Annex D.

Close Contact Line List Form

Confirmed Case ID: Case ≠ 04

Onset of Illness of Confirmed COVID-19 Case (10/01/20) FINAL

Close Natur Date of

Conta Last Name First Name Middle Address Date of Age Sex Contact e Of Last Asymptom
ct Initial Birth (M/ No. Conta exposure atic
ID (mm/dd/ F) ct (mm/dd/ (Y/N)
yyyy) (HH,W yyyy)
S, S, T,
A,
HCW,
O)
04 CARDUZA ROSE JUANITE BRGY. 9/2/62 58 F 09189673 HH 10/08/20 Y
TARUC, 772
SOCORRO
04 CARDUZA RUBEN TARUC BRGY. 12/22/62 57 M 09189673 HH 10/08/20 N
TARUC,SOCO 771
RRO
04 JUANITE FLORAMIE ENAGO BRGY. 1/5/02 18 F N/S HH 10/8/20 N
TARUC,SOCO
RRO
04 MANTE PRINCESS JUANITE BRGY. RIZAL 6/6/84 36 F 09485373 O 10/4/20 N
BITUIN 287
04 OCON RACQUEL TARUC BRGY. TARUC 12/26/75 44 F 09088217 O 09/29/20 Y
646
04 OCON CHRISTOP MANTILLA BRGY. TARUC 9/29/20 40 M 09093511 O 9/29/20 N
HER 267
04 TIMCANG RIZA TARUC BRGY. 6/18/72 48 F 09108654 O 9/29/20 Y
RAFONSEL NAVARRO 982
L
04 TIMCANG WOWIE GULTIANO BRGY. 7/27/73 47 M 09092892 O 9/29/20 N
NAVARRO 787
04 PLATILLA BANCHE JUANITE BRGY. 6/22/96 24 F 09484074 O 9/29/20 Y
NAVARRO 008
04 TIMCANG LANCE TARUC BRGY. 2/2/96 24 M 09467060 O 9/29/20 Y
EDRIAN NAVARRO 797
04 QUIBAN FERNAND COSMIANO BRGY. TARUC 7/4/57 63 M 09501787 O 9/29/20 Y
O 060
04 QUIBAN LOLITA VERTICAL BRGY. TARUC 8/7/59 61 F 09102109 O 9/29/20 Y
932
04 JUNG JARDINE JUANITE BRGY. TARUC 6/19/14 6 F N/A O 9/29/20 Y
NIKISSA
04 GINGANE LORLYN TARUC BRGY. TARUC 2/12/68 52 F 09071449 WS 10/5/20 Y
562
04 GORTIFACI POMPOSA NAVARRO BRGY. TARUC 10/1/59 61 F 09486756 WS 9/29/20 Y
ON 852
04 RAMIREZ MAGINDA PORTILLO BRGY. TARUC 1/3/67 53 F 09128659 WS 10/2/20 Y
924
04 BAGOTSAY CLAUDINE L BRGY 2/6/97 23 F 09515578 WS 10/5/20 Y
KATE NAVARRO 250
04 LASALA ANNALIZA GALANIDA BRGY. 12/3/70 49 F 09078045 WS 10/5/20 Y
NAVARRO 592
04 ROLLORAT LEONILYN DESPOY BRGY.TARUC 7/13/74 46 F 09108095 WS 10/2/20 N
A 871
04 MANTE JELYN TAMAYO BRGY. RIZAL 7/27/82 38 F 09308536 WS 9/28/20 Y
…..
04 ADLAO DAINA YAMSON BRGY. TARUC 5/22/84 36 F 09485122 WS 10/4/20 Y
JANE 836
04 JUALO JAHARA LAUGO BRGY. TARUC 3/13/92 28 F 09384956 WS 9/30/20 Y
008
04 CORDITA VERGIE SAVANDAL BRGY. 9/7/79 41 F 09467059 WS 9/28/20 N
NAVARRO 726
04 MAHOMO JAESON DHINGO BRGY. 5/8/86 39 M 09454509 WS 9/22/20 N
C GEESAR PAMOSAING 832
 AN
04 REYES JAELOVI ENAYA BRGY 1/23/88 32 F 09454509 WS 9/26/20 Y
PAMOSINGA 832
N
04 GALANIDA JEAN CONIATO BRGY. RIZAL 1/13/79 41 F 09091596 WS 9/28/20 Y
440
04 ANTIGRO CRIS AYAN BRGY. 7/1/95 27 F 09100164 WS 9/28/20 N
SONGKOY 312
04 GALANIDA JAY CONSIGNA BRGY. 5/7/73 47 M 09099592 WS 9/30/20 N
NAVARRO 246
04 GAMBING BEEMAN JUANITE BRGY. RIZAL 11/27/98 20 M 09092331 O 9/29/20 Y
294
04 MONTER NENITA CUBILLAN BRGY. RIZAL 10/11/41 79 F 09100902 O 9/29/20 Y
550
04 LAUGO RACQUEL SANICO BRGY. RIZAL 11/08/88 31 F 09518155 O 9/30/20 Y
16
04 ANTIPASA AIDEN RUDELA BRGY. RIZAL 11/25/12 7 M 09092821 O 9/28/20 Y
DO WILL 140
04 ANTIPSAD WILSON ERNAL BRGY. RIZAL 3/27/74 46 M 09480578 O 9/28/20 Y
O 979
04 TUSCANO MARK APORBO BRGY. RIZAL 10/16/06 14 M 09305882 O 9/28/20 Y
GIAN 007
04 BATO MAY JOY APORBO BRGY. RIZAL 10/08/01 19 F 09127011 O 10/5/20 Y
108
04 CRUIZ ALVIN TARO BRGY. RIZAL 8/12/00 20 M 09951536 O 9/29/20 Y
455
04 BATO RANDY CAINDOY BRGY. RIZAL 1/5/93 27 M 09384069 O 9/30/20 Y
871
04 SANICO ARLENE ELANDAG BRGY. RIZAL 5/16/59 61 F 09489074 O 9/29/20 Y
496
04 DIZON BEBELITA ANTIGRO BRGY. RIZAL 9/30/62 58 F N/A O 9/30/20 Y
04 QUIRIDO LELITH BOHOL BRGY. RIZAL 5/5/44 76 F 09304877 O 9/29/20 Y
595
04 PLATILLA ORLANDO PLAZA BRGY. RIZAL 1/9/67 53 M 09072111 O 9/20/20 Y
224
04 PAJA DENNIS PIAO BRGY. RIZAL 10/25/73 46 M 09506834 O 9/19/20 Y
230
04 PAJA DENNIS QUISADA BRGY. RIZAL 12/17/04 15 M 09102109 O 9/19/20 Y
SAMLOU 067
04 PIAO JENA LONGOS BRGY. RIZAL 3/12/89 31 F 09504401 O 9/30/20 Y
273
04 CALAMBA KISIRO QUISAGAN BRGY. 6/6/09 11 M 09182275 O 9/28/20 Y
NAVARRO 441
04 CUBILLAN PAMELA DOTILLOS BRGY. TARUC 3/17/84 37 F 09514049 O 9/28/20 Y
430
04 MESIAS MA. DACERA BRGY. TARUC 9/9/20 1m F 09098000 O 9/28/20 Y
CLARJANE 505
04 YAMSON HAMELIA DOTILLOS BRGY. TARUC 6/24/91 29 F 09510252 O 9/29/20 Y
020
04 CULATA SARAH JUALO BRGY. TARUC 3/6/84 31 F 09463241 0 9/29/20 Y
880
04 BANAY JOSE JR GROMCON BRGY. TARUC 8/12/65 55 M N/A O 9/29/20 Y
04 LUBAPIS LORENZO MEDRANO BRGY. TARUC 10/16/19 11m M 09487099 O 10/2/20 Y
DALE 170
04 CUBILLAN ALMERA O
04 MEDRANO DEVON LAUGO BRGY. TARUC 7/13/00 20 M N/A 0 10/2/20 Y
CARL
04 OSLOB MANUELIT T BRGY. TARUC 3/21/68 52 M 09506993 O 9/27/20 Y
O 618
04 PADILLA YURIE KYLE ESPUERTA BRGY. TARUC 10/27/18 1 M 09510252 O 9/28/20 Y
339
04 GO MISSIE A. BRGY. TARUC 5/31/20 4mo F 09304975 0 9/28/20 N
MAY 682
04 DACERA AYESSA C BRGY. TARUC 5/19/20 5mo F 09510372 O 9/28/20 Y
224
04 MULLANID STEVE BORDAS BRGY. TARUC 11/9/19 11m M 09098303 O 9/28/20 N
 A PAUL o 344
04 DELA PENA RAESHA CULATA BRGY. TARUC 2/10/91 20 F 09483126 O 10/1/20 Y
958
04 LAURENTE JEEM RUAYA BRGY. TARUC 11/30/19 2 M 09385997 O 9/30/20 Y
969
04 ANGCOG NERIO TESADO BRGY. 3/14/56 64 M 09565168 O 9/28/20 Y
HONRADO 116
04 HUMAYLA ROBERTO BRGY. SALOG 3/15/60 60 M 09101778 O 9/28/20 Y
B 813
04 BATO FRITCHELY A BRGY. SALOG 2/8/91 29 F 09482663 O 9/29/20 Y
N 093
04 PLAZA NERLITA C BRGY. SALOG 7/20/66 54 M 09482663 O 9/28/20 Y
093
04 BOHOL REYNALDO G BRGY. SALOG 4/6/64 56 M 09482663 O 9/28/20 Y
093
04 BALMORIA JOHN CUBILLN BRGY. 6/19/18 1 M 09380106 O 9/28/20 Y
DAVE HONRADO 455
04 ALABAT CRESENCIA MONDRAG BRGY. 12/28/53 67 F 09659475 O 9/28/20 Y
ON HONRADO 940
04 BANAYBA JOCELYN LIRAY BRGY. 7/3/69 51 F N/A O 9/28/20 Y
NAY HONRADO
04 BALBARIN JANE CYRIL MEDRANO BRGY. RIZAL 10/22/02 17 F 09461163 0 9/29/20 Y
O 881
04 LASALA ANDREA CARDUZA BRGY. 11/30/53 66 F 09071428 O 09/28/20 Y
NAVARRO 685
04 CAGATIN JAMAICA GENSON BRGY.N. 6/23/00 20 F 09061065 O 9/30/20 Y
ESTRELLA 174
04 ROSILLO RALMA LOPEZ BRGY. N. 4/2/03 17 F 09654824 O 9/29/20 Y
ESTRELLA 122
04 MAYOR SHERWIN SAVANDAL BRGY.N. 5/22/81 39 M 09501890 O 9/29/20 Y
ESTRELLA 893
04 JUANITE LOLITA DELA PENA BRGY. N. 7/1/75 45 F 09104422 O 9/29/20 N
ESTRELLA 868
04 JUANITE JEHAIRA DELA PENA BRGY.N. 2/14/05 15 F N/A O 10/2/20 Y
 ESTRELLA
04 JUANITE BRELLA DACERA BRGY. N. 4/17/05 5 F 09467150 O 10/2/20 Y
SHINE ESTRELLA 808
04 ERONG NARCISO BESAS BRGY.N. 5/15/38 82 M 09978031 O 9/28/20 N
SR. ESTRELLA 136
04 LOREN PEDRO MALBASYA BRGY. N. 8/24/59 61 M N/A O 10/2/20 Y
S ESTRELLA
04 BALMORIA MARICEL SUTANA BRGY. N. 4/20/92 28 F 09554985 O 10/2/20 Y
ESTRELLA 050
04 CONSIGNA AIRA CAINTOY BRGY.N. 4/1/20 6M F 09381598 O 10/3/20 Y
REIGN ESTRELLA OS 334
04 GUYAB CHELAMEA ABAO BRGY. N. 11/16/47 26 F N/A O 10/3/20 Y
ESTRELLA
04 PAGALAN JANETH CRUIZ BRGY. N. 10/20/92 26 F 09974996 O 9/29/20 Y
ESTRELLA 003
04 JUANITE KIMBIE CAPISTRAN BRGY. 3/25/77 42 M 09195984 O 9/28/20 N
O NAVARRO 727
04 GARCIA HAIDEE DE GUZMN BRGY. 10/2/70 50 F 09090679 O 9/30/20 Y
NAVARRO 648
04 GALANIDA XANJAY ALONG BRGY. 10/22/17 3 M 09480408 O 9/28/20 N
NAVARRO 017
04 CUBILLAN PAMELA DOTILLOS BRGY. TARUC 3/17/84 37 Ff 09514049 o 9/28/20 Y
430
04 CONSIGNA JOMELYN BRGY. 11/18/19 22 F 09502168 O 9/30/20 Y
NAVARRO 941
04 DELIMAN JAE KYLINE CARDUZA BRGY. 9/14/20 1mo F 09127011 O 9/15/20 Y
SEPTNY NAVARRO 011
04 BALMORIA BRIANNA PAJOYO BRGY. 6/15/15 5 F 09467059 O 10/1/20 Y
NAVARRO 390
04 BATO LEONOR MONTER BRGY. 8/23/55 65 M N/A O 10/3/20 Y
NAVARRO
04 CINCO GLADY DELIMAN BRGY. SALOG 10/10/90 30 F 09061239 O 0/30/20 N
MAY 384
04 PAJA KIALA BUYSER BRGY. RIZAL 4/6/20 6m F 09556045 O 9/28/20 Y
 402
04 PAJA KENTHRY BUYSER BRGY. RIZAL 9/11/18 2 M 09556045 O 9/28/20 Y
402
04 DIZON LIAM ERONG BRGY. RIZAL 10/23/17 2 M 09514617 O 9/28/20 Y
NICKOLO 704
04 BOHOL ANDREW QUILRIO BRGY. RIZAL 7/26/19 1 M 09187049 O 9/28/20 Y
RYAN 535
04 CONSIGNA JHON DALE ADLAO BRGY. RIZAL 7/26/19 1 M 09187049 O 9/28/20 Y
535
04 BATO STEFANNY PLAZA BRGY. 8/15/15 5 F 09486426 O 10/5/20 Y
GWEN NAVARRO 080
04 CORTINA AUSTIN J BRGY. SAN 8/28/20 1m M 09531593 O 10/4/20 Y
JHON ROQUE 833
04 TINAMBAC KENJAY S BRGY. SAN 8/15/16 4 M 09533575 O 9/23/20 N
AN ROQUE 492
04 CABONG ROSE D BRGY. SAN 4/18/14 6 F 09678047 O 10/1/20 Y
CHINA ROQUE 51
04 RUAYA CHERRY D BRGY. SAN 6/6/95 25 F 09974558 O 10/1/20 Y
MAE ROQUE 249
04 SENYAHAN CALA JANE G BRGY. 10/14/10 9 F 09362642 O 9/21/20 Y
PAMOSAING 325
AAN
04 JUGARAP JENELIE U BRGY. 5/25/73 47 F 09750170 O 9/30/20 Y
PAMOSAING 873
AAN
04 LADANAN EDUARDO A BRGY. 10/4/53 67 M 09352406 O 9/26/20 Y
PAMOSAING 492
AAN
04 ANTIGRO NENITA P BRGY. 10/27/01 38 F N/A O 10/3/20 Y
PAMOSAING
AAN
04 ITOM PEDRITO F BRGY. 2/15/46 79 M 09353732 O 9/28/20 Y
PAMOSAING 923
AAN
Prepared by; Noted by;
RIZA RAFONSELLE T. TIMCANG DR. ALLEN B. MACARAEG
Mun. Epidemiology Surveillance Unit Officer Municipal Health Office

Annex D. Close Contact Line List Form

Confirmed Case ID: Case ≠ 05

Onset of Illness of Confirmed COVID-19 Case (10/23/20) FINAL

Close Natur Date of

Conta Last Name First Middle Address Date of Ag Sex Contact e Of Last Asymptom
ct Name Initial Birth e (M/ No. Conta exposure atic
ID (mm/dd/ F) ct (mm/dd/ (Y/N)
yyyy) (HH,W yyyy)
S, S, T,
A,
HCW,
O)
05 LASALA RYAN DIZON BRGY. 9/30/73 46 M 090901257 HH 10/7/20 Y
BRUCE SONGKOY 07
05 LASALA RYANNA DELA PENA BRGY. 7/24/07 13 F 090901257 HH 10/7/20 Y
YACIE SONGKOY 07
05 LASALA SHEIRAYA DELA PENA BRGY. 10/23/13 6 F 090901257 HH 10/7/20 Y
H SONGKOY 07
05 ABAO MARSAN GOLIAT BRGY. 6/21/03 17 M N/A HH 6/21/03 N
TARUC
05 TIMCANG LANCE TARUC BRGY. 2/2/96 24 M 094670607 O 9/19/20 Y
EDRIAN NAVARRO 97
05 TIMCANG BLANCHE JUNITE BRGY. 6/22/96 24 F 094840740 O 9/19/20 Y
NAVARRO 08
05 CANTA ALVIN TARUC BRGY. M O 9/19/20 Y
PRANDY TARUC
05 CANTA JAY LASALA BRGY. F O 9/19/20 Y
 GRECIA TARUC
05 LASALA FRETZIE GALANIDA BRGY. 3/24/69 51 F 092383991 O 9/19/20 Y
TARUC 07
05 LASALA ROY DIZON BRGY. 12/10/71 50 M 092383991 O 9/19/20 Y
RICHARD TARUC 07
05 JUNG JARDINE JUANITE BRGY. 1/20/88 F 091077998 O 9/19/20 Y
TARUC 94
05 MAHOMOC CHARMAI CARIAGA BRGY. 1/4/93 27 F 092728129 WS 9/28/20 Y
NE ROSE PAMOSAING 83
AN
05 BOHOL ROMANIT SARNO BRGY. 1/12/62 59 F 094895488 WS 9/21/20 Y
A TARUC 35
05 YAMSON LOTIS DIZON BRGY. RIZAL 2/5/86 34 F 093351319 WS 9/21/20 Y
97
05 PAJA LEAH QUISADA BRGY. RIZAL 3/27/78 42 F 093065578 WS 9/19/20 N
92
05 GALO CELESTY CORDITA BRGY. 4/21/89 31 F 096780441 WS 9/21/20 Y
NAVARRO 03
05 LASALA BROOKS DIZON BRGY. RIZAL 5/22/88 32 F 095062907 WS 9/21/20 Y
GOLDA 90
05 CONIATO SAM CUBILLAN BRGY. 12/13/94 25 M 092096995 WS 9/21/20 N
LAURENCE TARUC 19
05 CONIATO HAYDEE CUBILLAN BRGY. 5/10/71 49 F 091029708 WS 9/21/20 Y
TARUC 75
05 MASCARD ROBERTO SULAPAS BRGY. 3/8/67 53 M 093825571 WS 9/21/20 Y
O TARUC 71
05 GAMBING NERIFE BATO BRGY. 1/1/81 39 F 093014060 WS 9/21/20 Y
NAVARRO 50
05 SANICO REGINE TESADO BRGY. 6/1/98 22 F 093058268 WS 9/21/20 N
TARUC 80
05 ELANDAG MAYREL PIEDAD BRGY. 11/12/93 26 F 094670589 WS 9/21/20 Y
NAVARRO 05
05 LIQUIDO ERNALYN CONSIGNA BRGY. 1/5/70 50 F 094887423 WS 9/21/20 Y
TARUC 50
05 CAPISTRAN DIAN DACERA BRGY. 7/28/90 30 F 094822038 WS 9/21/20 N
O ROSE NAVARRO 51
05 TARUC MARK DESPOY BRGY. 3/1/88 32 M 094637893 WS 9/21/20 N
ALVIN TARUC 33
05 TARUC JANETH RIVAS BRGY. 12/14/88 31 F 094637893 WS 9/21/20 Y
TARUC 33
05 QUIRIDO ROSALENE DACERA BRGY. 7/7/76 44 F 099539584 WS 9/21/20 Y
NAVARRO 27
05 GUMA MAYETH QUIRIDO BRGY. 2/18/87 33 F 090927950 WS 9/21/20 Y
NAVARRO 55
05 JUANITE LILITH QUIRIDO BRGY. 4/28/82 38 F 099908441 WS 9/21/20 Y
NAVARRO
05 QUISAGAN MARISSA SANICO BRGY. 9/28/66 54 F 090927337 WS 9/21/20 Y
NAVARRO 19
05 MULLANID GINALYN SARNO BRGY. 40 F 092031925 WS 9/27/20 N
A TARUC 24
05 TARTAR SANDRA RAMIREZ BRGY. RIZAL 44 F 099939884 WS 9/27/20 Y
43
05 MATURAN IAN MESIAS BRGY. RIZAL 12/26/81 38 F 095140469 WS 9/27/20 Y
02
05 CANTA RILYN LIMBARO BRGY. RIZAL 3/27/81 39 F 093885069 WS 9/27/20 Y
80
05 MONDRAG JUARY SAVANDAL BRGY. 1/1/85 35 M 091757771 WS 9/27/20 Y
ON NAVARRO 15
05 LIMBARO KIMBERLY B BRGY. RIZAL 8/2/97 23 F 094897290 WS 9/27/20 Y
07
05 BISAYA ROSEMAR C BRGY. 2/27/90 30 F 094577659 WS 9/27/20 Y
IE TARUC 32
05 LAUGO ANGIE ARCULAR BRGY. RIZAL 8/10/93 26 F 094680785 WS 9/27/20 Y
FLOR 20
05 ELANDAG ESTRELLA GALANIDA BRGY. 7/4/74 46 F 090927337 WS 9/27/20 Y
NAVARRO 19
05 DACERA LIBERTA DIGAL BRGY. 4/7/64 56 F 091055953 O 9/27/20 Y
TARUC 50
05 TARUC JINGLE CAPISTRAN BRGY. 5/13/76 44 F 096102379 WS 9/27/20 Y
O NAVARRO 35
05 MORO BANGGOT BANAYBAN BRGY. 2/16/89 31 M 093844806 WS 9/27/20 Y
OY AY NAVARRO 47
05 DANAS SHAREM CRUIZ BRGY. RIZAL 12/8/89 30 F 092835190 WS 9/21/20 Y
19
05 PLAZA MELODY B BRGY. RIZAL 5/5/86 34 F 091016151 WS 9/21/20 Y
88
05 CONSIGNA DIAN PAJA BRGY. RIZAL 11/15/75 44 F 091017324 WS 9/21/20 Y
00
05 RUAYA RUTH ELANDAG BRGY. RIZAL 11/21/83 38 F 090997694 WS 9/21/20 Y
08
05 DELA PENA LUZVIN B BRGY. RIZAL 8/23/83 37 F 091054219 WS 9/21/20 Y
35
05 MASCARD CHEMBIE MACABODB BRGY. RIZAL 11/19/85 34 F 095145168 WS 9/21/20 Y
O OD 47
05 CARDUZA MA. ALABAT BRGY. 10/29/83 37 F 095609177 WS 9/21/20 Y
CHONA TARUC 51
05 DESPOY SHEKINA CONIATO BGRY. 6/27/92 28 F 093840637 WS 9/27/20 Y
HONRADO 52
05 DELA PENA MADEL JOAQUINO BRGY. RIZAL 1/18/95 25 F 096392614 WS 9/18/20 Y
66
05 ROSILLO REY GALO BRGY. 3/31/82 37 M 095127059 WS 9/21/20 Y
HONRADO 36
05 ROSILLO REIL DELA PENA BRGY. 8/6/87 33 M 090714533 WS 9/21/20 Y
HONRADO 34
05 ROSILLO JOAN CONSIGNA BRGY. 6/1/81 38 F 094867622 WS 9/21/20 Y
HONRDO 22
05 OCON GEMMA LASALA BRGY. 3/10/67 53 F 093992456 WS 9/22/20 Y
NAVARRO 4
05 LABE MADELYN TESADO BRGY. 1/24/80 40 F 090747164 WS 9/22/20 Y
NAVARRO 85
05 DIZON NIEVA BALBARINO BRGY. 2/27/82 38 F 093017205 WS 9/22/20 Y
SONGKOY 72
05 TAMAYO LIZA ENGROBA BRGY. RIZAL 10/25/60 59 F 090942283 WS 9/22/20 Y
94
05 ROSILLO ARCHIE APORBO BRGY. 12/6/81 38 M 096152642 WS 9/22/20 Y
NAVARRO 62
05 SANICO GIRLIE JOY CUBILLANES BRGY. 2/3/90 30 F 094683048 WS 9/22/20 Y
TARUC 41
05 MASCARD MAISAN PIAO BRGY. 3/21/77 43 F 094889806 WS 9/22/20 N
O TARUC 45
05 MEDRANO DACEL PIAO BRGY. RIZAL 7/16/77 43 F 091964967 WS 9/22/20 Y
10
05 LABE REX CABUG-OS BRGY. RIZAL 7/5/80 40 M 091964967 WS 9/22/20 Y
MARDY 10
05 DACERA DANTE SABALO BRGY. 7/31/78 42 M 094604642 WS 9/22/20 Y
TARUC 99
05 JUANITE METHOS QUIBAN BRGY. 4/17/84 36 F 093047235 WS 9/22/20 Y
LIAN TARUC 06
05 SANGCO SARACHE LABE BRGY. RIZAL 8/21/88 32 F 090739958 WS 9/22/20 Y
N 54
05 TARUC JENEL GELSANO BRGY. 4/13/79 41 F 099730117 WS 9/22/20 Y
TARUC 26
05 CONSIGNA TAMARA MANTILLA BRGY. 9/13/86 34 F 090964580 WS 9/22/20 Y
HAREL NAVARRO 55
05 CONSIGNA MILA MANTILLA BRGY. 2/7/62 58 F 090964580 WS 9/22/20 Y
NAVARRO 55
05 GALANIDA JANUA LASALA BRGY. 12/1/78 41 F 093843260 WS 9/22/20 Y
KAREN NAVARRO 62
05 GAMUTAN ANGELIE LABE BRGY. 8/24/84 36 F 092309084 WS 9/22/20 N
NAVARRO 40
05 LAMPAD LAIZA ADLAO BRGY. 5/20/90 30 F 093898099 WS 9/22/20 Y
MAY NAVARRO 57
05 CANTA JOVELYN MATURAN BRGY. 11/27/83 37 F 093815849 WS 9/22/20 Y
NAVARRO 79
05 MONDRAG LINA CUBILLANES BRGY. 12/10/67 53 F 094887161 WS 9/22/20 Y
ON NAVARRO 52
05 PORTILLO DANILO ADLAO BRGY. 1/24/59 61 M N/A WS 9/22/20 Y
NAVARRO
05 CONIATO JEANNETH BALBARINO BRGY. 10/6/86 34 F 091874030 WS 9/22/20 Y
NAVARRO 52
05 GUMA JUNDY CORDITA BRGY. 2/26/84 36 M 090793598 WS 9/22/20 Y
NAVARRO 20
05 OCON GEBB LASALA BRGY. 5/24/95 25 M 094625436 WS 9/22/20 Y
MANRIV NAVARRO 87
05 CAGATIN RONALD CONSIGNA BRGY. 9/12/82/ 38 M 091036432 WS 9/22/20 Y
NAVARRO 39
05 YAMSON SAHARA MANTILLA BRGY. F WS 9/22/20 Y
GEN NAVARRO
05 CUBILLAN GENEBET RAMIREZ BRGY. 3/21/85 35 F 093823029 WS 9/22/20 Y
H NAVARRO 76
05 DELA PENA AYESHA TIMCANG BRGY. 6/16/89 31 F 091971221 WS 9/22/20 Y
NAVARRO 36
05 GELSANO EVA CALAMBAA BRGY. 1/3/72 48 F 090982306 WS 9/22/20 Y
TARUC 28
05 MONTER LOVELY FE GAALANIDA BRGY. 2/4/90 30 F 094828747 WS 9/22/20 Y
TARUC 76
05 LAMPAD AVA ADLLAO BRGY. 5/27/93 27 F 093092716 WS 9/22/20 Y
MARIE NAVARRO 48
05 JUANITE APPLE JAY GALANIDA BRGY. 8/10/92 28 F 095021842 WS 9/22/20 Y
TARUC 04
05 QUIBAN JONEL ROSILLO BRGY. 9/26/85 35 M 091004435 WS 9/22/20 Y
TARUC 42
05 CUBILLANE THELMA DIZON BRGY. 12/29/58 61 F 090714643 WS 9/22/20 Y
S NAVARRO 95
05 DESPOY LEONARD GALAVIA BRGY. 10/28/79 40 M 094684968 WS 9/28/20 Y
O TARUC 61
05 ESPUERTA ANNELEN CUSTODIO BRGY. 4/7/69 51 F 094617943 WS 9/22/20 Y
E TARUC 32
05 CONIATO HAYDEE CUBILLAN BRGY. 5/10/79 41 F 091029708 WS 9/22/20 Y
TARUC 75
 05 LAUGO DOREEN GALAVIA BRGY. 5/27/87 33 F 094618563 WS 9/22/20 Y
MINETTE TARUC 73
05 ELANDAG RUDY LAUGO BRGY. 2/1/77 43 M 099899992 O 9/28/20 Y
NAVARRO 80
05 GUMA RICKY TIMCANG BRGY. RIZAL 12/30/68 52 M 090984042 O 9/28/20 Y
15
05 RIVAS CHARLE GALANIDA BRGY. 7/21/84 36 M 093067333 O 9/28/20 Y
MAGNE TARUC 26
05 JABAY JHON REY JUANITE BRGY. RIZAL 8/11/82 38 M 093893218 O 9/28/20 Y
25
05 TOLDO MARK CARIAGA BRGY. 12/7/93 26 M 093572366 O 9/28/20 y
ALVIN PAMOSAING 73
AN
05 DELA PENA WAPOT
05 SARONG RHEALUZ DELA PENA BRGY. 10/15/77 42 F 090928949 O 9/30/20 Y
TARUC 20
05 SARONG RICHON ERONG BRGY. 9/12/76 44 M 091870494 O 9/30/20 Y
TARUC 54
05 SAGA ETHEL HINGPIT BRGY. N. 2/25/81 39 F 091081170 O 9/30/20 Y
ESTRELLA 45
05 HINGGO EVA JUANITE BRGY. N. 7/11/67 53 F N/A O 9/30/20 Y
ESTRELLA

Annex D. Close Contact Line List Form

Confirmed Case ID: Case ≠ 06

Onset of Illness of Confirmed COVID-19 Case (9/24/20) FINAL

Close Nature Date of Last

Contac Last Name First Name Middle Address Date of Birth Ag Sex Contact No. Of exposure Asymptoma
t Initial (mm/dd/ e (M/ Contac (mm/dd/ tic
ID yyyy) F) t yyyy) (Y/N)
(HH,W
S, S, T,
A,
HCW,
O)
06 PLATILLA NILDA JUANIT BRGY. 1/10/58 62 F 0938431068 HH 10/9/20 Y
E NAVARR 4
O
06 PLATILLA GUISHYR JUANIT BRGY. 8/3/94 26 F 0930510199 HH 10/9/20 Y
E NAVARR 2
O
06 TIMCANG BLANCHE JUNITE BRGY. 6/22/96 24 F 0948407400 HH 10/9/20 Y
NAVARR 8
O
06 TIMCANG LANCE TARUC BRGY. 2/2/96 24 M 0946706079 HH 10/7/20 Y
EDRIAN NAVARR 7
O
06 PLATILLA CHAMPAIG JUANIT BRGY. 12/7/98 21 F 0946185224 HH 10/7/20 Y
NE E NAVARR 0
O
06 MIGULLAS ALJUNE S BRGY. 7/25/05 15 M N/A O 10/8/20 Y
RIZAL
06 SAMBAYO WILSON D BRGY. 2/15/00 20 M 0909860984 O 10/6/20 Y
N RIZAL 1
06 ESPINO RICHARD TAMAY BRGY. 7/29/69 50 M N/A O 10/6/20 Y
O RIZAL
06 BUYSER RENE ERONG BRGY. 12/1/66 52 M 0950545812 O 10/4/20 Y
NAVARR 7
 O
06 PLAZA FRANCISCO PADAL BRGY. 11/2/69 50 M 0912851090 O 10/4/20 Y
JR. RIZAL 0
06 JUALO JOSE MONTE BRGY. 9/25/66 54 M 0910316140 O 9/24/20 Y
R NAVARR 0
O
06 RUDELA JOMBIE TARIPE BRGY. 7/2/93 27 M 0930365454 O 10/4/20 Y
RIZAL
06 RUDELA ROBERTO AJOC BRGY. 6/12/66 54 M 0963824519 O 10/4/20 Y
RIZAL 0
06 BATO RICO JUANIT BRGY. N. 5/5/67 53 M 0967804381 O 10/1/20 Y
E ESTRELL 1
A