SMCM - Non Academic Event (RMYC)

OFFICIAL APPLICATION FORM FOR NON-ACADEMIC EVENT ON THE 17TH RMYC IMPORTANT: Please fill out all the
required fields ACCURATELY. Please fill out ONE application form per non-academic event.
2X2 COLORED
EVENT: APPLICATION DETAILS:
PICTURE *White Background
LAST NAME: C I C U R E L R A A I D B R G O E R S A C E FIRST NAME: MIDDLE NAME: NFJPIA MEMBERSHIP NO:

3 3 4 0 0 4 1
GENDER: ADDRESS:
Male
Female
Birthdate
January Patubig Marilao 4 1995 Bulacan
House No./Street
EMAIL ADDRESS:
Town/Brgy/Subd
culabresirragrace@ymail.com
City/Municipality
MOBILE NO.:
Province
9061035978
LOCAL CHAPTER/SCHOOL/UNIVERSITY:
St. Mary's College of Meycauayan
REQUIREMENT CHECKLIST:
WAIVER WAIVER ENDORESEMENT LETTER
*must be sigend by parent or immediate relative *must be approved by the Dean, LC Adviser, and LC President *must be approved by the Dean, LC Adviser, and LC President
Please submit this form following the required format thru nfjpiar3.vpnonacademics1314@gmail.com on or before August 24, 2013
CERTIFICATION AS ACCOUNTANCY STUDENT
FOR QUESTIONS, PLEASE CONTACT: Emil Julius T. David NFJPIA-R3 VP for Nonacademics 0926 127 7988
nfjpiar3.vpnonacademics1314@gmail.com
Adrianne B. Harve NFJPIA-R3 VP Communications 0905 595 2791 / 0912 254 9830
nfjpiar3.vpcommunications1314@gmail.com
*to insert photo: 1 Right-click the box and select FORMAT SHAPE/PICTURE. 2 Select FILL in the Left-Side Menu.
3 Select PICTURE or TEXTURE FILL. 4 Select Insert from: FILE. 5 Click Close.
OFFICIAL APPLICATION FORM FOR NON-ACADEMIC EVENT ON THE 17TH RMYC IMPORTANT: Please fill out all the required fields ACCURATELY. Please fill out ONE application form per non-academic event.
2X2 COLORED
LAST NAME: DEL R C A I S N E I Y D A D FIRST NAME: MIDDLE NAME: NFJPIA MEMBERSHIP NO:
3 3 4 0 0 3 5
GENDER: ADDRESS:
Male
Female
Birthdate
February 15 1996 Bulacan
#156 Pag-asa St.
Malhacan
Meycauayan City
House No./Street
EMAIL ADDRESS:
Town/Brgy/Subd
yesac_1596@yahoo.com
City/Municipality
MOBILE NO.:
Province
9158027562
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LAST NAME: D D B E I R R A I I N G G A I N E M O A R I E FIRST NAME:
NFJPIA MEMBERSHIP NO:

3 3 4 0 0 2 5
GENDER: ADDRESS:
Male
Female
Birthdate
September 14 1995 Bulacan
#083 Pastol
Muzon
San Jose del Monte City
House No./Street
EMAIL ADDRESS:
Town/Brgy/Subd
dianamariederige@yahoo.com
City/Municipality
MOBILE NO.:
Province
906921135
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LAST NAME: T L A U E L S M C A U A N E N L T A R A FIRST NAME: MIDDLE NAME: NFJPIA MEMBERSHIP NO:

3 3 4 0 0 3 6
GENDER: ADDRESS:
Male
Female
Birthdate
April 23 1995 Bulacan
#145 Pag-asa St.
Banga
Meycauayan City
House No./Street
EMAIL ADDRESS:
Town/Brgy/Subd
lemuel_tusan@yahoo.com
City/Municipality
MOBILE NO.:
Province
9353698231
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LAST NAME: Q C A U Y M I R E N I R T L D I S O FIRST NAME: MIDDLE NAME: NFJPIA MEMBERSHIP NO:

3 3 4 0 0 3 2
GENDER: ADDRESS:
Male
Female
Birthdate
July 18 Marilao 1994 Bulacan
Blk 416 Lot 2
Heritage
House No./Street
EMAIL ADDRESS:
Town/Brgy/Subd
kim.jamil@yahoo.com
City/Municipality
MOBILE NO.:
Province
9161953667
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LAST NAME: G G C O I A N S P Z E I A L S L L T E E R A N O S FIRST NAME: MIDDLE NAME: NFJPIA MEMBERSHIP NO:

3 3 4 0 0 2 8
GENDER: ADDRESS:
Male
Female
Birthdate
August 1 1995 Bulacan
#662
Saluysoy
Meycauyan City
House No./Street
EMAIL ADDRESS:
Town/Brgy/Subd
giselle.g_18@yahoo.com
City/Municipality
MOBILE NO.:
Province
9354042356
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LAST NAME: ppPP B J C E A I S I E U N R S G A T A E Y S D M U N D O FIRST NAME: MIDDLE NAME: NFJPIA MEMBERSHIP NO:
3 3 4 0 0 2 1
GENDER: ADDRESS:
Male
Female
Birthdate
April 2 Marilao 1996 Bulacan
#022 Centro
Lambakin
House No./Street
EMAIL ADDRESS:
Town/Brgy/Subd
edmundoabiertas@yahoo.com
City/Municipality
MOBILE NO.:
Province
9157018541
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LAST NAME: L M D U A A N R N A Y T E J S O Y C E C A M I L L E FIRST NAME: MIDDLE NAME: NFJPIA MEMBERSHIP NO:

3 3 4 0 0 3 0
GENDER: ADDRESS:
Male
Female
Birthdate
July 18 Marilao 1995 Bulacan
#072
Villaluz Subd., Sta. Rosa I
House No./Street
EMAIL ADDRESS:
Town/Brgy/Subd
camille_luna28@yahoo.com
City/Municipality
MOBILE NO.:
Province
9261561250
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LAST NAME: G R P U E R Z G I M G E A I T N E O S B O I E FIRST NAME: MIDDLE NAME: NFJPIA MEMBERSHIP NO:

3 3 4 0 0 2 9
GENDER: ADDRESS:
Male
Female
Birthdate
Blk 29 Lot 37 Dolmar
Greenhils Subd.
Marilao
House No./Street
EMAIL ADDRESS:
Town/Brgy/Subd
City/Municipality
MOBILE NO.:
Province
9058137489
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LAST NAME: P B P I E A N R R Z N A A A N D E E T H J O Y C E FIRST NAME: MIDDLE NAME: NFJPIA MEMBERSHIP NO:

3 3 4 0 0 5 6
GENDER: ADDRESS:
Male
Female
Birthdate
January 12 1995 Bulacan
#212 Masangkay Apt.
Lambakin
Marilao
House No./Street
EMAIL ADDRESS:
Town/Brgy/Subd
pinzabernadette@yahoo.com
City/Municipality
MOBILE NO.:
Province
9064426230
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LAST NAME: R M J I E A C L C I I I O S N S T A O J A N E FIRST NAME: MIDDLE NAME: NFJPIA MEMBERSHIP NO:

3 3 4 0 0 3 3
GENDER: ADDRESS:
Male
Female
Birthdate
Pag-asa St.
Patubig
Marilao
House No./Street
EMAIL ADDRESS:
Town/Brgy/Subd
melissajane_ricio06@yahoo.com
City/Municipality
MOBILE NO.:
Province
9059118810
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LAST NAME: C C T U H E Y R N U I E G S R A T I N I F A E N FIRST NAME: MIDDLE NAME: NFJPIA MEMBERSHIP NO:

3 3 4 0 0 4 2
GENDER: ADDRESS:
Male
Female
Birthdate
February Pajo 24 1993 Bulacan
Meycauayan City
House No./Street
EMAIL ADDRESS:
Town/Brgy/Subd
broken_sonnet21@yahoo.com
City/Municipality
MOBILE NO.:
Province
9051523996
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LAST NAME: K B F A R I R I D U A E N N L U N J G A A K N E FIRST NAME: MIDDLE NAME: NFJPIA MEMBERSHIP NO:

3 3 4 0 0 4 9
GENDER: ADDRESS:
Male
Female
Birthdate
#103 Bahay Pare
Sto. Nio
Meycauayan City, Bulacan
House No./Street
EMAIL ADDRESS:
Town/Brgy/Subd
City/Municipality
MOBILE NO.:
Province
2X2 COLORED
LAST NAME: M M R A A O N R X A K A S H A N N O E L L E FIRST NAME: MIDDLE NAME: NFJPIA MEMBERSHIP NO:

3 3 4 0 0 5 1
GENDER: ADDRESS:
Male
Female
Birthdate
Lolomboy
Bocaue
House No./Street
EMAIL ADDRESS:
Town/Brgy/Subd
noelle0250@yahoo.com
City/Municipality
MOBILE NO.:
Province
9165373360
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LAST NAME: G J B A O A S S N P E A E P H FIRST NAME: MIDDLE NAME: NFJPIA MEMBERSHIP NO:

3 3 4 0 0 4 3
GENDER: ADDRESS:
Male
Female
Birthdate
July 14 Sta. Maria 1991 Bulacan
Blk 42 Lot 5 Laspalmas
Caypombo
House No./Street
EMAIL ADDRESS:
Town/Brgy/Subd
juzjay11@yahoo.com
City/Municipality
MOBILE NO.:
Province
9359001496
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LAST NAME: V M T E A A R R P C C A H O R E S P A O L O FIRST NAME: MIDDLE NAME: NFJPIA MEMBERSHIP NO:

3 3 4 0 0 6 0
GENDER: ADDRESS:
Male
Female
Birthdate
Blk 3 Lot 6 KarlaVille
Loma de Gato
Marilao
Bulacan
House No./Street
EMAIL ADDRESS:
Town/Brgy/Subd
City/Municipality
MOBILE NO.:
Province
9064068002
2X2 COLORED
LAST NAME: N G C A O H C L U N D A A W C Y N I A N FIRST NAME: MIDDLE NAME: NFJPIA MEMBERSHIP NO:

3 3 4 0 0 5 4
GENDER: ADDRESS:
Male
Female
Birthdate
March 27 1994 Bulacan
Upper Northern Hills
Malhacan
Meycauayan City
House No./Street
EMAIL ADDRESS:
Town/Brgy/Subd
goldwynian@yahoo.com
City/Municipality
MOBILE NO.:
Province
9276439402

SMCM - Non Academic Event (RMYC)

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SMCM - Non Academic Event (RMYC)

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Droits d'auteur :

Formats disponibles

OFFICIAL APPLICATION FORM FOR NON-ACADEMIC EVENT ON THE 17TH RMYC IMPORTANT: Please fill out all the

EVENT: APPLICATION DETAILS:

PICTURE *White Background

LAST NAME: C I C U R E L R A A I D B R G O E R S A C E FIRST NAME: MIDDLE NAME: NFJPIA MEMBERSHIP NO:

St. Mary's College of Meycauayan

CERTIFICATION AS ACCOUNTANCY STUDENT

EVENT: APPLICATION DETAILS:

PICTURE *White Background

#156 Pag-asa St.

St. Mary's College of Meycauayan

CERTIFICATION AS ACCOUNTANCY STUDENT

EVENT: APPLICATION DETAILS:

PICTURE *White Background

LAST NAME: D D B E I R R A I I N G G A I N E M O A R I E FIRST NAME:

NFJPIA MEMBERSHIP NO:

San Jose del Monte City

St. Mary's College of Meycauayan

CERTIFICATION AS ACCOUNTANCY STUDENT

EVENT: APPLICATION DETAILS:

PICTURE *White Background

LAST NAME: T L A U E L S M C A U A N E N L T A R A FIRST NAME: MIDDLE NAME: NFJPIA MEMBERSHIP NO:

#145 Pag-asa St.

St. Mary's College of Meycauayan

CERTIFICATION AS ACCOUNTANCY STUDENT

EVENT: APPLICATION DETAILS:

PICTURE *White Background

LAST NAME: Q C A U Y M I R E N I R T L D I S O FIRST NAME: MIDDLE NAME: NFJPIA MEMBERSHIP NO:

Blk 416 Lot 2

St. Mary's College of Meycauayan

CERTIFICATION AS ACCOUNTANCY STUDENT

EVENT: APPLICATION DETAILS:

PICTURE *White Background

LAST NAME: G G C O I A N S P Z E I A L S L L T E E R A N O S FIRST NAME: MIDDLE NAME: NFJPIA MEMBERSHIP NO:

St. Mary's College of Meycauayan

CERTIFICATION AS ACCOUNTANCY STUDENT

EVENT: APPLICATION DETAILS:

PICTURE *White Background

St. Mary's College of Meycauayan

CERTIFICATION AS ACCOUNTANCY STUDENT

EVENT: APPLICATION DETAILS:

PICTURE *White Background

LAST NAME: L M D U A A N R N A Y T E J S O Y C E C A M I L L E FIRST NAME: MIDDLE NAME: NFJPIA MEMBERSHIP NO:

Villaluz Subd., Sta. Rosa I

St. Mary's College of Meycauayan

CERTIFICATION AS ACCOUNTANCY STUDENT

EVENT: APPLICATION DETAILS:

PICTURE *White Background

LAST NAME: G R P U E R Z G I M G E A I T N E O S B O I E FIRST NAME: MIDDLE NAME: NFJPIA MEMBERSHIP NO:

Blk 29 Lot 37 Dolmar

St. Mary's College of Meycauayan

CERTIFICATION AS ACCOUNTANCY STUDENT

EVENT: APPLICATION DETAILS:

PICTURE *White Background

LAST NAME: P B P I E A N R R Z N A A A N D E E T H J O Y C E FIRST NAME: MIDDLE NAME: NFJPIA MEMBERSHIP NO:

#212 Masangkay Apt.

St. Mary's College of Meycauayan

CERTIFICATION AS ACCOUNTANCY STUDENT

EVENT: APPLICATION DETAILS:

PICTURE *White Background

LAST NAME: R M J I E A C L C I I I O S N S T A O J A N E FIRST NAME: MIDDLE NAME: NFJPIA MEMBERSHIP NO:

St. Mary's College of Meycauayan

CERTIFICATION AS ACCOUNTANCY STUDENT