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Republic of the Philippines

Province of Iloilo
Municipality of Santa Barbara
Barangay:___________________________
PUBLIC EMPLOYMENT SERVICE OFFICE

REGISTRY FORM FOR SOLO PARENTS


Name of Civil Educational Occupation/ Employment Status Number of
No. Age Sex Contact No. Remarks
Solo Parent Status Attainment Source of Income Employed Unemployed Children
1 LAZ PIÑAS CEDRIC
2 BILLENA ASUNCION
3 BERNABE ARGUE JOY
4 BRENABE ANNELYN
5 TIGAN DANICA
6 FLAVIO C. SOMEJO JR.
7 SENERES HENRY SR.
8 SIPOLE CLEOFE
9 SOLDEVILLA ANNA LEA
10 SOLLESTA JHON CARLOS
11 SONA JOHN MICHAEL
12 SORIO ARLENE
13 GENE HUALDE
14 ADRIAN HUALDE
15 JERSON DUERO
16
17
18
19
20
TOTAL: 0 0

Prepared by: Noted by:

MARILOU S. JOVER
Name & Signature of PESO Coordinator MDOII/PESO FOCAL

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