VACCINATION FORM
CATEGORY
*
Please Select
Health Care Worker
Senior Citizen
Indigent
Uniformed Personnel
Essential Worker
Other
CATEGORY ID
*
Please Select
PRC Number
OSCA Number
Facility ID Number
Other ID
CATEGORY ID NUMBER
*
PHILHEALTH ID NUMBER
PWD ID NUMBER
FULL NAME
*
First Name
*
Last Name
*
Middle Name
*
Please Select
Jr
Sr
II
III
IV
V
N/A
Suffix
CONTACT NUMBER
*
CURRENT RESIDENCE
*
Unit/Building/House Number
Street Name
CURRENT RESIDENCE REGION
*
Please Select
National Capital Region
CURRENT RESIDENCE PROVINCE
*
Please Select
1376 NCR Fourth District
CURRENT RESIDENCE MUNICIPALITY/CITY
*
Please Select
137606 Pateros
CURRENT RESIDENCE BARANGAY
*
Please Select
Santa Ana
San Pedro
San Roque
Tabacalera
Poblacion
Aguho
Sto Rosario Silangan
Sto Rosario Kanluran
Martirez del 96
Magtanggol
SEX
*
Female
Male
BIRTHDATE
*
CIVIL STATUS
*
Please Select
Single
Married
Widow/Widower
Separated/Annulled
Living with Partner
EMPLOYEMENT STATUS
*
Please Select
Government Employed
Private Employed
Self Employed
Private Practitioner
Others
DIRECTLY IN INTERACTION WITH COVID PATIENT
*
Yes
No
PROFESSION
*
Please Select
Dental Technologist
Dental Hygienist
Dentist
Medical Technologist
Midwife
Nurse
Nutritionist Dietician
Occupational Therapist
Optometrist
Pharmacist
Physical Therapist
Physician
Radiologic Technologist
Respiratory Therapist
X_ray Technologist
Barangay Health Worker
Maintenance Staff
Administrative Staff
Others
NAME OF EMPLOYER
*
PROVINCE/HUC/ICC OF EMPLOYER
*
Please Select
175301_ABORLAN
1401_ABRA
175101 - ABRA_DE_ILOG
30801 – ABUCAY
21501 - ABULUG
83701 – ABUYOG
12801 - ADAMS
45601 – AGDANGAN
25701 – AGLIPAY
15501 – AGNO
41001 – AGONCILLO
13301 – AGOO
15502 – AGUILAR
142708 – AGUINALDO
1602 - AGUSAN_DEL_NORTE
1603 - AGUSAN_DEL_SUR
175302 – AGUTAYA
63001 – AJUY
150708 – AKBAR
604 – AKLAN
150709 - AL_BARKA
45602 – ALABAT
128001 - ALABEL_
124701 – ALAMADA
43401 – ALAMINOS
83702 – ALANGALANG
505 – ALBAY
83703 – ALBUERA
71201 – ALBURQUERQUE
15504 – ALCALA
21502 – ALCALA
72201 – ALCANTARA
175901 – ALCANTARA
72202 – ALCOY
72203 – ALEGRIA
166701 – ALEGRIA
124717 – ALEOSAN
42101 – ALFONSO
25015 - ALFONSO_CASTANEDA
142707 - ALFONSO_LISTA_(POTIA)
34901 – ALIAGA
23101 – ALICIA
71202 – ALICIA
98301 – ALICIA
12901 – ALILEM
63002 – ALIMODIAN
41002 – ALITAGTAG
21503 – ALLACAPAN
84801 – ALLEN
86001 - ALMAGRO
87801 – ALMERIA
72204 - ALOGUINSAN
104201 – ALORAN
60401 – ALTAVAS
104301 – ALUBIJID
42102 – AMADEO
25001 – AMBAGUIO
74601 - AMLAN_(AYUQUITAN)
153801 – AMPATUAN
21504 – AMULUNG
86401 – ANAHAWAN
36901 – ANAO
15505 – ANDA
71203 – ANDA
23102 – ANGADANAN
31401 – ANGAT
35401 - ANGELES_CITY
45801 – ANGONO
63003 – ANILAO
60601 - ANINI_Y
71204 – ANTEQUERA
124715 - ANTIPAS
606 - ANTIQUE
35402 – APALIT
21505 – APARRI
1481 – APAYAO
175303 – ARACELI
124718 – ARAKAN
35403 – ARAYAT
72205 - ARGAO
13302 – ARINGAY
25002 – ARITAO
54101 - AROROY
82601 – ARTECHE
15506 – ASINGAN
142711 – ASIPULO
72206 – ASTURIAS
112301 - ASUNCION_(SAUG)
45603 - ATIMONAN
141101 – ATOK
377 – AURORA
23103 – AURORA
97302 – AURORA
74602 – AYUNGON
51701 – BAAO
83705 – BABATNGON
50501 – BACACAY
12802 – BACARRA
71205 - BACLAYON
13303 – BACNOTAN
175201 – BACO
103501 – BACOLOD
64501 - BACOLOD_CITY_
153601 - BACOLOD_KALAWI_(BACOLOD_GRANDE)
35404 – BACOLOR
74603 – BACONG
42103 - BACOOR_CITY
166702 – BACUAG
97226 - BACUNGAN_(LEON_T._POSTIGO)
72207 – BADIAN
63004 – BADIANGAN
12803 – BADOC
25003 – BAGABAG
30802 – BAGAC
52001 – BAGAMANOC
112501 – BAGANGA
21506 – BAGGAO
64502 - BAGO_CITY
141102 - BAGUIO_CITY
13304 – BAGULIN
126501 – BAGUMBAYAN
74604 - BAIS_CITY
141103 – BAKUN
175304 – BALABAC
153602 – BALABAGAN
31402 - BALAGTAS_(BIGAA)
72208 - BALAMBAN
82602 – BALANGIGA
82603 – BALANGKAYAN
13305 – BALAOAN
63005 – BALASAN
51702 – BALATAN
41003 – BALAYAN
143201 – BALBALAN
54102 – BALENO
37701 - BALER_
41004 – BALETE
60402 – BALETE
104202 – BALIANGAO
97224 – BALIGUIAN
71206 – BALILIHAN
153603 - BALINDONG_(WATU)
104302 – BALINGASAG
104303 – BALINGOAN
31403 – BALIUAG
21507 – BALLESTEROS
103502 – BALOI
54103 – BALUD
15507 – BALUNGAO
36902 – BAMBAN
25004 – BAMBANG
63006 – BANATE
142701 – BANAUE
112502 – BANAYBANAY
12902 – BANAYOYO
60403 – BANGA
126302 – BANGA
13306 – BANGAR
140101 - BANGUED_
12804 – BANGUI
15508 – BANI
124716 – BANISILAN
12811 - BANNA_(ESPIRITU)
112401 – BANSALAN
175202 – BANSUD
12903 – BANTAY
72209 – BANTAYAN
175902 – BANTON
45803 – BARAS
52002 – BARAS
60602 – BARBAZA
56202 – BARCELONA
72210 – BARILI
153818 – BARIRA
144401 – BARLIG
166801 – BAROBO
63007 - BAROTAC_NUEVO
63008 - BAROTAC_VIEJO
103503 – BAROY
83706 – BARUGO
74605 – BASAY
20901 - BASCO_
86002 – BASEY
1507 – BASILAN
168501 - BASILISA_(RIZAL)
15509 – BASISTA
51601 – BASUD
308 – BATAAN
63009 – BATAD
60404 – BATAN
209 – BATANES
410 – BATANGAS
41005 - BATANGAS_CITY_
175305 – BATARAZA
51703 - BATO
52003 – BATO
83707 – BATO
54104 – BATUAN
71207 – BATUAN
41006 – BAUAN
13307 – BAUANG
144402 – BAUKO
101301 – BAUNGON
15510 – BAUTISTA
43402 – BAY
166802 – BAYABAS
15511 – BAYAMBANG
153604 – BAYANG
97303 – BAYOG
25005 - BAYOMBONG_
60603 – BELISON
1411 – BENGUET
23104 - BENITO_SOLIVEN
144403 – BESAO
71248 - BIEN_UNIDO
71208 – BILAR
87802 – BILIRAN
878 – BILIRAN
64503 – BINALBAGAN
15512 – BINALONAN
45804 – BINANGONAN
74607 - BINDOY_(PAYABON)
63010 – BINGAWAN
153605 – BINIDAYAN
15513 – BINMALEY
104304 – BINUANGAN
84802 – BIRI
174001 - BOAC_
84803 – BOBON
31404 – BOCAUE
712 – BOHOL
141104 – BOKOD
15514 – BOLINAO
140102 – BOLINEY
72212 – BOLJOON
51704 – BOMBON
34902 – BONGABON
175203 – BONGABONG
157002 - BONGAO_
104203 – BONIFACIO
86402 – BONTOC
144404 - BONTOC_
72213 – BORBON
112503 – BOSTON
37101 – BOTOLAN
112323 - BRAULIO_E._DUJALI
175306 - BROOKE'S_POINT
153633 - BUADIPOSO_BUNTONG
153606 – BUBONG
140103 – BUCAY
140104 – BUCLOC
160201 – BUENAVISTA
174002 – BUENAVISTA
45605 – BUENAVISTA
67901 – BUENAVISTA
71209 – BUENAVISTA
15515 – BUGALLON
60604 – BUGASONG
21508 – BUGUEY
141105 – BUGUIAS
51705 – BUHI
1013 – BUKIDNON
51706 - BULA
31405 – BULACAN
314 – BULACAN
175204 - BULALACAO_(SAN_PEDRO)
56203 – BULAN
153802 - BULDON
153803 – BULUAN
56204 – BULUSAN
153637 – BUMBARAN
160302 – BUNAWAN
83710 – BURAUEN
45606 – BURDEOS
12806 – BURGOS
12904 – BURGOS
13308 – BURGOS
15516 – BURGOS
23105 – BURGOS
166704 – BURGOS
60405 – BURUANGA
31406 – BUSTOS
175307 – BUSUANGA
153607 – BUTIG
160202 - BUTUAN_CITY_
98302 - BUUG
13309 – CABA
23106 – CABAGAN
34903 - CABANATUAN_CITY
37102 – CABANGAN
101322 – CABANGLASAN
25702 - CABARROGUIS_
23107 – CABATUAN
63012 – CABATUAN
34904 – CABIAO
87803 – CABUCGAYAN
12905 – CABUGAO
51707 – CABUSAO
43404 - CABUYAO_CITY
64504 - CADIZ_CITY
215 – CAGAYAN
104305 - CAGAYAN_DE_ORO_CITY_
175308 – CAGAYANCILLO
168502 – CAGDIANAO
166804 – CAGWAIT
87804 – CAIBIRAN
45805 – CAINTA
175903 – CAJIDIOCAN
51708 – CALABANGA
41007 – CALACA
104204 - CALAMBA
148101 - CALANASAN_(BAYAG)
153632 - CALANOGAS
71210 – CALAPE
15517 – CALASIAO
41008 – CALATAGAN
175904 – CALATRAVA
64505 – CALATRAVA
45607 – CALAUAG
43406 – CALAUAN
21509 – CALAYAN
86003 - CALBAYOG_CITY
86004 - CALBIGA
63013 – CALINOG
175102 – CALINTAAN
137501 - CALOOCAN_CITY
83713 – CALUBIAN
31407 – CALUMPIT
60605 – CALUYA
21510 – CAMALANIUGAN
50502 – CAMALIG
51709 – CAMALIGAN
516 - CAMARINES_NORTE
517 - CAMARINES_SUR
1018 – CAMIGUIN
36903 – CAMILING
82605 - CAN_AVID
51710 – CANAMAN
35405 – CANDABA
37103 – CANDELARIA
45608 – CANDELARIA
71211 – CANDIJAY
64506 - CANDONI
74608 - CANLAON_CITY
166805 – CANTILAN
12907 - CAOAYAN
51602 – CAPALONGA
36904 – CAPAS
619 – CAPIZ
83714 – CAPOOCAN
84804 - CAPUL
112504 – CARAGA
51711 – CARAMOAN
12807 – CARASI
45806 – CARDONA
83715 – CARIGARA
63014 – CARLES
71212 – CARMEN
72215 – CARMEN
112303 – CARMEN
124702 - CARMEN
160204 – CARMEN
166806 - CARMEN
42104 – CARMONA
34905 – CARRANGLAN
166807 – CARRASCAL
37702 - CASIGURAN
56205 – CASIGURAN
56206 – CASTILLA
37104 – CASTILLEJOS
54105 – CATAINGAN
45610 – CATANAUAN
520 – CATANDUANES
101801 – CATARMAN
84805 - CATARMAN_
112505 – CATEEL
71213 – CATIGBIAN
72216 – CATMON
84806 – CATUBIG
64507 – CAUAYAN
43407 – CAVINTI
421 – CAVITE
42105 - CAVITE_CITY
54106 – CAWAYAN
722 – CEBU
72217 - CEBU_CITY_
12908 – CERVANTES
15503 - CITY_OF_ALAMINOS
45802 - CITY_OF_ANTIPOLO
30803 - CITY_OF_BALANGA_
12805 - CITY_OF_BATAC
74606 - CITY_OF_BAYAWAN_(TULONG)
83708 - CITY_OF_BAYBAY
160301 - CITY_OF_BAYUGAN
43403 - CITY_OF_BIÑAN
166803 - CITY_OF_BISLIG
72211 - CITY_OF_BOGO
82604 - CITY_OF_BORONGAN_
160203 - CITY_OF_CABADBARAN
43405 - CITY_OF_CALAMBA
175205 - CITY_OF_CALAPAN_
12906 - CITY_OF_CANDON
72214 - CITY_OF_CARCAR
86005 - CITY_OF_CATBALOGAN_
23108 - CITY_OF_CAUAYAN
42106 - CITY_OF_DASMARIÑAS
112403 - CITY_OF_DIGOS_
104307 - CITY_OF_EL_SALVADOR
64509 - CITY_OF_ESCALANTE
34908 - CITY_OF_GAPAN
74611 - CITY_OF_GUIHULNGAN
64510 - CITY_OF_HIMAMAYLAN
99701 - CITY_OF_ISABELA
997 - CITY_OF_ISABELA_(Not_a_Province)
64515 - CITY_OF_KABANKALAN
124704 - CITY_OF_KIDAPAWAN_
126306 - CITY_OF_KORONADAL_
150702 - CITY_OF_LAMITAN
137601 - CITY_OF_LAS_PIÑAS
50508 - CITY_OF_LIGAO
86407 - CITY_OF_MAASIN_
137602 - CITY_OF_MAKATI
137502 - CITY_OF_MALABON
101312 - CITY_OF_MALAYBALAY_
31410 - CITY_OF_MALOLOS_
137401 - CITY_OF_MANDALUYONG
133900 - CITY_OF_MANILA
137402 - CITY_OF_MARIKINA
54111 - CITY_OF_MASBATE_
112509 - CITY_OF_MATI_
31412 - CITY_OF_MEYCAUAYAN
137603 - CITY_OF_MUNTINLUPA
72234 - CITY_OF_NAGA
137503 - CITY_OF_NAVOTAS
112315 - CITY_OF_PANABO
137604 - CITY_OF_PARAÑAQUE
137403 - CITY_OF_PASIG
63035 - CITY_OF_PASSI
13314 - CITY_OF_SAN_FERNANDO_
35416 - CITY_OF_SAN_FERNANDO_
31420 - CITY_OF_SAN_JOSE_DEL_MONTE
137405 - CITY_OF_SAN_JUAN
43425 - CITY_OF_SAN_PEDRO
43428 - CITY_OF_SANTA_ROSA
23135 - CITY_OF_SANTIAGO
64527 - CITY_OF_SIPALAY
56216 - CITY_OF_SORSOGON_
50517 - CITY_OF_TABACO
143213 - CITY_OF_TABUK_
126511 - CITY_OF_TACURONG
112319 - CITY_OF_TAGUM_
64528 - CITY_OF_TALISAY
72250 - CITY_OF_TALISAY
41031 - CITY_OF_TANAUAN
166819 - CITY_OF_TANDAG_
74621 - CITY_OF_TANJAY
36916 - CITY_OF_TARLAC_
45647 - CITY_OF_TAYABAS
15546 - CITY_OF_URDANETA
101321 - CITY_OF_VALENCIA
137504 - CITY_OF_VALENZUELA
64531 - CITY_OF_VICTORIAS
12934 - CITY_OF_VIGAN_
71214 – CLARIN
104205 – CLARIN
166706 – CLAVER
21511 – CLAVERIA
54107 – CLAVERIA
104306 – CLAVERIA
126502 – COLUMBIO
118201 – COMPOSTELA
72218 – COMPOSTELA
1182 - COMPOSTELA_VALLEY
175905 – CONCEPCION
36905 – CONCEPCION
63015 – CONCEPCION
104206 – CONCEPCION
148102 – CONNER
72219 – CONSOLACION
175906 – CORCUERA
23109 – CORDON
72220 – CORDOVA
71215 – CORELLA
175309 – CORON
166808 – CORTES
71216 – CORTES
1247 - COTABATO_(NORTH_COTABATO)
129804 - COTABATO_CITY
1298 - COTABATO_CITY_(Not_a_Province)
61901 – CUARTERO
41009 – CUENCA
87805 - CULABA
60606 – CULASI
175322 – CULION
12808 – CURRIMAO
34906 – CUYAPO
175310 – CUYO
72221 – DAANBANTAYAN
51603 - DAET_
83717 - DAGAMI
71217 – DAGOHOY
140105 – DAGUIOMAN
15518 - DAGUPAN_CITY
72222 – DALAGUETE
101302 – DAMULOG
71218 – DANAO
72223 - DANAO_CITY
101303 – DANGCAGAN
140106 – DANGLAS
61902 – DAO
166707 – DAPA
97201 - DAPITAN_CITY
50503 - DARAGA_(LOCSIN)
86006 – DARAM
15519 – DASOL
153828 - DATU_ABDULLAH_SANGKI
153831 - DATU_ANGGAL_MIDTIMBANG
153830 - DATU_BLAH_T._SINSUAT
153835 - DATU_HOFFER_AMPATUAN
153807 - DATU_ODIN_SINSUAT_(DINAIG)
153805 - DATU_PAGLAS
153806 - DATU_PIANG
153836 - DATU_SALIBO
153826 - DATU_SAUDI_AMPATUAN
153827 - DATU_UNSAY
74609 – DAUIN
71219 – DAUIS
112402 - DAVAO_CITY
1123 - DAVAO_DEL_NORTE
1124 - DAVAO_DEL_SUR
1186 - DAVAO_OCCIDENTAL
1125 - DAVAO_ORIENTAL
166708 - DEL_CARMEN
51712 - DEL_GALLEGO
23118 - DELFIN_ALBANO_(MAGSAYSAY)
25006 – DIADI
25703 – DIFFUN
37703 – DILASAG
54108 – DIMASALANG
97305 – DIMATALING
71220 – DIMIAO
168503 – DINAGAT
1685 - DINAGAT_ISLANDS
37704 – DINALUNGAN
30804 – DINALUPIHAN
23110 – DINAPIGUE
97306 – DINAS
37705 – DINGALAN
63016 – DINGLE
12809 – DINGRAS
37706 – DIPACULAO
98303 – DIPLAHAN
97202 - DIPOLOG_CITY_
153624 - DITSAAN_RAMAIN
23111 – DIVILACAN
45615 – DOLORES
82606 – DOLORES
140107 - DOLORES
101304 - DON_CARLOS
118601 - DON_MARCELINO
104217 - DON_VICTORIANO_CHIONGBIAN_(DON_MARIANO_MARCOS)
31424 - DOÑA_REMEDIOS_TRINIDAD
56207 – DONSOL
63017 – DUEÑAS
71221 – DUERO
83718 – DULAG
74610 - DUMAGUETE_CITY_
61903 – DUMALAG
97307 – DUMALINAO
12810 – DUMALNEG
63018 – DUMANGAS
72224 – DUMANJUG
175311 – DUMARAN
61904 – DUMARAO
97308 – DUMINGAG
25007 - DUPAX_DEL_NORTE
25008 - DUPAX_DEL_SUR
826 - EASTERN_SAMAR
23112 – ECHAGUE
175312 - EL_NIDO_(BACUIT)
21512 – ENRILE
64508 - ENRIQUE_B._MAGALONA_(SARAVIA)
76101 - ENRIQUE_VILLANUEVA
54109 – ESPERANZA
126503 – ESPERANZA
160303 – ESPERANZA
63019 – ESTANCIA
43408 – FAMY
175916 – FERROL
148103 – FLORA
35406 – FLORIDABLANCA
34907 - GABALDON_(BITULOK_&_SABANI)
51713 – GAINZA
12909 – GALIMUYOD
84807 - GAMAY
23113 – GAMU
153609 – GANASSI
86007 – GANDARA
51714 – GARCHITORENA
71222 - GARCIA_HERNANDEZ
174003 – GASAN
21513 – GATTARAN
42123 - GEN._MARIANO_ALVAREZ
153819 - GEN._S._K._PENDATUN
42107 - GENERAL_EMILIO_AGUINALDO
45616 - GENERAL_LUNA
166710 - GENERAL_LUNA
82607 - GENERAL_MACARTHUR
34909 - GENERAL_MAMERTO_NATIVIDAD
45617 - GENERAL_NAKAR
126303 - GENERAL_SANTOS_CITY_(DADIANGAS)
34910 - GENERAL_TINIO_(PAPAYA)
42108 - GENERAL_TRIAS
36906 – GERONA
166711 – GIGAQUIT
52005 – GIGMOTO
72225 – GINATILAN
104308 - GINGOOG_CITY
82608 – GIPORLOS
104309 – GITAGUM
128002 – GLAN
175206 – GLORIA
51715 – GOA
97225 – GODOD
21514 – GONZAGA
112506 - GOVERNOR_GENEROSO
12910 - GREGORIO_DEL_PILAR_(CONCEPCION)
35407 – GUAGUA
56208 – GUBAT
31408 – GUIGUINTO
679 – GUIMARAS
34911 – GUIMBA
63020 – GUIMBAL
45618 – GUINAYANGAN
71223 – GUINDULMAN
153825 – GUINDULUNGAN
50504 - GUINOBATAN
101802 – GUINSILIBAN
97343 – GUIPOS
82609 - GUIUAN
45619 - GUMACA
97223 - GUTALAC
150710 - HADJI_MOHAMMAD_AJUL
150712 - HADJI_MUHTAMAD
156606 - HADJI_PANGLIMA_TAHIL_(MARUNGGAS)
112404 - HAGONOY
31409 - HAGONOY
60608 - HAMTIC
30805 - HERMOSA
82610 - HERNANI
83719 - HILONGOS
86008 - HINABANGAN
166809 - HINATUAN
83720 - HINDANG
142709 - HINGYON
64511 - HINIGARAN
64512 - HINOBA_AN_(ASIA)
86403 - HINUNANGAN
86404 - HINUNDAYAN
142702 - HUNGDUAN
37105 - IBA_
41010 - IBAAN
60406 - IBAJAY
1427 - IFUGAO
63021 - IGBARAS
21515 - IGUIG
23114 - ILAGAN_CITY_
103504 - ILIGAN_CITY
128 - ILOCOS_NORTE
129 - ILOCOS_SUR
64513 - ILOG
630 – ILOILO
63022 - ILOILO_CITY_
98304 - IMELDA
101305 - IMPASUG_ONG
42109 - IMUS_CITY
71224 - INABANGA
156601 - INDANAN
42110 - INDANG
15520 - INFANTA
45620 - INFANTA
104310 - INITAO
83721 - INOPACAN
98305 - IPIL_
51716 - IRIGA_CITY
56209 - IROSIN
83722 - ISABEL
64514 - ISABELA
231 - ISABELA
112317 - ISLAND_GARDEN_CITY_OF_SAMAL
126504 - ISULAN_
20902 - ITBAYAT
141106 - ITOGON
20903 - IVANA
61905 - IVISAN
160205 - JABONGA
34912 - JAEN
71225 - JAGNA
45807 - JALA_JALA
61906 - JAMINDAN
63023 - JANIUAY
83723 - JARO
104311 - JASAAN
83724 - JAVIER_(BUGHO)
71226 - JETAFE
86009 - JIABONG
74612 - JIMALALUD
104207 - JIMENEZ
82611 - JIPAPAD
156602 - JOLO_
45621 - JOMALIG
23115 - JONES
67902 - JORDAN_
118602 - JOSE_ABAD_SANTOS_(TRINIDAD)
97222 - JOSE_DALMAN_(PONOT)
51605 - JOSE_PANGANIBAN
97337 - JOSEFINA
50505 - JOVELLAR
56210 - JUBAN
83725 – JULITA
124703 - KABACAN
98306 - KABASALAN
141107 - KABAYAN
148104 - KABUGAO_
153814 - KABUNTALAN_(TUMBAO)
101306 - KADINGILAN
126505 - KALAMANSIG
97227 – KALAWIT
43409 - KALAYAAN
175321 – KALAYAAN
60407 - KALIBO_
101307 – KALILANGAN
1432 – KALINGA
156603 - KALINGALAN_CALUANG
83726 – KANANGA
153610 – KAPAI
112305 – KAPALONG
141108 – KAPANGAN
153639 – KAPATAGAN
103505 – KAPATAGAN
25009 – KASIBU
97203 – KATIPUNAN
103507 – KAUSWAGAN
87806 – KAWAYAN
42111 – KAWIT
25010 – KAYAPA
128003 – KIAMBA
142703 – KIANGAN
101308 – KIBAWE
112406 – KIBLAWAN
141109 – KIBUNGAN
104312 – KINOGUITAN
101309 – KITAOTAO
160206 – KITCHARAO
103508 – KOLAMBUGAN
97311 – KUMALARANG
64516 - LA_CARLOTA_CITY
64517 - LA_CASTELLANA
74613 - LA_LIBERTAD
97204 - LA_LIBERTAD
36907 - LA_PAZ
83728 - LA_PAZ
140108 - LA_PAZ
160304 - LA_PAZ
141110 - LA_TRINIDAD_
133 - LA_UNION
118202 - LAAK_(SAN_VICENTE)
97312 – LABANGAN
97205 – LABASON
51606 – LABO
15521 – LABRADOR
140109 – LACUB
140110 – LAGANGILANG
142704 - LAGAWE_
140111 – LAGAYAN
104313 – LAGONGLONG
51717 – LAGONOY
104314 – LAGUINDINGAN
434 – LAGUNA
126319 - LAKE_SEBU
97333 – LAKEWOOD
21516 - LAL_LO
103509 – LALA
126508 - LAMBAYONG_(MARIANO_MARCOS)
63025 – LAMBUNAO
142705 – LAMUT
1035 - LANAO_DEL_NORTE
1536 - LANAO_DEL_SUR
140112 – LANGIDEN
157009 – LANGUYAN
101310 – LANTAPAN
150703 – LANTAWAN
166810 – LANUZA
15548 – LAOAC
12812 - LAOAG_CITY_
84808 – LAOANG
84809 – LAPINIG
72226 - LAPU_LAPU_CITY_(OPON)
97313 – LAPUYAN
76102 – LARENA
84810 - LAS_NAVAS\
160207 - LAS_NIEVES
21517 – LASAM
60609 - LAUA_AN
34913 – LAUR
41011 – LAUREL
84811 – LAVEZARES
82612 – LAWAAN
76103 – LAZI
126506 – LEBAK
63026 – LEGANES
50506 - LEGAZPI_CITY_
41012 – LEMERY
63027 – LEMERY
63028 – LEON
83729 – LEYTE
837 – LEYTE
60408 – LEZO
41013 – LIAN
166811 – LIANGA
60409 – LIBACAO
86405 – LIBAGON
60610 – LIBERTAD
104315 – LIBERTAD
168504 - LIBJO_(ALBOR)
51718 - LIBMANAN
50507 – LIBON
101311 – LIBONA
124705 – LIBUNGAN
34914 – LICAB
140113 - LICUAN_BAAY_(LICUAN)
12911 – LIDLIDDA
71227 – LILA
43410 – LILIW
72227 – LILOAN
86406 – LILOAN
97206 – LILOY
86419 – LIMASAWA
30806 – LIMAY
103510 – LINAMON
175313 – LINAPACAN
15522 - LINGAYEN_
166812 – LINGIG
41014 - LIPA_CITY
34915 – LLANERA
82613 – LLORENTE
71228 – LOAY
41015 – LOBO
71229 – LOBOC
175103 – LOOC
175907 – LOOC
71230 – LOON
84824 - LOPE_DE_VEGA
45622 – LOPEZ
104208 - LOPEZ_JAENA
160305 – LORETO
168505 – LORETO
43411 - LOS_BAÑOS
140114 – LUBA
175104 – LUBANG
35408 – LUBAO
143206 – LUBUAGAN
45623 – LUCBAN
45624 - LUCENA_CITY_
104316 – LUGAIT
156617 – LUGUS
43412 – LUISIANA
153611 - LUMBA_BAYABAO_(MAGUING)
153641 - LUMBACA_UNAYAN
43413 – LUMBAN
153612 – LUMBATAN
153636 – LUMBAYANAGUE
148105 – LUNA
13310 – LUNA
23116 – LUNA
34916 – LUPAO
51719 – LUPI
112507 – LUPON
126507 – LUTAYAN
156604 – LUUK
124710 - M'LANG
61907 - MA_AYON
128004 – MAASIM
63029 – MAASIN
35409 - MABALACAT_CITY
74614 – MABINAY
15523 – MABINI
41016 – MABINI
71231 – MABINI
118203 - MABINI_(DOÑA_ALICIA)
43414 – MABITAC
98307 – MABUHAY
35410 – MACABEBE
45625 – MACALELON
83730 – MACARTHUR
118204 – MACO
23117 – MACONACON
86408 – MACROHON
60410 – MADALAG
153613 – MADALUM
153614 – MADAMBA
25704 – MADDELA
166813 – MADRID
72228 – MADRIDEJOS
35411 – MAGALANG
42112 – MAGALLANES
56211 – MAGALLANES
160208 – MAGALLANES
51720 – MAGARAO
43415 – MAGDALENA
175908 – MAGDIWANG
124706 – MAGPET
112407 – MAGSAYSAY
175105 – MAGSAYSAY
175314 – MAGSAYSAY
103511 – MAGSAYSAY
104317 - MAGSAYSAY_(LINUGOS)
12912 – MAGSINGAL
1538 – MAGUINDANAO
153634 – MAGUING
83731 – MAHAPLAG
20904 – MAHATAO
97315 – MAHAYAG
101803 – MAHINOG
103512 – MAIGO
156605 – MAIMBUNG
166714 – MAINIT
128005 – MAITUM
43416 – MAJAYJAY
60411 – MAKATO
124707 – MAKILALA
153615 – MALABANG
72229 – MALABUYOC
112408 – MALALAG
98308 – MALANGAS
128006 – MALAPATAN
15524 – MALASIQUI
60412 – MALAY
140115 – MALIBCONG
50509 – MALILIPOT
166715 – MALIMONO
50510 – MALINAO
60413 – MALINAO
118603 – MALITA
86409 – MALITBOG
101313 – MALITBOG
23119 – MALLIG
128007 – MALUNGON
150704 – MALUSO
41017 – MALVAR
153820 – MAMASAPANO
101804 - MAMBAJAO_
175106 - MAMBURAO_
61908 – MAMBUSAO
140116 – MANABO
15525 – MANAOAG
64518 – MANAPLA
112508 – MANAY
54110 – MANDAON
72230 - MANDAUE_CITY
15526 – MANGALDAN
15527 – MANGATAREM
153832 – MANGUDADATU
50511 – MANITO
74615 – MANJUYOD
141111 - MANKAYAN
101314 - MANOLO_FORTICH
175207 – MANSALAY
104318 – MANTICAO
97207 – MANUKAN
84812 – MAPANAS
15528 – MAPANDAN
157003 - MAPUN_(CAGAYAN_DE_TAWI_TAWI)
86010 – MARABUT
42113 – MARAGONDON
118205 - MARAGUSAN_(SAN_MARIANO)
101315 – MARAMAG
153616 – MARANTAO
153617 - MARAWI_CITY_
12813 – MARCOS
97317 – MARGOSATUBIG
76104 - MARIA
37707 - MARIA_AURORA
71232 – MARIBOJOC
166814 – MARIHATAG
31411 – MARILAO
1740 – MARINDUQUE
87807 – MARIPIPI
30807 – MARIVELES
153631 – MAROGONG
35412 – MASANTOL
541 – MASBATE
37106 – MASINLOC
153618 – MASIU
82614 – MASLOG
41018 – MATAASNAKAHOY
83733 - MATAG_OB
124708 – MATALAM
83734 – MATALOM
112410 – MATANAO
153809 – MATANOG
56212 – MATNOG
86011 – MATUGUINAO
103513 – MATUNGAO
45627 – MAUBAN
118206 – MAWAB
36908 – MAYANTOC
82615 – MAYDOLONG
83735 – MAYORGA
142706 – MAYOYAO
72231 – MEDELLIN
104319 – MEDINA
42114 - MENDEZ_(MENDEZ_NUÑEZ)
51607 – MERCEDES
82616 – MERCEDES
83736 – MERIDA
35413 – MEXICO
63030 – MIAGAO
97318 – MIDSALIP
124709 – MIDSAYAP
54112 – MILAGROS
51721 – MILAOR
63031 – MINA
51722 – MINALABAC
35414 – MINALIN
72232 – MINGLANILLA
1042 - MISAMIS_OCCIDENTAL
1043 - MISAMIS_ORIENTAL
72233 – MOALBOAL
54113 – MOBO
174004 – MOGPOG
64519 - MOISES_PADILLA_(MAGALLON)
97319 – MOLAVE
36909 – MONCADA
84813 – MONDRAGON
118207 – MONKAYO
54114 – MONREAL
118208 – MONTEVISTA
30808 – MORONG
45809 – MORONG
86012 – MOTIONG
1444 - MOUNTAIN_PROVINCE
45628 – MULANAY
153619 – MULONDO
103514 – MUNAI
64520 – MURCIA
97208 – MUTIA
104320 – NAAWAN
60414 – NABAS
51723 – NABUA
118209 - NABUNTURAN_
98309 – NAGA
51724 - NAGA_CITY
12913 – NAGBUKEL
43417 – NAGCARLAN
25706 – NAGTIPUNAN
13311 – NAGUILIAN
23120 – NAGUILIAN
42115 – NAIC
34918 – NAMPICUAN
175315 – NARRA
12914 – NARVACAN
160209 – NASIPIT
41019 – NASUGBU
15529 – NATIVIDAD
144405 – NATONIN
175208 – NAUJAN
87808 - NAVAL_
645 - NEGROS_OCCIDENTAL
746 - NEGROS_ORIENTAL
18210 - NEW_BATAAN
112314 - NEW_CORELLA
63032 - NEW_LUCENA
60415 - NEW_WASHINGTON
126311 – NORALA
153834 - NORTHERN_KABUNTALAN
848 - NORTHERN_SAMAR
31413 – NORZAGARAY
42116 – NOVELETA
349 - NUEVA_ECIJA
12814 - NUEVA_ERA
67903 - NUEVA_VALENCIA
250 - NUEVA_VIZCAYA
60416 – NUMANCIA
103515 – NUNUNGAN
50512 – OAS
31414 – OBANDO
51725 – OCAMPO
1751 - OCCIDENTAL_MINDORO
175909 – ODIONGAN
156607 - OLD_PANAMAO
37107 - OLONGAPO_CITY
98310 – OLUTANGA
156619 – OMAR
104321 – OPOL
30809 – ORANI
82617 – ORAS
1752 - ORIENTAL_MINDORO
30810 – ORION
83738 - ORMOC_CITY
104209 - OROQUIETA_CITY_
72235 – OSLOB
63034 – OTON
104210 - OZAMIS_CITY
112411 – PADADA
45629 - PADRE_BURGOS
86410 - PADRE_BURGOS
41020 - PADRE_GARCIA
43418 – PAETE
97322 - PAGADIAN_CITY_
153822 – PAGAGAWAN
153810 – PAGALUNGAN
153620 - PAGAYAWAN_(TATARIKAN)
45630 – PAGBILAO
153823 – PAGLAT
86026 – PAGSANGHAN
43419 – PAGSANJAN
12815 – PAGUDPUD
43420 – PAKIL
23121 – PALANAN
54115 – PALANAS
84814 – PALAPAG
37108 – PALAUIG
1753 – PALAWAN
34919 - PALAYAN_CITY_
126509 – PALIMBANG
83739 – PALO
83740 – PALOMPON
175107 – PALUAN
84815 – PAMBUJAN
354 – PAMPANGA
74616 – PAMPLONA
21518 – PAMPLONA
51726 – PAMPLONA
104211 – PANAON
61909 – PANAY
153833 – PANDAG
156618 – PANDAMI
52006 - PANDAN
60611 – PANDAN
31415 – PANDI
52007 - PANGANIBAN_(PAYO)
101316 – PANGANTUCAN
155 – PANGASINAN
43421 – PANGIL
71233 – PANGLAO
156616 - PANGLIMA_ESTINO_(NEW_PANAMAO)
157001 - PANGLIMA_SUGALA_(BALIMBING)
156608 - PANGUTARAN
36910 – PANIQUI
61910 – PANITAN
34920 – PANTABANGAN
103516 - PANTAO_RAGAT
103523 – PANTAR
118211 – PANTUKAN
45631 – PANUKULAN
12816 – PAOAY
31416 – PAOMBONG
51608 – PARACALE
144406 – PARACELIS
86022 - PARANAS_(WRIGHT)
\153811 – PARANG
156609 – PARANG
158407 – PARANG
51727 – PASACAO
137605 - PASAY_CITY
143208 – PASIL
83741 – PASTRANA
12817 – PASUQUIN
156610 – PATA
137606 – PATEROS
156611 – PATIKUL
45632 - PATNANUNGAN
60612 – PATNONGON
63036 – PAVIA
98311 – PAYAO
21519 – PEÑABLANCA
34921 – PEÑARANDA
140117 – PEÑARRUBIA
45633 – PEREZ
153621 – PIAGAPO
21520 – PIAT
153635 - PICONG_(SULTAN_GUMANDER)
12818 – PIDDIG
140118 – PIDIGAN
124711 - PIGKAWAYAN
124712 – PIKIT
43422 – PILA
30811 – PILAR
56213 – PILAR
61911 – PILAR
71234 – PILAR
72236 – PILAR
140119 – PILAR
166716 – PILAR
51728 - PILI_
45810 – PILILLA
86013 – PINABACDAO
175209 – PINAMALAYAN
72237 – PINAMUNGAHAN
97209 - PIÑAN_(NEW_PIÑAN)
12819 – PINILI
86411 – PINTUYAN
143209 – PINUKPUK
50513 - PIO_DURAN
54116 - PIO_V._CORPUZ_(LIMBUHAN)
45634 – PITOGO
97338 – PITOGO
54117 – PLACER
166717 – PLACER
31417 – PLARIDEL
45635 – PLARIDEL
104212 – PLARIDEL
175210 – POLA
97210 – POLANCO
50514 – POLANGUI
45636 – POLILLO
126312 – POLOMOLOK
64521 - PONTEVEDRA
61912 – PONTEVEDRA
153622 - POONA_BAYABAO_(GATA)
103517 - POONA_PIAGAPO
35415 – PORAC
72238 – PORO
63037 - POTOTAN
15530 – POZORRUBIO
71235 - PRES._CARLOS_P._GARCIA_(PITOGO)
97211 - PRES._MANUEL_A._ROXAS
51729 - PRESENTACION_(PARUBCAN)
126510 - PRESIDENT_QUIRINO
124713 - PRESIDENT_ROXAS
61913 - PRESIDENT_ROXAS
56214 - PRIETO_DIAZ
160306 - PROSPERIDAD_
153623 – PUALAS
148106 – PUDTOL
175211 - PUERTO_GALERA
175316 - PUERTO_PRINCESA_CITY_
13312 – PUGO
31418 – PULILAN
64522 – PULUPANDAN
36911 - PURA
23122 – QUEZON
25011 – QUEZON
34922 – QUEZON
45637 – QUEZON
101317 – QUEZON
175317 – QUEZON
456 - QUEZON
137404 - QUEZON_CITY
82618 – QUINAPONDAN
23123 – QUIRINO
257 – QUIRINO
12915 - QUIRINO_(ANGKAKI)
51730 – RAGAY
153829 - RAJAH_BUAYAN
23124 – RAMON
97323 - RAMON_MAGSAYSAY_(LIARGO)
36912 – RAMOS
50515 - RAPU_RAPU
45638 – REAL
23125 - REINA_MERCEDES
160212 - REMEDIOS_T._ROMUALDEZ
175108 – RIZAL
458 – RIZAL
21521 – RIZAL
34923 – RIZAL
43423 – RIZAL
143211 - RIZAL_(LIWAN)
175323 - RIZAL_(MARCOS)
45808 - RODRIGUEZ_(MONTALBAN)
1759 – ROMBLON
175910 - ROMBLON_
72239 – RONDA
15531 – ROSALES
13313 – ROSARIO
41021 – ROSARIO
42117 – ROSARIO
84816 – ROSARIO
160307 – ROSARIO
98312 - ROSELLER_LIM
23126 – ROXAS
175212 – ROXAS
175318 – ROXAS
61914 - ROXAS_CITY_
144407 – SABANGAN
141112 – SABLAN
175109 – SABLAYAN
20905 – SABTANG
144408 – SADANGA
144409 – SAGADA
101805 – SAGAY
64523 - SAGAY_CITY
71236 - SAGBAYAN_(BORJA)
51731 – SAGÑAY
25705 – SAGUDAY
153625 – SAGUIARAN
86412 - SAINT_BERNARD
104322 – SALAY
82619 – SALCEDO
12916 - SALCEDO_(BAUGEN)
140120 – SALLAPADAN
97213 – SALUG
103518 – SALVADOR
64532 - SALVADOR_BENEDICTO
30812 – SAMAL
860 - SAMAR_(WESTERN_SAMAR)
72240 – SAMBOAN
45639 – SAMPALOC
23127 - SAN_AGUSTIN
166815 - SAN_AGUSTIN
175911 - SAN_AGUSTIN
175912 - SAN_ANDRES
45640 - SAN_ANDRES
52008 - SAN_ANDRES_(CALOLBON)
34924 - SAN_ANTONIO
37109 - SAN_ANTONIO
45641 - SAN_ANTONIO
84817 - SAN_ANTONIO
166718 - SAN_BENITO
64524 - SAN_CARLOS_CITY
15532 - SAN_CARLOS_CITY
36913 - SAN_CLEMENTE
63038 - SAN_DIONISIO
12917 - SAN_EMILIO
63039 - SAN_ENRIQUE
64525 - SAN_ENRIQUE
12918 - SAN_ESTEBAN
15533 - SAN_FABIAN
37110 - SAN_FELIPE
51732 - SAN_FERNANDO
54118 - SAN_FERNANDO
72241 - SAN_FERNANDO
101318 - SAN_FERNANDO
175913 - SAN_FERNANDO
160308 - SAN_FRANCISCO
72242 - SAN_FRANCISCO
86413 - SAN_FRANCISCO
166719 - SAN_FRANCISCO_(ANAO_AON)
45642 - SAN_FRANCISCO_(AURORA)
13315 - SAN_GABRIEL
23128 - SAN_GUILLERMO
12919 - SAN_ILDEFONSO
31419 - SAN_ILDEFONSO
23129 - SAN_ISIDRO
34925 - SAN_ISIDRO
71237 - SAN_ISIDRO
83742 - SAN_ISIDRO
84818 - SAN_ISIDRO
112324 - SAN_ISIDRO
112510 - SAN_ISIDRO
140121 - SAN_ISIDRO
166720 - SAN_ISIDRO
15534 - SAN_JACINTO
54119 - SAN_JACINTO
63040 - SAN_JOAQUIN
86025 - SAN_JORGE
36918 - SAN_JOSE
41022 - SAN_JOSE
51733 - SAN_JOSE
84819 - SAN_JOSE
175110 - SAN_JOSE
175914 - SAN_JOSE
74617 - SAN_JOSE
168506 - SAN_JOSE_
60613 - SAN_JOSE_
34926 - SAN_JOSE_CITY
86014 - SAN_JOSE_DE_BUAN
13316 - SAN_JUAN
41023 - SAN_JUAN
76105 - SAN_JUAN
140122 - SAN_JUAN
86414 - SAN_JUAN_(CABALIAN)
12920 - SAN_JUAN_(LAPOG)
82620 - SAN_JULIAN
34927 - SAN_LEONARDO
67904 - SAN_LORENZO
51604 - SAN_LORENZO_RUIZ_(IMELDA)
35417 - SAN_LUIS
37708 - SAN_LUIS
41024 - SAN_LUIS
160309 - SAN_LUIS
15535 - SAN_MANUEL
23130 - SAN_MANUEL
36914 - SAN_MANUEL
37111 - SAN_MARCELINO
23131 - SAN_MARIANO
23132 - SAN_MATEO
45811 - SAN_MATEO
31421 - SAN_MIGUEL
52009 - SAN_MIGUEL
63041 - SAN_MIGUEL
71238 - SAN_MIGUEL
83743 - SAN_MIGUEL
97324 - SAN_MIGUEL
166816 - SAN_MIGUEL
37112 - SAN_NARCISO
45644 - SAN_NARCISO
12820 - SAN_NICOLAS
15536 - SAN_NICOLAS
41025 - SAN_NICOLAS
23133 - SAN_PABLO
97325 - SAN_PABLO
43424 - SAN_PABLO_CITY
41026 - SAN_PASCUAL
54120 - SAN_PASCUAL
82621 - SAN_POLICARPO
15537 - SAN_QUINTIN
140123 - SAN_QUINTIN
31422 - SAN_RAFAEL
63042 - SAN_RAFAEL
60614 - SAN_REMIGIO
72243 - SAN_REMIGIO
86415 - SAN_RICARDO
84820 - SAN_ROQUE
86015 - SAN_SEBASTIAN
35418 - SAN_SIMON
175213 - SAN_TEODORO
175319 - SAN_VICENTE
12921 - SAN_VICENTE
51609 - SAN_VICENTE
84821 - SAN_VICENTE
21522 - SANCHEZ_MIRA
12922 – SANTA
21523 - SANTA_ANA
35419 - SANTA_ANA
15538 - SANTA_BARBARA
63043 - SANTA_BARBARA
12923 - SANTA_CATALINA
74618 - SANTA_CATALINA
112412 - SANTA_CRUZ
174005 - SANTA_CRUZ
175111 - SANTA_CRUZ
12924 - SANTA_CRUZ
37113 - SANTA_CRUZ
43426 - SANTA_CRUZ_
51610 - SANTA_ELENA
25012 - SANTA_FE
72244 - SANTA_FE
83744 - SANTA_FE
175915 - SANTA_FE
36915 - SANTA_IGNACIA
160310 - SANTA_JOSEFA
12925 - SANTA_LUCIA
56215 - SANTA_MAGDALENA
148107 - SANTA_MARCELA
86016 - SANTA_MARGARITA
12926 - SANTA_MARIA
15539 - SANTA_MARIA
23134 - SANTA_MARIA
31423 - SANTA_MARIA
43427 - SANTA_MARIA
118604 - SANTA_MARIA
175917 - SANTA_MARIA_(IMELDA)
166721 - SANTA_MONICA_(SAPAO)
21524 - SANTA_PRAXEDES
35420 - SANTA_RITA
86017 - SANTA_RITA
34928 - SANTA_ROSA
21525 - SANTA_TERESITA
41027 - SANTA_TERESITA
72245 – SANTANDER
12927 – SANTIAGO
160210 – SANTIAGO
12928 - SANTO_DOMINGO
34929 - SANTO_DOMINGO
50516 - SANTO_DOMINGO_(LIBOG)
86018 - SANTO_NIÑO
126318 - SANTO_NIÑO
21526 - SANTO_NIÑO_(FAIRE)
13317 - SANTO_TOMAS
15540 - SANTO_TOMAS
23136 - SANTO_TOMAS
35421 - SANTO_TOMAS
41028 - SANTO_TOMAS
112318 - SANTO_TOMAS
13318 – SANTOL
157010 - SAPA_SAPA
103519 – SAPAD
104213 - SAPANG_DALAGA
61915 - SAPI_AN
63044 – SARA
118605 – SARANGANI
1280 – SARANGANI
45645 – SARIAYA
12821 – SARRAT
35422 - SASMUAN_(SEXMOAN)
34917 - SCIENCE_CITY_OF_MUÑOZ
60615 – SEBASTE
126512 - SEN._NINOY_AQUINO
97214 - SERGIO_OSMEÑA_SR.
71239 – SEVILLA
153808 - SHARIFF_AGUAK_(MAGANOY)_
153837 - SHARIFF_SAYDONA_MUSTAPHA
156612 – SIASI
74619 – SIATON
98313 – SIAY
97215 – SIAYAN
160314 – SIBAGAT
60616 – SIBALOM
72246 – SIBONGA
97216 – SIBUCO
74620 – SIBULAN
67905 – SIBUNAG
97217 – SIBUTAD
157011 – SIBUTU
71240 - SIERRA_BULLONES
12929 – SIGAY
61916 – SIGMA
71241 – SIKATUNA
86416 – SILAGO
42118 – SILANG
64526 - SILAY_CITY
84822 - SILVINO_LOBOS
157004 – SIMUNUL
104214 – SINACABAN
12930 – SINAIT
97218 – SINDANGAN
43429 – SINILOAN
97219 – SIOCON
51734 – SIPOCOT
761 – SIQUIJOR
76106 - SIQUIJOR_
97220 – SIRAWAI
51735 – SIRUMA
15541 – SISON
166722 – SISON
157005 – SITANGKAI
166723 – SOCORRO
175214 – SOCORRO
175324 - SOFRONIO_ESPAÑOLA
72247 – SOGOD
86417 – SOGOD
21527 – SOLANA
25013 – SOLANO
12822 – SOLSONA
97340 - SOMINOT_(DON_MARIANO_MARCOS)
562 – SORSOGON
1263 - SOUTH_COTABATO
157006 - SOUTH_UBIAN
153817 - SOUTH_UPI
864 - SOUTHERN_LEYTE
15542 – SUAL
37114 – SUBIC
13319 – SUDIPEN
104323 – SUGBONGCOGON
12931 – SUGPON
82622 – SULAT
112414 – SULOP
153640 - SULTAN_DUMALONDONG
1265 - SULTAN_KUDARAT
153812 - SULTAN_KUDARAT_(NULING)
153824 - SULTAN_MASTURA
103506 - SULTAN_NAGA_DIMAPORO_(KAROMATAN)
153813 - SULTAN_SA_BARONGIS_(LAMBAYONG)
1566 – SULU
101319 – SUMILAO
150705 – SUMISIP
126313 – SURALLAH
166724 - SURIGAO_CITY_
1667 - SURIGAO_DEL_NORTE
1668 - SURIGAO_DEL_SUR
12932 – SUYO
126316 - T'BOLI
41029 – TAAL
83745 – TABANGO
97327 – TABINA
72248 – TABOGON
83746 – TABONTABON
150713 - TABUAN_LASA
72249 – TABUELAN
83747 - TACLOBAN_CITY_
144410 – TADIAN
82623 – TAFT
166725 - TAGANA_AN
86024 - TAGAPUL_AN
42119 - TAGAYTAY_CITY
71242 - TAGBILARAN_CITY_
166817 – TAGBINA
45646 – TAGKAWAYAN
166818 – TAGO
103520 – TAGOLOAN
104324 – TAGOLOAN
153638 - TAGOLOAN_II
12933 – TAGUDIN
137607 - TAGUIG_CITY
160311 – TALACOGON
112322 – TALAINGOD
101320 – TALAKAG
86019 – TALALORA
34930 – TALAVERA
153816 – TALAYAN
71243 – TALIBON
156613 – TALIPAO
41030 – TALISAY
51611 – TALISAY
104325 – TALISAYAN
153821 – TALITAY
34931 – TALUGTUG
98314 – TALUSAN
97328 – TAMBULIG
126314 – TAMPAKAN
153626 – TAMPARAN
97221 – TAMPILISAN
83748 – TANAUAN
\45812 – TANAY
157007 – TANDUBAS
60417 – TANGALAN
103521 – TANGCAL
104215 - TANGUB_CITY
126315 – TANTANGAN
143214 – TANUDAN
42120 – TANZA
61917 – TAPAZ
156614 – TAPUL
153627 – TARAKA
86020 – TARANGNAN
369 – TARLAC
112511 – TARRAGONA
1570 - TAWI_TAWI
74622 – TAYASAN
41032 – TAYSAN
45813 – TAYTAY
175320 – TAYTAY
15543 – TAYUG
140124 – TAYUM
45814 – TERESA
42121 – TERNATE
45648 – TIAONG
60617 – TIBIAO
51736 – TIGAON
97344 – TIGBAO
63045 – TIGBAUAN
51737 – TINAMBAC
140125 – TINEG
143215 – TINGLAYAN
41033 – TINGLOY
142710 – TINOC
150706 - TIPO_TIPO
98315 – TITAY
50518 – TIWI
60607 - TOBIAS_FORNIER_(DAO)
64529 – TOBOSO
72251 - TOLEDO_CITY
83749 – TOLOSA
86418 - TOMAS_OPPUS
156615 – TONGKIL
174006 – TORRIJOS
42122 - TRECE_MARTIRES_CITY_
160312 – TRENTO
71244 – TRINIDAD
21528 – TUAO
141113 – TUBA
168507 – TUBAJON
13320 – TUBAO
153628 – TUBARAN
160211 – TUBAY
71245 – TUBIGON
141114 – TUBLAY
140126 – TUBO
166727 – TUBOD
103522 - TUBOD_
63046 – TUBUNGAN
72252 – TUBURAN
150707 – TUBURAN
72253 – TUDELA
104216 – TUDELA
153629 – TUGAYA
21529 - TUGUEGARAO_CITY_
97330 – TUKURAN
124714 – TULUNAN
23137 – TUMAUINI
83750 – TUNGA
98316 – TUNGAWAN
126317 – TUPI
157008 - TURTLE_ISLANDS
41034 – TUY
71246 – UBAY
15544 – UMINGAN
150711 - UNGKAYA_PUKAN
45649 – UNISAN
153815 – UPI
15545 – URBIZTONDO
54121 – USON
20906 – UYUGAN
60618 – VALDERRAMA
71247 – VALENCIA
74623 - VALENCIA_(LUZURRIAGA)
64530 – VALLADOLID
74624 – VALLEHERMOSO
160313 – VERUELA
175215 – VICTORIA
36917 – VICTORIA
43430 – VICTORIA
84823 – VICTORIA
52010 – VIGA
83751 – VILLABA
104326 – VILLANUEVA
86021 – VILLAREAL
15547 - VILLASIS
25014 – VILLAVERDE
140127 – VILLAVICIOSA
97341 - VINCENZO_A._SAGUN
12823 – VINTAR
51612 – VINZONS
52011 - VIRAC_
153630 – WAO
371 – ZAMBALES
97332 - ZAMBOANGA_CITY
972 - ZAMBOANGA_DEL_NORTE
973 - ZAMBOANGA_DEL_SUR
983 - ZAMBOANGA_SIBUGAY
74625 – ZAMBOANGUITA
34932 – ZARAGOZA
63047 – ZARRAGA
86023 - ZUMARRAGA
ADDRESS OF EMPLOYER
*
CONTACT NUMBER OF EMPLOYER
*
PREGNANCY STATUS
*
Pregnant
Not Pregnant
DRUG ALLERGY
*
Yes
No
FOOD ALLERGY
*
Yes
No
INSECT ALLERGY
*
Yes
No
LATEX ALLERGY
*
Yes
No
MOLD ALLERGY
*
Yes
No
PET ALLERGY
*
Yes
No
POLLEN ALLERGY
*
Yes
No
WITH COMORBIDITY
*
Yes
None
HYPERTENSION
*
Yes
No
HEART DISEASE
*
Yes
No
KIDNEY DISEASE
*
Yes
No
DIABETES MELLITUS
*
Yes
No
BRONCHIAL ASTHMA
*
Yes
No
IMMUNODEFICIENCY STATUS
*
Yes
No
CANCER
*
Yes
No
OTHERS
PATIENT WAS DIAGNOSED WITH COVID 19
*
Yes
No
DATE OF FIRST POSITIVE RESULT / SPECIMEN COLLECTION
-
Month
-
Day
Year
Date
CLASSIFICATION OF COVID 19
PROVIDED ELECTRONIC INFORMED CONSENT?
*
Yes
No
Unknown
Save
Submit
Should be Empty: