Name of Project:

TUPAD OSEC-FMS Form No. 4

DOLE Regional Office: XI
Province: DAVAO DEL SUR
Municipality: DAVAO CITY
DISTRICT: AGDAO

LIST OF BENEFICIARIES

Dependent
E- 7
(Name of Relationsh
1
Birthdate Type of ID payment/Ba Beneficiary
Contact nk Account Type of Civil ip to
No. Name of Beneficiary (YYYY/MM/DD (e.g. SSS, ID Number Sex Age of the Interested for If Yes, Indicate
No. No. (indicate Occupatio Status Dependen Skills Training
) Voter's ID) Beneficiar Micro- skills training
the type of 3 n insurance
t (Y - Yes
needed
9
account and y N - No)

no. as Holder)
applicable)
Extension
Last Name First Name Middle Name Barangay City/Municipality Province District
Name
NATIONAL
1 CAGABHION ESMERALDO MIOMIO R. CASTILLO DAVAO CITY DAVAO DEL SUR AGDAO OSCA 15-3164 M
Name of Project:

TUPAD OSEC-FMS Form No. 4

DOLE Regional Office: XI
Province: DAVAO DEL SUR
Municipality: DAVAO CITY
DISTRICT: POBLACION A

LIST OF BENEFICIARIES

Dependent
E- 7
(Name of Relationsh
1 Type of ID payment/Ba Beneficiary
Birthdate ID Contact nk Account Civil ip to
No. Name of Beneficiary (e.g. SSS, Type of Sex Age of the Interested for If Yes, Indicate
(YYYY/MM/DD) Number No. No. (indicate Occupatio Status Dependen Skills Training
Voter's ID) Beneficiar Micro- skills training
the type of 3 n t (Y - Yes 9
account and y insurance N - No) needed

no. as Holder)
applicable)
Extension
Last Name First Name Middle Name Barangay City/Municipality Province District
Name
MILDRED UNTALAN
1 MANALO SUZETTE UNTALAN 3-A DAVAO CITY DAVAO DEL SUR POB. A F
Name of Project: TUPAD OSEC-FMS Form No. 4
DOLE Regional Office: XI
Province: DAVAO DEL SUR
Municipality: DAVAO CITY
DISTRICT: POBLACION B

LIST OF BENEFICIARIES

7
Dependent
E- (Name of Relationsh
1
Birthdate Type of ID payment/Ba Beneficiary
Contact nk Account Civil ip to
No. Name of Beneficiary (YYYY/M (e.g. SSS, ID Number Type of Sex Age of the Interested for If Yes, Indicate
No. No. (indicate Occupatio Status Dependen Skills Training
M/DD) Voter's ID) Beneficiar Micro- skills training
the type of 3 n t (Y - Yes 9

account and y insurance N - No) needed

no. as Holder)
applicable)
Middle Extension
Last Name First Name Barangay City/Municipality Province District
Name Name
PABLO B. SUAZON - FEDARATION PRESIDENT CONTACT PERSON

1 FACUNDO FATIMA A. 24-C DAVAO CITY DAVAO DEL SUR POB. B TUPAD F

2 INGCLINO ESTERLITA B. 24-C DAVAO CITY DAVAO DEL SUR POB. B TUPAD F

3 JAMORA EDITHA D. 24-C DAVAO CITY DAVAO DEL SUR POB. B TUPAD F

4 MANITAS ELEUTERIO C. 24-C DAVAO CITY DAVAO DEL SUR POB. B TUPAD M

5 OSORIO RODOLFO P. 24-C DAVAO CITY DAVAO DEL SUR POB. B TUPAD M

6 SILVA GOIDEMY D. 24-C DAVAO CITY DAVAO DEL SUR POB. B TUPAD F