CERTIFICATION PROTOCOL FORM 1

ISO 9001 : 2015

VERSION NO. REVISION NO. EFFECTIVITY DATE

Page 1 of 6
1.0 0.2 9 JULY 2018

Instruction: Supply all the fields with correct data and information.
NOTE: This form shall bear a red watermark ‘CERTIFIED’ and is a prerequisite in the issuance of certificates. A verification
code shall be imprinted on the certificate just above the reference series number.
IMPORTANT: THE HUMAN RESOURCE DEVELOPMENT DIVISION (HRDD) HAS THE FULL CONTROL IN ENSURING THE
AUTHENTICITY OF ALL CERTIFICATES ISSUED BY THE REGIONAL OFFICE PERTAINING TO TRAININGS, CONTESTS AND MERITS.
THUS COMPLIANCE TO THIS FORM AND CERTIFICATION PROCESS IS STRICTLY IMPOSED.
MASTER LIST OF MEMBERS OF TECHNICAL WORKING GROUP GIVEN CERTIFICATES OF RECOGNITION

DIVISION CODE : 077

ACTIVITY TITLE: LEARNING ACTION CELL

VENUE: FERNANDO AIR BASE INTEGRATED NHS MULTIPURPOSE HALL
INCLUSIVE DATES: January 29, February 12, Feb. 26, Mar. 22 and April 4, 2019
NAME NUMBER OF HOURS TERMS OF
REFERENCE (First M.I. Last) OF ENGAGEMENT
ENGAGEMENT
CODE SEX DIVISION
DURING TRAINING (e.g. facilitator/ TWG
NOTE: COMPLETE AND CORRECT (M/F) member/ CM/PO/
(c/o HRDD)
SPELLING TOTAL OF 25 Medical Staff/ Proponent/
Arranged Alphabetically TRAINING HOURS Support Staff, etc.)

Alex S. Dela Vega M Division of Lipa City 20 TWG

Alma G. Dimaano F Division of Lipa City 25 Facilitator

Alona M. Tayao F Division of Lipa City 5 TWG

Amalia T. Verdera F Division of Lipa City 5 TWG

Amy B. Villar F Division of Lipa City 5 TWG

Amy T. Rocafort F Division of Lipa City 5 TWG

Annabel G. Virrey F Division of Lipa City 5 TWG

Anamarie O. Recinto F Division of Lipa City 5 TWG

April Anne O. Marasigan F Division of Lipa City 5 TWG

Ariel G. Juyag M Division of Lipa City 5 TWG

Arlet M. Mande F Division of Lipa City 5 TWG

Privacy Notice: Data and information in this form are intended exclusively for the purpose of this activity. This will be
kept by the process owner for the purpose of verifying and authenticating identity of the participants. Serving other
purposes not intended by the process owner is a violation of Data Privacy Act 2012. Data subjects voluntarily provided
these data and information explicitly consenting the process owner to serve its purpose.
 CERTIFICATION PROTOCOL FORM 1

ISO 9001 : 2015

VERSION NO. REVISION NO. EFFECTIVITY DATE

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Benchie M. Carandang F Division of Lipa City 5 TWG

Brian M. Lacerna M Division of Lipa City 5 TWG

Bobby C. Buendia M Division of Lipa City 5 TWG

Cherie F. Mitra F Division of Lipa City 5 TWG

Cin Dy V. Guce F Division of Lipa City 5 TWG

Daisy E. Budomo F Division of Lipa City 5 TWG

Dareen H. Balion F Division of Lipa City 5 TWG

Dennis G. Jumarang M Division of Lipa City 5 TWG

Dulce M. Manaog F Division of Lipa City 25 TWG

Dyan Y. Ferrer F Division of Lipa City 25 TWG

Eden H. Masilungan F Division of Lipa City 5 TWG

Edmundo F. Fetalvero M Division of Lipa City 5 TWG

Elaine A. Lalucin F Division of Lipa City 5 TWG

Elaine Grace L. Estinos F Division of Lipa City 5 TWG

Elizabeth E. Estos F Division of Lipa City 25 TWG

Elena L. Portus F Division of Lipa City 10 TWG

Elma H. Ilagan F Division of Lipa City 25 TWG

Elma M. Boral F Division of Lipa City 5 TWG

Evangeline G. Maglinao F Division of Lipa City 5 TWG

Privacy Notice: Data and information in this form are intended exclusively for the purpose of this activity. This will be
kept by the process owner for the purpose of verifying and authenticating identity of the participants. Serving other
purposes not intended by the process owner is a violation of Data Privacy Act 2012. Data subjects voluntarily provided
these data and information explicitly consenting the process owner to serve its purpose.
 CERTIFICATION PROTOCOL FORM 1

ISO 9001 : 2015

VERSION NO. REVISION NO. EFFECTIVITY DATE

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Fe B. Aggari F Division of Lipa City 25 TWG

Francheska Venize B. Revillosa F Division of Lipa City 5 TWG

Gemma P. Coronel F Division of Lipa City 5 TWG

Gerlie S. Francia F Division of Lipa City 5 TWG

Gladys Ann P. Pasahol F Division of Lipa City 5 TWG

Glenda A. Ilag F Division of Lipa City 5 TWG

Helen A. Tornea F Division of Lipa City 5 TWG

Helen S. Calingasan F Division of Lipa City 5 TWG

Helen Grace M. Macasaet F Division of Lipa City 5 TWG

Helen Grace M. Ragus F Division of Lipa City 5 TWG

Imelda M. Liwanag F Division of Lipa City 5 TWG

Irish Solomon F Division of Lipa City 5 TWG

Ivony Loreen F. Vallena F Division of Lipa City 5 TWG

Jade Jayvee A. Lat F Division of Lipa City 5 TWG

Jamie Lyn D. Canlas F Division of Lipa City 5 TWG

Janice T. Fischer F Division of Lipa City 5 TWG

Jay U. Sargento M Division of Lipa City 5 TWG

Jay Ariel A. Cinco M Division of Lipa City 5 TWG

Jeffrey C. Santander M Division of Lipa City 20 Facilitator

Privacy Notice: Data and information in this form are intended exclusively for the purpose of this activity. This will be
kept by the process owner for the purpose of verifying and authenticating identity of the participants. Serving other
purposes not intended by the process owner is a violation of Data Privacy Act 2012. Data subjects voluntarily provided
these data and information explicitly consenting the process owner to serve its purpose.
 CERTIFICATION PROTOCOL FORM 1

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VERSION NO. REVISION NO. EFFECTIVITY DATE

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Jennifer O. Tullao F Division of Lipa City 5 TWG

Jenny C. Rosales F Division of Lipa City 5 TWG

Jerry T. Budomo M Division of Lipa City 5 TWG

Jocelyn M. Matanguihan F Division of Lipa City 25 TWG

Jocelyn R. Dasilio F Division of Lipa City 5 TWG

Joe I. Titular M Division of Lipa City 25 TWG

Joel S. Enriquez M Division of Lipa City 5 TWG

Joel James A. Cubillas M Division of Lipa City 5 TWG

John Adams E. Budomo M Division of Lipa City 5 TWG

Josie Joy S. Mojana F Division of Lipa City 5 TWG

Josephine F. Faner F Division of Lipa City 5 TWG

Kareen May G. Dimaano F Division of Lipa City 5 TWG

Karen A. Banaag F Division of Lipa City 5 TWG

Kathlyn L. Lim F Division of Lipa City 5 TWG

Keein Ann A. Cabral F Division of Lipa City 5 TWG

Krissa Diane P. Valido F Division of Lipa City 5 TWG

Kristel M. Alcantara F Division of Lipa City 5 TWG

Kristel V. Lina F Division of Lipa City 5 TWG

Lorena Manimtim F Division of Lipa City 5 TWG

Privacy Notice: Data and information in this form are intended exclusively for the purpose of this activity. This will be
kept by the process owner for the purpose of verifying and authenticating identity of the participants. Serving other
purposes not intended by the process owner is a violation of Data Privacy Act 2012. Data subjects voluntarily provided
these data and information explicitly consenting the process owner to serve its purpose.
 CERTIFICATION PROTOCOL FORM 1

ISO 9001 : 2015

VERSION NO. REVISION NO. EFFECTIVITY DATE

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Marbeilyn A. Docta F Division of Lipa City 5 TWG

Maria Dolores E. Hernandez F Division of Lipa City 5 TWG

Maria Erica Jobel I. Sayas F Division of Lipa City 5 TWG

Maribel L. Ona F Division of Lipa City 5 TWG

Maricel L. Yap F Division of Lipa City 5 TWG

Marites P. Fabia F Division of Lipa City 25 TWG

Mary Ann M. Estinos F Division of Lipa City 5 TWG

Mavelle A. Famorcan F Division of Lipa City 5 TWG

Maylyn B. Abacan F Division of Lipa City 5 TWG

Mercedita L. Narte F Division of Lipa City 25 TWG

Michael A. Atienza M Division of Lipa City 5 TWG

Milner C. Lacorte M Division of Lipa City 5 TWG

Monaliza L. Ocampo F Division of Lipa City 5 TWG

Mylene C. Pampula F Division of Lipa City 5 TWG

Norilyn A. Fetalvo F Division of Lipa City 5 TWG

Nova M. Villapando F Division of Lipa City 5 TWG

Olivia O. Arada F Division of Lipa City 5 TWG

Patrick DC. Africa M Division of Lipa City 5 TWG

Perla M. Solis F Division of Lipa City 5 TWG

Privacy Notice: Data and information in this form are intended exclusively for the purpose of this activity. This will be
kept by the process owner for the purpose of verifying and authenticating identity of the participants. Serving other
purposes not intended by the process owner is a violation of Data Privacy Act 2012. Data subjects voluntarily provided
these data and information explicitly consenting the process owner to serve its purpose.
 CERTIFICATION PROTOCOL FORM 1

ISO 9001 : 2015

VERSION NO. REVISION NO. EFFECTIVITY DATE

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Rey R. Pamis M Division of Lipa City 5 TWG

Rhany Jane C. Lacerna F Division of Lipa City 5 TWG

Rizalina S. Diola F Division of Lipa City 5 TWG

Rizamay A. Mindanao F Division of Lipa City 5 TWG

Ronald C. Balita M Division of Lipa City 5 TWG

Rose Ann L. Dela Peña F Division of Lipa City 20 TWG

Rose Ann Fadera F Division of Lipa City 5 TWG

Rowena B. Sapaula F Division of Lipa City 5 TWG

Rudita S. Mojana F Division of Lipa City 25 TWG

Shayne C. Moreto F Division of Lipa City 5 TWG

Shirley C. Bautista F Division of Lipa City 25 TWG

Suzette R. Piodena F Division of Lipa City 5 TWG

Val D. Bautista M Division of Lipa City 5 TWG

Van Gerald T. Lansigan M Division of Lipa City 5 TWG

Victoriano C. Lopez M Division of Lipa City 5 TWG

Yvette M. Latag F Division of Lipa City 5 TWG

----------NOSTHING FOLLOWS-------------

Privacy Notice: Data and information in this form are intended exclusively for the purpose of this activity. This will be
kept by the process owner for the purpose of verifying and authenticating identity of the participants. Serving other
purposes not intended by the process owner is a violation of Data Privacy Act 2012. Data subjects voluntarily provided
these data and information explicitly consenting the process owner to serve its purpose.