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2/26/22, 4:32 PM Print Manifest | eAPIS | Customs and Border Protection

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Your Confirmation Number is:


EAPIS-13365595

Traveler Counts for this Crew Count: 17


submission

Passenger Count: 0
In-transit Passenger Count: 0

Traveler Counts for Crew Count: 17


Flight PR 103

Passenger Count: 0
In-transit Passenger Count: 0

Total Count: 17

Flight Information Carrier Code: PR


Flight Number: 103
Suffix Code: C
Tail Number: 7782

Departing Airport Code: LAX


LOS ANGELES, CA INTL
Departing Airport Name:

Date: 02/26/2022
Time: 21:05

Clearance Airport Code: MNL


MANILA
Clearance Airport Name:

Date: 02/28/2022
Time: 04:30

Crew: 17
Passengers: 0
In-Transit: 0

Crew
Traveler List LOZANO, JOSE RAMON
KAHN, JAIME JAVIER
AVILA, JESUS VALERIANO
DE GUZMAN, PATRICK JOSEPH
REYES, REBECCA FELMA

https://eapis.cbp.dhs.gov/ecomm/print.do?confNumber=EAPIS-13365595 1/9
2/26/22, 4:32 PM Print Manifest | eAPIS | Customs and Border Protection
DE GUZMAN, ELLERY
ARBOLERAS, JEFFREY
HONG, CHRISTIAN ANDREW
HIFE, OCTAVIUS SALVADOR
SYJUCO, BERNADETTE
CUARTERO, MARIAN SCARLET
SANTIAGO, MARY GRACE
AMBROY, MARILOU
UY, JENNY JANE
OTAKE-CAUILAN, LORRAINE
PANGILINAN, JASMINE KRISTA
VILLEJO, MARGEDDIE

LOZANO, JOSE RAMON Gender: M


City of Birth: MANILA
State or Province of Birth: MANILA
Country of Birth: PHL
Date of Birth: 02/14/1973
Citizenship: PHL
Carrier Code: PR
Traveler Status: CR1
Embarkation Airport Code: LAX
Final Destination Airport Code: MNL

Permanent Address: Street Address 3013 The Manansala Tower, Hidalgo D


Makati City, Metro Manila, 1200 PHL
City, State, Zip Code, country

Document 1 Type Passport


Document 1 Number P6563034B
Document 1 Country of Issuance PHL
Document 1 Expiration Date 03/25/2031

Document 3 Type Pilot's License


Document 3 Number 100703ATPL
Document 3 Country of Issuance PHL
Document 3 Expiration Date 09/29/2024

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KAHN, JAIME JAVIER Gender: M


City of Birth: MAKATI METRO MANILA
State or Province of Birth: MAKATI METRO MANILA
Country of Birth: PHL
Date of Birth: 04/21/1979
Citizenship: PHL
Carrier Code: PR
Traveler Status: CR1
Embarkation Airport Code: LAX
Final Destination Airport Code: MNL

Permanent Address: Street Address 11 Adelfa St., Tahanan Village


Paranaque, 1700 PHL
City, State, Zip Code, country

https://eapis.cbp.dhs.gov/ecomm/print.do?confNumber=EAPIS-13365595 2/9
2/26/22, 4:32 PM Print Manifest | eAPIS | Customs and Border Protection

Document 1 Type Passport


Document 1 Number P5875794B
Document 1 Country of Issuance PHL
Document 1 Expiration Date 11/26/2030

Document 3 Type Pilot's License


Document 3 Number 103905ATPL
Document 3 Country of Issuance PHL
Document 3 Expiration Date 10/31/2021

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AVILA, JESUS VALERIANO Gender: M


City of Birth: CEBU CITY
State or Province of Birth: CEBU CITY
Country of Birth: PHL
Date of Birth: 03/16/1988
Citizenship: PHL
Carrier Code: PR
Traveler Status: CR1
Embarkation Airport Code: LAX
Final Destination Airport Code: MNL

Permanent Address: Street Address Avila Com Juana Osmena Capital Site
CEBU CITY, CEBU, 6000 PHL
City, State, Zip Code, country

Document 1 Type Passport


Document 1 Number P1308921B
Document 1 Country of Issuance PHL
Document 1 Expiration Date 04/01/2029

Document 3 Type Pilot's License


Document 3 Number 105789CPL
Document 3 Country of Issuance PHL
Document 3 Expiration Date 02/28/2025

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DE GUZMAN, PATRICK Gender: M


JOSEPH City of Birth: MANDALUYONG CITY
Country of Birth: PHL
Date of Birth: 06/23/1983
Citizenship: PHL
Carrier Code: PR
Traveler Status: CR1
Embarkation Airport Code: LAX
Final Destination Airport Code: MNL

Permanent Address: Street Address 946 AREA 6 BELMONT STREET


BROOKSIDE
CAINTA CITY RIZAL PH, PH 1900 PHL
City, State, Zip Code, country

Document 1 Type Passport

https://eapis.cbp.dhs.gov/ecomm/print.do?confNumber=EAPIS-13365595 3/9
2/26/22, 4:32 PM Print Manifest | eAPIS | Customs and Border Protection
Document 1 Number P8117637A
Document 1 Country of Issuance PHL
Document 1 Expiration Date 07/26/2028

Document 3 Type Pilot's License


Document 3 Number 126731CPL
Document 3 Country of Issuance PHL
Document 3 Expiration Date 12/31/2021

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REYES, REBECCA FELMA Gender: F


City of Birth: MANILA
State or Province of Birth: MANILA
Country of Birth: PHL
Date of Birth: 08/13/1962
Citizenship: PHL
Carrier Code: PR
Traveler Status: CR2
Embarkation Airport Code: LAX
Final Destination Airport Code: MNL

Permanent Address: Street Address 112 FIRST ST PATIO HOMES POSADAS


AV
PARANAQUE CITY, METRO MANILA,
City, State, Zip Code, country

1700 PHL

Document 1 Type Passport


Document 1 Number P3275756A
Document 1 Country of Issuance PHL
Document 1 Expiration Date 06/01/2022

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DE GUZMAN, ELLERY Gender: M


City of Birth: MANILA
State or Province of Birth: MANILA
Country of Birth: PHL
Date of Birth: 08/08/1976
Citizenship: PHL
Carrier Code: PR
Traveler Status: CR2
Embarkation Airport Code: LAX
Final Destination Airport Code: MNL

Permanent Address: Street Address B-4 L-10 ISABELLE GARDEN HOMES


MOON
PARANAQUE, METRO MANILA, 1709
City, State, Zip Code, country

PHL

Document 1 Type Passport


Document 1 Number P3620134B
Document 1 Country of Issuance PHL
Document 1 Expiration Date 10/23/2029

https://eapis.cbp.dhs.gov/ecomm/print.do?confNumber=EAPIS-13365595 4/9
2/26/22, 4:32 PM Print Manifest | eAPIS | Customs and Border Protection
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ARBOLERAS, JEFFREY Gender: M


City of Birth: CATBALOGAN SAMAR
State or Province of Birth: CATBALOGAN SAMAR
Country of Birth: PHL
Date of Birth: 12/11/1992
Citizenship: PHL
Carrier Code: PR
Traveler Status: CR2
Embarkation Airport Code: LAX
Final Destination Airport Code: MNL

Permanent Address: Street Address FOUNTAIN BREEZE CONDOUNIT 11


454SAN
PARANAQUE, METRO MANILA, 1700
City, State, Zip Code, country

PHL

Document 1 Type Passport


Document 1 Number P4455996A
Document 1 Country of Issuance PHL
Document 1 Expiration Date 09/21/2022

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HONG, CHRISTIAN ANDREW Gender: M


City of Birth: PASAY CITY
State or Province of Birth: PASAY CITY
Country of Birth: PHL
Date of Birth: 04/17/1990
Citizenship: PHL
Carrier Code: PR
Traveler Status: CR2
Embarkation Airport Code: LAX
Final Destination Airport Code: MNL

Permanent Address: Street Address P40-16 10 11th STREET BRGY


VILLAMOR
PASAY CITY, METRO MANILA, 1309
City, State, Zip Code, country

PHL

Document 1 Type Passport


Document 1 Number P8357617B
Document 1 Country of Issuance PHL
Document 1 Expiration Date 12/01/2031

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HIFE, OCTAVIUS SALVADOR Gender: M


City of Birth: MANILA
State or Province of Birth: MANILA
Country of Birth: PHL
Date of Birth: 12/06/1988

https://eapis.cbp.dhs.gov/ecomm/print.do?confNumber=EAPIS-13365595 5/9
2/26/22, 4:32 PM Print Manifest | eAPIS | Customs and Border Protection
Citizenship: PHL
Carrier Code: PR
Traveler Status: CR2
Embarkation Airport Code: LAX
Final Destination Airport Code: MNL

Permanent Address: Street Address L5 BL 10 MALTA ST. BF HOMES


PARANAQUE CITY, METRO MANILA,
City, State, Zip Code, country

1720 PHL

Document 1 Type Passport


Document 1 Number P9465016A
Document 1 Country of Issuance PHL
Document 1 Expiration Date 11/07/2028

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SYJUCO, BERNADETTE Gender: F


City of Birth: QUEZON CITY
State or Province of Birth: QUEZON CITY
Country of Birth: PHL
Date of Birth: 08/26/1969
Citizenship: PHL
Carrier Code: PR
Traveler Status: CR2
Embarkation Airport Code: LAX
Final Destination Airport Code: MNL

Permanent Address: Street Address 91 ADANTE ST., TANONG


MALABON, METRO MANILA, 1470 PHL
City, State, Zip Code, country

Document 1 Type Passport


Document 1 Number P6175296B
Document 1 Country of Issuance PHL
Document 1 Expiration Date 01/25/2031

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CUARTERO, MARIAN Gender: F


SCARLET City of Birth: NAIC CAVITE
State or Province of Birth: NAIC CAVITE
Country of Birth: PHL
Date of Birth: 03/04/1970
Citizenship: PHL
Carrier Code: PR
Traveler Status: CR2
Embarkation Airport Code: LAX
Final Destination Airport Code: MNL

Permanent Address: Street Address PHASE 5, BLOCK 3, LOT 22, COWSLIP


S
IMUS, CAVITE, 4103 PHL
City, State, Zip Code, country

Document 1 Type Passport


https://eapis.cbp.dhs.gov/ecomm/print.do?confNumber=EAPIS-13365595 6/9
2/26/22, 4:32 PM Print Manifest | eAPIS | Customs and Border Protection
Document 1 Number P6149112B
Document 1 Country of Issuance PHL
Document 1 Expiration Date 01/24/2031

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SANTIAGO, MARY GRACE Gender: F


City of Birth: MACABEBE PMP
State or Province of Birth: MACABEBE PMP
Country of Birth: PHL
Date of Birth: 09/11/1979
Citizenship: PHL
Carrier Code: PR
Traveler Status: CR2
Embarkation Airport Code: LAX
Final Destination Airport Code: MNL

Permanent Address: Street Address UNIT 501-B BLDG 2 FIELD RES.


CONDO.
PARANAQUE CITY, METRO MANILA,
City, State, Zip Code, country

1700 PHL

Document 1 Type Passport


Document 1 Number P9524117A
Document 1 Country of Issuance PHL
Document 1 Expiration Date 11/12/2028

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AMBROY, MARILOU Gender: F


City of Birth: QUEZON CITY
State or Province of Birth: QUEZON CITY
Country of Birth: PHL
Date of Birth: 06/14/1980
Citizenship: PHL
Carrier Code: PR
Traveler Status: CR2
Embarkation Airport Code: LAX
Final Destination Airport Code: MNL

Permanent Address: Street Address BLK 11 LOT 6 PEACH ST., PHASE 8, GR


CAINTA, RIZAL, 1900 PHL
City, State, Zip Code, country

Document 1 Type Passport


Document 1 Number P7209637A
Document 1 Country of Issuance PHL
Document 1 Expiration Date 05/16/2028

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UY, JENNY JANE Gender: F


City of Birth: PASAY CITY
State or Province of Birth: PASAY CITY

https://eapis.cbp.dhs.gov/ecomm/print.do?confNumber=EAPIS-13365595 7/9
2/26/22, 4:32 PM Print Manifest | eAPIS | Customs and Border Protection
Country of Birth: PHL
Date of Birth: 09/18/1982
Citizenship: PHL
Carrier Code: PR
Traveler Status: CR2
Embarkation Airport Code: LAX
Final Destination Airport Code: MNL

Permanent Address: Street Address DOOR 2 BLK 2 LOT 18 MILFLORES ST.


CAINTA, RIZAL, 1900 PHL
City, State, Zip Code, country

Document 1 Type Passport


Document 1 Number P6106590A
Document 1 Country of Issuance PHL
Document 1 Expiration Date 02/19/2028

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OTAKE-CAUILAN, LORRAINE Gender: F


City of Birth: SAN JOSE CITY
State or Province of Birth: SAN JOSE CITY
Country of Birth: PHL
Date of Birth: 05/05/1994
Citizenship: PHL
Carrier Code: PR
Traveler Status: CR2
Embarkation Airport Code: LAX
Final Destination Airport Code: MNL

Permanent Address: Street Address 3 Rio De janeiro St. BF Southland C


LAS PINAS CITY, METRO MANILA, PH
City, State, Zip Code, country

1740 PHL

Document 1 Type Passport


Document 1 Number P5927184B
Document 1 Country of Issuance PHL
Document 1 Expiration Date 12/11/2030

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PANGILINAN, JASMINE Gender: F


KRISTA City of Birth: MAASIN SO LEYTE
State or Province of Birth: MAASIN SO LEYTE
Country of Birth: PHL
Date of Birth: 12/12/1993
Citizenship: PHL
Carrier Code: PR
Traveler Status: CR2
Embarkation Airport Code: LAX
Final Destination Airport Code: MNL

Permanent Address: Street Address UNIT 523 BLDG SEA RESIDENCES


MOA
PASAY CITY, PH 1300 PHL
City, State, Zip Code, country

https://eapis.cbp.dhs.gov/ecomm/print.do?confNumber=EAPIS-13365595 8/9
2/26/22, 4:32 PM Print Manifest | eAPIS | Customs and Border Protection

Document 1 Type Passport


Document 1 Number P7614995B
Document 1 Country of Issuance PHL
Document 1 Expiration Date 09/15/2031

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VILLEJO, MARGEDDIE Gender: F


City of Birth: QUEZON CITY
State or Province of Birth: QUEZON CITY
Country of Birth: PHL
Date of Birth: 06/08/1988
Citizenship: PHL
Carrier Code: PR
Traveler Status: CR2
Embarkation Airport Code: LAX
Final Destination Airport Code: MNL

Permanent Address: Street Address 2D 114 LA FAYETTE CHATEAU ELYSEE


PARANAQUE CITY, METRO MANILA,
City, State, Zip Code, country

1700 PHL

Document 1 Type Passport


Document 1 Number P6574004B
Document 1 Country of Issuance PHL
Document 1 Expiration Date 03/25/2031

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