Department of Education

Region III
Division of Pampanga
MEXICO WEST DISTRICT
Anao Elementary School

INSURANCE POLICY
GRADE 5- KNOWLEDGE

NAME OF PUPILS BIRTHDAY NAME OF GUARDIAN CONTACT #

MALE
LAXAMANA, ALKEN JAMES P. SEPT. 17, 2011 CHIRADEE LAXAMANA 0906-635-0889
TAYAG, RIZEN KYLE M. SEPT. 10, 2011 RAINY JANE M. TAYAG 0905-516-2827
GOMEZ, KAIDEN KAIZER B. APRIL 22, 2012 MARGIE B. GOMEZ 0935-912-4512

FEMALE
SADDI, ALKRISHA HEART D. FEBRUARY 21, 2012 KRISTINE VIEL D. SADDI 0998-938-8952
GUEVARRA, KATE G. MAY 22, 2012 JUVY G. GUEVARRA 0948-800-3840
GENESE, JANELLA BLAIR R. DEC.14, 2011 LILIBETH R. GENESE 0915-923-8894
MATAGA, ANGELICA JOY E. OCT. 14, 2011 MARYJOY M. MATAGA
LAPE, KIMBERLY A. AUGUST 27, 2012 JENALYN M. AGUSTIN 0970-186-1832
NAVARRO, MARYLAINE KATE V. SEPT. 08, 2011 JOAN C. VITANGCUL 0967-672-2261
CANLAS, ALTHEA A. APRIL 20, 2012

Noted by:

DAISY B. CORDOVA Prepared by:

Principal II
ANGELIQUE R. BARTOLOME
Teacher II