DECLARATION OF MEMBERS

MAAB ID Birth Date

Effectivity Date Name (First name, middle, last name) Age Address Contact Number
Number (mm/dd/yyyy)
(House #, Street, Barangay, Municipality)

1 John Carlo C. Agustin 01/07/2005 14 Purok 1 Capalangan, Apalit, Pampanga 09268181790

2 John Rainier S. Bulos 06/02/2004 14 Purok 5 Frances, Calumpit, Bulacan 09566514105
3 Aldrin P. Cahipe 03/04/2005 14 Sapangbayan, Calumpit, Bulacan 09232539666
4 Railey C. Castro 06/17/2005 13 Purok 7 Frances, Calumpit, Bulacan 09196239460
5 Brix Jordan R. De Guzman 07/27/2005 13 Purok 3 Capalangan, Apalit, Pampanga 09966209535

6 13 09061582882/
Jomwell C. Flores 06/07/2005 Purok 5 Frances, Calumpit, Bulacan
09226612856
7 Kevin S. Hornijas 03/26/2005 14 Purok 2 San Miguel, Calumpit, Bulacan 09952242756
8 Oliver D. Lazatin 09/07/2005 13 Purok 5 Frances, Calumpit, Bulacan

9 Carl Rendel Lopez 06/25/2003 15 Purok 2 Sapangbayan, Calumpit Bulacan

10 Angelito L. Manalang III 11/28/2004 14 Purok 3 Capalangan, Apalit, Pampanga 09354540721

11 Paul Andre S. Pangan 06/10/2005 13 Purok 2 Frances, Calumpit, Bulacan 09176552631
12 Mark Daniel C. Perez 05/01/2005 13 #0403 Purok 3 Frances, Calumpit, Bulacan 09359200906
13 John Francis M. Ramos 07/06/2004 14 Purok 7 Frances Bukid, Calumpit, Bulacan 09978834329
14 John Robert E. Santos 02/15/2003 16 Purok 4 Capalangan, Apalit, Pampanga 09235297470
15 Krisha Ann N. Buenaflor 01/08/2002 17 Purok 1 Gatbuca, Calumpit, Bulacan 09750950049
16 Alysa D. Cunanan 01/17/2005 14 Purok 4 Capalangan, Apalit, Pampanga 09752174806
17 Jasmin O. Dela Cruz 01/05/2004 15 Sulipan, Apalit, Pampanga 09654458562
18 Mary Rose V. Dela Cruz 05/06/2003 15 Purok 6 Balungao, Calumpit, Bulacan 09976502506
19 Rafaela O. Dueňas 03/31/2005 13 #804 Purok 4 Capalangan, Apalit, Pampanga 09298272406
20 Ara Mae C. Fajardo 08/29/2004 14 #283 San Miguel, Calumpit, Bulacan
21 Cassandra Nicole B. Mariano 02/15/2005 14 Purok 1 Frances, Calumpit, Bulacan 09355762559
22 Maria Angeleth L. Sagun 05/17/2005 13 Purok 1 Frances, Calumpit, Bulacan 09354667348
23 Crisca Jane C. Villarina 07/14/2005 13 #0438 Purok 3 Frances, Calumpit, Bulacan 09495685093
24 Angela DG. Yanga 09/05/2004 14 #132 Purok 3 Gatbuca, Calumpit, Bulacan 09554291112
25
REMARKS: Classic Bronze Silver Gold
Platinum Senior Senior Plus
 DECLARATION OF MEMBERS
MAAB ID Birth Date
Effectivity Date Name (First name, middle, last name) Age Address Contact Number
Number (mm/dd/yyyy)
(House #, Street, Barangay, Municipality)

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REMARKS: Classic Bronze Silver Gold
Platinum Senior Senior Plus
 DECLARATION OF MEMBERS
MAAB ID Birth Date
Effectivity Date Name (First name, middle, last name) Age Address Contact Number
Number (mm/dd/yyyy)
(House #, Street, Barangay, Municipality)

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3

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REMARKS: Classic Bronze Silver Gold
Platinum Senior Senior Plus
 DECLARATION OF MEMBERS
MAAB ID Birth Date
Effectivity Date Name (First name, middle, last name) Age Address Contact Number
Number (mm/dd/yyyy)
(House #, Street, Barangay, Municipality)

2
3

4
5
6

7
8

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22

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25
REMARKS: Classic Bronze Silver Gold
Platinum Senior Senior Plus
 DECLARATION OF MEMBERS
MAAB ID Birth Date
Effectivity Date Name (First name, middle, last name) Age Address Contact Number
Number (mm/dd/yyyy)
(House #, Street, Barangay, Municipality)

2
3

4
5
6

7
8

9
10
11

12
13

14
15
16

17
18

19
20
21
22

23
24
25
REMARKS: Classic Bronze Silver Gold
Platinum Senior Senior Plus
 DECLARATION OF MEMBERS
MAAB ID Birth Date
Effectivity Date Name (First name, middle, last name) Age Address Contact Number
Number (mm/dd/yyyy)
(House #, Street, Barangay, Municipality)

2
3

4
5
6

7
8

9
10
11

12
13

14
15
16

17
18

19
20
21
22

23
24
25
REMARKS: Classic Bronze Silver Gold
Platinum Senior Senior Plus
 DECLARATION OF MEMBERS
MAAB ID Birth Date
Effectivity Date Name (First name, middle, last name) Age Address Contact Number
Number (mm/dd/yyyy)
(House #, Street, Barangay, Municipality)

2
3

4
5
6

7
8

9
10
11

12
13

14
15
16

17
18

19
20
21
22

23
24
25
REMARKS: Classic Bronze Silver Gold
Platinum Senior Senior Plus
 DECLARATION OF MEMBERS
MAAB ID Birth Date
Effectivity Date Name (First name, middle, last name) Age Address Contact Number
Number (mm/dd/yyyy)
(House #, Street, Barangay, Municipality)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
REMARKS: Classic Bronze Silver Gold
Platinum Senior Senior Plus
 DECLARATION OF MEMBERS
MAAB ID Birth Date
Effectivity Date Name (First name, middle, last name) Age Address Contact Number
Number (mm/dd/yyyy)
(House #, Street, Barangay, Municipality)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
REMARKS: Classic Bronze Silver Gold
Platinum Senior Senior Plus
 DECLARATION OF MEMBERS
MAAB ID Birth Date
Effectivity Date Name (First name, middle, last name) Age Address Contact Number
Number (mm/dd/yyyy)
(House #, Street, Barangay, Municipality)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
REMARKS: Classic Bronze Silver Gold
Platinum Senior Senior Plus
 DECLARATION OF MEMBERS
MAAB ID Birth Date
Effectivity Date Name (First name, middle, last name) Age Address Contact Number
Number (mm/dd/yyyy)
(House #, Street, Barangay, Municipality)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
REMARKS: Classic Bronze Silver Gold
Platinum Senior Senior Plus
 DECLARATION OF MEMBERS
MAAB ID Birth Date
Effectivity Date Name (First name, middle, last name) Age Address Contact Number
Number (mm/dd/yyyy)
(House #, Street, Barangay, Municipality)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
REMARKS: Classic Bronze Silver Gold
Platinum Senior Senior Plus
 Remarks
Date of Declaration / Date of Remittance
Date of Declaration / Date of Remittance Remarks
Date of Declaration / Date of Remittance Remarks
Date of Declaration / Date of Remittance Remarks
Date of Declaration / Date of Remittance Remarks
Date of Declaration / Date of Remittance Remarks
Date of Declaration / Date of Remittance Remarks
Date of Declaration / Date of Remittance Remarks
Date of Declaration / Date of Remittance Remarks
Date of Declaration / Date of Remittance Remarks
Date of Declaration / Date of Remittance Remarks
Date of Declaration / Date of Remittance Remarks