This NSRC Form belongs to:

Ugay Shane Soriano BSN 2 NBE

Place (Last Name First Name Middle Name) (Course & Year) (NSTP Section)
Your Digital
Picture Here My NSTP Facilitator:
BOLOLATO HEARTHY F. Accountant’s Office
(Last Name First Name M.I.) (From the School of / Department of)

Schedule: Monday-Wednesday 5-7 P.M

(Day) (Time)

STUDENT PROFILE:

Phone No.: Mobile No.: 09777207042 E-mail 20229755@s.ubaguio.edu

Address: Purok 2 V.Delos Reyes street Outlook Drive, Baguio City .

Residential Address: Purok 2 V.Delos Reyes street Outlook Drive

(House # Purok/Block # Street Barangay)

Municipality/City: Baguio City Zip Code: 2600 , Philippines.

In case of Emergency, please contact: Virginia S. Ugay

Phone No. 09152530435 .
Address: Purok 2 V.Delos Reyes street Outlook Drive, Baguio City
Relationship: Mother .

In preparation for your Local DRRMC

Group Name or Group Number: Group3 (as per Rule 10: Section 1, IRR of R.A. 10121)
Group Leader: Alwyn Untalan Phone Number: 09154125762 .
Asst. Group Leader: Karen Joy Micua Phone Number:09495001231 .
Admin. Officer: Roxanne Lacar Phone Number: 09162833748 .
Operations Officer: Shane Ugay Phone Number: 09777207042 .
Logistics Officer: Rica Joy Mabanag Phone Number: 09460921332 .
Training Officer: Harold King Albert Phone Number: 09970797839 .
Community Relations Officer: Hannah Niel Kilaton Phone Number: 09692076174 .

Members:
1. Albert, Harold King Phone Number: : 09970797839 .
2. Kilaton, Hannah Niel Phone Number: 09692076174 .
3. Lacar, Roxanne Phone Number: 09162833748 .
4. Mabanag, Rica Joy Phone Number: 09460921332 .
5. Micua, Karen Joy Phone Number 09495001231
6. Ugay, Shane Phone Number 09777207042
7. Untalan, Alwyn Phone Number: 09154125762

PROPERTY OF UNIVERSITY OF BAGUIO – NATIONAL SERVICE TRAINING PROGRAM |1