LSQC Batch 82 Directory ----------------------- Surname : _________________________________ First Name : _________________________________ Middle Name: _________________________________ Nickname (if any): ______________________ Gender: ____ Male ____ Female ____ St. Francis ____ St. Bernard ____ St. James ____ St. Dominic ____ St. Ignatius ____ St. Benedict ____ St. Paul ____ Faculty/Administration ____ Friends of Batch 82 Birthday (mm/dd/yyyy): ___________________ Civil Status: ____ Single ____ Married ____ Separated ____ Divorced ____ Widow Name of Spouse (if any): ______________________________ # of Children (if any): __________ Home Address: _______________________________________________ _______________________________________________ _______________________________________________ Country: ____ Philippines ____ Others (specify): _____________________________ Home phone(s): ___________________________________ Cell phone(s): ___________________________________ email address: ___________________________________ Occupation (check one): ____ Executive/managerial ____ Doctor ____ Lawyer ____ Professional (other than doctor, lawyer) ____ Academic/educator ____ Computer technical/engineering ____ Other technical/engineering ____ Service/customer support ____ Clerical/administrative ____ Sales/marketing ____ Tradesman/craftsman ____ College/graduate student ____ Homemaker ____ Self-employed/own company ____ Unemployed ____ Retired ____ Other (specify): _____________________________ Job Title : ________________________________________ Company name: ________________________________________ Industry (check one): ____ Banking/Finance/Real Estate ____ Computer-related ____ Education/Research ____ Engineering/Construction ____ Manufacturing/Distribution ____ Business Supplies/Services ____ Medical/Health Services ____ Entertainment/Media/Publishing ____ Travel/Accommodations ____ Consumer Retail/Wholesale ____ Non-profit/Membership Orgs ____ Government ____ Legal Services ____ None (Not Employed) ____ Other (specify): ________________________________ Office phone(s): ___________________________________ Fax : ___________________________________ University attended (undergrad): _________________________________________________ Course taken: ______________________________________ Highest Educational Attainment: ____ High School ____ Vocational ____ College (Bachelor's Degree) ____ Master's Degree ____ Professional Degree ____ Doctorate University attended (for degrees higher than college): _________________________________________________ Own website(s): _________________________________________________ _________________________________________________ _________________________________________________ Comments: _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ ========================================================= Instructions: Please send the completed form to lsqc82@yahoo.com, NOT to lsqc82@yahoogroups.com, so as not to unnecessarily flood our group mail. If possible, please also attach a recent photo of yourself to the same email address. This will be be posted in our batch website. Thank you for your time.