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
5
6
7
8
9
10
11
12
13
14
15
This is to certify that the foregoing names are the current officers and members of our organization.

Secretary
(Signature over printed name)

Date