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GIRL SCOUTS OF THE PHILIPPINES
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CENTRAL LUZON REGION
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ZAMBALES COUNCIL
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DISTRICT COMMITTEE REGISTRATION FORM
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District Committee Name:________________________
Address:______________________________
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District Committee Tel. No:
________________________
_____________________________________
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Registration Status: Re-reg______ New_______
Contact No:
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PositionNameBirth DateGroupBeneficairy
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(Last Name, First Name, M.I)MMDDYYRepresentative
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Chairman
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Vice-Chairman
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Secretary
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Treasurer
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Dist. Commissioner
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Troop Organizer
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Program Officer
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DFA
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Member
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Member
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Member
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Member
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Member
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Member
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Member
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Member
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Member
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Submitted by:
Noted by:
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___________________________
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_______________________
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Distirct Field AdviserDate
Dist. Com. Chairman/Dist. Commossioner
 Date
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