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Saint Paul University Philippines

Tuguegarao City, Cagayan 3500

SCHOOL OF NURSING and ALLIED HEALTH SCIENCES


Nursing Program

REGISTRATION FORM
CLUSTER 2
BASELINE DATA SURVEY

Date: April 18, 2017

Family Head Name Cluster Household Signature


No. No.
1. Jacinto Mannag 9 1
2. Sanny Mannag 9 2
3. Mateo Allauigan 9 3
4. Richard Valdez 9 4
5. Felipe Valdez 9 5
6. Maximo Mannag 9 6
7. Bartolome Guiquing 10 7
8. Jocklan Mannag 11 8
9. Bob Soler Mannag 11 9
10. Gilmor Masanay 10 10
11. Jaime Gallego 11 11
12. Ryan Gallego 11 12
13. Walter Malenab 10 13
14. Jay Crisostomo 10 14
15. Hesuso Crisostomo 10 15
16. Ronnie Allauigan 11 16
17. Josie Blanco 11 17
18. Charlie Matalam 11 18
19. Elmer Pablo 10 19
20. Richard Melad 11 20
21. Samuel Pablo 12 1
22. Rey Pablo 12 2
23. Darwin Amistoso 12 3
24. Fortunato Bulan 12 4
25. Noel Bulan 12 5
26. Ronald Bulan 12 6
27. Arnold Gammaru 13 7
28. Jerry Cacal 13 8
29. Domingo Masanay 13 9
30. Louise Baccay 13 10
31. Jornel Bulan 13 11
32. Jonathan Matalam 13 12
33. Rogelio Cacal 14 13
34. Marcial Acierto 14 14
35. Ronaldo Miguel 14 15
36. Domingo Cacal 14 16
37. Domingo Limjoco 14 17
38. Pascual Guiyab 14 18
39. Garro, Joel 15 3
40. Marragun, Roberto 15 2
41. Pablo, Ronnie 15 1
42. Gannaban, Candida 15 19
43. Blanco, Maria 15 20
44. Matalam, Filomino 16 4
45. Matalam, Angelita 16 5
46. Gallego, Ester 16 6
47. Cacal, Reynaldo 17 7
48. Melad, Raymund 17 10
49. Cacal, Jojo 17 9
50. Gallego, Rolan 17 8
51. Masiddo, Judimar 17 13
52. Cacal, Miguel 17 14
53. Gallego, Ronald 17 15

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