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Angadanan National High School Evelyn P. Jose, P-Ii: Please Write in Bold Letters

This document contains a registration list for an insurance program with 40 individuals enrolled. It provides key details for each person such as their name, date of birth, age, and remarks. The remarks section outlines the different plan options available and their associated costs ranging from 60 to 1,000 pesos depending on the individual's age. The document was submitted by Evelyn P. Jose from Angadan National High School.

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Mark Mingala
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87 views2 pages

Angadanan National High School Evelyn P. Jose, P-Ii: Please Write in Bold Letters

This document contains a registration list for an insurance program with 40 individuals enrolled. It provides key details for each person such as their name, date of birth, age, and remarks. The remarks section outlines the different plan options available and their associated costs ranging from 60 to 1,000 pesos depending on the individual's age. The document was submitted by Evelyn P. Jose from Angadan National High School.

Uploaded by

Mark Mingala
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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ISABELA CHAPTER Email Address:

NAME OF SCHOOL/OFFICE/ BARANGAYS: ANGADANAN NATIONAL HIGH SCHOOL

CONTACT PERSON EVELYN P. JOSE, P-II

Remarks: CLASSIC Ages 5-25 years old (60.00) BRONZE Ages 5-65 years old (150.00) SILVER Ages 5-65 (300.00) GOLD Ages 5-65
years old (500.00) PLATINUM Ages 5-65 years old (1,000.00) SENIOR Ages 6-80 years old (300.00) SENIOR PLUS SENIOR Ages 81-
85 years old (350.00)

PLEASE WRITE IN BOLD LETTERS

No. Registration Last Name First Name / M. Initial Date of Birth Age Remarks
Number
1 VALDEZ JAYRA LEE C. 04-06-06 13
2 QUILANG JENBEA G. 03-27-06 13
3 PAGADUAN KARLA ANGELEE N. 09-18-06 13
4 ESTRADA HONEY RHEYN 07-23-06 13
5 TALLOD JHONAS V. 12-27-06 13
6 ABUAN PRINXZ IVAN D. 12-29-05 13
7 DULVA KAYE CASSANDRA A. 04-07-06 13
8 TALVO JAN CESAR S. 01-05-06 13
9 LAGGUI C-JAY F. 03-12-06 13
10 CANCERAN JUDY MARK E. 06-03-06 13
11 WIGAN MOISES M. 08-03-03 15
12 MALLABO CHARLES DAVE E. 09-30-06 13
13 GUIUO JUSTIN E. 10-30-06 12
14 MAMAUAG MARC S. 02-22-04 15
15 MATTERIG JAY-MAR M. 08-20-05 14
16 GUILLERMO KRISTEL HEART M. 11-28-06 12
17 GUILLERMO JASPHER G. 08-01-06 13
18 DUGAY JAZMINE VIANCA D. 09-28-05 13
19 PERICO REGINO A. 04-03-06 13
20 SIQUIAN PRINCESS JOY B. 07-15-06 13
21 PASTOR JOSHUA M. 01-01-06 13
22 ARUTA PRINCESS JOEMARI B. 04-07-06 13
23 MARINAY FRANZ S. 07-08-06 13
24 BALICO CHERRY BLOSSOM 09-13-06 13
25 AGUSTIN MICHAEL ANGELO T. 02-22-06 13
26 FOLLANTE CHRISTA JANE 12-17-05 13
27 TENOSO JHEN MAEBEL B. 06-15-06 13
28 PAGUIGAN BABYLYN M. 12-12-04 14
29 TAGUBA AXEL BOBICE D. 07-09-05 14
30 LAZARTE GABRIEL M. 12-11-04 14
31 CARINO DIANA MAE F. 02-28-06 13
32 MAMACLAY MECAILA T. 09-08-06 13
33 AGCAOILI VAN DAVID F. 12-09-06 12
34 DUNUAN AUBREY NICOLE M. 10-11-05 13
35 ADONA MICHAELA Q. 03-04-06 13
36 BERJAMIN JONH VINCENT B. 12-14-06 13
37 BAYASBAS CHERYLL D. 08-21-05 13
38 REYES JEZHREEL M. 07-16-06 13
39 PRINCESS JANE R.
SICAM 05-03-06
13
40
MALE:_____________ FEMALE:_____________

DATE OF EFFECTIVITY: _____________________________ OR #. ___________________

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