0 GSP Registration Form

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GIRL SCOUTS OF THE PHILIPPINES Twinkler - 4-6 years old/ Pre-school

Star - 6-9 years old/Grades I-III


NO. NATIONAL HEADQUARTERS Junior - 9-12 years old/Grades IV-V
Senior - 12-16 years old/High School
901 Padre Faura St., Ermita, Manila Cadet -16-21 years old/College
TROOP REGISTRATION FORM
Northern Luzon Region
Pangasinan Girl Scout Council
Troop Name LUNA NATIONAL HIGH SCHOOL Age Level "12-16
Troop Address LUNA, BOLINAO, PANGASINAN Sponsoring Group
Troop Tel. No. 9054862186 Complete Mailing Address HIGH SCHOOL, LUNA ,BOLINAO, PANGASINAN
LUNA NATIONAL
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 MUNDIA, JONALYN H. 11 27 87 WILBEN M. MUNDIA


Co-Leader RIVERA, MAYDA E. 6 5 76 JOEL E. RIVERA
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 MERCADO, ROLYN GRACE T. 7 20 7 9 ROVELYN T. MERCADO
2 CAS, ZHAYRIS F. 10 30 8 8 CARISS F. CAS
3 MAGNO, ANGEL JOY S. 2 23 7 9 JOCELYN S. MAGNO
4 CARREON, JANYL KATE D. 11 23 7 8 RIALENE D. CARREON
5 CASTIL, DHARWENALYN PEARL T. 11 14 9 7 LYN T. CASTIL
6 CASTIL, DARLYNNE PEARL T. 4 17 8 8 LYN T. CASTIL
7 JAVIER, JAMAICA I. 1 29 9 7 SHARON T. JAVIER
8 TABUCOL, KYLA MAE P. 6 20 8 8 ARLENE P. TABUCOL
Name of Patrol/Cluster
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Name of Patrol/Cluster
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Submitted by: Noted by:

JONALYN H. MUNDIA 2/7/2022 EDGAR C. ORPERIA 2/7/2022


Troop Leader Date Principal Head/School/ BC Chairman Date

COUNCIL ACTION REMITTANCE


A. GSP Membership Fee ₱ Troop Leader
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 Yea
TROOP FEE (To be Retained by Council) ₱ 7.50
B. Program Development Fund ₱ Processed by:
C. Contribution to the Matual Assistance Fund ₱ ANA C. CRUZ
D. GS Magazine Troop Subscription Fee ₱ Registration Processor Date
Total Remittance ₱ Approved by:

ROR NO. DATE DCCR NO. EUFEMIA B. DE GUZMAN


DATE OF DEPOSIT BRANCH CODE Council Executive Date
-school
I-III
es IV-V
h School
ege

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