RCY BOHOL CHAPTER

8th Chapter Youth Assembly

December 22, 2023
Forging Futures: Empowering Tomorrow's Leaders

REGISTRATION FORM
YOUTH PARTICIPANT
___Delegate
/ Observer

Personal Information

Full Name: Bea Dungog Rulona

First Name Middle Name Surname

September
Birth date: Age: 16 Sex: F
25, 2007

Permanent Address(Complete): Purok 2, Upper, Totolan, Dauis, Bohol, Philippines

Contact No.: 09668691587 Email: beadrulona@gmail.com

Full name of Parent/ Guardian: Anecito A. Rulona

Address: Purok 2, Upper, Totolan, Dauis, Bohol, Philippines

Relationship: Father Contact No.: 09496403334

Food Allergies & Issues N/A

RCY Council Affiliation:

Name of School/Community
Holy Spirit School of Tagbilaran (HSST – RCY)
Council:

Address: J.A. Clarin St., Purok 3, Dao District, City of Tagbilaran 6300, Bohol, Philippines

Council’s
Council’s Contact no.): 0931 702 7423 rcyhsstcouncil@gmail.com
Email:

Name of President (if none,

Rai Jan Nicholai C. Corona
leave blank):

Active Year/s: 2023 Course: Junior High school

Name of Adviser (for school

Mary Claire M. Banga
only):

Adviser’s
Adviser’s Contact no.: 0938 077 4434 mc.banga30@gmail.com
Email:

Position Held

Senior Red Cross (SRCY)___ College Red Cross (CRCY) ___ Community Red Cross (CommRCY) ___

Position Council Name Inclusive Year(s)

Grade Level Representative Holy Spirit School of Tagbilaran RCY 2023

Council

RCY BOHOL CHAPTER 8th Chapter Youth Assembly II REGISTRATION FORM

 RCY BOHOL CHAPTER
8th Chapter Youth Assembly
December 22, 2023
Forging Futures: Empowering Tomorrow's Leaders

This is to certify that the abovementioned information are true and correct

Bea Dungog Rulona

RCY BOHOL CHAPTER 8th Chapter Youth Assembly II REGISTRATION FORM