Junior Chamber International Philippines
Leading Global Network of Young Active Citizens
(Philippine Jaycees Building)
14 Don A. Roces Avenue, Quezon City
Tel. No. (02) 3737907-09 Fax (02) 374-4138
Webpage: www.jci.org.ph Email: NOM@philjaycees.com
INCOMING LOCAL ORGANIZATION PRESIDENT’S
PERSONAL DATA SHEET
***************************
DATE : _______________________
_________________________________________
_______________________________
CHAPTER AREA/REGION
NAME:____________________________________ NICKNAME:_____________________________
Last First M.I. Cell Phone : ____________________________
E-mail Address : _________________________
ADDRESS:
RESIDENCE __________________________ TEL. NO.: ______________________________
___________________________
OFFICE: ___________________________ TEL. NO.:_______________________________
____________________________ Fax NO. : _______________________________
AGE ::____________________ BIRTHDATE :____________________ BIRTHPLACE:_____________________
NATIONALITY:_______________________ CIVIL STATUS: (Please check)
( ) Single ( ) Married ( ) Widower
EDUCATIONAL BACKGROUND:
SCHOOL COURSE YEAR GRADUATED
Grade School __________________________________ _________________________ _________________
High School or __________________________________ _________________________ _________________
Trade School __________________________________ _________________________ _________________
College/University __________________________________ _________________________ _________________
Vocational __________________________________ _________________________ _________________
OCCUPATIONAL AND PROFESSIONAL DATA:
Occupation or Profession :_____________________________________________________________________
Firm presently employed :_____________________________________________________________________
Business address :_____________________________________________________________________
Tel. No. :_____________________________________________________________________
Line of business :_____________________________________________________________________
(Please check) ( ) Private-owned ( ) On Employment
Nature/Line of Business :______________________________________________________________________________
Product Lines :______________________________________________________________________________
Position presently held :_______________________________________ Date Acquired __________________________
JCI MEMBERSHIP RECORD :
Date Inducted : ___________________________________
HIGHEST POSITION HELD PERIOD HELD
IN LO : _________________________________________ _______________________________
IN AREA : _________________________________________ _______________________________
IN REGION : _________________________________________ _______________________________
IN NOM : _________________________________________ _______________________________
NOTE: Please send 2 pcs. of 2 x 2 photo to JCP Secretariat
________________________________
LO President Signature

Incoming LO Presidents Biodata Form

  • 1.
    Junior Chamber InternationalPhilippines Leading Global Network of Young Active Citizens (Philippine Jaycees Building) 14 Don A. Roces Avenue, Quezon City Tel. No. (02) 3737907-09 Fax (02) 374-4138 Webpage: www.jci.org.ph Email: NOM@philjaycees.com INCOMING LOCAL ORGANIZATION PRESIDENT’S PERSONAL DATA SHEET *************************** DATE : _______________________ _________________________________________ _______________________________ CHAPTER AREA/REGION NAME:____________________________________ NICKNAME:_____________________________ Last First M.I. Cell Phone : ____________________________ E-mail Address : _________________________ ADDRESS: RESIDENCE __________________________ TEL. NO.: ______________________________ ___________________________ OFFICE: ___________________________ TEL. NO.:_______________________________ ____________________________ Fax NO. : _______________________________ AGE ::____________________ BIRTHDATE :____________________ BIRTHPLACE:_____________________ NATIONALITY:_______________________ CIVIL STATUS: (Please check) ( ) Single ( ) Married ( ) Widower EDUCATIONAL BACKGROUND: SCHOOL COURSE YEAR GRADUATED Grade School __________________________________ _________________________ _________________ High School or __________________________________ _________________________ _________________ Trade School __________________________________ _________________________ _________________ College/University __________________________________ _________________________ _________________ Vocational __________________________________ _________________________ _________________ OCCUPATIONAL AND PROFESSIONAL DATA: Occupation or Profession :_____________________________________________________________________ Firm presently employed :_____________________________________________________________________ Business address :_____________________________________________________________________ Tel. No. :_____________________________________________________________________ Line of business :_____________________________________________________________________ (Please check) ( ) Private-owned ( ) On Employment Nature/Line of Business :______________________________________________________________________________ Product Lines :______________________________________________________________________________ Position presently held :_______________________________________ Date Acquired __________________________ JCI MEMBERSHIP RECORD : Date Inducted : ___________________________________ HIGHEST POSITION HELD PERIOD HELD IN LO : _________________________________________ _______________________________ IN AREA : _________________________________________ _______________________________ IN REGION : _________________________________________ _______________________________ IN NOM : _________________________________________ _______________________________ NOTE: Please send 2 pcs. of 2 x 2 photo to JCP Secretariat ________________________________ LO President Signature