No .

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Series _______________
Copy for _____ Region
_____Council
_____Leader

Troop Name : __PINAGTULAYAN ELEMENTARY SCHOOL________________ Sponsoring Group: ________________________

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Troop Tel. No.:_____________________________________________ Troop Birthday: _______________________
District/Committee Name/Municipality: _PAOMBONG______________ Registration Status: ___/___Old ______New
Barangay Committee Name: SAN ISIDRO II________________________________
Troop Type: ___/___School-based ______Community Based

REGISTRATION OF LEADERS
REG STATUS Birthdate
POSITION T/NT NAME( Last, First, M.I.) BENEFICIARY
OLD NEW MM DD YY
TROOP LEADER / SANTOS, CELIA N. 12 15 68 GIL C. SANTOS
CO-LEADER / DE LEON, CECILIA S. 2 8 75REYNALDO C. DE LEON

NAME OF TROOP MEMBERS

BIRTHDATE REG STATUS AGE LEVEL (Twinkler
BENIFICIARY (Must be GR/
NAME (Last, First, M.I.) PARENTS/GUARDIAN) YR Twinkler/Star/
MM DD YY RE-REG NEW Junior/Senior/Cadet
1 DE GUZMAN, JULIANA T. 8 16 14 SOFRONIO / II Star
2 DE LEON, STACEY CLAIRE E. 7 3 14 ERWIN / II Star
3 PED, GIEL TRESHA Y. 4 8 14 GIELAN / II Star
4 SANTOS, MAECY ANNE L. 7 26 14 MARCELO / II Star
5 DE, ROXAS, REYNALYN 4 4 14 EDUARDO / II Star
6 ADRIANO, JHERIANE DWAINE S. 6 25 14 MARY DIANA / II Star
7 AGUINALDO, KEZIAH ANNE C. 5 6 14 JOHANNA E. CASTRO / II Star
8 ANGELES, YUKI GLESY ANN R. 12 19 13 BLESY C. ROXAS / II Star
9 PEREGRIN, KHRISTINE CHLOE R. 7 10 14 EMELITA PEREGRIN / II Star
10 SALVADOR, JHAMELA KATE S. 3 7 14 DOLORES SALVADOR / II Star
11 LOPEZ, YASSI FLARE B. 11 9 14 JOANIE B. LOPEZ / I Star
12 DE GUZMAN, BLESSED RUTH 12 10 15 RAUL L. DE GUZMAN / I Star
13 TAN JUAN,HEART AINSLEE 8 8 14 TYRONE TAN JUAN / I Star
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ROR NO.:____________________ ROR DATE:________________________

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Submitted by: Noted by:

CELIA N. SANTOS ERLESTINA S. CRUZ

TROOP LEADER PRINCIPAL/SCHOOL HEAD/ BC CHAIRMAN
TROOP NUMBER:_____________

ROR NO.:____________________ ROR DATE:________________________

ROR NO.:____________________ ROR DATE:________________________