GIRL SCOUTS OF THE PHILIPPINES

NATIONAL HEADQUARTERS Twinkler - 4-6 years old/ Pre-school

NO. 901 Padre Faura St., Ermita, Manila Star - 6-9 years old/Grades I-III
Junior - 9-12 years old/Grades IV-V
TROOP REGISTRATION FORM Senior - 12-16 years old/High School
Cadet -16-21 years old/College
Northern Luzon Region
Pangasinan Girl Scout Council
Troop Name BOLO ES JUNIOR SCOUT Age Level JUNIOR GIRL SCOUT
School BOLO ELEMENTARY SCHOOL Sponsoring Group
Phone no. 09454935943 Name of School
District Committee Name/ Municipalit
Barangay Committee Name Troop Birthday
Troop Type School Based Community Based Date Applied
Troop Status Re-registered New
REGISTRATION OF LEADERS
REG. STATUS
POSITION NAME ( LAST, FIRST, M.I.) BIRTHDATE BENEFICIARY
T/NT OLD NEW

Troop Leader / ONZA, JESSEL M. 5 19 97 MRS. ELSIE M. ONZA

Co-Leader / BULATAO, ROSE APRIL P.
REGISTRATION OF TROOP MEMBERS
NAME BIRTHDATE Reg. Status
(Last Name, First Name, M.I.) MM DD YY
Gr/Yr Re-Reg. New
BENEFICIARY
Name of Patrol/Cluster
1 VALERIO, ROSE ANN C. VI / MARGARITA C. VALERIO
2 DOMASING, MIKA ANGELA VI / AIZEL L. DOMASING
3 DONATO, ZAIRAH V. IV / AIZA V. DONATO
4 UGABAN, MARY DIANE V. IV / DELIA V. UGABAN
5 CANILANG, RICCI MAE Q. IV / MARIFE Q. CANILANG
6 GARCIA, GEMMA ANTONET A. IV / JENEFER M. AUSTRIA
7 CABALONA, JHONSYLE MAE I. IV / ELOISA R. INGUANSO
8 OLORVIDA, ROBELYN C. IV / EVELYN C. OLORVIDA
Name of Patrol/Cluster
1 LAGANAS, KEANNE JILL G. IV / MINA G. LAGANAS
2 DULAY, FLORENCE G. Teacher /
3 SANTILLAN, ASHLEY KATE P. VI / MYLA P. SANTILLAN
4 BULAGAO, TRIXCY CHLOE C. V / VIRGIE C. BULAGAO
5 ORATE, LEA R. V / NOEME R. ORATE
6 BRAVO, ALTHEA CHEN C. V / VICTOR M. BRAVO
7 BULATAO, JHENICA T. V / GLADHYS T. BULATAO
8 USON, JESSAMYN R. VI / MA. ODESSA M. ROQUE
Name of Patrol/Cluster
1
2
3
4
5
6
7
8
Name of Patrol/Cluster
1
2
3
4
5
6
7
8
Name of Patrol/Cluster
1
2
3
4
5
6
7
8
Submitted by: Noted by:
JESSEL M. ONZA 10/11/2023 CECILLE B. MACARAEG 10/11/2023
Troop Leader Date Principal Head/School/ BC Chairman Date
COUNCIL ACTION REMITTANCE
A. GSP Membership Fee ₱ Troop Number
Girls Re-Reg. New ₱ No. of cards issued:
Leader Re-Reg. New ₱ Girls: From to Adults: From to
Co-Leader Re-Reg. New ₱ ID Card Series Year: ID Card Series Year
TROOP FEE (To be Retained by Council) ₱ 7.50

B. Program Development Fund ₱ Processed by:

C. Contribution to the Matual Assistance Fund ₱ JANNETTE B. REYES
D. GS Magazine Troop Subscription Fee ₱ Asst. Registration Processor Date

Total Remittance ₱ Approved by:

ROR NO. DATE DCCR NO. EUFEMIA B. DE GUZMAN
DATE OF DEPOSIT BRANCH CODE Council Executive Date
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V-V
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