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GSIS Group Accident Insurance Prescribe Template PLEASE DO NOT CHANGE
GSIS Group Accident Insurance Prescribe Template PLEASE DO NOT CHANGE
City of Manila
NAME OF OFFICIAL
LAST NAME FIRST NAME MIDDLE NAME NAME EXTENSION
1 SANTOS ANTONIO HAWAYAN JR
2 BALUYOT WILMAR TOLIBAS
3 SANTOS FELICISIMA DELA CRUZ
4 STA. MARIA ROMUALDO GARCIA
5 TAHIR IBRAHIM GUERRERO
6 VALDIVIA ERWIN CATAJAN
7 DE LEON JOCELYN MATABANG
8 NG TERESITA PANG
9 GANIT GLEN GRIMALDO
10 MARTINEZ JONATHAN ALILAM
11 JANOLINO MODESTA MEJICO
12 BRERGANZA VIOLETA NOGALES
13 JULIAN VILOETA SALCEDO
14 COS FLORENTINO RELUAO JR
15 MACALINTAL ROSALINDA COS
16 ILACAD NOEL LEAÑO
17 SANTOS EFEGENIA HAWAYAN
18 ESPINO PERLITA MANANQUIL
19 RAFAEL ROSARIO MANGASER
20 MUSNGI ERLINDA TEODORA CATOG
21 VALDIVIA FLORENTINO REMIGIO
22
23
24
25
26
27
28
29
30
31 SOLAMO JORGE CUEVAS
32 ESCORPISO ARIEL MARTINEZ
33 DE LEON ARMANDO MUSNGI
34 DE LEON ENRIQUE MUSNGI
35 HASPITAL NARCISO CALANZA
36 MARTINEZ NORIEL ASUNCION
37 MACALINTAL JOHN MICHAEL COS
PREPARED BY:
Jonathan A. Martinez
Barangay Secretary
DATE ACCOMPLISHED
Republic of the Philippines
City of Manila
POSITION/ BENEFICIARY
DESIGNATION DATE OF BIRTH LAST NAME FIRST NAME
Barangay Chairman 3/10/1970 SANTOS MA. VERONICA
Barangay Kagawad 8/6/1987 BALUYOT MARK KEVIN
Barangay Kagawad 8/6/1955 SANTOS ROLAN
Barangay Kagawad 8/31/1977 STA. MARIA JOHN KEN
Barangay Kagawad 1/21/1969 TAHIR WAHID
Barangay Kagawad 11/8/1977 VALDIVIA MARY ANN
Barangay Kagawad 8/30/1976 DE LEON ROGELIO
Barangay Kagawad 2/26/1944 NG DESMUND
SK Chairperson 10/21/1995 GANIT LELISA
Barangay Secretary 8/8/1972 MARTINEZ JENNIFER
Barangay Treasurer 9/27/1978 JANOLINO GLADYS
Lupong Tagapamaya member 2/21/1958
Lupong Tagapamaya member 3/12/1946 JULIAN ELISEO
Lupong Tagapamaya member 11/2/1952 MACALINTAL ROSALINDA
Lupong Tagapamaya member 4/1/1954 MACALINTAL GENALYN
Lupong Tagapamaya member 3/30/1944 ILACAD ELENA
Lupong Tagapamaya member 9/7/1947 SANTOS JOJIT
Lupong Tagapamaya member 11/30/1949
Lupong Tagapamaya member 10/24/1951 RAFAEL RAMON
Lupong Tagapamaya member 4/8/1951 DE LEON ATHENA
Lupong Tagapamaya member 6/20/1949 VALDIVIA ENRIQUE
Lupong Tagapamaya member
Lupong Tagapamaya member
Lupong Tagapamaya member
Lupong Tagapamaya member
Lupong Tagapamaya member
Lupong Tagapamaya member
Lupong Tagapamaya member
Lupong Tagapamaya member
Lupong Tagapamaya member
Barangay Tanod 8/10/1980 CORPUZ GENELENE
Barangay Tanod 10/27/1977 CABAÑEROS GINA
Barangay Tanod 2/6/1975 DE LEON MARIA
Barangay Tanod 4/5/1972 DE LEON ROSITA
Barangay Tanod 10/28/1958 HASPITAL ANTONIO
Barangay Tanod 8/5/1988 MARTINEZ SUSAN
Barangay Tanod 3/8/1986 MACALINTAL MALOU
ALLAINE GRACE
12/10/1995 MARISSE
Barangay Tanod TAGLE
Barangay Tanod 7/18/1999 VALDIVIA MICHAEL
Barangay Tanod 4/16/2000 MINOZA MARGIE
Barangay Tanod 12/20/1970 NATOR BENJACK
Barangay Tanod 4/29/1981 VALENCIA JELARY
Barangay Tanod 8/26/1981 VARGAS ERIKA
Barangay Tanod 9/11/1969
Barangay Tanod 9/6/1983
Barangay Tanod 5/28/1969 BUTALON CRISELDA
Barangay Tanod 5/1/1982 JOLITO LIEZL
Barangay Tanod 11/27/1992 CLAVERIA ARAVELLE
Barangay Tanod 1/6/1978 PALAÑA RAGIE LANE
Barangay Tanod 7/16/1975 BELLEN JOHN WAYNE
Barangay Tanod 9/23/2000
NOTED BY:
MANGASER SON
MERCADO GRAND DAUGHTER
CATAJAN SON
PEREZ SPOUSE
ESCAPATORA SPOUSE
VERZO LIVE-IN PARTNER
LIVE-IN PARTNER
NOLLIDO SON