Republic of the Philippines

Department of Education
Region II – Cagayan Valley
SCHOOLS DIVISION OF SANTIAGO CITY

Title of Activity : Youth for Environment in Schools-Organization (YES-O) JAM (Just Amazing Memories)
CAMP 2020 Venue: Sinsayon Elementary School
Date: January 30-31, 2020

REGISTRATION FORM
NO. NAME SEX POSITION SCHOOL/OFFICE DIVISION CONTAC EMAIL ADDRESS SIGNATURE
T
NUMBER

1 CARL ANGELO PADUA M G-8 Student Rosario NHS Santiago City

2 MARIBETH E. MORONDOZ F G-12 Student Rosario NHS Santiago City
3 LEO LAURENTE M G-12 Student Rosario NHS Santiago City
4 MARINELLE GRANIL F G-10 Student Rosario NHS Santiago City
5 ROSE ANN GAUFO F G-10 Student Rosario NHS Santiago City
MARILYN SOPHIA
6 ESTEBAN F G-10 Student Rosario NHS Santiago City

7 JOHN MARK DIVINA M G-12 Student Rosario NHS Santiago City

8 RONALD BALDERAMA M G-12 Student Rosario NHS Santiago City
9 ZEIRYL DIALONG F G-12 Student Rosario NHS Santiago City
10 PATRICIA JANE CARDENAS F G-9 Student Rosario NHS Santiago City
CHANTELLE SINEAD
11 SAGAUINIT F G-9 Student Rosario NHS Santiago City
KATHLEEN CLAIRE
Address: Childrens Park, Calaocan, Santiago City, 3311
12 Telephone
ASTUDILLO Nos.: (078) 682-0151; (078)F682-0156
G-9 Student Rosario NHS Santiago City
Email Address: santiago.city@deped.gov.ph
Website Doc Code: FM-HRD-006 Rev: 0
As of: Mar 5, 2019 Page: 1
 13 MAYLANIE DE LEON F G-9 Student Rosario NHS Santiago City
14 JAYA ASTRERO F G-9 Student Rosario NHS Santiago City
15 GLAZEL REGALADO F G-9 Student Rosario NHS Santiago City
16 SHEREE SANCHEZ F G-9 Student Rosario NHS Santiago City
17 AISELLE OBEDOZA F G-9 Student Rosario NHS Santiago City
18 DIANNE BALLAD F G-9 Student Rosario NHS Santiago City
19 ROSE ANN CHAVEZ F G-9 Student Rosario NHS Santiago City
20 JASMIN JOY CEREDON F G-9 Student Rosario NHS Santiago City
21 JEN-JEN FERMIN F G-9 Student Rosario NHS Santiago City
22 KENJE ABALAYAN M G-9 Student Rosario NHS Santiago City
23 HERMOGENES FABIAN III M G-9 Student Rosario NHS Santiago City
24 IVY TABERNA F G-9 Student Rosario NHS Santiago City

Data Privacy Notice: Department of Education Regional Office No. 02 complies with the Data Privacy Act of 2012 and is committed in protecting your privacy. During the course of this activity, we will collect
personal information for the purpose of documentation and verification of attendance. Information collected as well as pictures taken during the activity will be stored for as long as necessary, but they will not be
shared with any third parties without your consent or any legal basis. By signing in this registration form, you are consenting to the collection, use, and retention of your personal information.

Address: Childrens Park, Calaocan, Santiago City, 3311

Telephone Nos.: (078) 682-0151; (078) 682-0156
Email Address: santiago.city@deped.gov.ph
Website Doc Code: FM-HRD-006 Rev: 0
As of: Mar 5, 2019 Page: 2