form for bp application
TRANSCRIPT
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7/27/2019 Form for Bp Application
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Agency Name: deped cabuyao
Agency BP Numb 1000001143
FOR AGENCY REMITTANCE ADVICE
FORM A. List of employees with life and retirement premium
remittance but without existing record in the GSIS Database.
Last Name First Name Suffix Middle Name Mailing Address / Zip Code
Cellular
Phone no. Email Address Sex CS Date of Birth Place of Birth
B
Mo
Sa
Cabagyo Cecilia Tandado 221 Mamatid Cabuyao Laguna 4025 9398021088 [email protected] F Married December 29, 1982 Calamba City 18, 5
Nipas Je Je Pabayos Lot 62 Blk.12 Ph2 Ext.Mabuhay City Subd. Mamatid Cabuyao Laguna 9227271346 [email protected] F Married January 15, 1982 Mindoro 18, 5
Tingnan Liza Andawe 137 Banlic CabuyaoLaguna 9265353978 [email protected] F Single September 6, 1986 Sindangan,Zambo. 18, 5
Montera Rosalinda Maraa Sitio 2 Brgy. Bian Pagsanjan Laguna 9178375770 [email protected] F Single November 5, 1982 HilongosLeyte 18, 5
Salinas April Joy Jaro BanaybanayCabuyao Laguna 9184429679 [email protected] F Single April 29, 1984 Himamaylan Negro 18, 5
Rosales Melanie DeLuna 152 San Isidro Cabuyao Laguna 9469672192 [email protected] F Married September 18, 1981 Sta.Cruz Marinduq 18, 5
Mendoza Hydee P. Blk. 22 L.13 Ph 1 Mabuhay City Baclaran Cabuyao Laguna 4025 9258685892 [email protected] F Single March 24,1980 Pakil, Laguna 18, 5
Castillo Jessivel Buenaobra Jp Rizal St. Pagsanjan Laguna 9108621292 [email protected] F Married December 25, 1974 Lumban Laguna 18, 5
Maralli Tito Areola Ph 5 Mamatid City Of Cabuyao 9199479431 [email protected] M Single July 14,1979 Negros Oc. 18, 5
Marcial Mariane Sollestre Mamatid CabuyaoLaguna 9487020229 [email protected] Married May 8,1983 Siniloan Laguna 18, 5
Orbista Ginalyn Panotes Mamatid CabuyaoLaguna 9334067980 [email protected]. F Single February 7,1987 Camarines Norte 18, 5
Formento Mutya Palomaria MaravillaNagcarlan Laguna 9392683366 [email protected] F Married October 28,1986 Sta.Cruz Laguna 18, 5
Munda Noel Pojas Mamatid CabuyaoLaguna 9198557724 [email protected] M Married August 29,1987 St. Bernard Leyte 18, 5
Bautista Maricel Camacho Liliw Laguna 9493755209 [email protected] Married October 23,1977 LiliwLaguna 18, 5
Cabungcal Chem Jayder Masilang 232 A. Bonifacio St. Brgy Bagong Pook Santa Maria, Laguna 4022 9465663490 [email protected] M Married February 22,1986 Santa Maria, Lagun 18, 5
Gaygay Raynette Carandang 302 Brgy. San Isidro Bay, Laguna 4033 9487023009 [email protected] F Single August 24,1990 San Pablo City Lag 18, 5
Lapidario Mary Anne Abad 262 Brgy. Mamatid Cabuyao, Laguna 4025 9273763542 [email protected] F Married September 3,1985 Mandaluyong City 18, 5
Valderama Marie Ann Abril Purok 6 Brgy. San Francisco Nagcarlan, Laguna 4002 9398179230 valderama_marieann@yahF Married May 28,1987 San Pablo City Lag 18, 5
If any or all of the employees listed above are transferees,
please provide the information required in Form Bbelow opposite their name.
FORM B. List of Transferees
Member BP
Number Last Name First Name Suffix MI
Date of
Transfer Position
Employment
statusSalary
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7/27/2019 Form for Bp Application
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FORM C. List of employees with salary adjustments for confirmation as
to correct amount of monthly salary and effectivity date to be supplied below.
Member BP
Number Last Name First Name Suffix MI Salary Position
Employment
status
FORM D. List of employees with no premium remittance for 2 consecutive months.
Member BP
Number Last Name First Name Suffix MI Reason1
1 Reason: please specify whether transferred to other office / resigned / retired / deceased / dismissed / laid-off /
end of term / end of contract / dropped from the rolls / suspended / on Leave without pay, etc.
2 Remarks: in case transferred to other office, please indicate new office (if available)
Remarks2
Effectivity Date
Effectivity Date
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Position
Status of
Employment REMARKS
Teacher 1 Permanent
Teacher 1 Permanent
Teacher 1 Permanent
Teacher 1 Permanent
Teacher 1 Permanent
Teacher 1 Permanent
Teacher 1 Permanent
Teacher 1 Permanent
Teacher 1 Permanent
Teacher 1 Permanent
Teacher 1 Permanent
Teacher 1 Permanent
Teacher 1 Permanent
Teacher 1 Permanent
Teacher 1 Permanent
Teacher 1 Permanent
Teacher 1 Permanent
Teacher 1 Permanent