SlideShare a Scribd company logo
Student Number
0909229 PHOTO
Bethlehem University
Social Survey Application
General Information :
Name : Diala Rimon Farid Rantisi
Address: Ramallah/El Tira/Ein Qiniah Street
Gender: Female Religion: Christian / Roman Catholic (Latin)
Telephone: 022955063 Mobile: 0598449289
Email: suzan320@yahoo.com
Health Information:
Insurance: Govenment Social Case: Not A soical Case
Student Health: Good Disability: No disability
Family List :
Name Relation ID Number MaritalStatus HealthStatus Status
Suzan Rantisi Mother 080291099 Married Good Working
Nancy Rantisi Sister 401360813 Single Good School Student
Marlin Rantisi Sister 852482355 Single Good University Student
Farid Rantisi Brother 854667425 Single Good School Student
Rimon Rantisi Father 939037651 Married Good Working
DISCLOSURE STATEMENT
I hereby certify that the information provided for the Social Survey is correct and complete to the best of my
knowledge and belief. I understand that withholding pertinent information requested on the Social Survey or providing
false information will make me ineligible for any financial assistant or subject to cancellation of financial assistant if it
has been granted. I also authorize Bethlehem University to investigate the information and documents provided by me.
Name:_____________________ Signature:______________________
For University Use Only
Received By:
Name:____________________ Signature:____________________ Date:____________________
Pdf file

More Related Content

What's hot

Republic act 9262 anti vawc act
Republic act 9262 anti vawc actRepublic act 9262 anti vawc act
Republic act 9262 anti vawc act
Daniel Bragais
 
Women abuse
Women abuseWomen abuse
Women abuse
Anu Radha
 
Violence Against Women and Children
Violence Against Women and ChildrenViolence Against Women and Children
Violence Against Women and Children
Mirea Mizushima
 
Volunteer Agreement and Liability Release
Volunteer Agreement and Liability ReleaseVolunteer Agreement and Liability Release
Volunteer Agreement and Liability Release
Chelsea Peck
 
Maitri india domestic violence presentation
Maitri india domestic violence presentationMaitri india domestic violence presentation
Maitri india domestic violence presentation
Winnie Singh
 
Republic Act 9262
Republic Act 9262Republic Act 9262
Republic Act 9262
joems_angel2000
 
BSM Application 14-15
BSM Application 14-15BSM Application 14-15
BSM Application 14-15
Debby Paccella
 
GRP_Application 2015
GRP_Application 2015GRP_Application 2015
GRP_Application 2015
Guardian Review Program
 
Membership forms
Membership formsMembership forms
Membership forms
johnkosonyhung
 

What's hot (9)

Republic act 9262 anti vawc act
Republic act 9262 anti vawc actRepublic act 9262 anti vawc act
Republic act 9262 anti vawc act
 
Women abuse
Women abuseWomen abuse
Women abuse
 
Violence Against Women and Children
Violence Against Women and ChildrenViolence Against Women and Children
Violence Against Women and Children
 
Volunteer Agreement and Liability Release
Volunteer Agreement and Liability ReleaseVolunteer Agreement and Liability Release
Volunteer Agreement and Liability Release
 
Maitri india domestic violence presentation
Maitri india domestic violence presentationMaitri india domestic violence presentation
Maitri india domestic violence presentation
 
Republic Act 9262
Republic Act 9262Republic Act 9262
Republic Act 9262
 
BSM Application 14-15
BSM Application 14-15BSM Application 14-15
BSM Application 14-15
 
GRP_Application 2015
GRP_Application 2015GRP_Application 2015
GRP_Application 2015
 
Membership forms
Membership formsMembership forms
Membership forms
 

Viewers also liked

Actividad didáctica digital
Actividad didáctica digitalActividad didáctica digital
Actividad didáctica digital
Cristina Cuello
 
Pile documents
Pile documentsPile documents
Pile documents
Antoine Melo
 
Interview Framework
Interview FrameworkInterview Framework
Interview Framework
Kim Seeling Smith
 
Top 10 mistakes made by mba applicants
Top 10 mistakes made by mba applicantsTop 10 mistakes made by mba applicants
Top 10 mistakes made by mba applicants
Collmission stats
 
2016.06.01 tráficos internacionales recursos naturales uni_belgrano
2016.06.01 tráficos internacionales recursos naturales uni_belgrano2016.06.01 tráficos internacionales recursos naturales uni_belgrano
2016.06.01 tráficos internacionales recursos naturales uni_belgrano
Davide Caocci
 
Relación existente entre el perfil del profesor de
Relación existente entre el perfil del profesor deRelación existente entre el perfil del profesor de
Relación existente entre el perfil del profesor deNievesCabra
 
Interview Ilb Life Style Dordrecht Dec2011
Interview Ilb Life Style Dordrecht Dec2011Interview Ilb Life Style Dordrecht Dec2011
Interview Ilb Life Style Dordrecht Dec2011
Leanne_Eline
 
Microfiltraje en la Jonquera
Microfiltraje en la JonqueraMicrofiltraje en la Jonquera
Microfiltraje en la Jonquera
RedTortuga
 
Bienvenido a la sociedad de cazadores
Bienvenido a la sociedad de cazadoresBienvenido a la sociedad de cazadores
Bienvenido a la sociedad de cazadoresbuguimonterrubio
 
Comunicado
ComunicadoComunicado
Comunicado
siemprefm
 
Metodo ipler
Metodo iplerMetodo ipler
ASSIGN DWG1 1 01 OCT
ASSIGN DWG1 1 01 OCTASSIGN DWG1 1 01 OCT
ASSIGN DWG1 1 01 OCT
ARNEL SERRANO
 
Dog_training_course_Certificate
Dog_training_course_CertificateDog_training_course_Certificate
Dog_training_course_Certificate
Krusha Patel
 
Festa de natal
Festa de natalFesta de natal
Festa de natal
larabaptista
 
User Research, Paper Prototyping Process and Pitfalls (UX103)
User Research, Paper Prototyping Process and Pitfalls (UX103)User Research, Paper Prototyping Process and Pitfalls (UX103)
User Research, Paper Prototyping Process and Pitfalls (UX103)
rasp0707
 
Productores de coltán
Productores de coltánProductores de coltán
Productores de coltán
javiermourelog
 
Ficha de Trabalho nr 3 - Experiência de Hershey e Chase
Ficha de Trabalho nr 3 - Experiência de Hershey e ChaseFicha de Trabalho nr 3 - Experiência de Hershey e Chase
Ficha de Trabalho nr 3 - Experiência de Hershey e Chase
Isaura Mourão
 

Viewers also liked (18)

Actividad didáctica digital
Actividad didáctica digitalActividad didáctica digital
Actividad didáctica digital
 
GlobeOp Certificate
GlobeOp CertificateGlobeOp Certificate
GlobeOp Certificate
 
Pile documents
Pile documentsPile documents
Pile documents
 
Interview Framework
Interview FrameworkInterview Framework
Interview Framework
 
Top 10 mistakes made by mba applicants
Top 10 mistakes made by mba applicantsTop 10 mistakes made by mba applicants
Top 10 mistakes made by mba applicants
 
2016.06.01 tráficos internacionales recursos naturales uni_belgrano
2016.06.01 tráficos internacionales recursos naturales uni_belgrano2016.06.01 tráficos internacionales recursos naturales uni_belgrano
2016.06.01 tráficos internacionales recursos naturales uni_belgrano
 
Relación existente entre el perfil del profesor de
Relación existente entre el perfil del profesor deRelación existente entre el perfil del profesor de
Relación existente entre el perfil del profesor de
 
Interview Ilb Life Style Dordrecht Dec2011
Interview Ilb Life Style Dordrecht Dec2011Interview Ilb Life Style Dordrecht Dec2011
Interview Ilb Life Style Dordrecht Dec2011
 
Microfiltraje en la Jonquera
Microfiltraje en la JonqueraMicrofiltraje en la Jonquera
Microfiltraje en la Jonquera
 
Bienvenido a la sociedad de cazadores
Bienvenido a la sociedad de cazadoresBienvenido a la sociedad de cazadores
Bienvenido a la sociedad de cazadores
 
Comunicado
ComunicadoComunicado
Comunicado
 
Metodo ipler
Metodo iplerMetodo ipler
Metodo ipler
 
ASSIGN DWG1 1 01 OCT
ASSIGN DWG1 1 01 OCTASSIGN DWG1 1 01 OCT
ASSIGN DWG1 1 01 OCT
 
Dog_training_course_Certificate
Dog_training_course_CertificateDog_training_course_Certificate
Dog_training_course_Certificate
 
Festa de natal
Festa de natalFesta de natal
Festa de natal
 
User Research, Paper Prototyping Process and Pitfalls (UX103)
User Research, Paper Prototyping Process and Pitfalls (UX103)User Research, Paper Prototyping Process and Pitfalls (UX103)
User Research, Paper Prototyping Process and Pitfalls (UX103)
 
Productores de coltán
Productores de coltánProductores de coltán
Productores de coltán
 
Ficha de Trabalho nr 3 - Experiência de Hershey e Chase
Ficha de Trabalho nr 3 - Experiência de Hershey e ChaseFicha de Trabalho nr 3 - Experiência de Hershey e Chase
Ficha de Trabalho nr 3 - Experiência de Hershey e Chase
 

Recently uploaded

GraphSummit Singapore | The Art of the Possible with Graph - Q2 2024
GraphSummit Singapore | The Art of the  Possible with Graph - Q2 2024GraphSummit Singapore | The Art of the  Possible with Graph - Q2 2024
GraphSummit Singapore | The Art of the Possible with Graph - Q2 2024
Neo4j
 
Microsoft - Power Platform_G.Aspiotis.pdf
Microsoft - Power Platform_G.Aspiotis.pdfMicrosoft - Power Platform_G.Aspiotis.pdf
Microsoft - Power Platform_G.Aspiotis.pdf
Uni Systems S.M.S.A.
 
RESUME BUILDER APPLICATION Project for students
RESUME BUILDER APPLICATION Project for studentsRESUME BUILDER APPLICATION Project for students
RESUME BUILDER APPLICATION Project for students
KAMESHS29
 
UiPath Test Automation using UiPath Test Suite series, part 5
UiPath Test Automation using UiPath Test Suite series, part 5UiPath Test Automation using UiPath Test Suite series, part 5
UiPath Test Automation using UiPath Test Suite series, part 5
DianaGray10
 
Video Streaming: Then, Now, and in the Future
Video Streaming: Then, Now, and in the FutureVideo Streaming: Then, Now, and in the Future
Video Streaming: Then, Now, and in the Future
Alpen-Adria-Universität
 
Driving Business Innovation: Latest Generative AI Advancements & Success Story
Driving Business Innovation: Latest Generative AI Advancements & Success StoryDriving Business Innovation: Latest Generative AI Advancements & Success Story
Driving Business Innovation: Latest Generative AI Advancements & Success Story
Safe Software
 
Introduction to CHERI technology - Cybersecurity
Introduction to CHERI technology - CybersecurityIntroduction to CHERI technology - Cybersecurity
Introduction to CHERI technology - Cybersecurity
mikeeftimakis1
 
Uni Systems Copilot event_05062024_C.Vlachos.pdf
Uni Systems Copilot event_05062024_C.Vlachos.pdfUni Systems Copilot event_05062024_C.Vlachos.pdf
Uni Systems Copilot event_05062024_C.Vlachos.pdf
Uni Systems S.M.S.A.
 
How to use Firebase Data Connect For Flutter
How to use Firebase Data Connect For FlutterHow to use Firebase Data Connect For Flutter
How to use Firebase Data Connect For Flutter
Daiki Mogmet Ito
 
GraphSummit Singapore | Enhancing Changi Airport Group's Passenger Experience...
GraphSummit Singapore | Enhancing Changi Airport Group's Passenger Experience...GraphSummit Singapore | Enhancing Changi Airport Group's Passenger Experience...
GraphSummit Singapore | Enhancing Changi Airport Group's Passenger Experience...
Neo4j
 
Mariano G Tinti - Decoding SpaceX
Mariano G Tinti - Decoding SpaceXMariano G Tinti - Decoding SpaceX
Mariano G Tinti - Decoding SpaceX
Mariano Tinti
 
AI 101: An Introduction to the Basics and Impact of Artificial Intelligence
AI 101: An Introduction to the Basics and Impact of Artificial IntelligenceAI 101: An Introduction to the Basics and Impact of Artificial Intelligence
AI 101: An Introduction to the Basics and Impact of Artificial Intelligence
IndexBug
 
Mind map of terminologies used in context of Generative AI
Mind map of terminologies used in context of Generative AIMind map of terminologies used in context of Generative AI
Mind map of terminologies used in context of Generative AI
Kumud Singh
 
Infrastructure Challenges in Scaling RAG with Custom AI models
Infrastructure Challenges in Scaling RAG with Custom AI modelsInfrastructure Challenges in Scaling RAG with Custom AI models
Infrastructure Challenges in Scaling RAG with Custom AI models
Zilliz
 
“I’m still / I’m still / Chaining from the Block”
“I’m still / I’m still / Chaining from the Block”“I’m still / I’m still / Chaining from the Block”
“I’m still / I’m still / Chaining from the Block”
Claudio Di Ciccio
 
Best 20 SEO Techniques To Improve Website Visibility In SERP
Best 20 SEO Techniques To Improve Website Visibility In SERPBest 20 SEO Techniques To Improve Website Visibility In SERP
Best 20 SEO Techniques To Improve Website Visibility In SERP
Pixlogix Infotech
 
Removing Uninteresting Bytes in Software Fuzzing
Removing Uninteresting Bytes in Software FuzzingRemoving Uninteresting Bytes in Software Fuzzing
Removing Uninteresting Bytes in Software Fuzzing
Aftab Hussain
 
20240609 QFM020 Irresponsible AI Reading List May 2024
20240609 QFM020 Irresponsible AI Reading List May 202420240609 QFM020 Irresponsible AI Reading List May 2024
20240609 QFM020 Irresponsible AI Reading List May 2024
Matthew Sinclair
 
UiPath Test Automation using UiPath Test Suite series, part 6
UiPath Test Automation using UiPath Test Suite series, part 6UiPath Test Automation using UiPath Test Suite series, part 6
UiPath Test Automation using UiPath Test Suite series, part 6
DianaGray10
 
Serial Arm Control in Real Time Presentation
Serial Arm Control in Real Time PresentationSerial Arm Control in Real Time Presentation
Serial Arm Control in Real Time Presentation
tolgahangng
 

Recently uploaded (20)

GraphSummit Singapore | The Art of the Possible with Graph - Q2 2024
GraphSummit Singapore | The Art of the  Possible with Graph - Q2 2024GraphSummit Singapore | The Art of the  Possible with Graph - Q2 2024
GraphSummit Singapore | The Art of the Possible with Graph - Q2 2024
 
Microsoft - Power Platform_G.Aspiotis.pdf
Microsoft - Power Platform_G.Aspiotis.pdfMicrosoft - Power Platform_G.Aspiotis.pdf
Microsoft - Power Platform_G.Aspiotis.pdf
 
RESUME BUILDER APPLICATION Project for students
RESUME BUILDER APPLICATION Project for studentsRESUME BUILDER APPLICATION Project for students
RESUME BUILDER APPLICATION Project for students
 
UiPath Test Automation using UiPath Test Suite series, part 5
UiPath Test Automation using UiPath Test Suite series, part 5UiPath Test Automation using UiPath Test Suite series, part 5
UiPath Test Automation using UiPath Test Suite series, part 5
 
Video Streaming: Then, Now, and in the Future
Video Streaming: Then, Now, and in the FutureVideo Streaming: Then, Now, and in the Future
Video Streaming: Then, Now, and in the Future
 
Driving Business Innovation: Latest Generative AI Advancements & Success Story
Driving Business Innovation: Latest Generative AI Advancements & Success StoryDriving Business Innovation: Latest Generative AI Advancements & Success Story
Driving Business Innovation: Latest Generative AI Advancements & Success Story
 
Introduction to CHERI technology - Cybersecurity
Introduction to CHERI technology - CybersecurityIntroduction to CHERI technology - Cybersecurity
Introduction to CHERI technology - Cybersecurity
 
Uni Systems Copilot event_05062024_C.Vlachos.pdf
Uni Systems Copilot event_05062024_C.Vlachos.pdfUni Systems Copilot event_05062024_C.Vlachos.pdf
Uni Systems Copilot event_05062024_C.Vlachos.pdf
 
How to use Firebase Data Connect For Flutter
How to use Firebase Data Connect For FlutterHow to use Firebase Data Connect For Flutter
How to use Firebase Data Connect For Flutter
 
GraphSummit Singapore | Enhancing Changi Airport Group's Passenger Experience...
GraphSummit Singapore | Enhancing Changi Airport Group's Passenger Experience...GraphSummit Singapore | Enhancing Changi Airport Group's Passenger Experience...
GraphSummit Singapore | Enhancing Changi Airport Group's Passenger Experience...
 
Mariano G Tinti - Decoding SpaceX
Mariano G Tinti - Decoding SpaceXMariano G Tinti - Decoding SpaceX
Mariano G Tinti - Decoding SpaceX
 
AI 101: An Introduction to the Basics and Impact of Artificial Intelligence
AI 101: An Introduction to the Basics and Impact of Artificial IntelligenceAI 101: An Introduction to the Basics and Impact of Artificial Intelligence
AI 101: An Introduction to the Basics and Impact of Artificial Intelligence
 
Mind map of terminologies used in context of Generative AI
Mind map of terminologies used in context of Generative AIMind map of terminologies used in context of Generative AI
Mind map of terminologies used in context of Generative AI
 
Infrastructure Challenges in Scaling RAG with Custom AI models
Infrastructure Challenges in Scaling RAG with Custom AI modelsInfrastructure Challenges in Scaling RAG with Custom AI models
Infrastructure Challenges in Scaling RAG with Custom AI models
 
“I’m still / I’m still / Chaining from the Block”
“I’m still / I’m still / Chaining from the Block”“I’m still / I’m still / Chaining from the Block”
“I’m still / I’m still / Chaining from the Block”
 
Best 20 SEO Techniques To Improve Website Visibility In SERP
Best 20 SEO Techniques To Improve Website Visibility In SERPBest 20 SEO Techniques To Improve Website Visibility In SERP
Best 20 SEO Techniques To Improve Website Visibility In SERP
 
Removing Uninteresting Bytes in Software Fuzzing
Removing Uninteresting Bytes in Software FuzzingRemoving Uninteresting Bytes in Software Fuzzing
Removing Uninteresting Bytes in Software Fuzzing
 
20240609 QFM020 Irresponsible AI Reading List May 2024
20240609 QFM020 Irresponsible AI Reading List May 202420240609 QFM020 Irresponsible AI Reading List May 2024
20240609 QFM020 Irresponsible AI Reading List May 2024
 
UiPath Test Automation using UiPath Test Suite series, part 6
UiPath Test Automation using UiPath Test Suite series, part 6UiPath Test Automation using UiPath Test Suite series, part 6
UiPath Test Automation using UiPath Test Suite series, part 6
 
Serial Arm Control in Real Time Presentation
Serial Arm Control in Real Time PresentationSerial Arm Control in Real Time Presentation
Serial Arm Control in Real Time Presentation
 

Pdf file

  • 1. Student Number 0909229 PHOTO Bethlehem University Social Survey Application General Information : Name : Diala Rimon Farid Rantisi Address: Ramallah/El Tira/Ein Qiniah Street Gender: Female Religion: Christian / Roman Catholic (Latin) Telephone: 022955063 Mobile: 0598449289 Email: suzan320@yahoo.com Health Information: Insurance: Govenment Social Case: Not A soical Case Student Health: Good Disability: No disability Family List : Name Relation ID Number MaritalStatus HealthStatus Status Suzan Rantisi Mother 080291099 Married Good Working Nancy Rantisi Sister 401360813 Single Good School Student Marlin Rantisi Sister 852482355 Single Good University Student Farid Rantisi Brother 854667425 Single Good School Student Rimon Rantisi Father 939037651 Married Good Working DISCLOSURE STATEMENT I hereby certify that the information provided for the Social Survey is correct and complete to the best of my knowledge and belief. I understand that withholding pertinent information requested on the Social Survey or providing false information will make me ineligible for any financial assistant or subject to cancellation of financial assistant if it has been granted. I also authorize Bethlehem University to investigate the information and documents provided by me. Name:_____________________ Signature:______________________ For University Use Only Received By: Name:____________________ Signature:____________________ Date:____________________