ANNEX B: MANIFEST

All participants shall fill out this form completely before leaving the school premises and
upon return. As necessary, this shall be completed in triplicate for School Administration, Faculty
Member, and Vehicle Driver’s Copy.

Name of School:__Jaen National High School_______________________________________________________

Title of Activity:____ Film Viewing___( #OKkaFREN?)____________________________________________________
Destination/Venue: SM Cabanatuan ___________
Vehicle Number:________________________________________ No. of Learners: 27
Departure Date: March 22, 2024 Return Date: March 22, 2024
Departure Time: ________________________________________ Return Time:____________________________________

Passenger’s Name Learner Contact No. Departure (Sign) Return

Parent/Guardian (Sign)
Abalos, Arvin Yambot Ambrocio Abalos 09519212182
De Guzman, Brycen Fermin Priscilla D.B Fermin 09926430849
Pradez, Sean Wesley Joanna Pradez 09758873159
Diaz, Louiege Pilarca Editha P. Diaz 09275578134
Legaspi, Alvin Mendoza Lucita Mendoza 09977805170
Lopez, Hanz Kevin Cudia Juanita Lopez 09531956910
Abad, Jasper Sacro Estella Sacro 09457211236
Esquivel, Razel Valerio Raquel Esquivel 09067800454
Gamboa, Ralph Marfy De Guzman Mary Ann Gamboa 09949229142
Manuzon, Jhay An Nakpil Andres Manuzon 09665596450
Mateo, Jovert De Guzman Maribeth De Guzman 09663840679
Sagun, Christian Jay De Belen Rowena Sagun 09067802714
Sayo, Darwin Alfaro Virgina Alfaro Sayo 09161667340
Villarama, Kenny Mateo Liza Villarama 09517075028
Tada, Teejay Jackielou Santiago 09071224990
Puaso, Angelo Maricel Puaso 09658755082
Santiago, Jared Malou Santiago 09913101082
Morante, Willie
Estrabillo, Je-Ann Carlo Maryjane Estrabillo 09675507548
Balco, Rose Marie Salcedo Balco 09758241442
De Guzman, Margaux Duma Nonita De Guzman 09557246864
Dela Cruz, Christine Joy Francisco Marlyn Dela Cruz 09978368979
Dela Cruz, Zhindrill Anne Fermin Precious Fermin 09098053182
Delamide, Cyris Yamsuan Perlita Yamsuan 09759276519
Medestomas, Florence Rhyl Santos Dante Medestomas 09121577145
Robles, Noraine Pangilinan Aniana Robles 09758233695
Soledad, Edelyn Rosadino Lida Rosadinio 09264615262