Form No.

MIS-05-02

PASEGURUHAN NG MGA NAGLILINGKOD SA PAMAHALAAN

(Government Service Insurance System)
Financial Center, Roxas Boulevard, Pasay City

ID Picture
MEMBERSHIP INFORMATION SHEET (Taken within the
last 3 months)

PERSONAL DATA:

Name: ______ Garganera Joel Capili

Last name First Name Middle Name
Sex: _____ M Civil Status: ____ Single TIN: ___ 205-631-020-000
Date of Birth: 4/27/1967 Place of Birth: ___________ Cebu City
(Month/Day/Year) Town/District City/Province
Residence/Mailing Address:
519 MJ Cuenco Ave., Tinago Cebu City Cebu 6000
House, Apt. or Bldg No./St. Name Barangay or Barrio Town/City Province Zip Code

EMPLOYMENT DATA:
Office: _ Cebu City Sangguniang Panlungsod Date of Original Appointment: _ 7/1/2016
(Month/Day/Year)
Office Address:
Magallanes St., Barangay Sto. Nio, Cebu City Cebu
No. Street Town/City Province

Position Title City Councilor Status of Appointment: ________ Elected

Present Salary: _________________________ Date of Effectivity of Present Salary: _______________________
(Month/Day/Year)
For DEPED Employees only: Division No.: ________ Station No.: ________ Employee No.: ____________

Home Tel. No. 2555898 Celphone No.: ___ 9095507278

Office Tel. N 2543521 eMail Address: __ joel_gargy@yahoo.com

Signature of Member

Attested:

Signature over Printed Name of

Personnel/Administrative Officer
_______