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(FOR REQUEST PURPOSES ONLY)

CERTIFIED LIST OF PUBLIC SCHOOL TEACHERS WHO ARE WILLING, AVAILABLE AND QUALIFIED TO SERVE AS MEMBERS OF THE
ELECTORAL BOARDS FOR THE (ELECTION TO BE CONDUCTED i.e., MAY __, 2019 NATIONAL AND LOCAL ELECTIONS)

POSITION/ SERVED IN THE PREVIOUS


WILLING, AVAILABLE REGISTERED SIGNATURE OF THE APPLICANT
DESIGNATION SCHOOL AND QUALIFIED TO VOTER WITH ELECTIONS AS MEMBER OF
NAME (Chairman/Poll Clerk/Third BECOME A MEMBER OF ACTIVE ELECTORAL BOARDS Contact Number
(The signature is an attestestation to the
(Last Name,First Name Middle Name) ASSIGNMENT THE ELECTORAL BOARD STATUS (If applicable, indicate the positions truthfulness of all the facts indication in this
Member/DESO/Support
Staff) (YES/NO) (YES/NO) held and election year/s) Certificate)
(YES/NO)

1 ABLAO, LILIBETH LORENO THIRD MEMBER E. VALDOMAR NATIONAL HS YES YES YES, BOC-2018 09307906234
2 SALADA, MARICHRIZCYRILLE DELA CERNA THIRD MEMBER E. VALDOMAR NATIONAL HS YES YES YES, POLL CLERK-2018 09075197017
3 MOZO, JEANNE LAMA THIRD MEMBER E. VALDOMAR NATIONAL HS YES YES YES, CHAIRMAN-2018 09203718810
4 SILVA, ISABEL GUZON THIRD MEMBER E. VALDOMAR NATIONAL HS YES YES YES, THIRD MEMBER-2018 09072425596
5 ABELLA, JOCELYN FLORES THIRD MEMBER E. VALDOMAR NATIONAL HS YES YES YES, POLL CLERK-2018 09462420483
6 BLANCO, JACKIE LOU BELLUGA THIRD MEMBER E. VALDOMAR NATIONAL HS YES YES YES, POLL CLERK-2018 09480639960
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I hereby certify that the foregoing public school teachers are qualified, willing and available to serve as Members of the Electoral Boardsconducted
for the (election to be i.e., May __, 2019 National and Local Elections).

Certified Correct by: Date of the Request of the OEO: _____________________


Date of the Submission to the OEO: ___________________
FRANKLIN A. LAGUESMA
(Name & Signature)
School Head / Principal ALLAN G. FARNAZO
Regional Director
and Concurrent Officer-In-Charge
Office of the Schools Division Superintendent

Subscribed and Sworn to me this ______ day of ______, 2019; Affiant exhibiting to me his/her competent of identity _________________________________.

________________________________________

(FOR RECOMMENDATORY PURPOSES ONLY)

CERTIFIED LIST OF PUBLIC SCHOOL TEACHERS WHO ARE WILLING, AVAILABLE AND QUALIFIED TO SERVE AS MEMBERS OF THE
ELECTORAL BOARDS FOR THE (ELECTION TO BE CONDUCTED i.e., MAY __, 2019 NATIONAL AND LOCAL ELECTIONS)

POSITION/ SERVED IN THE PREVIOUS


WILLING, AVAILABLE REGISTERED
ELECTIONS AS MEMBER OF SIGNATURE OF THE APPLICANT
DESIGNATION SCHOOL AND QUALIFIED TO VOTER WITH
NAME (Chairman/Poll Clerk/Third BECOME A MEMBER OF ACTIVE ELECTORAL BOARDS Contact Number
(The signature is an attestestation to the
(Last Name,First Name Middle Name) ASSIGNMENT THE ELECTORAL BOARD STATUS (If applicable, indicate the positions truthfulness of all the facts indication in this
Member/DESO/Support
Staff) (YES/NO) (YES/NO) held and election year/s) Certificate)
(YES/NO)

1 TECH. SUPPORT STAFF


2 TECH. SUPPORT STAFF
3 TECH. SUPPORT STAFF

I hereby certify that the foregoing public school teachers are qualified, willing and available to serve as Members of the Electoral Boardsconducted
for the (election to be i.e., May __, 2019 National and Local Elections).

Date of the Request of the OEO: _____________________


Date of the Submission to the OEO: ___________________

Certified Correct by:

(Name & Signature)


School Head / Principal
Dad. North ES
- Unajan, Mary Grace T. -No Record Found (No Middle Name)
Dad. West ES
- Cornejo, Beverly -No Record Found (No Middle Name)
Pedro Acharon Sr. CES
- Dela Cruz, Laura Q. -Deactivated (for replacement)
-Villamora, Ma. Magdalena B -Deactivated (for replacement)
Lanton ES
- Buca, Mary Ann P. -No Record Found (No Middle Name)
New Society CES
-Calisnao, Nenita F. -No Record Found (No Middle Name)
-Chui, Romelyn S. -No Record Found (No Middle Name)
-Laguda, Jerry F. -No Biometric (for replacement)
Baluan ES
- Labadia, Glory Mae Diamante -No Record Found (No Middle Name)
- Galeza, Sheryl Castroverde -No Record Found (No Middle Name)
- Amparo, Lorena Salazar -No Record Found (No Middle Name)
- Balicbalic, Helen B. -No Record Found (No Middle Name)
- Alejado, Salem Pradilla -Deactivated as "Pradilla" (pls visit COMELEC for verification)
J. Divinagracia ES
- Cajegas, Margie -No Record Found (No Middle Name)
- Calinawan, Mary Ann F. -No Record Found (No Middle Name)
- Fabre, Flordeliza L. -No Record Found (No Middle Name)
- Miranda, Edwin S. -No Record Found (No Middle Name)
- Piodos, Ma. Chona -No Record Found (No Middle Name)
- Aquino, desiree T. -No Record Found (No Middle Name)
Bula CES
- Geronimo, Cherry Jane M. -No Record Found (No Middle Name)
- Lloveras, Cherill B. -No Record Found (No Middle Name)
- Sajonia, Condrada -No Record Found (No Middle Name)
- Martillan, Elizabeth -Non-Teaching (for replacement)
Bula National School of Fisheries
- Alcaria Jr., Julius -No Record Found (No Middle Name)
- Sales, Wilhelm M. -No Record Found (No Middle Name)
GSCNHS
- Berjes, Jane Francis A. -No Record Found (No Middle Name)
H.N. Cahilsot ES
- Lopez, Joan A. -No Record Found (No Middle Name)
- Bacanse, Jessielyn -No Record Found (No Middle Name)
- Eligan, Angelita P. -No Record Found (No Middle Name)
- Bellones, Anthony P. -No Record Found (No Middle Name)
- Galano, Emmanuel S. -No Record Found (No Middle Name)
Romana Acharon CES
- Gapasin, May Robert C. -Deactivated with 2 slots (for replacement)
- Jamero, Aileen A. -No Record Found (No Middle Name)
F. Oringo ES
- Villegas, Melrose O. -No Record Found (No Middle Name)
Upper Tamber CES II
- Dela Rosa, Olga -No Record Found (No Middle Name)
-Ambaan, Ma. Elenor Tagam -No Record Found (No Middle Name)
- Caduada, Janize Arquez -No Record Found (No Middle Name)
- Atamosa Evelyn -verify COMELEC the middle name "SALA"
Fatima NHS
- Darantinao, Jeanly T. -No Record Found (No Middle Name)
-Tenizo, Melody G. -No Record Found (No Middle Name)
- Rubio, Ryan T. -Deactivated (for replacement)
- Racho, Windy Q. -Deactivated (for replacement)
Conel CES
- Corzon, Marilou C. -No Record Found (No Middle Name)
- Madrideños, Glyza B. -No Record Found (No Middle Name)
- Villafuerte, Llyana Angela T. -No Record Found (No Middle Name)
- Subiera, Uzziel Winsett M. -Non-Teaching (for replacement)
Katangawan CES
- Susmiña, Marvin T. -Deactivated
- Alcalen, Sheila Joy P. -No Record Found (No Middle Name)
Saludin Anas ES
- Claro, Felina S. -No Record Found (No Middle Name)
Balunto ES
-Dalogdog, Sheryl C. -No Record Found (No Middle Name)
- Fernandez, Roberta G. -No Record Found (No Middle Name)
- Relativo, Annalou A. -No Record Found (No Middle Name)
- Agodania, Brenda -No Record Found (No Middle Name)
P. Kindat ES
- Deydo, Marevic C. -No Record Found (No Middle Name)
Balite ES
- Mombay, Delea -Deactivated (for replacement)
- Flores, Ma. Lina Balili -No Record Found (No Middle Name)
- Daut, Charity Hilado -No Record Found (No Middle Name)
- Loable, Love Baliste -No Record Found (No Middle Name)
Lagao CES
- Magsico, Sherry -Deactivated (for replacement)
- Ladion, Josefa -Deactivated (for replacement)
- Tejada, Cathy M. -No Record Found (No Middle Name)
- Fainag, Glaiza Mae -No Record Found (No Middle Name)
New Mabuhay ES
- Gadingan, Nenita Panganiban -No Record Found (No Middle Name)
Mabuhay ES
- Sullera, Dalyn - double/multiple record (for replacement)
- Rabang, Fe D. -No Record Found (No Middle Name)
Arizala ES
- Penaranda, Desiree Gabales -Deactivated (for replacement)
Lagao 2nd Bo. ES
- Andrade, Katherine A. -No Record Found (No Middle Name)
- Velez, Maricel Pinky -No Record Found (No Middle Name)
Datal Salvan ES
- Aspilla, Lucy - No biometric (for replacement)
Bawing NHS
- Jugarap, Janice D.
- Bales, Roselyn
New Society NHS
- Divinagracia, Mayla -No Record Found (No Middle Name)
- Nerona, Josette -No Record Found (No Middle Name)
Banisil CES
- Abugan, Nova A. -No Record Found (No Middle Name)
- Gani, Edlyn L. -No Record Found (No Middle Name)
- Palmes, John Paul -No Record Found (No Middle Name)
- Acala, Rose -Deactivated (for replacement)

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