SPES Form 5

REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF LABOR AND EMPLOYMENT
REGIONAL OFFICE NO. CAR
PUBLIC EMPLOYMENT SERVICE OFFICE
SAN JUAN, ABRA
SPECIAL PROGRAM FOR EMPLOYMENT OF STUDENTS
(SPES)
(RA 7323, as amended by RAs 9547 and 10917)
PLACEMENT REPORT CUM GSIS INSURANCE COVERAGE
Name of Establishment/Employer: LGU, SAN JUAN, ABRA/ MEYNARDO BAUTISTA JR. Number of Vacancies: ___________________________
Address: SAN JUAN, ABRA Contact Person: KIRBY YEMILL NAZZ B. BILLEDO
Business Activity: LGU Tel. No. 09692362578
Industry Code: 8441

New/
Total
Educational Level SPES
Student/ Amount
OSY/ (Specify Grade Baby Occupation Wage
Employ to be GSIS
SPES BENEFICIARY Dependent or Year Level: (Specify al Rate
ID No. Age Sex Address Contact No. ment earned/ Polic GSIS Beneficiary
(LAST NAME, FIRST NAME, M.I.) of e.g. Grade 1-12; number Code& per
Displaced Period received y No.
1st - 5th year of times Position Day
Worker as salary/
college) as SPES
wages
e.g SB2)
OFFICE 20 Days 3,309.12
1. BRIOSO, APRIL, BICERA 24 F CABCABURAO 09363915456 OSY 4TH YR. H.S. NEW 413.64 MIRIAM B. BRIOSO
AID
OSY GRADE OFFICE 413.64 20 Days 3,309.12
2. BAYUBAY, CHARLIE, SABADO 18 M NANGOBONGAN 09942620742 NEW MARITES S. BAYUBAY
12TH AID
OSY GRADE OFFICE 413.64 20 Days 3,309.12
3. TURQUEZA, MELMAR, BILLEDO 23 M CABCABURAO 09169590614 NEW YOLANDA TURQUEZA
6TH AID
OSY OFFICE 413.64 20 Days 3,309.12
4. EDUARTE, RONIELO, ARBOES 19 M CABABURAO 0967996233 4TH YR. H.S. NEW RIO EDUARTE
AID
OSY NO OFFICE 413.64 20 Days 3,309.12
EDUCATIO AID
BETHSAIDA
5. BERSAMINA, JHASEL, PERALTA 24 M LAM-AG 09551226982 N (PWD: NEW
BERSAMINA
DEAF &
MUTE)
OSY GRADE OFFICE 413.64 20 Days 3,309.12
6. TUNGOL, MHARCKY ,EDUARTE 19 M CABCABURAO 09534172625 NEW CATHERINE TUNGOL
12TH AID
7. AYON, LEZLE KEYTH, OSY GRADE OFFICE 413.64 20 Days 3,309.12
23 F CABCABURAO 0965894600 SB2 BETTY B. BALDOS
BERONILLA 12TH AID
NORTH OSY GRADE OFFICE 413.64 20 Days 3,309.12
8. YA-O, ROXANNE GAYLE, DIAZ 21 F 09674317947 SB2 ROLAND YA-O
POBLACION 12TH AID
NORTH OSY OFFICE 413.64 20 Days 3,309.12
9. YA-O, ARIEL ,HERMOSO 29 M 09362472960 4TH YR. H.S. SB2 ADAN M. YA-O
POBLACION AID
10. ASTUDILLO, ELAINE, NORTH OSY OFFICE 413.64 20 Days 3,309.12
26 F 09776776403 4TH YR. H.S. SB2 ELMO A. ASTUDILLO
CAMMATAN POBLACION AID
11. BICERA, CHERRY ,TIMBREZA 24 F LAM-AG 09618381758 OSY GRADE SB2 OFFICE 413.64 20 Days 3,309.12 ELSIE BICERA

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 12TH AID
OSY TH OFFICE 413.64 20 Days 3,309.12
12. BUENAFE, SOREN, BEROÑA 26 M ABUALAN 09364120608 4 YR. H.S. SB3 LEONORA BUENAFE
AID
OSY GRADE OFFICE 413.64 20 Days 3,309.12
13. BALAORO, HANSEL, PERALTA 21 M ABUALAN 09569874218 SB2 AIDA BALAORO
12TH AID
OSY 2ND YR. OFFICE 413.64 20 Days 3,309.12
14. TUSCANO, JAY-EL ,TOLENTINO 27 M ABUALAN 09959604332 SB2 JENNY TUSCANO
COLLEGE AID
15. TUZON, JOHN HAROLD OSY GRADE OFFICE 413.64 20 Days 3,309.12
19 M LUMOBANG 09282137174 SB2 HERIE TUZON
,BERMILLO 12TH AID
16. BARBOSA, JAMES OLIVER, OSY GRADE OFFICE 413.64 20 Days 3,309.12
20 M LUMOBANG 09608477357 NEW TESSIE BARBOSA
CABANBAN 10TH AID
17. DANDAN, ROLANDO JR., OSY GRADE OFFICE 413.64 20 Days 3,309.12
20 M LUMOBANG 09614875517 NEW ROWENA DANDAN
BARBOSA 10TH AID
OSY GRADE OFFICE 413.64 20 Days 3,309.12
18. BAYUBAY, MAYLYN, BAUTISTA 20 F CULIONG 09388603388 NEW NORLITO BAYUBAY
12TH AID
OSY GRADE OFFICE 413.64 20 Days 3,309.12
19. LUANSING, REYNALYN, BRIOSO 21 F CULIONG 09350332812 SB2 ROSALINA M. BRIOSO
10TH AID
OSY GRAD OFFICE 413.64 20 Days 3,309.12
20. JULIAN, MELODY, BRIOSO 20 F CULIONG 09357119225 SB2 MELINA BRIOSO
10TH AID
OSY GRADE OFFICE 413.64 20 Days 3,309.12
21. BAESA, RONA MAE, OLA 22 F CULIONG 09070979628 NEW ANGELITA BAESA
12TH AID
OSY GRADE OFFICE 413.64 20 Days 3,309.12 THELMA AQUINO
22. AQUINO, JOHN PAUL, PASCUAL 19 M CULIONG 09851276940 NEW
12TH AID PASCUAL
OSY GRADE OFFICE 413.64 20 Days 3,309.12
23. SANCHEZ, JAYLORD, BARCENA 22 M SABANGAN 09625947644 NEW LEONOR SANCHEZ
6TH AID
OSY GRADE OFFICE 413.64 20 Days 3,309.12
24. LLAVADO, JONIE ,LARO 18 M SABANGAN 09816306238 NEW ALFREDO LLAVDO
11TH AID
25. TALINGDAN, GERALDINE, OSY GRADE OFFICE 413.64 20 Days 3,309.12
20 F SABANGAN 09752569095 SB2 RANDY TALINGDAN
BARBOSA 12TH AID
OSY GRADE OFFICE 413.64 20 Days 3,309.12
26. MONTERO, DIZA, BALLOLONG 28 F SABANGAN 09630000555 NEW ANTONINA MONTERO
6TH AID
27. TURQUEZA, MAY ANGELIKA, OSY GRADE OFFICE 413.64 20 Days 3,309.12 MARY GRACE
19 F SABANGAN 09064862379 NEW
TALINGDAN 10TH AID TURQUEZA
28. LLAVADO, JESSA MAE OSY GRADE OFFICE 413.64 20 Days 3,309.12
21 F SABANGAN 09602882541 SB2 REMELY LLAVADO
,TALINGDAN 12TH AID
29. BEROÑA, JOHNDY PAUL, OSY GRADE OFFICE 413.64 20 Days 3,309.12
19 M LUMOBANG 09694204730 NEW MARJORIE BEROÑA
BISCARRA 12TH AID
30. BARBOSA, ADRIAN PAUL, OSY GRADE OFFICE 413.64 20 Days 3,309.12
22 M QUIDAOEN 09123184471 NEW ROSALIA BARBOSA
CASERO 12TH AID
OSY GRADE OFFICE 413.64 20 Days 3,309.12
31. AYAO, JOHN ANDREW ,LIMBO 20 M QUIDAOEN 09056147558 SB2 TERESA AYAO
12TH AID
OSY GRADE OFFICE 413.64 20 Days 3,309.12 JUDITH TAMONTE
32. BUTON, JUDY MAR ,TAMONTE 18 M QUIDAOEN 09619716765 NEW
12TH AID BUTON
33. SANTIAGO, VENUS ,BALDOS 28 F QUIDAOEN 09691684304 OSY 1ST YR. H.S. NEW OFFICE 413.64 20 Days 3,309.12 ASELA SANTIAGO

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 AID
34. BELERMA, RENZEL OSY GRADE OFFICE 413.64 20 Days 3,309.12
22 M NANGOBONGAN 09666833611 NEW MARIA T. BELERMA
,TUMBANGAN 12TH AID
OSY GRADE OFFICE 413.64 20 Days 3,309.12
35. BILLEDO, JAY-AR 19 M NANGOBONGAN 09929408424 NEW MAYLYN TUGADI
12TH AID
36. BAYUBAY, MERRY CRIS, OSY GRADE OFFICE 413.64 20 Days 3,309.12
23 F NANGOBONGAN 09538259242 SB2 CAMILO BAYUBAY
MONTERO 12TH AID
OSY 2ND YR. OFFICE 413.64 20 Days 3,309.12
37. ALVAREZ, CLARIZA ,TRONGCO 27 F NANGOBONGAN 09530928417 SB2 WILMA B. TRONGCO
COLLEGE AID
38. BERNOS, MARY CLAIRE, OSY 4TH YR. OFFICE 413.64 20 Days 3,309.12 LUZVIMINDA T.
28 F CABCABURAO 09368165709 SB2
TURQUEZA H.S. AID BERNOS
OSY OFFICE 413.64 20 Days 3,309.12
39. BALDOS, JULIE, CARREON 24 F CABCABURAO 09065081331 4TH YR. H.S. NEW LIBERTY BALDOS
AID
OFFICE
40. DOMINGO, ANGELIE, JULIAN 29 F CABCABURAO 09771164516 OSY 4TH YR. H.S. SB2 413.64 20 Days 3,309.12 ANGELITA DOMINGO
AID
OSY OFFICE 413.64 20 Days 3,309.12
41. GAVANES, KAYCILINE, BLAZA 26 F CABCABURAO 09050674395 3RD YR. H.S. SB3 FLORDELIZA GAVANES
AID
OSY GRADE OFFICE 413.64 20 Days 3,309.12
42. OLA, IRENE, MAALA 19 F CABCABURAO 09052767562 SB3 CATHERINE OLA
12TH AID
OSY GRADE OFFICE 413.64 20 Days 3,309.12
43. BERNOS, JENIES, TURQUEZA 27 M CABCABURAO 09358513901 SB2 ROMULO BERNOS
5TH AID
OSY GRADE OFFICE 413.64 20 Days 3,309.12
44. ABANES, JOEMARI, JOVES 19 M CABCABURAO 09552607983 SB2 MARILOU ABANES
12TH AID
OSY GRADE OFFICE 413.64 20 Days 3,309.12
45. BILLEDO, LOUIE ,ANAGARAN 24 M CABCABURAO 09059482008 NEW JANET BILLEDO
10TH AID
OSY GRADE OFFICE 413.64 20 Days 3,309.12
46. QUIZON, LOUIE, BILGERA 19 M TAGAYTAY 09560215722 NEW SAMMY QUIZON
12TH AID
OSY GRADE OFFICE 413.64 20 Days 3,309.12
47. TURQUEZA, ROMEL, BLAZA 20 M TAGAYTAY 09560216680 NEW EMELYN TURQUEZA
12TH AID
OSY OFFICE 413.64 20 Days 3,309.12
48. BARUELA, HONEY, TURQUEZA 26 M TAGAYTAY 09068940694 4TH YR. H.S. NEW RAMEL BARUELA
AID
49. BARBOSA, LEONARD, OSY OFFICE 413.64 20 Days 3,309.12
29 M TAGAYTAY 09354600443 GRADE 4 NEW JUDELYN BARBOSA
GUERRERO AID
OSY OFFICE 413.64 20 Days 3,309.12
50. BLAZA, ALEX , GAVANES 29 M TAGAYTAY 09356447216 2ND YR. H.S. SB2 ADELAIDA BLAZA
AID
OSY GRADE OFFICE 413.64 20 Days 3,309.12
51. BLAZA, SHERWIN, BISCARRA 19 M TAGAYTAY 0960288649 NEW MERLIE BLAZA
12TH AID
OSY OFFICE 413.64 20 Days 3,309.12
52. TIMBREZA, APRILYN, CLARO 25 F TAGAYTAY 09363619593 3RD YR. H.S. NEW EDERLINA TIMBREZA
AID
OSY OFFICE 413.64 20 Days 3,309.12
53. BLAZA, DESSA ROSE ,BARBOSA 25 F TAGAYTAY 0906355866 3RD YR. H.S. NEW DENISE TIEN BLAZA
AID
OSY 2ND YR. OFFICE 413.64 20 Days 3,309.12
54. BALDEMOR, MEACIEL, ALFARO 27 F TAGAYTAY 09555870654 NEW MILAGROS BALDEMOR
COLLEGE AID
55. TALAÑA, MERCY ,TORRATE 29 F TAGAYTAY 09359149516 OSY 2ND YR. H.S. NEW OFFICE 413.64 20 Days 3,309.12 REMEDIOS TALAÑA

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 AID
OSY GRADE OFFICE 413.64 20 Days 3,309.12
56. BALDOS, ENGEL FATE, BLAZA 22 F TAGAYTAY 09353341208 NEW ELINITO T. BALDOS
10TH AID
OSY GRADE OFFICE 413.64 20 Days 3,309.12
57. NIÑO, AIRA ,COSTALES 21 F TAGAYTAY 09453600697 NEW JEAN C. NIÑO
12TH AID
OSY GRADE OFFICE 413.64 20 Days 3,309.12
58. TIMBREZA, RENZ, BARTOLAZO 22 M SILET 09067384734 NEW EMILY B. TIMBREZA
12TH AID
OSY GRADE OFFICE 413.64 20 Days 3,309.12
59. BILLARO, JOSHUA, BLAZA 22 M LUMOBANG 09397161315 NEW VANESSA BILLARO
10TH AID
60. BENABICE, NOVE MAY, OSY GRADE OFFICE 413.64 20 Days 3,309.12
28 F SABANGAN 09057770135 SB4 SONIA T. BENABICE
TALINGDAN 6TH AID
Note: This form shall be accomplished by the Public Employment Service Office to be submitted to the DOLE Regional Office at least ten (10) days prior to the date of employment.
,

Prepared by: Submitted by:

KIRBY YEMILL NAZZ B. BILLEDO KIRBY YEMILL NAZZ B. BILLEDO

Designation and Signature Signature of PESO Manager

___________________________ ___________________________
Date Date

BLE Revision December 2016