LIST OF AFFECTED WORKERS DUE TO COVID-19

Instruction: If necessary, use additional sheets following the same format.

CONSENT NOTICE: By accomplishing this form, you agree that the information submitted shall be used solely for purposes of processing CAMP applications pursuant to Labor Advisory No. 09-2020. We may likewise disclose your personal information to the extent that we are
required to do so by the Data Privacy Act of 2012. As a general rule, we may only keep your information until such time that we have attained the purpose by which we collect them. Under the foregoing circumstances and to the extent permissible by applicable law, you agree not to
take any action against the DOLE for the disclosure and retention of your information.

Company Name: AA WHOLEFOODS COMPANY

Address: 2/F SM LANANG PREMIER, DAVAO CITY

Profile of Affected Workers (PLEASE SUBMIT THIS FORM IN EXCEL FORMAT)

* Mandatory fields to be accomplished by the company representative for COVID-19 AMP applications.
EMPLOYMENT SALARY*
EMPLOYEE'S FIRST EMPLOYEE'S MIDDLE PRINCIPAL EMPLOYEE'S STATUS* (Indicate whether
NO EMPLOYEE'S LAST NAME* AGE* SEX* EMPLOYEE'S ADDRESS* DESIGNATION*
NAME* NAME* AMOUNT CONTACT #* (regular, per hour, per day
contractual, etc.) or per month)

1 AREVALO ZEMVRY OLEA 30 MALE 5,000.00 San Antonio Vill. Bajada , Davao City 9187071675 Cook REGULAR 396/day
2 ASUELO RONILO CATIIL 59 MALE 5,000.00 KM. 12 Sasa Davao City 09257141434 Senior Cook REGULAR 664.85/day
Kitchen
42 Purok 3 , Tungkalan Toril , Davao City 9359502458
3 BONITE JOSEPH REYES MALE 5,000.00 Supervisor REGULAR 580/day
Product
33 Ponciano St. Davao City 9074162895
4 CABALLES CHARLIE BABAS MALE 5,000.00 Controller REGULAR 396/day
5 CABEBE RICHARD ARBOLLENTE 30 MALE 5,000.00 Purok 5B Chrysanthenum St. Sto. Nino Vill. Tibungco Davao City 9454602172 Barman REGULAR 396/day
6 CALIBAY JAYSON BANUELOS 30 MALE 5,000.00 Dona Asuncion , Pampanga , Davao City 9101195666 Team Leader REGULAR 600/day
7 CUBILLAS JERRY CATAMORA 27 MALE 5,000.00 South San Juan Brgy. Centro Agdao , Davao City 9308109293 Commisary Staff REGULAR 396/day
8 DIGMAN ROBERT SALCEDO 50 MALE 5,000.00 Del Carmen Vill. Sasa, Davao City 9128916646 Team Leader REGULAR 500/day

27 South San Juan Brgy. Centro Agdao , Davao City 09750044049 Accounting Staff
9 DONATO MARK JAYSON MALAKI MALE 5,000.00 REGULAR 420/day
10 ELEGIN JAY - AR BERAY 38 MALE 5,000.00 Dona Asuncion Ph. 8 Malibago St. Brgy. Pampanga, Davao City 9197275045 Team Leader REGULAR 396/day
11 FEDERIZO JUAN POLICARPO TOMADA 36 MALE 5,000.00 KM 8 Cabantian Buhangin , Davao City 09128894551 Stockman REGULAR 410/day
12 GARCIA SHARON ABAYA 46 FEMALE 5,000.00 8th Ave. Fortune Homes Lanang , Davao City 09994881573 Purchasing Staff REGULAR 450/day
13 GOMEZ JERLY SANCHEZ 38 MALE 5,000.00 South San Juan Brgy. Centro Agdao , Davao City 09505417745 Kitchen OIC REGULAR 396/day
14 ILIGAN MARK ANTHONY BELILA 19 MALE 5,000.00 Garcia Heigths 19-B Bajada Davao City 9305513756 Kitchen Helper PROBATIONARY 396/day
B25 L17 Phase 3 Purok 11 , Dona Asuncion Vill. Brgy. Pampanga Davao
35 9474765866 Finance Head
15 LAPING ARVEN CARDAÑO MALE 5,000.00 City REGULAR 420/day
16 MAESTRE CHRISTIAN DIAZ 26 MALE 5,000.00 Brgy. R. Castillo Salindato St. Jerome Ext. Davao City 9550724488 Barman REGULAR 396/day
17 MAHUMOT JOVELYN BABIERA 27 FEMALE 5,000.00 Seaside 11 Vill. Matina Aplaya, Davao City 9650388865 Cashier PROBATIONARY 396/day
18 MARA ALVIN AMORADO 36 MALE 5,000.00 Purok 3 Dona Salud Subd. Sasa Davao City 9566579190 Commissary staff REGULAR 410/day
19 NUGAS RACHEL ARNADO 30 FEMALE 5,000.00 Purok 2 , Anonang Kaputian Dist. 3 , IGACOS 9108183909 Cashier REGULAR 396/day
20 OMBIGA ROCHELL CABUGA 36 FEMALE 5,000.00 Purok 2 New Matina Gravahan Davao City 9266942014 Inventory head REGULAR 440/day
21 PATRIA RICKY JHONES BUÑOL 33 MALE 5,000.00 Brgy. R. Castillo Salindato St. Jerome Ext. Davao City 9129931473 Dining Staff REGULAR 396/day
22 RISMA JR BENJAMINE JR CATAMORA 28 MALE 5,000.00 Fatima Vill. Bajada DAVAO CITY 9101632341 COOK REGULAR 396/day
Operation
40 Block 8, Lot 5 Garnet St. RGA Village Dacudao, Davao City 9226370200
23 SAPONG RONALYN REDULA FEMALE 5,000.00 Manager REGULAR 769/day
24 SAUS CLYDE LAROSA 38 MALE 5,000.00 Dona Asuncion Phase 6, Apalit St. B.O. Pampanga Davao City 9121937129 Cook REGULAR 396/day
25 SERDAN VICENTE CAPSTRANO 51 MALE 5,000.00 Jade Valley Buhangin Davao City 9239043887 Commissary Head REGULAR 653/day
26 SIMENE ARVIN AMBONGAN 25 MALE 5,000.00 Block 33 Lot 6 R.castillo , Davao City 9776746552 Cook REGULAR 396/day
27 SUPAPO JR. RAUL ALCORDO 51 MALE 5,000.00 Sto. Domingo 2 Pampanga Sasa , Davao City 9653984016 Driver REGULAR 435/day
28 SURALTA MURPHY BELLA JARO 30 MALE 5,000.00 Ilang Ilang St. de Guzman Vill. KM 12, Sasa Davao City 9509873755 Dining Staff REGULAR 396/day
Commissary
39 Purok 5 , Tambo Babak , IGACOS 9094957055
29 TABLATE MARVIN FRONDA MALE 5,000.00 Staff REGULAR 396/day
30 CAPITO EUGENE LLORENTE 28 MALE 5,000.00 Green Vill. San Antonio R. Castillo St. Agdao , Davao City 9394989384 Kitchen Helper PROBATIONARY 396/day
31 RUBEN REYMARK BANAC 24 MALE 5,000.00 New Matina Gravahan Davao City 9291776931 Kitchen Helper PROBATIONARY 396/day
32 BUALAN JASON PILLODAR 24 MALE 5,000.00 Garcia Heigths 19-B Bajada Davao City 9503789834 Kitchen Helper PROBATIONARY 396/day
33 BELLETE ARNOLD D' LUIS VECILLES 32 MALE 5,000.00 Garcia Heigths 19-B Bajada Davao City 9481544478 Kitchen Helper PROBATIONARY 396/day
34 VIDAL ROBELYN HERMOSURA 28 FEMALE 5,000.00 KM. 10 Sasa Wharf Parola Sasa, Davao City 9195020183 Kitchen Helper PROBATIONARY 396/day
35 TORRES AILEEN MAE FERNANDEZ 23 FEMALE 5,000.00 Ocean View Phase 1-A Ilang Davao City 9467999389 Dining Staff PROBATIONARY 396/day
36 TUBIO REY JOHN MATAS 27 MALE 5,000.00 V. Mapa St. Bajada Davao City 9094652907 Kitchen helper ONCALL 396/day
37 VILLACORA JENEFIS GAJES 30 MALE 5,000.00 V. Mapa St. Bajada Davao City 9770716855 Kitchen helper ONCALL 396/day
38 MANERA JOMAR TACATANI 28 MALE 5,000.00 Katambak Ext. Brgy. Lapu Lapu Davao City 955548081 Kitchen helper ONCALL 396/day
 Summary of Request For Cash Advance

Date Of Request Last Name First Name

Thursday, April 23, 2020 Caballes Charlie
Thursday, April 23, 2020 Bellete Arnold D'Luis
Thursday, April 23, 2020 Suralta Murphy
For Cash Advance

Status Amount Contact No.

Regular 6,000 09074162895
Probationary 2,000 09481544478
Regular 2,000 09752200058 Check