School Year 2021-2022: Classification: Freshmen Academic Program

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ICCT Colleges Foundation, Inc.

Cainta (Main) Campus


School Year 2021-2022

TIME PREFERENCE

Morning Afternoon
Noon Evening

APPLIED FOR
Classification : FRESHMEN
Academic Program :
Senior High School
Bachelor Programs : BACHELOR OF SCIENCE IN CRIMINOLOGY
TechVoc Programs
Certificate Programs
Health Sciences Program
Year Level : First Year

PERSONAL DATA

Name : SANGCO, JEREMIAH FRONDA Applicant ID : CA2122A13563


(Last Name), (First Name) (Middle Name)
Home Address : BLK 192 LOT 27 PH4 SOUTHVILLE 8B, SAN ISIDRO, RODRIGUEZ (MONTALBAN), RIZAL
Provincial Address : BLK 192 LOT 27 PH4 SOUTHVILLE 8B, SAN ISIDRO, RODRIGUEZ (MONTALBAN), RIZAL
Birth Date : May. 10, 2001 Age : 20 Birth Place : COTABATO CITY, COTABATO CITY
Religion : Born Again Marital Status : Single Sex : Male
Citizenship : PHILIPPINES

Contact Information
Contact Numbers : +6309168876875
+6309168876875

Email Address : [email protected]


Facebook Username : jeremiah sangco
Twitter Username : none
Instagram Username : miahsangco18

EDUCATIONAL DATA

LRN : 30813413000
DSWD Household No. :
Graduate Of : Grade 12 - SHSACHUMSS
School Level :
Elementary : Year Graduated : 2011-2012
Secondary/Junior High School : Year Graduated : 2018-2019
Senior High School : Year Graduated : 2020-2021

FAMILY BACKGROUND

FATHER
Full Name: Occupation:
Address:
Age: Contact Number:

MOTHER
Full Name: Occupation:
Address:
Age: Contact Number:

GUARDIAN
Full Name: Occupation:
Address:
Age: Contact Number:
Relationship:
UNDERTAKING

I, SANGCO, JEREMIAH FRONDA , as a student of ICCT Colleges and by way of this undertaking, it is my bounden duty and
hereby commit myself to obey its rules and regulations. In this regard I promise to do the following;

1. I shall REFRAIN myself from being an active member of any fraternity/sorority or any association of similar in nature;
2. I shall REFRAIN from doing or performing any act of deed within and outside the campus premises involving fraternity activities
or any "unrecognized" school organization of similar nature and character;
3. I shall NOT participate or get involved in any form of "hazing";
4. I shall NOT participate in any subversive activity;
5. I shall NOT go inside any nearby establishments (i.e., Karaoke Bars, Billiards/Pools Hall, Computer/Video games shop, Beer
pubs, etc.) during my class periods/hours;
6. I shall NOT be seen or caught playing pool/billiards, playing computer/video games, drinking liquors and alcoholic beverages,
and or just simply "hanging out" in these establishments near the school;
7. I shall not commit any serious moral fault or any obscene/indecent act inside or outside of the school;
8. I shall at all times respect and honor my school mentors, officers and rights of my classmates and schoolmates.
9. I shall obey and adhere faithfully on all school rules and regulations being implemented by this institution a stipulated in
the ICCT Colleges Student Handbook provided to all students;
10. And I will always do honor to my school uniform and name of the school, ICCT Colleges.

I understand that any breach of my promise and or violation which is contrary to the provisions of this UNDERTAKING that I may commit
in the future and or during my stay at ICCT Colleges shall place me directly UNDER EXCLUSION and or whatever DISCIPLINARY
ACTION that school authorities may deem impose upon me.

All the facts and circumstances stated by me in this undertaking are true, correct, of my own knowledge, and declared by me
VOLUNTARILY and FREELY without any pressure or influence of anybody and whatsoever.

Conforme:

SANGCO, JEREMIAH FRONDA September 15,2021


Student's Signature over Printed Name Date

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