UNIVERSITY OF SOUTHERN PHILIPPINES FOUNDATION
Lahug, Cebu City
PRE-REGISTRATION FORM Please Check:
(College of Law) ( ) Old Student
( ) New Student/Transferees
( ) Foreign Student
Name: Añabieza Vince Clarck F. Course & Yr. IV-Law
(Surname) (First) (M.I.)
Academic Year 2020-2021 Semester 1st Student ID No. 201802378
SUBJECTS
Subject Code Section Description Days Time Units
Evaluated by: Approved by:
Alicia E. Bathan
Adviser College Dean Student’s Signature
pre-registration form
STUDENT’S PERSONAL DATA
Name: Añabieza Vince Clarck Fontabla Gender: M
(Surname, First Name, Middle Name)
Date of Birth: September 25, 1995 Place of Birth: Asinan, Buenavista, Bohol
Home Address: Asinan, Buenavista, Bohol
Tel No.: N/A Cell No.: 09273963173
SCHOOL LAST ATTENDED:
Elementary: Buenavista Central Elementary Yr. Graduated: 2008
High School: Cangawa National High Yr. Graduated: 2012
College: Buenavista Community College Yr. Graduated: 2016
In Case of Emergency, Please Contact:
Parents/Guardian: Jourdel Mario Añabieza Relationship: Father
Home Address: Poblacion Buenavista Bohol Tel No.: 09195727964
“I HEREBY ATTEST to the truthfulness of the information I have provided herewith and DECLARE that I have never
been convicted of a crime involving moral turpitude. (Old Student) I FURTHER CERTIFY that I have faithfully complied with the
pre- requisite subjects as prescribed by the Legal Education Board.”
08/07/2020 VINCE CLARCK F. AÑABIEZA
Date Signed PRINT NAME OF THE STUDENT Student’s Signature