Birth and Baptism of Jose Rizal

Name:__________________________ Course & Yr.:_____________________ Date:-

________________
Filling nformation
Dire!tion: Fill in the ne!essar" information needed in Rizal#s:
$. Birth Certi%!ate
&ro'in!e: __________________________________ Registr" (
_______________________
Cit")*uni!ipalit": ___________________________
C
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1. 2.3
____-. *ale _____1. Female
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/da"0 /month0
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7. &,$C. 6F BR5+
/name of hospital)!lini!)residen!e0
8. $.5Y&. 6F BR5+
_______-. 2ingle ______1. 59in
______4. 5riplet
B. F *:,5&,. BR5+; C+,D
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_______-. First ______1.
2e!ond
________4. 6thers
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B. $. 5otal ( of
!hildren
Corn ali'e _____
B. ( of !hildren still
li'ing in!luding
this one ________
C. ( of !hildren
Corn
ali'e Cut are no9
dead _______
-D.6CC:&$56N --.$ge at the same of this
Cirth
-1.R.2D.NC.
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-=.6CC:&$56N ->.$ge at the time of this
Cirth
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2ignature __________________ $ddress
____________________
Name in &rint _______________
______________________
Date
_______________________
Courses 5aEen
Name:__________________________ Course & Yr.:_____________________ Date:-
________________
Spot A Course Activity
Dire!tion: &ut a !he!E /F0 marE on the top of the CoGes !ontaining the
!ourses)lessons taEen C" Rizal.
&ut a !ross /30 marE on the top f the CoG !ontaining !ourses)lessons not
taEen C" Rizal.
Nursing 2!ulpture Fen!ing 5ennis
Computer
&rogrammin
g
.ngineering Aolf 2e!retarial Dri'ing ,anguages
+R* Fine $rts Firing
&hilo &
,etters
&ainting
2ur'e"or *edi!ine Chess A"mnasti!s Bo9ling
Criminolog" 5 Ballet *edi!ine
Cosmetolog
"
Chara!teristi!s of Jose Rizal#s <omen
Name:__________________________ Course & Yr.:_____________________ Date:-
________________
Spot A Character
Dire!tion: &ut a !he!E /F0 marE on the top the CoGes !ontaining the
!hara!teristi!s of Jose Rizal#s 9omen.
&ut a !ross /G0 marE on the top of ea!h CoG 9ith the most unliEe
!hara!ter.
Beautiful Co'etous +igh 2pirited
2edu!ti'e Regal Bearing &ossessi'e
Frail &rett" Aentle
Cupidit" ,o'ing Cle'er
29eet $ggressi'e Demonstrati'e
2lender .legant 2imple
DouCle-!rosser ntelligent Cheerful
Baptismal Certi%!ate
Certi%!ate of Baptism
Certi%!ate of Baptism
&arish of
5his s 5o Certif"
5hat
Child of
and
Born in
6n the da" of -@
<as solemnl" B$&5?.D on the da" of -@
$!!ording 5o 5he Rite 6f 5he
Roman Catholi! Chur!h
C" the Re'.