DOLE-GIP_Form C DOLE REGIONAL OFFICE XI GOVERNMENT INTERNSHIP PROGRAM (GIP) BENEFICIARIES MONITORING FORM NATURE OF DURATION OF CONTRACT REMARKS NAME EDUCATIONAL OFFICE/PLACE OF ADDRESS AGE GENDER DOCUMENTS SUBMITTED WORK/ (Last Name, First Name, MI) ATTAINMENT ASSIGNMENT ASSIGNMENT (e.g. Contract completed or START DATE END DATE preterminated *APPLICATION FORM BS IN HOTEL AND 678, MANGUSTAN ST., MADAUM, *INTERNSHIP AGREEMENT *BIRTH 1 ALIVIO, FEMAE JEAN B. 23 F RESTAURANT W/IN TAGUM CITY CHILD LABOR PROFILER 6/18/2018 11/16/2018 On going TAGUM CITY CERTIFICATE *TOR *ACCIDENT MANAGEMENT INSURANCE *APPLICATION FORM PRK. 19-B, KATIPUNAN, *INTERNSHIP AGREEMENT *BIRTH 2 BALIENTES, MARIA KATHLEEN G. 20 F BS IN ACCOUNTING W/IN TAGUM CITY CHILD LABOR PROFILER 6/18/2018 11/16/2018 On going MADAUM, TAGUM CITY CERTIFICATE *SPR *ACCIDENT INSURANCE *APPLICATION FORM BS IN HOTEL AND PRK. 5-A, APOKON, TAGUM *INTERNSHIP AGREEMENT *BIRTH 3 CANTILA, GEBBIE M. 20 F RESTAURANT W/IN TAGUM CITY CHILD LABOR PROFILER 6/19/2018 11/17/2018 On going CITY, DAVAO DEL NORTE CERTIFICATE *DIPLOMA MANAGEMENT *ACCIDENT INSURANCE *APPLICATION FORM PRK. 1, TANGLAW, BE DUJALI, BS IN BUSINESS *INTERNSHIP AGREEMENT *BIRTH 4 ESTAÑOL, ANNA MAE D. 21 F W/IN BE DUJALI CHILD LABOR PROFILER 6/18/2018 11/16/2018 On going DAVAO DEL NORTE ADMINISTRATION CERTIFICATE *DIPLOMA/TOR *BRGY. CERT *APPLICATION FORM BACHELOR OF PRK. 4, NARRA, GABUYAN, *INTERNSHIP AGREEMENT *BIRTH 5 LOPEZ, MARYJAN P. 23 SECONDARY W/IN KAPALONG CHILD LABOR PROFILER 6/18/2018 11/16/2018 On going KAPALONG, DAVAO DEL NORTE CERTIFICATE *MARRIAGE CERT., EDUCATION *TOR *CERT OF INDIGENCY M *APPLICATION FORM PRK. 4-E, CRS SUBDIVISION, *INTERNSHIP AGREEMENT *BIRTH 6 LURITZE, MARY CHAIRMAINE J. 20 F BS IN ACCOUNTING W/IN TAGUM CITY CHILD LABOR PROFILER 6/18/2018 11/16/2018 On going APOKON, TAGUM CITY CERT., *SPR *ACCIDENT INSURANCE *APPLICATION FORM PRK. 2, BUSAON, TAGUM CITY, BS IN SECONDARY *INTERNSHIP AGREEMENT *BIRTH 7 MANTUA, CHRISTONY L. 20 W/IN TAGUM CITY CHILD LABOR PROFILER 6/18/2018 11/16/2018 On going DAVAO DEL NORTE EDUCATION CERT *DIPLOMA *ACCIDENT INSURANCE M *APPLICATION FORM BS IN ELEMENTARY 8 PABAS, MELVIN R. 22 M *INTERNSHIP AGREEMENT *BIRTH W/IN TAGUM CITY CHILD LABOR PROFILER 6/18/2018 11/16/2018 On going EDUCATION COUNTRY HOMES, MANKILAM, CERT *ACCIDENT INSURANCE TAGUM CITY *APPLICATION FORM PRK. 3-A, CAPUNGAGAN, 9 REPONTE, BREX G. 20 M BS IN AGRICULTURE *INTERNSHIP AGREEMENT *BIRTH W/IN KAPALONG CHILD LABOR PROFILER 6/18/2018 11/16/2018 On going KAPALONG, DAVAO DEL NORTE CERT., *DIPLOMA *BRGY. CERT *APPLICATION FORM PRK. ORANGE VALLEY, BRGY., 10 SALVADO, IRVIN ROICE D. 24 M COLLEGE LEVEL *INTERNSHIP AGREEMENT *BIRTH W/IN TAGUM CITY CHILD LABOR PROFILER 6/19/2018 11/17/2018 On going SOUTH, TAGUM CITY CERT *ACCIDENT INSURANCE *APPLICATION FORM PRK. GULAYAN, MANKILAM, BS IN BUSINESS *INTERNSHIP AGREEMENT *BIRTH 11 TIDALGO, ELVIRA B. TAGUMC CITY, DAVAO DEL 21 F W/IN TAGUM CITY CHILD LABOR PROFILER 6/18/2018 11/16/2018 On going ADMINISTRATION CERT *TOR *ACCIDENT NORTE INSURANCE VOCH TECH GRADUATE- *APPLICATION FORM PRK. 3, BE DUJALI, DAVAO DEL 12 VICENTE, ORIEL C. 25 COMPUTER *INTERNSHIP AGREEMENT *BIRTH W/IN BE DUJALI CHILD LABOR PROFILER 6/18/2018 11/16/2018 On going NORTE HARDWARE CERT *NC CERT., *BRGY. CERT., M SERVICING NC II *Application Letter Bachelor of San Agustin, Sta. Maria *Resume *Transcript of Within Santa 13 ECHAVEZ, RENDON JOHN V. 24 Male Science in Child Labor Profiler July 2, 2018 December 31, 2018 On Going Davao Occidental Records (TOR) *Certificate Maria Criminology of Indigency *Voter's ID Bachelor of *Application Letter San Agustin, Sta. Maria Secondary *Resume *Diploma *Voter Within Santa 14 GETALLA, RUDERICK D. 21 Male Child Labor Profiler July 2, 2018 December 31, 2018 On Going Davao Occidental Education in Certification *Certificate of Maria Filipino Indigency *Cedula *Application Letter *BIO- Bachelor of DATA *Diploma *Voter ID Basiawan, Sta. Maria, Secondary *Certificate of Eligibility Within Santa 15 MAGLINTE, KRISTY MARIE D. 27 Female Child Labor Profiler July 2, 2018 December 31, 2018 On Going Davao Occidental Education in *Certificate of Indigency Maria Filipino *Transcript of Records *Cedula *GIP Application Form Bachelor of *Birth Certificate Lagumit, Malita, Davao 16 PELAYRE, NESTLE P. 25 Female Secondary *Certificate of Indigency Within Malita Child Labor Profiler July 2, 2018 December 31, 2018 On Going Occidental Education *Grades (2nd Year, First Semester 2017-2018) Bachelor of *GIP Application Form Secondary *Birth Certificate 17 WAMELDA, APRIL LEEYahya G. St., Poblacion, Malita, Davao Occidental29 Female Within Malita Child Labor Profiler July 2, 2018 December 31, 2018 On Going Education in *Certificate of Indigency English *Transcript of Records * Bachelor of *Application Letter Relocation, Poblacion, Science in *Resume *Diploma *Birth 18 LEDESMA, ANA RUTCHIE E. 20 Female Within Malita Child Labor Profiler July 2, 2018 December 31, 2018 On Going Malita ,Davao Occidental Agricultural Certificate *Certificate of Technology Indigency *Application letter Bachelor of Bolila, Malita, Davao *Resume *Certificate of 19 20 Female Agricultural Within Malita Child Labor Profiler July 2, 2018 December 31, 2018 On Going Occidental Indigency *Birth Certificate Technology OKE, GINA LEE C. *Diploma *Application Letter Senior High *Report Card *Certificate Demoloc, Malita, Davao School (General 20 COLANO, RANDY D 21 Male of Good Moral *Certificate Within Malita Child Labor Profiler June 1, 2018 December 31, 2018 On Going Occidental Academic of Indigency *Birth Strand) Certificate *Diploma Senior High *Application Letter School ( *Report Card *Certificate New Argao Malita Davao 21 ROBLE, JIM PAUL B. 18 Male Accountancy, of Good Moral *Certificate Within Malita Child Labor Profiler June 1, 2018 December 31, 2018 On Going Occidental Business, and of Indigency *Birth Management) Certificate Bachelor of *Application Letter Tibulog, Bolila, Malita, Science in Agri- *Resume *Student ID 22 MANGAGA, RANIL V. 20 Male Within Malita Child Labor Profiler July 2, 2018 December 31, 2018 On Going Davao Occidental Business *Certificate of Indigency (Undergraduate) *Birth Certificate*Cedula Senior High *Application Letter Kolo, Poblacion Malita School (Food 23 TAGOSE, JELLAME M. 19 Female *Resume *Certificate of Within Malita Child Labor Profiler July 2, 2018 December 31, 2018 On Going Davao Occidental And Beverage Indigency *Cedula Services) *Application Letter Don Marcelino Davao Within Don 24 DALUCAN, JERLIN RICA S. 21 Female College *Resume *Certificate of Child Labor Profiler July 2, 2018 December 31, 2018 On Going Occidental Marcelino Indigency *Cedula *Application Letter Don Marcelino Davao Within Don 25 ANGUIT, AIMEE M. 23 Female College *Resume *Certificate of Child Labor Profiler July 2, 2018 December 31, 2018 On Going Occidental Marcelino Indigency *Cedula *Application Letter Don Marcelino Davao Within Don 26 VILLAMORA, AIRAAH LIAH 20 Female Vocational *Resume *Certificate of Child Labor Profiler July 2, 2018 December 31, 2018 On Going Occidental Marcelino Indigency *Cedula Transcript of Records, Birth Certificate, Brgy. Purok 6, Kibuya, 27 Calasara, Rhea Mae N. 20 Female College Graduate Clearance, Cedula, Tin DSFO Profiling June 18, 2018 December 15,2018 On-going Hagonoy, Davao del Sur Number, Landbank Account Transcript of Records, Birth Certificate, Brgy. Purok 5 San Pedro, 28 Canseco, Mary Coney T. 23 Female College Level Clearance, Cedula, Tin DSFO Profiling June 18, 2018 December 15,2018 On-going Kiblawan Davao del Sur Number, Landbank Account Transcript of Records, Birth Certificate, Brgy. Mabini Bataan, Zone III, 29 Doria, Stephen Drexler R. 20 Male College Graduate Clearance, Cedula, Tin DSFO Profiling June 18,2018 December 15,2018 On-going Digos City, Davao del Sur Number, Landbank Account Transcript of Records, Birth Certificate, Brgy. 0863 Estrada 2nd, Zone I, 30 Dumagan, Neflor V. 24 Female College Graduate Clearance, Cedula, Tin DSFO Profiling June 18,2018 December 15,2018 On-going Digos City, Davao del Sur Number, Landbank Account Transcript of Records, 06697 Diez Street, Birth Certificate, Brgy. 31 Egcayogen, Stephen Moore H. Poblacion, Hagonoy, 21 Male College Graduate Clearance, Cedula, Tin DSFO Profiling June 18,2018 December 15,2018 On-going Davao del Sur Number, Landbank Account Transcript of Records, Purok 10, Poblacion, Birth Certificate, Brgy. 32 Eliseo, Bryan C. Magsaysay, Davao del 29 Male College Graduate Clearance, Cedula, Tin DSFO Profiling June 18,2018 December 15,2018 On-going Sur Number, Landbank Account Transcript of Records, Purok 1-C Dura Tibas, Birth Certificate, Brgy. 33 Jumawan, Bryan John F. Poblacion, Kiblawan, 22 Male College Level Clearance, Cedula, Tin DSFO Profiling June 18,2018 December 15, 2018 On-going Davao del Sur Number, Landbank Account Transcript of Records, Purok 14, Poblacion, Birth Certificate, Brgy. Vocational 34 Librando, Kezza Jell B. Magsaysay, Davao del 25 Female Clearance, Cedula, Tin DSFO Profiling June 18,2018 December 15, 2018 On-going Graduate Sur Number, Landbank Account Transcript of Records, 97 Mabini Street, Birth Certificate, Brgy. 35 Navales, Aldous Jennrobert T. Almendras, Padada 21 Male College Graduate Clearance, Cedula, Tin DSFO Profiling June 18, 2018 December 15,2018 On-going Davao del Sur Number, Landbank Account Transcript of Records, Birth Certificate, Brgy. Purok 5, Leling, Hagonoy, 36 Ortiz, Sidney L. 20 Male College Graduate Clearance, Cedula, Tin DSFO Profiling June 18, 2018 December