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GIRL SCOUTS OF THE PHILIPPPINES

NATIONAL HEADQUARTER
901 Padre Faura St. Ermita, Manila
BARANGAY COMMITTEE REGISTRATON FORM
Visayas Region
Cebu Council

Barangay Committee Name: District Committee Number:

Barangay Committee Address: District Committee Address:

Tel. No. : Tel. No. :

Registration Status: Re-reg New

NAME Birthdate Reg. Status


Position Beneficiary
(Last Name, First Name, MI) MM DD YY Re-Reg. New

Chairman

Vice-Chairman

Secretary

Treasurer

Member

Member

Member

Member

Member

Member

Member

Member

Submitted by: Processed by

BC Chairman Date Date

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