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LIST OF MEMBERS

(As of ____________________________, 202__)


(Please attach sheet if necessary)
Name of Organization/Association: _______________________________________________________________________________________ Contact No/s: ___________________________
Office Address: District: ______, Quezon City
Barangay:
Sex
No. Name Address Citizenship Contact No/s Occupation
(Kasarian)
1
2
3
4
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7
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9
10
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This is to certify that the foregoing names are the current officers and members of our organization.

Secretary
(Signature over printed name)

Date

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