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    GSPIS

    Uploaded by

    Peach Park
    The document is a student information sheet for Andrea Gonzales Avendaño to fill out for her enrollment at New Era University. It requests personal details like name, address, family information, education history, languages spoken, extracurricular activities, and references. For returning students, it asks to note any changes from the previous form submitted.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    GSPIS

    Uploaded by

    Peach Park
    106 views2 pages
    The document is a student information sheet for Andrea Gonzales Avendaño to fill out for her enrollment at New Era University. It requests personal details like name, address, family information, education history, languages spoken, extracurricular activities, and references. For returning students, it asks to note any changes from the previous form submitted.

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    The document is a student information sheet for Andrea Gonzales Avendaño to fill out for her enrollment at New Era University. It requests personal details like name, address, family information, education history, languages spoken, extracurricular activities, and references. For returning students, it asks to note any changes from the previous form submitted.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    106 views2 pages

    GSPIS

    Uploaded by

    Peach Park
    The document is a student information sheet for Andrea Gonzales Avendaño to fill out for her enrollment at New Era University. It requests personal details like name, address, family information, education history, languages spoken, extracurricular activities, and references. For returning students, it asks to note any changes from the previous form submitted.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    6/9/22, 2:44 PM Untitled Document

    Please fill up the 3 copies properly. For old students,


    fill up any changes or new data from your previous information.

    NEW ERA UNIVERSITY


    No. 9 Central Ave. New Era, Quezon City

    GENERAL STUDENT PERSONAL INFORMATION SHEET


    (GSPIS)

    Date(YYYY-mm-dd) : 2022-06-09 Term : 1st Sem

    STATUS : New        [photo 2x2]


    DEGREE : Baccalaureate    
     
    TEMP. STUDENT ID # : 22239423
    STUDENT ID # :
    COURSE/YEAR : Bachelor of Science in Astronomy / 1 Year         School
    Year - 2022 - 2023
    CURRICULUM YEAR : 2018 - 2019
     
    I - PERSONAL DATA
    Last Name :Avendaño First Name :Andrea Middle Name: Gonzales
    Name in Native Language Character :
    Gender :
    Female
                 Religion : - Nationality : Filipino
    If Alien/Foreigner, ACR No. :  
    Age : 19 yrs. old                    Date of Birth :11/30/2002 Place of Birth : CSJDM, Bulacan
    Civil Status : Single
    If Married:
                   Woman
    : State Maiden's Name :
                   Man
         : Name of Spouse       
    :
                   No.
    of children :  0
                   Birth
    Order :         0
     
    I B - ALIEN STATUS DATA (for alien/foreigner
    student only)
    Visa Status Authorized Stay  
     
    Passport number Place of Issue Expiration Date

    ACR No Date of Issue Expiration Date

    CRTS No Date of Issue Expiration Date

         
    II - RESIDENCE DATA
    Home Address:
    House No./Street/Barangay : Block 47 Lot 11 Barangay St. Martin de Porres City/Municipality : City of San Jose del Monte
    Province/State : Bulacan Country
    : Philippines
    Zipcode : 3023 Telephone
    Nos.: 09070868034
     
    Current Contact Address:
    Contact Person/Guardian Name : Dolores G. Avendaño Relation :
    Apartment Name/House No./Street/Barangay : Block 47 Lot 11 Barangay St. Martin de Porres
    City/Municipality : City of San Jose del Monte Province/State : Bulacan Country : Philippines
    Zipcode : 3023 Telephone
    Nos.: 09070868034
    Email Address : [email protected]
     
    Emergency Contact Data: (if not same as above)
    Contact Person Name : Relation :
    Apartment Name/House No./Street/Barangay
    City/Municipality : emergency Province/State : Country :
    Zipcode : Telephone Nos.:
     
    III - PHYSICAL DESCRIPTION
    Height :160 Weight :46 Built : Eyes :Black Hair :Black Complexion :
    Other Distinguishing Features :
    Physical Handicap or Disability (if any) :
     
    IV - FAMILY DATA

    https://automate.neu.edu.ph/PARENTS_STUDENTS/parents_student_index.htm?fbclid=IwAR3tRCmwJpMsiBIKaMOOXgZwOd-7ZKsInWhGaVETSt2… 1/2
    6/9/22, 2:44 PM Untitled Document
    Parents:
    Father’s Name :Rolando H. Avendaño Occupation :
    Company Name :Telephone
    Nos.:
    Company Address :
    Father’s Email Address :
    Mother’s Name :Dolores G. Avendaño Occupation :Small Business Owner
    Company Name : Telephone Nos. :09070868034
    Company Address :
    Mother’s Email Address :[email protected]
     
    Brother(s)/Sister(s):
    NAME COURSE/OCCUPATION SCHOOL/COMPANY
    Orlando G. Avendaño
    Shirley A. Paner
    Mary Grace G. Avendaño
    Marissa G. Avendaño
           
     
    V - EDUCATIONAL BACKGROUND
     
       NAME  COURSE/YEAR GRADUATED  HONORS/AWARDS
    Elementary _OTHERS (Not on the List)   2015 Valedictorian
    San Jose Del Monte National
    High School   2019 With High Honors
    Trade School
    College   
    Post Graduate   
    Vocational   
     
    VI – GENERAL QUALIFICATION
     
    Languages: Filipino
    Hobbies: Reading and Editing
    Skills :
    Talents :
    Sports :
    Honors/Awards/Merits:
    (ex. "Model Student, 1990") : First Honors (Kinder to Grade 5), History Quiz bee Grand Champion (2012),
    HEKASI Quiz bee 2nd place (2013), Valedictorian (2015) Best in English at HEKASI (2015), Ulirang Babaeng Iskawt (2015)
    Youth Leadership Excellence Award (2015), Model Pupil of the Year (2015), Gawad Karangalan Award (2015) First Honors
    (Grade 7 Overall Batch of 15-16), Best in Science, Araling Panlipunan, ESP (2016), With High Honors (Grade 8), Essay Making
    Contest 1st Place (2016) MAPEH Quiz bee Champion (2017), With Honors (Grade 9), With High Honors (Grade 10), Outstanding
    Performance in Communication Arts, Mathematics, Science, Food Beverage Services (2019), With High Honors (Grade 11
    STEM), Talumpating Handa 1st Place (2019), Pagsulat ng Sanaysay 2nd Place (2019), With High Honors and Rank 1 of Overall
    Graduating Class of 2021 (Grade 12 STEM)
    Extra-Curricular
    Activities : (Organizations, Clubs, etc) : Supreme Pupil Government (SPG) President and YES-O Club President 2014-
    2015, Girls Scout Representative 2014-2015, Filipino Club Grade 8 Representative, Supreme Student Government (SSG)
    Treasurer 2017-2018
     
    VII – REFERENCES
     
    Write two or three references who can vouch or guarantee for your total behavior.
    NAME ADDRESS  
    Nenita Donaire 09777542663
    Maritess Asigurado 09394490004
       
       
       
    I HEREBY CERTIFY that the foregoing answers are true and correct
    to the best of my knowledge and belief.
     
     
     
     
        _________________________________________
                          Student’s
    Signature

    https://automate.neu.edu.ph/PARENTS_STUDENTS/parents_student_index.htm?fbclid=IwAR3tRCmwJpMsiBIKaMOOXgZwOd-7ZKsInWhGaVETSt2… 2/2

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