Student-Personal-Accident-Listing K12Plus Masterlist g12

GROUP STUDENT PERSONAL ACCIDENT INSURANCE PLAN
NAME OF SCHOOL: LAIYA NATIONAL HIGH SCHOOL

DATE: AUGUST 18, 2017
PLAN OPTION I: P 25/Student/Annual Premium

PLAN OPTION II: P 45/Student/Annual Premium
PLAN OPTION III: P 65/Student/Annual Premium
PLAN OPTION IV: P 85/Student/Annual Premium
PLAN OPTION V: P 110/Student/Annual Premium
Example: Plan Option 1 x no. of Students= Total premiums
NOS NAME OF STUDENT GRADE LEVEL BIRTHDAY GENDER ADDRESS BENEFICIARY RELATIONSHIP
1 Carandang, Daryl Valdez G12 TVL Kplus 02/22/2000 M Laiya Aplaya Analiza, Valdez Carandan Mother
2 Concepcion, Jundell Cuerd G12 TVL Kplus 03/05/1996 M Laiya Aplaya Cuerdo, Gina S. Mother
3 De Castro, Vincent Alegre G12 TVL Kplus 06/08/2000 M Laiya Aplaya Marcelina A. De Castro Mother
4 Degrano, Reginald Kenn Cas
G12 TVL Kplus 06/22/1999 M Laiya Ibabao Castilo, Elizabeth Espina Mother
5 Delacion, Jubert Magpantay
G12 TVL Kplus 05/15/2000 M Hugom Edilberto Andaya Delacio Father
6 Dimaano, Gemuel Alvarez G12 TVL Kplus 11/15/1999 M Laiya Ibabao Alvarez, Delia De Torres Mother
7 Dimaano, Mark Christian B12 13-Sep-00 Male Laiya Aplaya, San Juan, BatanDimaano, Ronie Javier Father
8 Dula, Johndee B. 12 20-Oct-99 Male Laiya Aplaya, San Juan, BatanBajeta, Elsa Isabela Mother
9 Enriquez, Kier A. 12 6-Jan-00 Male Laiya Ibabao, San Juan, BatanAngeles, Mila Flor David Mother
10 Enriquez, Kier Angeles G12 TVL Kplus 01/06/2000 M Laiya Ibabao Angeles, Mila Flor David Mother
11 Espina Jr., Mario Duran G12 TVL Kplus 11/23/1997 M Laiya Ibabao Duran, Lourdes MirabellioMother
12 Figuerra, Aldrin D. 12 30-May-99 Male Laiya Aplaya, San Juan, BatanDimaano, Elena De CastroMother
13 Goc, Christian Earl Pendel G12 TVL Kplus 05/23/2000 M Calubcob 2.0 Nancy Pendel Goc Mother
14 Hernandez, Jonard G12 TVL Kplus 04/25/1999 M Calubcob 1.0 Maximo Hernandez Father
15 Hosmillo, John Marcus San G12 TVL Kplus 02/22/200 M Hugom Santok, Mila Magpantay Mother
16 Javier, Eduard P. 12 25-Jun-00 Male Laiya Aplaya, San Juan, BatanJavier, Danilo V. Father
17 Javier, Eduard Panganiban G12 TVL Kplus 06/25/1999 M Laiya Aplaya Panganiban, Rosenda A. Mother
18 Lopez, January Labao G12 TVL Kplus 01/06/1998 M Laiya Aplaya Labao, Dendenita B. Mother
19 Lucero, Julius B. 12 3-Oct-86 Male Laiya Aplaya, San Juan, BatanBico, Eufemia Abanilla Mother
20 Lucero, Julius Bico G12 TVL Kplus 10/08/1986 M Laiya Aplaya Bico, Eufemia Abanilla Mother
21 Magpantay, Jonathan A. 12 11-Jan-93 Male Hugom, San Juan, Batangas Aala, Shirly Mother
22 Magpantay, Jonathan Aala G12 TVL Kplus 01/11/1993 M Hugom Aala, Shirly Mother
23 Manalo, Richard Steven SilG12 TVL Kplus 06/18/2000 M Laiya Aplaya Silang, Cristy Garcia Mother
24 Mancil, Edmar B. 12 23-Jul-99 Male Hugom, San Juan, Batangas Barion, Marciana Mother
25 Mancil, Edmar Barion G12 TVL Kplus 07/23/1999 M Hugom Barion, Marciana Mother
26 Marasigan, John Derick G. 12 22-Aug-99 Male Imelda, San Juan, Batangas Gunio, Irenia De Torres Mother
27 Matalog, Ronald J. 12 4-Sep-95 Male Hugom, San Juan, Batangas Javier, Lucena C. Mother
28 Matalog, Ronald Javier G12 TVL Kplus 09/04/1995 M Hugom Javier, Lucena C. Mother
29 Misajon, John Kenneth TriviG12 TVL Kplus 05/15/1999 M Barualte Triviño, Anabel A. Mother
30 Pagcaliwagan, Markvin A. 12 29-Jun-99 Male Laiya Ibabao, San Juan, BatanArasula, Monina Mother
31 Pagcaliwagan, Markvin AraG12 TVL Kplus 06/29/1999 M Laiya Ibabao Arasula, Monina Mother
32 Perez, Glenn Tanang G12 TVL Kplus 02/07/1998 M Calubcob 2.0 Calixto Bajeta Perez Father
33 Polintang, John Jojie Magp G12 TVL Kplus 06/09/1999 M Hugom Magpantay, Jocelyn Aala Mother
34 Rosales, Jerson G12 TVL Kplus 03/01/2000 M Nagsaulay Janeth Briones Rosales Mother
35 Tingal, Bartolome Abu G12 TVL Kplus 08/24/1997 M Laiya Ibabao Eleonor Abu Tignal Mother
36 Trazares, Mark Gene Marr G12 TVL Kplus 05/28/1995 M Laiya Aplaya Landicho, Maribel BarinquMother
37 Valdez, Ranel Bico G12 TVL Kplus 05/16/2000 M Bulsa Babylinda B. Valdez Mother
38 Villanueva, Joshua Mari EjeG12 TVL Kplus 12/17/1998 M Laiya Ibabao Eje, Imelda Alido Mother
TOTAL PREMIUMS REMITTED: 38
PREPARED BY:(School)
JOSEPHINE D. ROSALES
ATTESTED BY: (Climbs)

PLAN
Plan Option 1: P 25/ Student/Annual Premium
GROUP STUDENT PERSONAL ACCIDENT INSURANCE PLAN
NAME OF SCHOOL: LAIYA NATIONAL HIGH SCHOOL
DATE: AUGUST 18, 2017

PLAN OPTION II: P 45/Student/Annual Premium
PLAN OPTION III: P 65/Student/Annual Premium
PLAN OPTION IV: P 85/Student/Annual Premium
PLAN OPTION V: P 110/Student/Annual Premium
Example: Plan Option 1 x no. of Students= Total premiums
NOS NAME OF STUDENT GRADE LEVEL BIRTHDAY GENDER ADDRESS BENEFICIARY RELATIONSHIP
Buendia, Corazon
1 Abanilla, Cathryn B. 12 3-Jul-00 Female Laiya Aplaya, San Juan, Batangas Mother
Macaraig
2 Abdon, Christine G. 12 21-May-00 Female Hugom, San Juan, Batangas Garcia, Verginia Gonda Mother
3 Andaya, Nica V. 12 17-Sep-99 Female Hugom, San Juan, Batangas Valdez, Normelita R. Mother
4 Arellano, Baby Ninfa V. 12 24-Nov-99 Female Calubcub 2.0, San Juan, Batangas Velasco, Percy Ilao Mother
5 Bacarro, Ladylyn V. 12 16-Jan-99 Female Calubcub 2.0, San Juan, Batangas Velasco, Nelia Bajeta Mother
Faderon, Mary ann
6 Bacarro, Marie Antonette F. 12 24-Aug-00 Female Calubcub 1.0, San Juan, Batangas Mother
Carmelites Fajardo
7 Bajeta, Ella Mae C. 12 27-Jul-99 Female Laiya Aplaya, San Juan, Batangas Castillo, Marilou S. Mother
8 Bajeta, Princess Aizel I. 12 2-Jul-00 Female Calubcub 2.0, San Juan, Batangas Ilao, maricel Buendia Mother
9 Balagtas, Maria Rica P. 12 30-Jun-99 Female Laiya Aplaya, San Juan, Batangas Panta, Robecca E. Mother
de Torres, Imelda
10 Bico, Jellie Ann D. 12 16-Jul-00 Female Imelda, San Juan, Batangas Mother
Panganiban
11 Braza, Ciara M. 12 10-Feb-00 Female Pulangbato, San Juan, Batangas Manalo, Mila Catimbang Mother
12 Cabanilla, Jessel C. 12 29-Jun-99 Female Laiya Aplaya, San Juan, Batangas Cabanilla, Jessie Bajoyo Father
13 Calderon, Charmaine P. 12 2-Aug-99 Female Laiya Ibabao, San Juan, Batangas Perez, Fe Corazon J. Mother
14 De Torres, Noelyn H. 12 9-Jun-99 Female Laiya Ibabao, San Juan, Batangas Herrera, Nilda Nacional Mother
15 Delgado, Justine Russel R. 12 17-Apr-00 Female Bulsa, San Juan, Batangas Rubia, Genalyn Bico Mother
16 Espina, Karen B. 12 17-Nov-00 Female Bataan, San Juan, Batangas Garcia, Evangeline Bico Mother
17 Espina, Erica May G. 12 4-May-00 Female Bulsa, San Juan, Batangas Burgos, Nelsie Salazar Mother
18 Espina, Shaina D. 12 12-Jun-99 Female Laiya Ibabao, San Juan, Batangas De Torres, Aquilina E. Mother
19 Gega, Via D. 12 18-Dec-99 Female Biga, Lobo, Batangas de Castro, Marilyn Gega Mother
20 Goc, Marinel E. 12 4-Nov-99 Female Calubcub 2.0, San Juan, Batangas Espino, Emily Enriquez Mother
21 Goc, Maylie Jane S. 12 10-Aug-99 Female Calubcub 2.0, San Juan, Batangas Goc Jr., Melicio Perez Father
22 Magpantay, Hazel E. 12 10-Aug-99 Female Hugom, San Juan, Batangas Magpantay, Noel E. Father
23 Ramos, Jessabel P. 12 30-Aug-00 Female Calubcub 2.0, San Juan, Batangas Pendel, Lerma Velasco Mother
24 Rubia, Nica shelaine S. 12 18-Jan-00 Female Barualte, San Juan, Batangas Suarez, Shirley Canuel Mother
25 Serviente, Michelle V. 12 21-Apr-00 Female Calubcub 1.0, San Juan, Batangas Villejas, Melissa Jupitan Mother
26 Sico, Maria Rochelle B. 12 1-Mar-99 Female Calubcub 2.0, San Juan, Batangas Bucad, Albina Abila Mother
Ferreras, Thelma San
27 Velasco, Joanna F. 12 9-Sep-99 Female Calubcub 2.0, San Juan, Batangas Mother
Sebastian
28 Abestado, Nhestlie Sandro G12 TVL Kplus 12/02/1999 F Laiya Aplaya Sandro, Marites C. Mother
29 Arellano, Baby Ninfa Velasco G12 TVL Kplus 11/24/1999 F Calubcub 2.0 Velasco, Percy Ilao Mother
30 Armamento, Princess G12 TVL Kplus 03/25/1999 F Barualte Armamento, Precila B. Mother
31 Bacarro, Ladylyn Velasco G12 TVL Kplus 01/16/1999 F Calubcub 2.0 Velasco, Nelia Bajeta Mother
32 Bacarro, Marie Antoinnette Faderon G12 TVL Kplus 08/24/1999 F Calubcub 1.0 Faderon, Mary ann Carmelites F. Mother
33 Bajeta, Princess Aizel Ilao G12 TVL Kplus 07/02/2000 F Calubcub 2.0 Ilao, maricel Buendia Mother
34 De Torres, Noelyn Herrera G12 TVL Kplus 06/09/2000 F Laiya Ibabao Herrera, Nilda Nacional Mother
35 Del Rosario, Ema Bico G12 TVL Kplus 03/19/1998 F Laiya Aplaya Bico, Corazon A. Mother
36 Espina, Crystal Jane Catilo G12 TVL Kplus 12/22/1999 F Laiya Ibabao Catilo, Marietta M. Mother
37 Factes, Raymel Joy Mangubat G12 TVL Kplus 04/09/1999 F Laiya Aplaya Mangubat, Melba C. Mother
38 Goc, Marinel Espino G12 TVL Kplus 11/04/1999 F Calubcub 2.0 Espino, Emily Enriquez Mother
39 Goc, Maylie Jane Siago G12 TVL Kplus 08/10/1999 F Calubcub 2.0 Siago, Zenaida Locson Mother
40 Magadia, May Brigeth Santok G12 TVL Kplus 02/06/2000 F Hugom Santok, Mina Magpantay Mother
41 Magpantay, Hazel Estrella G12 TVL Kplus 08/10/1999 F Hugom Estrella, Reynida L. Mother
42 Manalo, Mari Joe Genoguin G12 TVL Kplus 09/09/1999 F Laiya Aplaya Gonoguin, Marilou D. Mother
43 Ramos, Jesabel Pendel G12 TVL Kplus 08/30/2000 F Calubcub 2.0 Pendel, Lerma Velasco Mother
44 Serviente, Michelle Villejas G12 TVL Kplus 04/21/1999 F Calubcub 1.0 Villejas, Melissa Jupitan Mother
45 Sico, Maria Rochelle Bucad G12 TVL Kplus 03/01/1999 F Calubcub 2.0 Bucad, Albina Abila Mother
46 Velasco, Joanna Ferreras G12 TVL Kplus 09/09/1999 F Calubcub 2.0 Ferreras, Thelma San Sebastian Mother
47 Villanueva, Carla Fua G12 TVL Kplus 08/29/1999 F Hugom Fua, Rachel Saplot Mother
48 Villanueva, Michelle De Torres G12 TVL Kplus 11/04/1998 F Laiya Ibabao De Torres, Melina Herrera Mother
49 ABANILLA, REYNA MAE DE LEON G12 TVL Kplus 05/01/1999 F Laiya Ibabao Merlita V. Abanilla Mother
50 CARAG, CHRISTEL MERCADO G12 TVL Kplus 12/19/1999 F Calubcob 2.0 Cherly M. Carag Mother
51 CARTA, SARAH KAYE VILLANUEVA G12 TVL Kplus 03/05/2000 F Laiya Ibabao Imelda V. Carta Mother
52 DELACION, CHRISTIAN IVES LIZARDO G12 TVL Kplus 09/01/1991 F Nagsaulay Realiza S. Delacion Mother
53 DELACION, IRMA CAPUNO G12 TVL Kplus 07/19/1998 F Hugom Bernadeth C. Delacion Mother
54 DE CASTRO, JOANNE PENDEL G12 TVL Kplus 06/21/1999 F Calubcob 2.0 Ligaya P. De castro Mother
55 DE TORRES, MAY CHA G12 TVL Kplus 09/03/1999 F Barualte Loreta C. De Torres Mother
56 DE TORRES, SHERILYN DELEN G12 TVL Kplus 01/31/2000 F Laiya Ibabao Lina D. De Torres Mother
57 ILAO, GEMMA BICO G12 TVL Kplus 04/15/2000 F Bulsa Victoria B. Ilao Mother
58 JIMENEZ, LIZEL MENDOZA G12 TVL Kplus 04/15/1999 F Laiya Aplaya Elizabeth M. Jimenez Mother
59 LALIO, JAZEL DE CHAVEZ G12 TVL Kplus 04/30/1999 F Laiya Ibabao Felicidad de Chavez Lalio Mother
60 LUGATOC, KIMBERLY GERON G12 TVL Kplus 11/17/1999 F Bataan Analiza G. Lugatoc Mother
61 MACATANGAY, MARY JANE PANGANIBAN G12 TVL Kplus 04/10/2000 F Barualte Jerlyn P. Macatangay Mother
62 MAGLUYAN, JONALYN DAYUCOS G12 TVL Kplus 04/16/2000 F Imelda Rocil D. Magluyan Mother
63 OCAY, SHELLA MONTECINO G12 TVL Kplus 10/04/1999 F Bataan Victorina M. Ocay Mother
64 RAYOS, ROSE ANN GAMIL G12 TVL Kplus 11/11/1999 F Hugom Nelia G. Rayos Mother
65 UMALI, SHAIRA MAE CAY G12 TVL Kplus 09/13/2000 F Laiya Aplaya Maridel C. Umali Mother
66 SAMARITA, ROMELYN DIMATULAC G12 TVL Kplus 09/21/1999 F Bulsa Leni D. Samarita Mother
67 SANIE, BEVERLIE ALVARES G12 TVL Kplus 09/21/1998 F Laiya Aplaya Maxima A. Sanie Mother
68 SERVIENTE, ERIC POSTIGO G12 TVL Kplus 09/18/1999 F Calubcob 1.0 Analiza P. Serviente Mother
69 SULIT, JOYLYN GEGA G12 TVL Kplus 06/26/1999 F Biga, Lobo, Bats. Jessylyn G. Sulit Mother
70 VILLANUEVA, IRISH SANDRO G12 TVL Kplus 04/13/2000 F Laiya Ibabao Loyola S. Villanueva Mother
71 VILLANUEVA, MARY ROSE MADRIÑAN G12 TVL Kplus 04/29/2000 F Laiya Ibabao Jocelyn M. Villanueva Mother
72 Alvarez, Jeffrey Catimbang 12 10/08/1999 M Laiya Aplaya, San Juan, Batangas RUBEN ALVAREZ FATHER
73 Bajeta, Mike Charles Eriarte 12 10/24/1999 M Bulsa, San Juan, Batangas APOLINARIO BAJETA FATHER
74 Balagtas, John Rick Panta 12 06/30/1999 M Laiya Ibabao, San Juan, Batangas JOSELITO BALAGTAS FATHER
75 Bañez, Reymart Navarro 12 02/01/1999 M Laiya Aplaya, San Juan, Batangas RENATO BAÑEZ FATHER
76 Bañez, Reymond Navarro 12 08/21/2000 M Laiya Aplaya, San Juan, Batangas RENATO BAÑEZ FATHER
77 Boligol, John Mark Carpio 12 04/30/2000 M Laiya Ibabao, San Juan, Batangas BASILIO BOLIGOL JR. FATHER
78 Caguimbal, Louiejie Marasigan 12 01/15/2000 M Calubcub 1.0, San Juan, Batangas LOUIE CAGUIMBAL FATHER
79 Camo, Neil De Villa 12 10/28/1999 M Bulsa, San Juan, Batangas PABLO CAMO FATHER
80 Carpio, John Michael Lopez 12 01/21/2000 M Laiya Ibabao, San Juan, Batangas ELIGIO CARPIO FATHER
81 Cuerdo, Jeffrey Claveria 12 03/11/2000 M Hugom, San Juan, Batangas RETO CUERDO FATHER
82 De Torres, Jayrald Cuerdo 12 10/05/1998 M Hugom, San Juan, Batangas JOEL DE TORRES FATHER
83 Dimaano, Erwin Celis 12 10/05/1999 M Laiya Ibabao, San Juan, Batangas REYMUNDO DIMAANO FATHER
84 Dimaano, Marjon Malasmas 12 03/03/1999 M Laiya Aplaya, San Juan, Batangas ESTANISLAO DIMAANO FATHER
85 Masalunga, Jhon Paul Macaraig 12 06/21/1999 M Pulangbato, San Juan, Batangas FELIZARDO MASALUNGA FATHER
86 Ronquillo, Jeffrey Par 12 03/29/1998 M Barualte, San Juan, Batangas JESUS RONQUILLO FATHER
87 Sayat, Jhun Kevin Mariano 12 11/25/1999 M Calubcub 1.0, San Juan, Batangas DENNIS SAYAT FATHER
88 Triviño, Gabriel Boragay 12 06/25/2000 M Abung, San Juan, Batangas LILIBERT TRIVIÑO FATHER
89 Ubiña, Jaypee Abella 12 03/05/1999 M Laiya Ibabao, San Juan, Batangas FERNANDO UBIÑA FATHER
90 Catilo, Janelle Kate Demabildo 12 01/10/2000 F Laiya Ibabao, San Juan, Batangas ROSEMARIE DEMABILDO MOTHER
91 Cay, Caren Ruedas 12 04/29/2000 F Laiya Aplaya, San Juan, Batangas MILA RUEDAS MOTHER
92 De Castro, Nikki Joy Sandro 12 08/08/1999 F Laiya Ibabao, San Juan, Batangas AURORA SANDRO MOTHER
93 De Chavez, Jasmin Rosas 12 03/21/2000 F Laiya Aplaya, San Juan, Batangas RONA ROSAS MOTHER
94 De Torres, Elsa Magpantay 12 03/25/1997 F Hugom, San Juan, Batangas MARIA MAGPANTAY MOTHER
95 Dimaano, Moreen Domdom 12 09/22/1999 F Laiya Aplaya, San Juan, Batangas VILMA DOMDOM MOTHER
96 Hawak, Mariz Salagubang 12 09/20/1999 F Laiya Ibabao, San Juan, Batangas MYLA SALAGUBANG MOTHER
97 Lucban, Judy Ann Ilao 12 03/11/1998 F Laiya Aplaya, San Juan, Batangas PRIMITIVA ILAO MOTHER
98 Luistro, Hazel Mercado 12 10/07/1999 F Bulsa, San Juan, Batangas HELEN MERCADO MOTHER
99 Magnaye, Monica Maulion 12 09/03/1998 F Laiya Ibabao, San Juan, Batangas CELINA MAULION MOTHER
100 Manalo, Daniella Deige Layos 12 09/10/1999 F Laiya Ibabao, San Juan, Batangas DEO MANALO MOTHER
101 Marquez, Ivy Isabela 12 05/27/2000 F Laiya Aplaya, San Juan, Batangas MARIVIC ISABELA MOTHER
102 Marquez, Jackelyn Villanueva 12 09/01/1999 F Laiya Ibabao, San Juan, Batangas FELICISIMA VILLANUEVA MOTHER
103 Miranda, Juliet Ann Geron 12 03/13/2000 F Bataan, San Juan, Batangas ROSALIE GERON MOTHER
104 Mongit, Joyce Lee Alvarez 12 10/28/1998 F Laiya Ibabao, San Juan, Batangas AMABEL ALVAREZ MOTHER
105 Perez, Carla Mae Rodriguez 12 11/14/1998 F Pulangbato, San Juan, Batangas LILIA RODRIGUEZ MOTHER
106 Petes, Ricalene Sandro 12 04/15/2000 F Laiya Ibabao, San Juan, Batangas VICTORIA SANDRO MOTHER
107 Rayos, Rosebelle Gamil 12 11/11/1999 F Hugom, San Juan, Batangas NELIA GAMIL MOTHER
108 Razon, Ronelyn Barelos 12 12/31/1998 F Laiya Aplaya, San Juan, Batangas TERESITA BARELOS MOTHER
109 Rilles, Chenny Ilao 12 09/25/1999 F Laiya Aplaya, San Juan, Batangas JASMIN ILAO MOTHER
110 Rivares, Jeanelyn Palguera 12 01/05/2000 F Calubcub 2.0, San Juan, Batangas NERISSA PALGUERA MOTHER
111 Robledo, Marris Stella 12 06/10/1999 F Laiya Ibabao, San Juan, Batangas MARLYN OQUENDO MOTHER
112 Santok, Gisell Besid 12 07/16/1999 F Laiya Ibabao, San Juan, Batangas GLENDA BESID MOTHER
113 Umali, Monica 12 03/11/1999 F Laiya Aplaya, San Juan, Batangas MARIDEL CAY MOTHER
114 Villanueva, Abigal Abanilla 12 08/24/1999 F Laiya Ibabao, San Juan, Batangas JOVELITA ABANILLA MOTHER
115 Villez, Ara Jane Dionaldo 12 08/08/1999 F Bataan, San Juan, Batangas JENNY ANN DIONALDO MOTHER
TOTAL PREMIUMS REMITTED: 115

PREPARED BY:(School)
JOSEPHINE D. ROSALES
ATTESTED BY: (Climbs)

PLAN

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Student-Personal-Accident-Listing K12Plus Masterlist g12

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Student-Personal-Accident-Listing K12Plus Masterlist g12

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GROUP STUDENT PERSONAL ACCIDENT INSURANCE PLAN

NAME OF SCHOOL: LAIYA NATIONAL HIGH SCHOOL

PLAN OPTION I: P 25/Student/Annual Premium

Example: Plan Option 1 x no. of Students= Total premiums

TOTAL PREMIUMS REMITTED: 38

ATTESTED BY: (Climbs)

PLAN OPTION I: P 25/Student/Annual Premium

Example: Plan Option 1 x no. of Students= Total premiums

TOTAL PREMIUMS REMITTED: 115

ATTESTED BY: (Climbs)

Plan Option 1: P 25/ Student/Annual Premium

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