BIO-DATA

PERSONAL DATA

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abbReSs TONDO SAN : JOSE CITY NUEVA { OM Arion

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PUACE OF BHR TH JONVOD SAK. OX C\ NULYA te LIA

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Nice A. LAG WIL\A Aa 4,9 seis House WINE

NAME OF CHILDREN AG

MAN CHRIST A. LAGARTESA 7

: WAN OLINER A. LAGART EA tl MON TILS

NAME OF SPOUSE JA

OCCUPATION

CoG OCCUPATION JOYS /1} E

OCCUPATION

NAME OF FATHER AGI

NAME OF MOTHER Mq. Elena L. Lagat \eiq Aal

ve or one RA/ GATES Aa

EMIL TL: Lagarle\a. 37 Pager

: pest L Lagarteja +(e “Trac Dr iVeV

PERSON TO BE NOTIFIED IN CASE OF UMERGUNCY JANI OE A. Laaay Nei marion SVOy SE

avoress CAN ‘PRANOS(O, Llanero A eeernont 4 coumnont (7 y109 4 HF

EDUCATION

(VAN ORADUATED ARIS

(997,1948

206 i / 2002

NAME AND LOCATION OF SCHOO!

ELEMENTARY [TONDED ELEM), Scho

HIGH SCHOOL TOWPOD }} igh NC al

COLLEGE

COURSE

SPECIAL SKILLS Trailer Truck Driver LANGUAGE / DIALECTS SPOKEN faga] a)

JOB HISTORY

JOB NAME AND COMPANY - ADDRESS YOUR JOS FROM «TO ARMING

NO (@U GIN WITH YOUR LAST POSITION If YOU AKL NOW EMPLOYED)

_ Agri net Grains Corporation Truck Driver WIG - a

3

CHARACTER REFERENCES (NOT RELATED TO YOU)

NAME OCCUPATION ADORE SS TELEPHONE

{ San dose (4

We haga Bigs Carlin. Heda Sekt

ORGANIZATIONS

NAME OF ORGANIZATION ADDRESS / TELEPHONE POSITION

2

RES. CERT. NUMBER SSUED AT I8GUED ON

SSS NUMBER TIN NOI NUMBER

PASSPORT NUMBER $3)7]3.312.C. ISSUED AT —188UED ON

HEREBY CERTIFY THAT THE FACTS CONTAINED IN THIS HO-DATA ARE TRUE AND C Ly 7,

Feb 29 2 23

DATE

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