XAVIER SCHOOL - XS Golden Jubilee Tribute Form

Nominee

Personal Info

Name
Address
Phone
Email
Mobile
Fax
Yr. Graduated
Inclusive years in XS
Birthday (MM/DD/YY)	Age
Civil Status
Father's Name
Mother's Name

Education

Grade School	Year Completed
High School	Year Completed
College	Year Completed
Graudate Studies	Year Completed
Others
Academic Honors

Professional Experience	Occupation / Profession Company (inclusive dates) --- Occupation / Profession Company (inclusive dates) --- Occupation / Profession Company (inclusive dates)
Current Position/Title
Business Address

Awards/Recognition
Organizations	Organization Position (inclusive dates)

Substantiation	Summarize in the spaces the reasons why you believe your nominee should be selected as an exemplary Xavier alumnus of the first 50 years.

	"Men fully alive" -- imbued with the truly human and universal virtues of love, mutual respect and harmony with all. He is ruled by a well-educated conscience.
	“Endowed with a passion for justice” -- has devoted his life to or is actively involved in humanitarian work or other selfless endeavors for the service of society
	“and the skills for development” -- has fully actualized his potentials and continues to excel in his field

Nominator	Name Home Address Occupation/Business Tel. No. Mobile No. Email