This document is a permanent organization roster for the MARICK chapter located in Cainta, Rizal. It lists the chapter address and provides columns for up to 35 member names, ranks, pseudonyms, ID numbers, payment periods covered, amounts paid, and signatures. The bottom notes there are currently no members on the roster and the total amount received is 0.

1. Sec. Reg. No. A200008885
PERMANENT ORGANIZATION ROSTER
MARICK
Chapter: ________________________________________ Province: _________________________________
RIZAL
Address: _________________________________________________________________________________
GLORIA ST. MARICK SUBDIVISION
City / Municipality: ____________________________________ Region: ________________________________
CAINTA IV-A
No. of Members: ___________________________________________
Date Filed: ______________________________
Amount Do not
Organizational Rank,
NAME Period Covered Paid For fill-up
Pseudonym & ID No.
* NHQ-% * this portion
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
OR NO. _______________________ TOTAL AMOUNT RECEIVED 0.00
DATE: ______________________
Payments Received By: ____________________________
Name & Signature
Prepared by: Tony "FRMG ONYX" Curbi (Chapter Founder)