Dear Sir/Madam;

Kindly check all the data and picture. Please highlight or cross out all wrong information, then write the corrections at the provided space below each column.

If the data and picture are correct, please let your employees sign the blank box in line with their information. Otherwise, mark a check (✓) at the right if they have corrections.
Signing means the information has been checked and it has been necessarily corrected and NSPIRE should produce the RFID containing all the data and picture attached on this
document.
This verification document is the basis for production file and NSPIRE is not liable to reprint the RFID if it passed from the quality control department and it should contain all
information on this verification document.

If you have checked this document, please sign the authorization to print below.

AUTHORIZATION TO PRINT

I_________________________________, Head officer of GARRITA NATIONAL HIGH SCHOOL, hereby authorize NSPIRE to print the RFID which should contain all the information
attached herein. Either signed or unsigned by the employees, my signature should mean that all details are checked and verified for ID printing.

I acknowledge that NSPIRE is not liable to reprint the RFID if it is a request of change of information or change of picture or any additional information that is not included with
this verification document and submitted correction.

Signed by:

Head Officer DATE:

(Signature over printed name)
Kindly check all the data and picture. Please cross out and write the corrections on the provided space below each column. Finally, put a check (✓) to mark if there are corrections for the person, or sign if all details are correct.

Emp. # First Name M.I. Last Name Ext. Position Employee Contact # Contact Person Contact Person # Sign here
4219108 CAMILLE C. CAACBAY TEACHER-I 09060643171 ARLENE C. MANANGOD 09212982778 if verified

Birthdate
Address Blood Type GSIS TIN PAG-IBIG # PHILHEALTH # SSS
MM dd yy
CARANAY SAN VICENTE BANI PANGASINAN 2407 O+ 200-422-9491 702-706-414 05-025571255-9 024-0271149-0
04 15 96
w/corrections?
Yes No

Emp. # First Name M.I. Last Name Ext. Position Employee Contact # Contact Person Contact Person # Sign here
4214612 JOYLASS P. CARBUNGCO SHS TEACHER -II 09461892407 ALFIE V. CARBUNGCO 09461892421 if verified

Birthdate
Address Blood Type GSIS TIN PAG-IBIG # PHILHEALTH # SSS
MM dd yy
#004 DALONGUE STA BARBARA PANGASINAN 2419 O+ 200-525-1811 340-019-055 1211-0067-3277 05-025403604-5
11 15 89
w/corrections?
Yes No

Emp. # First Name M.I. Last Name Ext. Position Employee Contact # Contact Person Contact Person # Sign here
052130 MARIA CECILIA D. CREDO TEACHER -III 09074043995 SEAN P. CREDO if verified

Birthdate
Address Blood Type GSIS TIN PAG-IBIG # PHILHEALTH # SSS
MM dd yy
#115 LANDOC ALAMINOS CITY PANGASINAN 2404 AB 106-0033-4749-2 916-924-322 1210-2677-1598 19-000715128-8
10 31 76
w/corrections?
Yes No

Emp. # First Name M.I. Last Name Ext. Position Employee Contact # Contact Person Contact Person # Sign here
4564055 ARLYNE L. CUCAL TEACHER -III 09105244000 GLEAN C. CUCAL 09469467395 if verified

Birthdate
Address Blood Type GSIS TIN PAG-IBIG # PHILHEALTH # SSS
MM dd yy
#159 STA MARIA BUED ALAMINOS CITY PANGASINAN 2404 O+ 006-0072-1142-7 190-286-121 19-000715124-5
11 12 73
w/corrections?
Yes No

Emp. # First Name M.I. Last Name Ext. Position Employee Contact # Contact Person Contact Person # Sign here
4195536 GLEAN C. CUCAL TEACHER -III 09469467395 ARLYNE L. CUCAL 09105244000 if verified

Birthdate
Address Blood Type GSIS TIN PAG-IBIG # PHILHEALTH # SSS
MM dd yy
#159 STA MARIA BUED ALAMINOS CITY PANGASINAN 2404 A+ 02004158289 920-696-683 05-000091159-0
04 10 70
w/corrections?
Yes No

Emp. # First Name M.I. Last Name Ext. Position Employee Contact # Contact Person Contact Person # Sign here
4194469 ANGEL D. FABIALA JR. TEACHER- II 09212437467 CRISTINA T. FABIALA 09153223313 if verified

Birthdate
Address Blood Type GSIS TIN PAG-IBIG # PHILHEALTH # SSS
MM dd yy
GARRITA BANI PANGASINAN 2407 O 006-0176-8300-7 920-627-769 913009043540 23-002970736-2
12 04 78
w/corrections?
Yes No
DEPED PANGASINAN 1 HIGH SCHOOL / BANI DISTRICT / GARRITA NATIONAL HIGH SCHOOL employees list (Total: 19) Printed: January 28, 2020 Page 2 of 5
Kindly check all the data and picture. Please cross out and write the corrections on the provided space below each column. Finally, put a check (✓) to mark if there are corrections for the person, or sign if all details are correct.
Yes No

Emp. # First Name M.I. Last Name Ext. Position Employee Contact # Contact Person Contact Person # Sign here
4202975 TITA T. GOMEZ TEACHER-I 09506677962 RESLIE S. GOMEZ 09485539003 if verified

Birthdate
Address Blood Type GSIS TIN PAG-IBIG # PHILHEALTH # SSS
MM dd yy
RANAO BANI PANGASINAN 2407 O+ 003-3802-8709-0 456-171-130 1211-2720-2686 07-050376966-0 033-8028709-0
02 16 81
w/corrections?
Yes No

Emp. # First Name M.I. Last Name Ext. Position Employee Contact # Contact Person Contact Person # Sign here
4200265 BUENA FE B. MAMARIL TEACHER-I 09091328834 RICHARD S. MAMARIL 09301833355 if verified

Birthdate
Address Blood Type GSIS TIN PAG-IBIG # PHILHEALTH # SSS
MM dd yy
CARANAY SAN VICENTE BANI PANGASINAN 2407 B 021-1369-4502-5 258-296-094 1210-0709-8879 05-025316995-5 033-9634666-9
06 28 84
w/corrections?
Yes No

Emp. # First Name M.I. Last Name Ext. Position Employee Contact # Contact Person Contact Person # Sign here
4210706 MARIA TERESA A. MANUEL ADAS-II 09503510424 BONIFACIO GIL MANUEL 09463114109 if verified

Birthdate
Address Blood Type GSIS TIN PAG-IBIG # PHILHEALTH # SSS
MM dd yy
PANGAPISAN NORTH LINGAYEN PANGASINAN 2401 A 200-510-8511 405-483-074 1210-2777-4962 02-050009613-7 02-3132295-5
09 15 72
w/corrections?
Yes No

Emp. # First Name M.I. Last Name Ext. Position Employee Contact # Contact Person Contact Person # Sign here
4195537 MARITES P. NIÑO TEACHER -III 09185059547 REV. FR. GLENN N. NIÑO 09981570330 if verified

Birthdate
Address Blood Type GSIS TIN PAG-IBIG # PHILHEALTH # SSS
MM dd yy
# 6 OBLANCA POBLACION BANI PANGASINAN 2407 O+ 021-1111-3391-7 403-407-936 1210-5512-3659 05-000086967-5
05 03 77
w/corrections?
Yes No

Emp. # First Name M.I. Last Name Ext. Position Employee Contact # Contact Person Contact Person # Sign here
4186457 WINNIE ROSE B. NIÑO TEACHER -III 09103620196 REV.FR. DOMINADOR N. NIÑO JR. 09078922376 if verified

Birthdate
Address Blood Type GSIS TIN PAG-IBIG # PHILHEALTH # SSS
MM dd yy
# 6 OBLANCA POBLACION BANI PANGASINAN 2407 B 006-0092-2403-0 296-870-595 05-000075558-0
11 04 67
w/corrections?
Yes No

DEPED PANGASINAN 1 HIGH SCHOOL / BANI DISTRICT / GARRITA NATIONAL HIGH SCHOOL employees list (Total: 19) Printed: January 28, 2020 Page 3 of 5
Kindly check all the data and picture. Please cross out and write the corrections on the provided space below each column. Finally, put a check (✓) to mark if there are corrections for the person, or sign if all details are correct.

Emp. # First Name M.I. Last Name Ext. Position Employee Contact # Contact Person Contact Person # Sign here
4205403 KRISTINE M. ONIA TEACHER-I 09070577900 QUIRINO R. ONIA JR. 09468539846 if verified

Birthdate
Address Blood Type GSIS TIN PAG-IBIG # PHILHEALTH # SSS
MM dd yy
SAN VICENTE BANI PANGASINAN 2407 O 011-1290-7935-1 431-210-736 1210-7458-5653 05-050207285-1 02-3383390-5
01 11 91
w/corrections?
Yes No

Emp. # First Name M.I. Last Name Ext. Position Employee Contact # Contact Person Contact Person # Sign here
4564063 ELIJAH O. ORTALEZA TEACHER -III 09502499901 DECOROSO ORTALEZA 09777384277 if verified

Birthdate
Address Blood Type GSIS TIN PAG-IBIG # PHILHEALTH # SSS
MM dd yy
BARADI POBLACION BANI PANGASINAN 2407 B 006-0062-1074-6 124-780-660 09925 19-000715118-0
12 24 59
w/corrections?
Yes No

Emp. # First Name M.I. Last Name Ext. Position Employee Contact # Contact Person Contact Person # Sign here
4196336 ROSALEE C. ORTALEZA TEACHER -III 09103620196 FRIDAY ORTALEZA 09464197016 if verified

Birthdate
Address Blood Type GSIS TIN PAG-IBIG # PHILHEALTH # SSS
MM dd yy
GARRITA BANI PANGASINAN 2407 B+ 021-1111-3491-6 927-791-619 1210-5512-1939 05-025085186-0
10 06 81
w/corrections?
Yes No

Emp. # First Name M.I. Last Name Ext. Position Employee Contact # Contact Person Contact Person # Sign here
4214903 SHIELA PEREZ SHS TEACHER -II 09107918965 LOLITA R. PEREZ 09952447999 if verified

Birthdate
Address Blood Type GSIS TIN PAG-IBIG # PHILHEALTH # SSS
MM dd yy
CALUGAY POBLACION BOGALLON PANGASINAN 2416 200-524-2958 706-672-039 05-050267492-4
11 22 88
w/corrections?
Yes No

Emp. # First Name M.I. Last Name Ext. Position Employee Contact # Contact Person Contact Person # Sign here
4213490 HELEN I. QUINTOS SHS TEACHER -II 09776170615 DICK QUINTOS if verified

Birthdate
Address Blood Type GSIS TIN PAG-IBIG # PHILHEALTH # SSS
MM dd yy
#003 LAOIS LABRADOR PANGASINAN 2402 AB 021-1747-4792-6 496-368-917 05-025610848-5
02 18 70
w/corrections?
Yes No

Emp. # First Name M.I. Last Name Ext. Position Employee Contact # Contact Person Contact Person # Sign here
4213466 RHODORA C. RESOSO SHS TEACHER -II 09223702424 RODOLFO B. RESOSO 09334041976 if verified

Birthdate
Address Blood Type GSIS TIN PAG-IBIG # PHILHEALTH # SSS
MM dd yy
#214 SAN JOSE LABRADOR PANGASINAN 2402 O+ 200-520-9090 270-568-969 05-050111511-5 02-1815659-7
11 12 77
w/corrections?
Yes No
DEPED PANGASINAN 1 HIGH SCHOOL / BANI DISTRICT / GARRITA NATIONAL HIGH SCHOOL employees list (Total: 19) Printed: January 28, 2020 Page 4 of 5
Kindly check all the data and picture. Please cross out and write the corrections on the provided space below each column. Finally, put a check (✓) to mark if there are corrections for the person, or sign if all details are correct.
Yes No

Emp. # First Name M.I. Last Name Ext. Position Employee Contact # Contact Person Contact Person # Sign here
4215601 ANALYN Q. TAGARA TEACHER-I 09484273113 JERRY TAGARA 09468071056 if verified

Birthdate
Address Blood Type GSIS TIN PAG-IBIG # PHILHEALTH # SSS
MM dd yy
GARRITA BANI PANGASINAN 2407 O 200-526-7771 472-029-674 05-025642345-3
02 02 83
w/corrections?
Yes No

Emp. # First Name M.I. Last Name Ext. Position Employee Contact # Contact Person Contact Person # Sign here
4118756 ARLENE D. TOBIAS PRINCIPAL IV 09984639868 EVA JEAN S. TOBIAS 09108492995 if verified

Birthdate
Address Blood Type GSIS TIN PAG-IBIG # PHILHEALTH # SSS
MM dd yy
BANOG NORTE BANI PANGASINAN 2407 A+ 58051803289 145-722-329 010123778567 19-000694123-4 02-0398452-5
05 18 59
w/corrections?
Yes No

DEPED PANGASINAN 1 HIGH SCHOOL / BANI DISTRICT / GARRITA NATIONAL HIGH SCHOOL employees list (Total: 19) Printed: January 28, 2020 Page 5 of 5