M.G.

MEDALLA INTEGRATED SCHOOL -SENIOR HIGH SCHOOL

STUDENT YEARLY RENEWABLE TERM

INSURED MEMBER GENDER BIRTHDAY COVERAGE RIDERS PREMIUM

1 ABARRA,ARZEL GRANDE M 4/14/2003 9,000.00 AD&D/BB/AMR 50.00
2 AGRAMON,RENO ANSEL M 9/29/2003 9,000.00 AD&D/BB/AMR 50.00
3 ALIT,ANTHONY AGRIAM M 12/13/2003 9,000.00 AD&D/BB/AMR 50.00

4 ARTUZ,CHRISTIAN PHILLIP ARSINAL M 10/3/2005 9,000.00 AD&D/BB/AMR 50.00

5 BALUARTE,RODGE SANCHO M 10/3/2005 9,000.00 AD&D/BB/AMR 50.00
6 BO-OC,LLOYD BRIAN GERONIMO M 12/16/2004 9,000.00 AD&D/BB/AMR 50.00
7 DAJA,JOHN MARK ARNAIZ M 9/5/2002 9,000.00 AD&D/BB/AMR 50.00
8 DELA CRUZ,OLIVER HORDIJAN M 2/15/2004 9,000.00 AD&D/BB/AMR 50.00
9 DELA CRUZ,ROBERT BACOLOD M 12/13/2003 9,000.00 AD&D/BB/AMR 50.00

10 DELA PEÑA,LEONARDO JR ABELADA M 2/17/2000 9,000.00 AD&D/BB/AMR 50.00

11 DESTURA,RUDJON SULTAN M 12/2/1998 9,000.00 AD&D/BB/AMR 50.00
12 GELA,RITCH JR ARTICULO M 4/20/2002 9,000.00 AD&D/BB/AMR 50.00
13 LETRAN,REY MARK PANILAGA M 5/19/2005 9,000.00 AD&D/BB/AMR 50.00
14 MANCIA,LEONITO JR TORNO M 7/27/2003 9,000.00 AD&D/BB/AMR 50.00
15 MATTI, JOSHUA ANTIPATIA M 5/19/2001 9,000.00 AD&D/BB/AMR 50.00
16 NOVERO,JASTINE PRAYCO M 5/28/2003 9,000.00 AD&D/BB/AMR 50.00
17 PALACIOS,GERALD DELAPAZ M 6/22/2004 9,000.00 AD&D/BB/AMR 50.00
18 PIADOCHE,ROY VINCENT - M 11/1/2002 9,000.00 AD&D/BB/AMR 50.00
19 TIMBOL,RYAN KIRBY DUNGOG M 7/15/2005 9,000.00 AD&D/BB/AMR 50.00
TRIGUE,HARLEY GLENN
20 CORDERO
M 2/2/2004 9,000.00 50.00
AD&D/BB/AMR

21 VALENCIA,JUDE SIMON RODERO 1/22/2005

M
9,000.00 AD&D/BB/AMR 50.00
AREVALO,FRANCINE MAE
22 PAYUMO
F 2/18/2004 9,000.00 AD&D/BB/AMR 50.00

23 CANILLO,SHYRA MAE VILLARAN 1/27/2004

F
9,000.00 AD&D/BB/AMR 50.00

24 CANO,JENIESELLE ANNE OROSO F 1/27/2004 9,000.00 AD&D/BB/AMR 50.00

25 ESTRADA,GAZELLE ETORSAITA F 9/3/2002 9,000.00 AD&D/BB/AMR 50.00
26 FABON,MARY ANN ALARCON F 1/5/2005 9,000.00 AD&D/BB/AMR 50.00
GONZAGA,GWEN GLYZZA
27 BAYATO
F 10/31/2004 9,000.00 50.00
AD&D/BB/AMR

28 GUADALUPE,CHRISLYN DRIAGA 4/11/2005

F
9,000.00 AD&D/BB/AMR 50.00

29 JABONETE,JONAMAY JARANILLA F 12/4/2004 9,000.00 AD&D/BB/AMR 50.00

30 OLARTE,JESSEBEL PARREÑO F 9/30/2004 9,000.00 AD&D/BB/AMR 50.00
31 PARIS,MERY CRIS GARDE F 11/27/2004 9,000.00 AD&D/BB/AMR 50.00
32 PASCO,MAWIE CAVALES F 2/24/2005 9,000.00 AD&D/BB/AMR 50.00
33 PRAYCO,JERRY MAE GAGATAM F 5/29/2004 9,000.00 AD&D/BB/AMR 50.00
34 RAGAZA,PALOMA ENCELENCIA F 5/3/2003 9,000.00 AD&D/BB/AMR 50.00
35 SUPAT,ANGEL JOY PADIOS F 7/29/2005 9,000.00 AD&D/BB/AMR 50.00
 TINONG,DANILA ELISE
36 GAYORGOR
F 2/24/2004 9,000.00 AD&D/BB/AMR 50.00
37 UNTAL,NOVELYN SEGUISA F 11/6/2004 9,000.00 AD&D/BB/AMR 50.00
38 VISCA,NOELYN QUILLANO F 6/18/2005 9,000.00 AD&D/BB/AMR 50.00
YBANEZ,ELLEN KIRSTEIN
39 AMBROSIO
F 9/20/2004 9,000.00 50.00
AD&D/BB/AMR

TOTAL 1,950.00

Prepared By: MA. LUISA B. DAVID

Grade 12 adviser
Date ;: 3/21/2023
 BENEFICIARY
CREZEL ABARRA
ANSEL, JONALYN VILLASIS
JENNIFER A. ALIT

JENIFER A. ARTUZ
ANA ESPENY UEHARA
ANNALIZA BO-OC
REJEAN DAJA
HORDIJAN, AMY CALVEZ
ESTHER DELA CRUZ

LEONARDO DELA PEŇA

APOLONIO DESTURA
WILNA GELA
PANILAGA, MARY JOY
JONNEL T. MANCIA
ANTIPATIA, MARY GRACE
JESSICA NOVERO
LESLY PALACIOS
ROSIE A. PIADOCHE
SHEILA MAE DUNGOG

CECILIA TRIGUE

MA. RHODALYN VALENCIA

MARINA AREVALO

CECILE CANILLO

JOENITO CANO
ARLENE E. ESTRADA
IMELDA FABON

MANILYN MARINOG

JENIFER D. GUADALUPE

ANAMAY JARANILLA
AMANDA OLARTE
MARIA LUZ PARIS
MICHAEL CAVALES
MARY JEAN PRAYCO
HERSIL RAGAZA
JOHANNA ALEXIS PADIOS
JOH ANN CABAYA
EVANGELINE UNTAL
JOVELYN ESPINOSA

.JOANN YBANEZ