PHILIPPINE RED CROSS

____________________ Laguna Chapter

DECLARATION OF MEMBERS

CONTACT PERSON & NUMBER Effectivity: 12:00 noon from the date of registration and date of expiration

NAME OF AGENCY/SCHOOL CALAMBA INTEGRATED SCHOOL File your claims within 30 days from the date of accident

SCHOOL ADDRESS Brgy. Banadero Calamba City Laguna NO. OF MEMBERS:

OFFICIAL RECEIPT NO. VALID DATE (mm/dd/yy) : EXPIRAY DATE (mm/dd/yy) :

BIRTHDATE
NO. ID NUMBER LAST NAME FIRST NAME MIDDLE NAME ADDRESS BRGY. CITY/ MUNICIPALITY MOBILE NUMBER EMAIL ADDRESS (mm/dd/yy) AGE REMARKS

1 ALMEDA JOHN ERICK SANTOS Blk. 3 Lot 7 Granville L.E. Lawa CITY OF CALAMBA 9502349272 08-09-2004 18

2 ANURAN DAVID JAMES RAFAEL P.3 Nayon Banadero CITY OF CALAMBA 9484099352 05-12-2007 15

3 ARAGON JOHN KENNETH GAMEL Letter A Banadero CITY OF CALAMBA 9935658502 11-28-2003 18

4 BAJA JOHN ROMMEL TIOSAN Brgy. 1 CITY OF CALAMBA 12-30-2005 16

5 CAPISTRANO GIAN CHRISTOPHER GATUNGAY MH Del Pilar Brgy. 4 CITY OF CALAMBA 9074978761 03-29-2007 15

6 DELA PAZ JAY VALENZUELA San Jose CITY OF CALAMBA 9096619209 03-30-2006 16

7 ELPIDAMA ALBERT JR BLACER Kanluran Banadero CITY OF CALAMBA 9515129345 02-09-2004 18

8 GARAY JOHN CHRIS GENOVESO Parian CITY OF CALAMBA 9090362757 09-22-2007 15

9 GEROLAO NICOL JULAR Purok 5 Brgy. 2 CITY OF CALAMBA 9124259475 03-14-2004 18

10 GIGANTORE SANTY APIS Pulong Candy Brgy. 4 CITY OF CALAMBA 9103370129 07-11-2004 18

11 ILAY RENZ MEINARD SURBANO Mauro Villas Banadero CITY OF CALAMBA 9750885727 06-27-2005 17

12 LARAWAN PAUL IVAN CRUZ Ilaya Purok 7 Parian CITY OF CALAMBA 9633113055 06-13-2007 15

13 LORICA MELMARJICK REYES Parian CITY OF CALAMBA 10-23-2002 20

14 MELOR WINSTON LYMMUEL AGSALUD DNE Subd. Brgy. 3 CITY OF CALAMBA 9109214780 09-14-2003 19

15 REGENTE JIMUEL ELAURIA Banadero CITY OF CALAMBA 10-04-2004 18

16 RUBIO ROBBY MANRILLA Sitio Nayon Banadero CITY OF CALAMBA 01-26-2007 15

17 SICO LEONYGIE GUIDEZ Purok 7 Banlic CITY OF CALAMBA 9971395167 04-10-2007 15

18 TACADENA XANLEI DESATE Ilaya Purok 7 Parian CITY OF CALAMBA 9682529233 07-26-2005 17

19 TRIPULCA CHRISTIAN ROME - Purok 7 Banlic CITY OF CALAMBA 9656412786 06-23-2003 19

20 ABANDO ANGELICA GOOC Purok 5 Brgy. 2 CITY OF CALAMBA 9299564538 02-08-2007 15

21 ANTINERO RYZA PARJAN Ilaya Purok 7 Parian CITY OF CALAMBA 9853584357 12-20-2006 15

22 APELLANES JULIE ANN AVISO Purok 7 Brgy. 2 CITY OF CALAMBA 9637407506 07-07-2007 15

23 ARADO TRINA MAE RAYA Sitio Kanluran Banadero CITY OF CALAMBA 9658343079 09-27-2007 15

24 ARCITA ZYRENE APOLINAR Phase 1 Blk 9 Lot 5 Banadero CITY OF CALAMBA 9100048862 01-24-2006 16

25 BATINO MARIA ANGELICA DE JESUS Sitio Kanluran Banadero CITY OF CALAMBA 9916962484 02-26-2007 15
26 BEA CZARINA MAE SANCHA Sitio Orocan Banadero CITY OF CALAMBA 9170258368 03-12-2007 15

27 BRILLANTE JELYN ESEO Mabolo St. Parian CITY OF CALAMBA 9186310429 12-23-2006 15

28 CACAYAN MARIA VENUS TOLENTINO Unlad Pabahay Ph2 B62 Lt15 Banadero CITY OF CALAMBA 9652788596 08-30-2007 15

29 CATOR MARY JOY ROMO Phase 2 Blk 12 Lot 104 Kay-Anlog CITY OF CALAMBA 9657422826 07-25-2003 19

30 CRUZ JHASMINE NICOLE MILLAR Pulong Candy Banadero CITY OF CALAMBA 9386232003 06-27-2007 15

31 DOMER APRILYN - Paciano Rizal CITY OF CALAMBA 9519064606 04-18-2006 16

32 EBRADA ANDREA MAE DASCO Purok 6 Tibag Brgy. 2 CITY OF CALAMBA 9398141761 09-13-2004 18

33 GARBO NIDA MARZAN Purok 7 Phase 3 Brgy. 2 CITY OF CALAMBA 9096561950 11-30-2003 18

34 GRANTOZA RINOA MAGADA 236 Maxmar Borja Subd. Brgy. 7 CITY OF CALAMBA 9303245700 12-22-2006 15

35 LOBOS MA KISHA MEDENILLA Ilaya Parian CITY OF CALAMBA 9851535625 03-03-2006 16

36 MERCADO JACQUIE NUNAG Ilaya Purok 7 Parian CITY OF CALAMBA 07-16-2005 17

37 MORALES MARIANNE LABRADOR Pasilyo 10 Brgy. 4 CITY OF CALAMBA 9502685236 10-29-2007 15

38 PECHO SAMANTHA NICOLE BARNACHEA Sitio Kanluran Banadero CITY OF CALAMBA 9383562966 10-04-2007 15

39 PUÑO GIRLIE CASAS Purok 7 Brgy. 2 CITY OF CALAMBA 9073542215 09-09-2004 18

40 PUÑO NICOLIE CASAS Purok 7 Brgy. 2 CITY OF CALAMBA 9073542215 06-28-2006 16

41 RECTO LYKA JOY ZAMORA Purok 5 Brgy. 2 CITY OF CALAMBA 9652632765 01-07-2006 16

42 SALVADOR ANGEL FEREZ Purok 6 Brgy. 2 CITY OF CALAMBA 9319005263 11-17-2004 17

43 SAN JUAN MARY ANNE GALUPO Purok 5 Brgy. 2 CITY OF CALAMBA 9504565890 01-08-2006 16

44 SILAO LAURA CAYETANO Purok 7 Ilaya Parian CITY OF CALAMBA 9387350638 12-21-2006 15

45 SORIANO RONALYN ROCELLO Purok 7 Brgy. 2 CITY OF CALAMBA 9077378695 03-17-2007 15

02-08-2007 15
12-20-2006 15
07-07-2007 15
09-27-2007 15
01-24-2006 16
02-26-2007 15
03-12-2007 15
12-23-2006 15
08-30-2007 15
07-25-2003 19
06-27-2007 15
04-30-2004 18
04-18-2006 16
09-13-2004 18
11-30-2003 18
12-22-2006 15
10-26-2006 16
03-03-2006 16
07-16-2005 17
10-29-2007 15
10-04-2007 15
09-09-2004 18
06-28-2006 16
01-07-2006 16
11-17-2004 17
01-08-2006 16
12-21-2006 15
03-17-2007 15