GIRL SCOUTS OF THE PHILIPPINES ☐ Twinkler – 4- 6 years old/Pre-School

☐ Star – 6-9 years old/Grades I-III

No. NATIONAL HEADQUARTERS ☐ Junior – 9-12 years old/Grades IV-V
Series 20 901 Padre Faura St., Ermita, Manila
☐ Senior – 12-16 years old/High School
Council Copy TROOP REGISTRATION FORM ☐ Cadet – 16-21 years old/College
IV-A CALABARZON Region
BATANGAS Council
Troop Name Santiago Elementary School Age Level Star Scout
Troop Address Santiago, Sto. Tomas City, Batangas Sponsoring Group Santiago Elementary School
Troop Tel. No. Complete Mailing Address Santiago, Sto. Tomas City,
District Committee Name / Municipality Sto. Tomas North Batangas
Barangay Committee Name Troop Birthday
Date Applied
Troop Type: ☐ School Based ☐ Community Based
Troop Status: ☐ Re-registered ☐ New
REGISTRATION OF LEADERS
REG.STATUS BIRTHDATE BENEFECIARY
POSITION T/NT NAME (Last, First, M.I.)
OLD NEW
Troop Leader / Lacatan, Jeizell C. 11 20 96 Basilisa C. Lacatan
Co - Leader /
REGISTRATION OF TROOP MEMBERS
NAME Birthdate Reg. Status BENEFICIARY
(Last Name, First Name, MI) Gr/Yr
MM DD YY Re-Reg. New
Name of Patrol/Cluster
1. Jatulan, Kurtny Eunice - 09 11 16 I / Joyce-Ann R. Jatulan

2. Caraig, Katelyn Loraine Y. 06 06 16 I / Kris B. Ybañez

3. Onan, Akeisha Solenn M. 09 22 16 I / Ginalyn M. Martinez

4. Manarin, Daniela A. 01 03 16 I / Jessica M. Arboleda

5.Fortus, Sabrina Cloey O. 02 09 15 I / Sandra A. Opanio

6. Delos Reyes, Ma. Ariane Khate M. 10 19 16 I / Janice M. Mendoza

7. Agbuya, Keisly Caroline C. 08 03 16 I / Charis S. Carolino

8. Popanes, Mary Joy I. 12 18 15 I / Marie M. Ilagan

Name of Patrol/Cluster
1. Malabanan, Coleen Margaret F. 12 14 15 I / Nelda F. Falogme

2. Medrana, Jazmine Joy D. 01 27 16 I / Ligaya L. De Leon

3. Garcia, Jannell N. 12 28 15 I / Lea C. Navarro

4. Malabanan, Halia Jehn T. 09 01 16 I / Bernadette Tolentino

5. Reyes, Jenelle P. 11 27 15 I / Ma. Fe Pablo

6. Landicho, Maxime Jed V. 08 26 16 I / Mia Joy Villegas

7. Cheng, Kathleen Breanna R. 12 26 14 I / Wendy Roldan

8. Apundar, Kylie Jenner G. 07 08 16 I / Jean Depril Gallosa

Name of Patrol/Cluster
1. Balais, Ana Loraine D. 11 08 15 I / John Lorence Balais

2.Villamor, Nhincloe Jaedilyn 04 20 16 I / Janine Sevilla

3.Bantilan, Maria Chelsea 11 14 15 I John France Bantilan

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Submitted by: Noted by:

Troop Leader Date Principal Head/School/BC Chairman Date

COUNCIL ACTION REMITTANCE Troop Number

A. GSP Membership Fee ₱ No. of cards issued:
Girls Re- Reg. New ₱ Girls: From to Adults: From: to
Leader Re- Reg. New ₱ ID card Series Year: ID Card Series Year:
Co-Leader Re- Reg. New ₱ TROOP FEE (To be Retained by Council) ₱

B. Program Development Fund ₱ Processed by:

C. Contribution to the Mutual Assistance Fund ₱
D. GS Magazine Troop Subscription Fee ₱ Registration Processor DATE

Total Remittance ₱ Approved by:

ROR NO. DATE DCCR NO.

DATE OF DEPOSIT BRANCH CODE Council Executive DATE