADDRESS
Street No, Street
Subdivision/Barangay, City/Municipality
Zip Code
NOTE: Please leave this blank. To be filled out upon arrival in Manila.
Province, Country
Street No, Street
Zip Code
Province, Country
Subdivision/Barangay, City/Municipality
NOTE: Please leave this blank. To be filled out upon arrival in Manila.
Street No, Street
Zip Code
Subdivision/Barangay, City/Municipality
Province, Country
Street No, Street
Zip Code
Subdivision/Barangay, City/Municipality
Province, Country
Spouse’s Name:
First Name
Last Name
Spouse’s Contact Information:
E-mail Address:
Mobile Number:
Landline:
Emergency Contact Information:
E-mail Address:
Mobile Number:
Landline:
Spouse’s Address:
Emergency Contact Name and Address:
Relationship:
CURRENT EMPLOYMENT
Employment Status
Not Employed
Self-Employed
Employed
The succeeding fields are required for self-employed and employed students:
Full-time
Part-time
Regular
Contractual
Position Title
Name of Business/ Institution/ Organization
BUSINESS
ADDRESS
Business Phone
Location
Province, Country
Zip Code
Business Fax
E-mail Address
Continued on the back of this page
Type of Business/ Institution/
Organization
Government
Private
Non-Government
Others ___________________________________
Nature of Business/ Institution/
Organization*
(Please refer to list below.)
Number of years in this organization
I certify that, to my best knowledge, all the information is true and correct.
Student's Signature: _________________________________________________
Date: _________________
* Nature of Business/Institution/Organization:
Government
Advertising/PR/Media
Banking/Finance
Computer/IT
Construction
Consultancy
Education
Health/Medical
Insurance
Investment/Trading
Manufacturing
Public Administration
Realty
Religious
Research
Telecommunications
Transport/Travel
Hotel/Restaurant
Others
Private
Advertising/PR/Media
Banking/Finance
Computer/IT
Construction
Consultancy
Education
Entrepreneurship
Health/Medical
Insurance
Investment/Trading
Manufacturing
Realty
Religious
Research
Telecommunications
Transport/Travel
Hotel/Restaurant
Others
NGO
Organization of the
community
Democracy
Education
Enterprise development
Environment
Health
Housing
Human rights
Infrastructure
Political franchise
Poverty alleviation
Others
(from
http://www.gdrc.org/ngo/ngo
-keywords.html)