PICE-MDB-FM-01 -07/Rev.01 / Eff.

Date: July 31, 2015

REMITTANCE FORM
PICE JRMSU DAPITAN CHAPTER
S t u d e nt C h a p t er:
C h a r t er N u m b er :CHARTER NO. 192
Period Covered • 2019-2020
P r e p a r ed b y: CARLO JACK M. SUMILE
page 1

by PICE N A T I O N A L O F F I C E O N L Y

STATUS REMITTANCE VALIDATION

COLLEGIATE
NO. SURNAME NAME Ml OF REMARKS
YEAR FOR PAYMENT PAYMENT
MEMBERSHIP AMOUNT
YEAR(S) CORRECT DEFICIENCY

PEARL JOY Third

1 ALOJAMIENTO L. New 2019-2020 Php 18.00
year(lll)

REIGN A. Third 2019-2020 Php 18.00

2 AYING New
CHOSEN year(lll)
ROD Third
3 CAPALAC New 2019-2020 Php 18.00
LAURENCE year(lll)

JAMES Third
4 CONDAO T. New 2019-2020 Php18.00
BOND year(lll)

Third
5 CUMALASAG GENNELIZA B New 2019-2020 Php 18.00
year(lll)
Third
6 DE RAMA REYMMOND V. New 209-2020 Php 18.00
year(lll)
Third
7 ELUMBARING RENNE BOY A. New 2019-2020 Php 18.00
year(lll)

NESTOR Third
8 FONTANILLA A. New 2019-2020 Php 18.00
JR. year(lll)

ANGELE Third
9 INSONG P. New 2019-2020 Php 18.00
year(lll)

Third
10 JAUCULAN CHARMAINE A New 2019-2020 Php 18.00
year(lll)
Third
11 JUTBA CEEJAY M. New 2019-2020 Php 18.00
year(lll)
Third
12 LECIAS JHONLOUE R OLD 2019-2020 Php 8.00
year(lll)
Third
13 MANTALABA JENNIFER T. New 2019-2020 Php 18.00
year(lll)
Third
14 OPAWON MARVEL JACK D New 2019-2020 Php 18.00
year(lll)
Third
15 QUIZO YVEN R New 2019-2020 Php 18.00
year(lll)
Third
16 TAGAPAN JHON KIVEN D. New 2019-2020 Php 18.00
year(lll)

Third
17 TAMAYO CINDY M. New 2019-2020 Php 18.00
year(lll)

FRANKLIN fourth
18 ADASA C. year(IV) OLD 2019-2020 Php8.00
III

CHARMAINE fourth
NEW 2019-2020 Php1 18.00
19 ALIAWAN CHAM A year(IV)

fourth
20 ALINGAL KESCENA year(IV) OLD 2019-2020 Php8.00

JANE Fourth
21 APANADA C. OLD 2019-2020 Php 8.00
CAR LA year(IV)

Fourth
22 BAGUIO DIANNE C New 2019-2020 Php 18.00
. year(IV)

Fourth
23 BOLEROS GINO S. OLD 2019-2020 Php 8.00
year(IV)

TOTAL Php364.00

FORM SC03
 page 2

by PICE NATIONAL OFFICE ONLY

STATUS REMITTANCE VALIDATION
COLLEGIATE
NO. SURNAME NAME Ml OF FOR PAYMENT PAYMENT REMARKS
YEAR AMOUNT
MEMBERSHIP YEAR(S) CORRECT DEFICIENCY
Fourth
24 CAPAROSO NELVIN J. OLD 2019-2020 Php 8.00
year(IV)
Fourth
25 CABILIN ANDREW . OLD 2019-2020 Php 8.00
year(IV)
Fourth
26 CAPRICHO MICHELEN G. OLD 2019-2020 Php 8.00
year(IV)
Fourth
27 ESCOBIDO ALLEN DIXTON T. OLD 2019-2020 Php 8.00
year(IV)
Fourth
28 GUMOP-AS JOHN DAVE B OLD 2019-2020 Php 8.00
. year(IV)
Fourth
29 MUTIA MAE ANN T. OLD 2019-2020 Php 8.00
year(IV)
Fourth
30 OLITA JENNIFER T. OLD 2019-2020 Php 8.00
year(IV)

MARK Fourth
31 OPAWON D OLD 2019-2020 Php 8.00
RUBY . year(IV)

BEA Fourth
32 PARDILLO E. OLD 2019-2020 Php 8.00
KLARIZ year(IV)

MAE Fourth
33 PASANTING E. OLD 2019-2020 Php 8.00
VELL year(IV)

Fourth
34 PEROY NOVA LOU S. OLD 2018-2019 Php 8.00
year(IV)
ANDREA Fourth
35 RABINA B. OLD 2019-2020 Php 8.00
KERSTIE year(IV)

WILBERT Fourth
36 RACHO G OLD 2019-2020 Php 8.00
CARLO . year(IV)

Fourth
37 RIO JEANNETTE T. OLD 2019-2020 Php 8.00
JOYCE year(IV)
Fifth
38 ABNE JOHN OLIVER C OLD 2019-2020 Php 8.00
. year(V)

Fifth
39 AGAD MARPE S. year(V) OLD 2019-2020 Php 8.00

Fifth
40 ANDAG RICHARD, N. year(V) OLD 2019-2020 Php 8.00
JR.

Fifth
41 ANGHAG CLARK MALVIN S. year(V) OLD 2019-2020 Php 8.00

CARL Fifth
42 ANTIVO B. year(V) OLD 2019-2020 Php 8.00
ALJAY

JESSA Fifth
43 APATAN MAE B. year(V) OLD 2019-2020 Php 8.00

Fifth
44 ARAPOC REY JOHN G. year(V) OLD 2019-2020 Php 8.00

DANILO Fifth
45 ARCINO S. year(V) OLD 2019-2020 Php 8.00
JR.

VON Fifth
46 BAJADE A. year(V) OLD 2019-2020 Php 8.00
ANDRE

TRIXIA D. Fifth
47 BAJAS year(V) OLD 2019-2020 Php 8.00
MAE

TOTAL Php192.00

FORM SC03
 page 3

by PICE N A T I O N A L OFFICE O N L Y

STATUS REMITTANCE VALIDATION

COLLEGIATE
NO. SURNAME NAME Ml OF FOR PAYMENT PAYMENT REMARKS
YEAR AMOUNT
MEMBERSHIP YEAR(S) CORRECT DEFICIENCY
Fifth
48 BALLADARES LEOMAR S year(V) OLD 2019-2020 Php 8.00
.

CHRISTIAN Fifth
49 BALUARTE E. year(V) OLD 2019-2020 Php 8.00

M. Fifth
50 BOLANTE AGEE year(V) OLD 2019-2020 Php 8.00

Fifth
51 BUENAVISTA JASON P. year(V) OLD 2019-2020 Php 8.00

ALDWYN Fifth
52 CAJES N. year(V) OLD 2019-2020 Php 8.00
CHRISTIAN
Fifth
53 CAMPOREDONDO EDDIE T. year(V) OLD 2019-2020 Php 8.00

Fifth
54 CARREON CARLO A. year(V) OLD 2019-2020 Php 8.00

CAYONGCONG JOSE Fifth

55 A. year(V) OLD 2019-2020 Php 8.00
ELVIS, JR.

Fifth
56 DACANAY JIESA R. year(V) OLD 2019-2020 Php 8.00

Fifth
57 DAGOTDOT JOHN LEE D year(V) OLD 2019-2020 Php 8.00
.

JOHN Fifth
58 DAGOTDOT D. year(V) OLD 2019-2020 Php 8.00
MEE

Fifth
59 DAYAO ANGEL P. year(V) OLD 2019-2020 Php 8.00

Fifth
60 DE PEDRO ERIC B. year(V) OLD 2019-2020 Php 8.00

Fifth
61 DELA ROSA RICHE A. year(V) OLD 2019-2020 Php 8.00

Fifth
62 DELMO ALDRICH R. year(V) OLD 2019-2020 Php 8.00

Fifth
63 DELORIA ALDRECH R year(V) OLD 2019-2020 Php 8.00
.
Fifth
64 DOLIENTE ANDY GEL S. year(V) OLD 2019-2020 Php 8.00

RACHELLE P. Fifth
65 DOROMAL year(V) OLD 2019-2020 Php 8.00
MARIE
Fifth
66 EDGARDO PAULA JHAINNE R. year(V) OLD 2019-2020 Php 8.00

STEFANIE Fifth
67 EMPASIS R. year(V) OLD 2019-2019 Php 8.00
GRACE
Fifth
68 EMPOS MARIA ISABEL O. year(V) OLD 2019-2020 Php 8.00

Fifth
69 ENOJARIO JULY MARK P. year(V) OLD 2019-2020 Php 8.00

Fifth
70 FEROLINO MARLYN G. year(V) OLD 2019-2020 Php 8.00

Fifth
71 GALLEPOSO ROSE JANE J. year(V) OLD 2019-2020 Php 8.00

TOTAL Php192.00

f o r m sc03
 page 4

by PICE NATIONAL OFFICE ONLY

STATUS REMITTANCE VALIDATION

COLLEGIATE
NO. SURNAME NAME Ml OF REMARKS
YEAR FOR PAYMENT PAYMENT
MEMBERSHIP AMOUNT
YEAR(S) CORRECT DEFICIENCY

Fifth
72 GALLOGO IAN DAVE L. year(V) OLD 2019-2020 Php 8.00

Fifth
73 GOMEZ ARIEL P. year(V) OLD 2018-2019 Php 8.00

Fifth
74 GOOC ANGELIKA S. year(V) OLD 2019-2020 Php 8.00

Fifth
75 GUIRA JAMES CARLO B. year(V) OLD 2019-2020 Php 8.00

Fifth
76 HAMPAC CRISTY JOY B. year(V) OLD 2019-2020 Php 8.00

Fifth
77 INDING DEEVE C. year(V) OLD 2019-2020 Php 8.00

Fifth
78 JARINA CHARISSA FRITZ A. year(V) OLD 2019-2020 Php 8.00

Fifth
79 LUBRIDO BEJOHN P. year(V) OLD 2019-2020 Php 8.00
JERRICKS

JOSHUA Fifth
80 LUMASAG B. year(V) NEW 2019-2020 Php 18.00
ABRAHAM

HEYZEL Fifth
81 MAGSALAY B. year(V) OLD 2019-2020 Php 8.00
JEAN

Fifth
82 MAGSAYO ANNA MAY S. year(V) OLD 2019-2020 Php 8.00

Fifth
83 MELENDREZ ADRIAN C year(V) OLD 2019-2020 Php 8.00
REED .

Fifth
84 MENDOZA MARY CLAIRE B year(V) OLD 2019-2020 Php 8.00
.

Fifth
85 MOSENDE MARK J. year(V) OLD 2019-2020 Php 8.00

Fourth
86 OPAON LYNETTE . OLD 2019-2020 Php 8.00
year(V)

ANDRONICO Fifth
87 PADIILA JR. year(V) OLD 2019-2020 Php 8.00

Fifth
88 PAGASIAN CHRISTIAN G. year(V) OLD 2019-2020 Php 8.00

Fifth
89 PAGUPAT WENDELLE C. year(V) OLD 2019-2020 Php 8.00

FRANCIS Fifth
90 PAO G. year(V) OLD 2019-2020 Php 8.00
IAN

FRANCIS Fifth
91 PAO G. year(V) OLD 2019-2020 Php 8.00
IVAN

NESTOR Fifth
92 PORTICILLOS A. year(V) OLD 2019-2020 Php 8.00
JR.

SHERYL ROSE O. Fifth

93 PROCESO year(V) OLD 2019-2020 Php 8.00

Fifth
94 RAMOS ZETCHINA Q. OLD 2019-2020 PhP 8.00
year(V)

MARK Fifth
95 RESUENTO G. OLD 2019-2020 Php 8.00
ELBEN year(V)

TOTAL Php 202.00

FORM SC03
 page 5

by PICE NATIONAL OFFICE ONLY

REMITTANCE VALIDATION
STATUS
COLLEGIATE
NO. SURNAME NAME Ml OF REMARKS
YEAR FOR PAYMENT PAYMENT
MEMBERSHIP AMOUNT
YEAR(S) CORRECT DEFICIENCY

Fifth
96 ROSAL JAMES EARL P. OLD 2019-2020 Php 8.00
year(V)

Fifth
97 SAGARIO EMMAR L. OLD 2019-2020 Php 8.00
year(V)

Fifth
98 SAGUIN GLENN T. OLD 2019-2020 Php 8.00
year(V)

Fifth
99 SANGUAL LENDYL S. OLD 2019-2020 Php 8.00
year(V)

Fifth
100 SANICO MARY GRACE J. OLD 2019-2020 Php 8.00
year(V)

CARLO Fifth
101 SUMILE M. OLD 2019-2020 Php 8.00
year(V)
JACK

Fifth
102 SUPANGAN BRYAN RG N. OLD 2019-2020 Php 8.00
year(V)

Fifth
103 TEREZ KARLA ERANNA C. OLD 2019-2020 Php 8.00
year(V)

Fifth
104 VILLAMIL JERALD C. OLD 2019-2020 Php 8.00
year(V)

Fifth
105 YAP VONN TEOFIL Y. OLD 2019-2020 Php 8.00
year(V)

ZAMORAS PROMULO Fifth

106 T. OLD 2019-2020 Php 8.00
III year(V)

ALFREDO Fifth
107 ZAMORAS T. OLD 2019-2020 Php 8.00
JR year(V)

109

110

111

112

113

1 14

115

116

117

118

TOTAL Php 96.00

FORM SC03
 page 6

by PICE N A T I O N A L OFFICE ONLY

STATUS REMITTANCE VALIDATION

COLLEGIATE
NO. SURNAME NAME Ml OF REMARKS
YEAR FOR PAYMENT PAYMENT
MEMBERSHIP AMOUNT
YEAR(S) CORRECT DEFICIENCY

1 19

120

121

1 22

1 23

124

1 25

126

1 27

128

1 29

1 30

131

1 32

133

1 34

1 35

1 36

137

1 38

1 39

140

TOTAL

FORM SC03

REMITTANCE VALIDATION
(by PICE N A 0 )
Important Notes
1. Old members 1. Old members

* Listing of m e m b e r s should be n 3 (Current year) (Current year)

groupings and each time n Alphabetical xP (dues)=P xP {dues)=p

order: 2. Old members 2. Old members

- Old M e m b e r s for current year (with Arrears) (with Arrears)

I - Old M e m b e r s with arrears xP {dues)=P xP idues)=P

II - New M e m b e r s 3. New Members 3. New Members

xP xP (dues)=P
140 (dues)=P
* Fees:

P 4.00 - Old M e m b e r / y e a r T o t a l: Php 1,046.00

P 8.00 - New M e m b e r