Jr marick nhq_prov_org_form
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Jr marick nhq_prov_org_form Document Transcript

  • 1. Sec. Reg. No. A200008885 PERMANENT ORGANIZATION ROSTER MARICKChapter: ________________________________________ Province: _________________________________ RIZALAddress: _________________________________________________________________________________ GLORIA ST. MARICK SUBDIVISIONCity / Municipality: ____________________________________ Region: ________________________________ CAINTA IV-ANo. of Members: ___________________________________________ Date Filed: ______________________________ Amount Do not Organizational Rank, NAME Period Covered Paid For fill-up Pseudonym & ID No. * NHQ-% * this portion0102030405060708091011121314151617181920212223242526272829303132333435 OR NO. _______________________ TOTAL AMOUNT RECEIVED 0.00 DATE: ______________________ Payments Received By: ____________________________ Name & Signature Prepared by: Tony "FRMG ONYX" Curbi (Chapter Founder)