BADISTEA Received by: ________________________ Approved: _______________________

Signature over Printed Name Signature over Printed Name

BADISTEA
BAAO DISTRICT TEACHERS AND EMPLOYEES ASSOCIATION Date: ______________________________ Date: _________________________________

INDIVIDUAL MEMBERSHIP FORM BAAO DISTRICT TEACHERS AND EMPLOYEES ASSOCIATION

No.______________
(copy for the member) INDIVIDUAL MEMBERSHIP FORM

NAME: GILBERT BOTAVARA BABOL No.______________

First First Middle Last (copy for the member)

BIRTHDAY: AUGUST 13 1982 BIRTHPLACE: BAAO CAMARINES SUR . NAME: GILBERT BOTAVARA BABOL
Month Day Year First First Middle
Last
AGE: 39 CIVIL STATUS: MARRIED_______________
BIRTHDAY: AUGUST 13 1982 BIRTHPLACE: BAAO CAMARINES SUR .
ADDRESS:___________OSMEÑA ST. SANFRANCISCO BAAO CAMARINES Month Day Year
SUR
House No. Street Barangay Town AGE: 39 CIVIL STATUS: MARRIED_______________
Province
ADDRESS:___________OSMEÑA ST. SANFRANCISCO BAAO CAMARINES
EMPLOYEE NUMBER: 4540652 SUR
House No. Street Barangay Town
SCHOOL ASSIGNMENT: AGDANGAN NATIONAL H.S. SCHOOL ID: 501 Province

SCHOOL ADDRESS: ZONE ITAAS AGDANGAN BAAO CAMARINES SUR EMPLOYEE NUMBER: 4540652

ORIGINAL DATE OF APPOINTMENT: JULY 29, 2010 SCHOOL ASSIGNMENT: AGDANGAN NATIONAL H.S. SCHOOL ID: 501

NO. OF YEARS IN THE SERVICE AS OF TODAY: 11 YEARS AND 5 MOS. SCHOOL ADDRESS: ZONE ITAAS AGDANGAN BAAO CAMARINES SUR

PROPOSED DATE OF RETIREMENT: AUGUST 13, 2025 ORIGINAL DATE OF APPOINTMENT: JULY 29, 2010

GILBERT B. BABOL DECEMBER 6, 2021 NO. OF YEARS IN THE SERVICE AS OF TODAY: 11 YEARS AND 5 MOS.
Signature Over Printed Name Date Accomplished
PROPOSED DATE OF RETIREMENT: AUGUST 13, 2025
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- GILBERT B. BABOL DECEMBER 6, 2021
TO BE ACCOMPLISHED BY THE BADISTEA BOARD: Signature Over Printed Name Date Accomplished
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TO BE ACCOMPLISHED BY THE BADISTEA BOARD:

Received by: ________________________ Approved: _______________________

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Date: ______________________________ Date: _________________________________