“ISSUB DATE: osarani7 at am INTERNAL REVENUE BUREAU OF INTERMAL REVERIE: INTERNAL REVENUE BUMEAU OF DITERNAL REVENUE BUREAU OF INTERNAL REVEXY! Sneses Da (emu Gaopune event cheers reeves SERMAL REVENUE QUREAU OF mtERWA neveRepublic of the PHILIPPINE HEALTH INSURANCE CORPORATION PRO I Tuguegaraa City 2 Soriano Bldg, Zamora S, Tugurgara City (078) B4o-1111 eon pine. cov ph PhilHealth Identification Number (PIN): 062502647356 Member Category INFORMAL ECONOMY NHTS Coverage NA Sub-Category 2 INFORMAL SECTOR Effectivity Period NA TALOSIG JR, EDGAR CUBE SANTA CRUZ, PAMPLONA, CAGAYAN 3522 Foreign Address NA Sex : MALE Date of Birth 2/1/1996 Place of Birth PAMPLONA, CAGAYAN Contact No. (Foreign): NIA Civil Status : SINGLE (local) (09559505256 Tax Identification Number : Phithealth Number (PEN/POGN) NIA Name of Employer/Organized Group: N/A Business Address : NA Telephone Number NA Tax Identification Number NIA **** NO DECLARED DEPENDENT/S *** OSCAR B. ABADU, JR. Regional Vice President PRO - 1 Tuguegarao, Paalala : Basahin ang nilalaman ng MDR. Kung may kulang o mali, ibalik agad upang maidagdag o maiwasto. Ingatan ang orihinal na kopya at huwag ibigay kahit kanino. Kung sakaling gagamit at makikinabang ng benepisyo, magbigay ng kopya sa ospital. (Reminder: Read the contents ofthe MOR Should there be any data dicrepacs, et i Back'o amend or eli the enor. Take good car ofthe MOR and do rot hand it veto anybody Provide phcopy to host incase of confinement and avaiment of benefits)MEMBER'S DATA FORM (MDF) aP.prF-029 or, 001) [esgic mo rumor 121250873510 919149617065, oa raven rose mar Tamas a [mower atsaoe none) [ouSe Tae DELAROSA o [rouse worm oO larrearaxa THe BRT |TALOSIG oar cue o EOF OTT ARTA STATUS [FACPAVERGENTIMCATION NUMBER TN) Tees [RACE OF BRT Tarzan joss mousen [S5k esac] WERGTG) PROWNENT GISTRGUGTING FAGIAC FEATURES ——leuruoves numaen [SOAHGH REFERENCE NOMERTCRNT |FREGUGNCY OF eMERSTP SAVINGS Wy PATIENT |r ArPpuP employes Seriaage Ho |rronpEa Employes, ston Code San Coe omeaiciy lousmess (omecr un) Jousivesscrmunx une) ioatioeg ma om Promctcomary CRCAVAN, PRPSRepub of te Pills OFFICE (OF THE CNIL REGISTRAR GENERAL CERTIFICATE OF LIVE BIRTH AG arate ee ea, (io be wcannnahes w aes) Page 1 of 1, 1 Copy x a eres cen, "REMARAS ANNOTATION Reoltryto “lee 03 on mm Tea aE, eon 3Re rabsta ree 2 gex [so DATE OF BIRTH am) mown) ood TEU AML SP ns ra OT eat Soe = LAGE OF Glam athicapial/Cinic/ntiaion) — (y/teipalin —_—_ Prewies) easton BIRTH nnn one naan) 5 Beer"brue, fampianes Govayon 6 a. JVPE OF BIRTH ‘b IF MULTIPLE BIRTH, CHILD WAS PETER ICE a a ans [Pee 2 bent 7 oc 3 omgny’ EINE ] SRTHORDER tv Stee malea sani [od WEIGHT AT ORTH . om senssanen) DK ina Wadd SEN yma mae T= ii 3 Name Lantoetn * cube fe GE 7 GMENSAR pina ued, GS (rt [Te % ‘Sta Ceur, Pomona, Codayan Fe nae 7 ry oa Fr eager taiaeia sr. +e CENA cine TE REUGON bh ct 2 Fie ocogpanion 5 7 Asien | 8f0y. Mogae sist 16. DATE AND PLAGE OF MARRINGE OF PARENTS. et yori; somos Ao hoknonledgret/Adrienet Paetsch) Sune 17) 1986 (Papers, (Canavan) i 13a. ATTENOANT fl at = Gor conan. ee ryan i ean emt 196. CERTIFICATION OF BIRTH Wnty ay tat andes ineltoafiimatieiont Scat semper be din dco ne guia 20. INFORMANT adi ce memo * cere oaalltt Teleted 21, PREPARED Y- 05917-70-103EDC-00066-B1001 ‘BEST POSSIBLE IMAGE ig. UAV 0000 00 TBRSBBS SLAP 00860: 13142016001 BReN 01518-A98C101-8. Documentary ‘Stamp Tax Paid haa Brac f . Perveale, LISA GRACE S. BERSALES, PhD. National Statistician and Civil Registrar General Palionine Shea APM“eet coy em pase aneeshatti bls Nl lear antes eos TBSeanosnaiere riisee on Sia Cruz eampiona casavan Ne Bue a MULTI-PURPOSE CLEARANCE Ro uexoaATORY REEGRO (I A T422GEARG@-R2157734 ‘To se cpp pen whan ar pei sats da Rune aes cw ag i Howe ths su T4228 ARGO-RO167734 TALOSIG cube STA. CRUZ PAMPLONA CAGAYAN February 01,1996 FILIPINO MULTI-PURPOSE CLEARANCE NO DEROGATORY RECORD . LAH _ Republic of the Philippines “Department of Justice National Bureau of Investigation Sau ua “slanuaty 25, 2020. EDGAR IR. Rosine Soewale = Piice or ae PAMPLONA CAGAYAN SINGLE CUBE ‘sommnne > $489407 sscomaovent P 12/09/2016 > 02/01/2022 URAL © oa Teste peer heretn a duly egitred professional egal SShowsea to race ner poesion wih athe nights and prhileaes appurtenant ere. This isto cell father that hehe is a professinal in good ng anatt nase cere feito eter Gs BAAR Kk 18-1591320 CERTIFIED TRUE COPYRepublic of the Philippines CAGAYAN STATE UNIVERSITY ‘Sanchez Ma, Capayen. Papes Wiebe: hpJiaww enum ada OFFICE OF THE CAMPUS REGISTRAR 1 OFFICIAL TRANSCRIPT OF RECORDS 6 i‘ Name: TALOSIG EDGAR JR. cube SNe: 1246277 ‘Sane en ame SSC Nae Date of Bit: February 3, 1998 Pace of: Gta. Cruz, Pamplona, Cagayan sex: ale Secondary Schock Sanchez Mica School of Arts and Trades Course: Bachelor of Secondary Eduction air: Mathematics Dabs of Green * iiey, Ape 08,2016 [Enianoe Credeniala: Form 127 and Form 138 i eo os a a rata rt ar t\| denen TkgPogent = Fit Kommtagenst Ageniongruho 9800 het) teeta er Frelt| omar ace ton ge cee os any! orp as Pet Peat ts00 sit cmap ‘ea (a javier Tokers a pes Rytmiohcas coco Feb, Geavambiabal wie fh e6y pat | ro emen om fate] | Comat tema ao rie PadrePegeihngreePereamas 000 eats | oneal teeta 00 Sens eumyocemcsomromiriiag! 0) asad ata tach pce Tonanat 00 Ohe| tmearastenae ‘200 ets shay ears me teon orsane rit Saviano son tee] samen eo tacks| < ragtstemDeniomeiend 0d samy fact Cl and née Dept ed ee fois tamgnne Deen eet ae reel fais tote Sennen ae Fe aha Paar Bae) CLAa pameodacescmiruteen "p< sume aa rae can pets nailed i pram sooo 28 Pom oat rl | ecweaete tae cas ree feta! Pape tn eee) nee tan remem meee med | due 35 Prewipies of Teaching 2 87.00 30 Passed | aT JORKCPAUL 8 BISTAYAN () campo oy PACITAQRBANA 6, LUCERO f wc Wet & ROSALES, Po. * Goer ep ner Clog Tc Cac : nteneaane Caceuads | | MARSITAS , Ph.D. oe 2s0aPM on: o170717 Pose taf 3Republic of the Philippines CAGAYAN STATE UNIVERSITY 'Senchor Mra, Copayen, Phizsnes ‘Wee: hipuhaen-sr.ed. ph OFFICE OF THE CAMPUS REGISTRAR OFFICIAL TRANSCRIPT OF RECORDS Name: TALOSIG EDGAR JR. cuBE ‘StulNo: 12-1627 ‘mame ‘Gen None ie Name Date of Birt: February 1, 1996 Place of Sth: Sta. Cruz, Pamplona, Cagayan Sex Male Secondary Schack Sanchex Mira School of Ans and Trades ‘course: Bachelor of Secondary Eduction Major: Mathematics Ca cfanaden Rada fEnvance Credenale: Form 187 and Form 138 Eaasss FEE Eapermeng he Tencngeening 6000-10 ‘Passed etues7 ——_Eventona Teetnlogy 1 500-30 Paeed owt ane Statens som 30 Passed Math 14 Plane Tigonomety som 30 Pasoed ans Plane Geometry 9100-30 Posed 2014 Summer tue 40 ——_Asonsmentof Suen Leaming + 400-30 Passed Maty60A —_Anayée Geometry o100 30 issad due38 ——Eavatona Techalogy2 e500 30 Passed 20142015 Fret Mabe! Calm 1 (Oferta Caan) 2100-80 Parted MamsS ———Hiay of aerate somo 30 Pamed m4 Advance Sates so 30 Passed Ede! Cureuum Development 0030 Passed Eie9 FS: Technogyln he Learing 50010 Paes Emironment um12 Autry Ate e100 30 Passed ‘Mam6o Sold Goorety e300 30 Passed we rates he Wor 810030 Passed ered? FSA: Eling th Cursum 80010 Passed ‘second EductS Developmental Readng t woo 30 Passed Mave near Metra e000 30 Passed Mates Probabiy 9100-30 Pansed Mate. Namber Theory 400 30 Peso Eactd FSS: Laamng Assessment Stages woo 10 Pamed dest Aasesement of Ser Learing 2 e500 30 Passed oon ‘edict to Economics win TAR, 2400-30 Pased T1422 Spedil Topics 40030 Passed Matn62 Calas 2Qriegral Ct) e500 30 Pamsed 201s Summer Mae Abeact Algebra ooo 30 Passed Man 964 Modem Geometry e400 30 Passed Math 67 ——_nsumentaon a Maematos 9300 30 Poeed 2015-2018 Fret um 13 Minas 5000 30. Pesos Mam Elec et (Dire Equtions) e700 30 Pamsed ‘wn 70 ‘Aeon Ranearchin Matera Ensen 940030 Pasa Maine Technology Mathematics 9200 30 Paved Ewe? __FS8:OnBecoming# Teecher $200 10 Pased soil ita oe (4. k “~ PACITA. Mets febences rn, ee eae ae (077 Ried une 2014) Nt va wnt be unvoety Ory Se Fry, aren 5.2018 NaRcITAS 1M. -wAno, Pho. basa 1 Erecite ow on: 170717 Page 20t 3 . LUCERORepublic of the Philippines OFFICE OF THE CAMPUS REGISTRAR OFFICIAL TRANSCRIPT OF RECORDS: Name: TALOSIG EDGAR JR. cue ‘StudNe: 12-1627 ‘mame Given Name Tie Name Date of Bit: February 1, 1996 Place of ith Sta. Cruz, Pamplona, Cagayan Sex Male ‘Secondary Schoot: Sanchez Mira School of As and Trades course: Bachelor of Secondary Education Major: Mathematics Goad useeies “aes aoa oe acre Entrance Credentials: Form 137 and Form 138 SeeSaTa Rae ie, Wars Wrens Tao 30 Paved Mahe Mahara! Ivesignson and Problem «91.00 «3.0 Passed Sova aie4s The Teaching Profession 00030 Pamed Second Educ 200 Comprehensive Review 80 Passed Etuc4® Fd Shut 7 (Prac Teaching) 520060 Pasted "Graduated with the degree Bachelor of Secondary Education major in Mathematics on April 8, 2016 as por Board Resolution No. 10 Series 2016" emaris: "Graduated: Granted Honorable Dismissar™ Unsere ring Ste 00-00% Eu 13595-61502 Vy Gk 175 -9152% 200 840% Gan 225-854 250-81 Stacy, 298. poaane 100-7: Peng 30 Bn 73% Fel ne -Insapla, Dp Dropped ob Eaclent {25-Vay God Goad 1.5 Sry, 200-Puing: 3 00-Fa s Inept rp - Depa Net 1 he decoment amet epredactn of he rit of ces fils Of of th Camps Reirson cir igi sy ela ten erro onda gnats oof te Compas Regia Note 2: As per scion 2 of he Education Department Orde No 61.1975 deed December 8, 1575, he CAGAVAN STATE UNVERSITY, Deir» Site Urry EXEMPT tom aang Spel Orders for Graton Prepared by, ~ ai sont pain’ elgravan recta by, ah &. he = hex doen, ono. Campus Catege Dea, Calnge of Tascher Eaveaton (OTR Rewsed June 2016) No ad who to Univer ry Sea tay Moreh 16,2510 NARGITAS MC JANO, Ph.0. pend ecutive Shear on 170717 Page dat 3Cagayan State Gniversity To All Co Whom These Presents Map Come: Greetings! Waving received the recommendation of the Academic Council, the Board of Regents of this University, meeting in solemn conclave, and in accordance with the latws of the Republic of the Philippines and the charter of the Cagapan Mtate Gniversity, has deigned to confer on Edgar C. Talosig Jr. the degree Bachelor of Secondary Education major in Mathematics conceding to the conferee all rights, honors and privileges appurtenant thereto. In 1288 Hereunto, wehare set our hands and caused the seal of the Univority ea tobe gfleed si fhe Lovd 2016 at Pancheg Aes Cagayan. ‘A. PACRIS. 2 8, MA Executive ¥,4 y/ a