APPLICATION FORM 101

NAME: Nikaia

MIDDLE NAME Cajilo

SURNAME: Palacios

AGE:14

BIRTHDAY:January21,2002

SCHOOL: Colegio de San Jose

ADRESS: f.CABERLES ST LEON ILOILO

EDUCATION: 3rd year

SCHOOL ADRESS: E LOPEZ SREET JARO ILOILO CITY

RELIGION: ROMAN CATHOLIC

MALE:_ FEMALE:Y

POSITION APPLIED FOR: ACCOUNTANT

PARENTS NAME: Mr. Mrs. Palacios

FATHER'S NAME: RICKY PALACIOS EDUCATIONAL ATTAINMENT: COLLEGE GRADUATE


MOTHER'S MAIDEN NAME: PROSENA CAJILO

EDUCATIONAL ATTAINMENT: COLLEGE GRADUATE

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No. of brother's/sisters:1

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This profile is a sample only and it does not refer to any people.
The names here are all fictitious and not related. All activities herewith are non-real and
do not refer to any eventsor particular happenings.