Beneficial Life Building, 166 Salcedo St.

, Legaspi Village, Makati City 1229

Telephone No.: (632) 8818-8671 Fax Nos.: (632) 8554-7529 to 30, (632) 8554-7527

FOR

EMPLOYEE

Taguik Christopher John Sta Maria

01/18/2024 22 Quezon City 515,714,391 3,496,537,443 M Single
Ph8a Pkg11 Blk183 Lot 1 Bagong Silang Caloocan City 50 5"5 639,150,625,301
UnionBank 639,150,625,301
13 Meralco Avenue 1605 Pasig National Capital Region
Associate Customer Service Officer Probationary

Nelia S. Taguik 49 Parents

Allan S. Taguik 50 Parents

✔ 1. Traveled to areas with reporting cases of COVID 19 within the past 30 days?
✔ 2. Had any close contact of persons diagnosed with COVID 19 or have been placed under quarantine? (Close contact means having cared for,
having lived with, or having had direct contact with respiratory secretions and body fluids of person with COVID 19)
✔ 3. Been diagnosed or treated for COVID 19?

01/18/2024 Christopher John S. Taguik

JAIME C. FERNANDEZ
President and CEO

01/18/2024 Christopher John S. Taguik