 |
||||||||||
 |
 |
|||||||||
 |
 |
 |
 |
 |
 |
 |
 |
|||
|
||||||||||
|
|
|||||||||
|
|
|
|
|
|
|
|
|||
FALLARME 2000 - The Grand Reunion
MEMBERS INFORMATION SHEET
I. CLAN: check appropriate box ( ) FERNANDO ( ) CORNELIO
( ) EVARISTO ( ) NUMERIANO
II.. NAME
_______________________________________________________________________
III. RESIDENCE ADDRESS ________________________________________________________
_________________________ZIP
CODE_________________ TEL NO __________________
Cellphone:__________
Fax_____________Pager#__________ E-Mail:__________________
IV. A.
BIRTHDATE_________________SEX_________STATUS______________________________
MO DD YR
B.
BITHPLACE___________________________________________________________________
V. EDUCATIONAL DATA
DEGREE
SCHOOLS
ATTENDED SCHOOL ADDRESS YEAR
OBTAINED
_______________
______________________ _____________________ _________________
_______________
______________________ _____________________ _________________
_______________
______________________ _____________________ _________________
_______________
______________________ _____________________ _________________
VI. PROFESSION/OCCUPATION
_________________________________________
VII. SPECIAL SKILLS ___________________________________________________
VII. HOBBIES/SPORTS __________________________________________________
IX. CURRENT EMPLOYMENT/BUSINESS AFFILIATION
POSITION
COMPANY
NAME
COMPANY ADDRESS TEL NO
______________
_________________________ ___________________________ _____________
______________
_________________________ ___________________________ _____________
______________
_________________________ ___________________________ _____________
X. OTHER FAMILY DATA
A. Spouse (if married)
____________________________Birthdate______________________
1.
Occupation/Profession_____________________________________________
2.
Company/Address/Tel:_______________________________________________
B. Children:
Educational
Name
Birthdate
Attainment
Profession/Occupation
_________________
_____________ ______________________ _________________________
_________________
_____________ ______________________ _________________________
_________________
_____________ ______________________ _________________________
_________________
_____________ ______________________ _________________________
_________________
_____________ ______________________ _________________________
_________________
_____________ ______________________ _________________________
_________________
_____________ ______________________ _________________________
C. Parents;
Father _________________________ Occupation ____________________________
Mother ________________________ Occupation ____________________________
Present Address ________________________________________________________
_________________________________________ Tel No ______________________
I COMMIT MYSELF AND FAMILY TO:
( ) Attend the reunion
( ) Participate actively as chairperson/member of __________________Committee
( ) Send my contribution of P___________ on or before _______________________
( ) Actively support the programs to the best of my ability and resources
( ) Other comments _____________________________________________________
______________________
_________________________________________
Date
Signature over Printed Name
NOTE: Please accomplish this form immediately, send to
FALLARME 2000 c/o 74 Gloria Diaz St., BF
Resort Village, Las Pi�as, 1740 and enclose recent family picture.
Sibale
Webmaster
Send E-mail to: [email protected]
Date Created: August 11, 1999
Date Updated: March 8,
2000