Annex A

PRO-FORMA MASTERLIST OF EMPLOYEE-BENEFICIARIES AND PREFERRED

WITHDRAWAL SCHEME

No. Name of Employee - Beneficiary Employee-Beneficiary's ID Number

1 CRUZ, JEAN ROSE P. 4243769
2 CUENCA, PORSHA D. 4764341
3 ELIZALDE, ROBE E. 4198340
4 JAYLO, ADELAIDA D. 4257133
5 LABISCASE, JUDY C. 4125581
6 LALUSIS, JOHN EDWARD A. 4759176
7 LOPEZ, ELSA C. 5307763
8 ORCIA, MARIA MELIT Q. 4355038
9 PALAC, WINNIE B. 5304480
10 RANJO, CHARINA M. 4358502
11 REGUDO, MARIVIC R. 4355133
12 VERGARA, ANNA GRACE V. 4139569

ANNA GRACE V. VERGARA

Note: Names of the employee-beneficiaries must be based on the Agency's personnel

complement/warm bodies as of November 30, 2022. The agency-beneficiary
concerned shall ensure that only those who are entitled to the rice assistance
shall be included therein.

Please submit the accomplished Annex A with Name and Signature of the
Head of Office (PDF format) together with soft copy (excel format).
 Annex B

ACKNOWLEDGMENT RECEIPT

Employee-Beneficiary's ID
No. Name of Employee - Beneficiary Signature
Number
1 CRUZ, JEAN ROSE P. 4243769
2 CUENCA, PORSHA D. 4764341
3 ELIZALDE, ROBE E. 4198340
4 JAYLO, ADELAIDA D. 4257133
5 LABISCASE, JUDY C. 4125581
6 LALUSIS, JOHN EDWARD A. 4759176
7 LOPEZ, ELSA C. 5307763
8 ORCIA, MARIA MELIT Q. 4355038
9 PALAC, WINNIE B. 5304480
10 RANJO, CHARINA M. 4358502
11 REGUDO, MARIVIC R. 4355133
12 VERGARA, ANNA GRACE V. 4139569

ANNA GRACE V. VERGARA

Principal

Note: Names of the employee-beneficiaries must be based on the Agency's personnel complement/warm bodies
as of November 30, 2022. The agency-beneficiary concerned shall ensure that only those who are
entitled to the rice assistance shall be included therein.

Please submit the accomplished Annex A with Name and Signature of the Head of Office (PDF format)
together with soft copy (excel format).