Series 2021 GIRL SCOUTS OF THE PHILIPPINES Twinkler – 4-6 years old/Pre-school

NATIONAL HEADQUARTERS Star – 6-9 years old/Grade I-III

901 Padre Faura St., Ermita, Manila Junior – 9-12 years old/Grade IV-VI
Senior – 12-16 years old/High School
TROOP REGISTRATION
FORM
Visayas Region
LEYTE Council
Age Level SENIOR
Troop Name GOLDEN SHOAL
Sponsoring Group______________________________________
Troop Address/School BATO SCHOOL OF FISHERIES
Complete Mailing Address JOSE RIZAL STREET, BARANGAY
Troop Tel. No. TINAGO, BATO, LEYTE
District Committee Name/Municipality BATO Troop Birthday_________________________________________
Barangay Committee Name: Date Applied
Troop Type: School Based Community Based
Troop Status: Re-registered New

REGISTRATION LEADERS
REG. STATUS
POSITION T/NT OLD NEW NAME (Last, First, M.I.) BITHDATE BENEFICIARY
T ✓ INSIGNE, HANNAH, Y 09 14 90 HANZ Y. INSIGNE
Troop Leader
T ✓ SABANDO, JUDY ANN, C. 03 17 97 JOCELYN C. SABANDO
Co-Leader

REGISTRATION OF TROOP MEMBERS

NAME
(Last Name, First Name, M.I.) Birth date Grade Reg. Status Beneficiary
MM DD YYYY Re-Reg. New
Name of Patrol/Cluster
1. JAYMA, PRINCESS DARYN R. 10 04 2010 GRADE 7 ✓ EVELYN R. JAYMA
2. OUANO, JESSA 12 30 2010 GRADE 7 ✓ LOURDES OUANO
3. SOTTO, PRINCESS ZILLAH M. 06 25 2010 GRADE 7 ✓ ADELISA M. SOTTO
4. IBACITAS, NESHELLE ANNE M. 04 18 2010 GRADE 7 ✓ ANA FE M. OLITA
5. LAÑAS, RIZEAN APPLE N. 06 26 2009 GRADE 7 ✓ RIZTELA N. LAÑAS
6. VALLEJO, BABY JOYCE A. 02 18 2010 GRADE 7 ✓ JOSEFINA A. VALLEJO
7. YAP, DIANNE RAEKA A. 09 15 2009 GRADE 7 ✓ RHEA JAN A. YAP
8. RAMIREZ, PRINCESS NINA JOY R. 01 06 2010 GRADE 7 ✓ ROCHEL A. ROA
Name of Patrol/Cluster
1. BALANE, MILES H. 01 26 2010 GRADE 7 ✓ VENUS H. BALANE
2. GALON, PRINCESS AYESHA O. 09 18 2010 GRADE 7 ✓ ELIZABETH G. GALON
3. GORNE, CYRA LORAINE C. 02 08 2010 GRADE 7 ✓ EVELYN C. GORNE
4. GABRIEL, ALTHEA KEANNE 05 18 2010 GRADE 7 ✓ VILMA P. JUBAY
5. TEOGALBO, JHAREN G. 05 14 2010 GRADE 7 ✓ JACKYLOU G. TEOGALBO
6. ABARRE, MONIQUE VICTORIA C. 09 06 2010 GRADE 7 ✓ CONNEI FAIR C. ABARRE
7. GONE, RHIAN MAE O. 05 13 2010 GRADE 7 ✓ ANGIE OTEDA
8. CALMA, ALEXANDRA H. 06 28 2010 GRADE 7 ✓ JANICE S. HINOBIAGON
Name of Patrol/Cluster
1. TORLAO, IRENE B. 06 03 2010 GRADE 7 ✓ TELMA B. TORLAO
2. GESULTURA, VENICE ANGEL B. 05 29 2010 GRADE 7 ✓ LILET B. GESULTURA
3. ANTOLIHAO, JANELLE G. 06 22 2007 GRADE 9 ✓ NILO G. ANTOLIHAO
4. CAHAMBING, KIARA TRISHA V. 10 07 2008 GRADE 9 ✓ CARMELO T. CAHAMBING
5. MARAVILLA, CHRISTINE JANE R. 07 19 2008 GRADE 9 ✓ BRENDAN T. MARAVILLA
6. PAQUIBOT, YUMECO P. 04 17 2008 GRADE 9 ✓ ROSIE P. PAQUIBOT
7. RAMOS, TRISHA G. 01 19 2008 GRADE 9 ✓ REYNOLD R. RAMOS
8. CALAPE, ABRIANNE ASHLEY B. 04 02 2008 GRADE 9 ✓ MARIA CORAZON B. CALAPE
Name of Patrol/Cluster
1. ODIAS, TRACY CHANEIL R. 03 24 2008 GRADE 9 ✓ JOENIL A. ODIAS
2. PANDO, ANGELA DENISE I. 08 01 2008 GRADE 9 ✓ MIRASOL I. PANDO
3. TSAMOUDAKIS, ANGELA ATHENA T. 02 05 2008 GRADE 9 ✓ COREY L. TAGSIP
4. CARAL, TRESHA MAE S. 05 22 2010 GRADE 7 ✓ GRACE JOY S. CARAL
5. BERSAMIN, MARY TEFFANIE O. 10 03 2010 GRADE 7 ✓ SARAH O. BERSAMIN
6. ASENIERO, CECILE ANN E. 04 28 2010 GRADE 7 ✓ MYRNA E. ASENIERO
7. MALAZA, PRINCESS MARVIE D. 08 30 2010 GRADE 7 ✓ MERLY D. MALAZA
8. LUZON, MARIA DANIELLA A. 02 15 2010 GRADE 7 ✓ SHEILA G. ABAPO
Name of Patrol/Cluster
1. POTAWAN, AMERAH N. 03 15 2010 GRADE 7 ✓ JICEL P. NUÑEZ
2. SANICO, CHESCAREY VIELENA C. 05 28 2010 GRADE 7 ✓ CAREN C. SANICO
3. BACATAN, JASMINE ELLE 10 27 2009 GRADE 7 ✓ AMABELLE B. NIEZ
4. PEGAR, ARIANNE KAYE K. 06 26 2010 GRADE 7 ✓ RACHEL K. PEGAR
5. ADULFO, MERRY NYGEL C. 12 21 2008 GRADE 8 ✓ ELIZABETH C. ADULFO
6. LAGUNA, AKISHA NICOLLE A. 07 03 2008 GRADE 8 ✓ NELMAR V. LAGUNA
7. VELMONTE, ROSITA D. 04 28 2008 GRADE 9 ✓ ROSELLE D. VELMONTE
8. CURAYAG, CHANEL T. 01 18 2008 GRADE 9 ✓ CHARISE T. CURAYAG
Submitted by: Noted by:
HANNAH Y. INSIGNE 10/10/2022 RICHARD A. GABISON 10/10/2022
Troop Leader Date School Head Date

COUNCIL ACTION REMITTANCE Troop Number

A. GSP Membership Fee ₱ No. Of cards issued:
Girls Re-Reg. New ₱ Girls: From to Adults: From to
Leader Re-Reg. New ₱ ID Card Series Year: ID Card Series Year:
Co-Leader Re-Reg. New ₱ TROOP FEE (To be retained by Council) ₱7.50

B. Program Development Fund ₱ Processed by:

C. Contribution to the Mutual Assistance Fund ₱
D. GS Magazine Troop Subscription Fee ₱ Registration Processor Date

Total Remittance ₱
Approved by:
ROR NO. DATE _DCCR NO.
MA. JEANETTE P. CAMENFORTE

DATE OF DEPOSIT BRANCH CODE Council Executive Date