Professional Documents
Culture Documents
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School ID
103226
School Name
Region II
Division
Tagaran ES
2016 - 2017
Grade
Grade 5
ADDRESS
District
Section
PARENTS
GUARDIAN
(if Not Parent)
NAME
(Last Name, First Name, Middle
Name)
Sex (M/F)
AGE MOTHE
as of
R
BIRTH DATE
1st TONGUE
(mm/dd/yyyy) Frida (Grade
y
1 to 3
June
Only)
School Year
Cauayan City
103226110009
11-05-2006
Iloko
Ilocano
Others
TAGARAN
CITY OF
CAUAYAN
ISABELA
BALASSU,
EDWIN
SANCHEZ
BALASSU,ED
PAAT,CELIA,SU
WIN,SANCHE
MAUANG,
ZPAAT,
103226130034
09-16-2006
Tagalog Ilocano
Others
TAGARAN
CITY OF
CAUAYAN
ISABELA
CALIXTRO,
ARTEMIO
NACOR
RECOMETA,VI CALIXTRO,AR
OLETA,RECOM TEMIO,NACOR
ETA,
,
103226110013
06-22-2006
Iloko
Gaddan
Others
g
TAGARAN
CITY OF
CAUAYAN
ISABELA
CAUILAN,
NICOLAS
CUNTAPAY
CAUILAN,NIC
CARAUI,ADELF
OLAS,CUNTAP
A,BAYANG,
AY,
103211100065
02-03-2005
11
Iloko
Others
TAGARAN
CITY OF
CAUAYAN
ISABELA
CAUILAN,
RONEL DELA
CRUZ
LEPLANA,ROV CAUILAN,RON
ELYN,MADDAL EL,DELA
ORA,
CRUZ,
102527110020
05-19-2005
11
Iloko
Christia
nity
TAGARAN
CITY OF
CAUAYAN
ISABELA
CESISTA,
RODELIO
DUMELOD
CABATBAT,JOA
N,LALICAN,
103226110014
03-03-2006
10
Iloko
Others
TAGARAN
CITY OF
CAUAYAN
ISABELA
136652120053
09-15-2005
10
Tagalog Tagalog
TAGARAN
CITY OF
CAUAYAN
ISABELA
DAGAMI,
ALLAN
PAGATPATAN
DAGAMI,ALLA
AUCENA,LUISA
N,PAGATPATA
,SAMSON,
N,
103226110018
06-27-2006
Iloko
Others
TAGARAN
CITY OF
CAUAYAN
ISABELA
FUGABAN,
JAYSON
REVILLA
SAGUISI,BERN
FUGABAN,JAY
ADETTE,PERE
SON,REVILLA,
Z,
136900120051
07-06-2006
Tagalog Tagalog
Christia
nity
TAGARAN
CITY OF
CAUAYAN
ISABELA
GALAMIDA,
BERNARDO
ORDONIO
GALAMIDA,BE
ZAMAR,MATER
RNARDO,ORD
ESA,N,
ONIO,
103226120042
08-26-2006
Iloko
Christia
nity
TAGARAN
CITY OF
CAUAYAN
ISABELA
LICUANAN,
EDUARDO
REVILLA,NOAH
JEAN,DAGURO,
103226110025
05-10-2006
10
Iloko
Ilocano
Christia
nity
TAGARAN
CITY OF
CAUAYAN
ISABELA
MARAGGUN,R
EMA,APOSTOL
,
103226120047
12-13-2005
10
Iloko
Ilocano
Others
TAGARAN
CITY OF
CAUAYAN
ISABELA
REVILLA,NOAH
JEAN,DAGURO,
103226110031
02-03-2006
10
Tagalog Ilocano
Others
TAGARAN
CITY OF
CAUAYAN
ISABELA
REYES,
EDUARDO
LABOG
GONZALES,NO
REYES,EDUAR
IME,SALVADO
DO,LABOG,
R,
LRN
IP
(Ethnic
Group)
Ilocano
Ilocano
RELIGIO
N
House #/
Street/
Sitio/
Purok
Barangay
Municipality
/ City
Province
Father's Name
(Last Name,
First Name,
Middle Name)
Mother's
Maiden Name
(Last Name,
First Name,
Middle
Name
Relationsh
ip
Contact
Number
of
Parent
or
Guardia
n
istrict
REMARKS
(Please refer
to the legend
on last page)
T/I
DATE:201606-13
103627110016
01-05-2006
10
Iloko
Ilocano
Christia
nity
TAGARAN
CITY OF
CAUAYAN
ISABELA
VILLANUEVA,A
RIVERA, AMOR
RIVERA,AMOR
NTONIA,CAUIL
,-,
AN,
103226110036
01-19-2006
10
Iloko
Ilocano
Others
TAGARAN
CITY OF
CAUAYAN
ISABELA
VINLUAN,
ORLANDO JR
CLARAMO,NA VINLUAN,ORL
NCY,GUZMAN, ANDO,,JR
103226110004
11-23-2005
10
Iloko
Ilocano
Others
TAGARAN
CITY OF
CAUAYAN
ISABELA
APOSTOL,
ERNESTO
GONZALES JR
APOSTOL,ERN
BACON,GRACE
ESTO,GONZA
LDA,DURADO,
LES,JR
103226110011
06-15-2005
11
Iloko
Ilocano
Others
TAGARAN
CITY OF
CAUAYAN
ISABELA
CAMACHO,
JOWEL
MALLAVO
DACUYCUY,CH CAMACHO,JO
RISTIAN,PURU WEL,MALLAV
GGANAN,
O,
103226110012
06-04-2006
10
Iloko
Ilocano
Others
TAGARAN
CITY OF
CAUAYAN
ISABELA
CASERO, NILO
MALANA
SOLIVEN,RAJAL CASERO,NILO,
YN,MAMAUAG, MALANA,
103226110015
11-26-2005
10
Iloko
Ilocano
Others
TAGARAN
CITY OF
CAUAYAN
ISABELA
CUTARAN,
ROGELIO
SSLCEDO
CUTARAN,RO
MOLINA,IMELD
GELIO,SALCE
A,QUILANG,
DO,
136641120680
06-06-2006
10
Tagalog Tagalog
Christia
nity
TAGARAN
CITY OF
CAUAYAN
ISABELA
DELOS
SANTOS,
VEVINCIO
ALBASAN
DELOS
LUCAVIAS,LUD SANTOS,VEVI
YGIN,EMPILIO, NCIO,ALBASA
N,
103226110017
09-26-2005
10
TAGARAN
CITY OF
CAUAYAN
ISABELA
ESCOREL,
ANTONIO
ALMORADIE
LUCERO,IMEL
DA,QUILANG,
103226110019
04-18-2007
Iloko
Ilocano
Others
TAGARAN
CITY OF
CAUAYAN
ISABELA
GUIUO,
ANTONIO
TULIAO
CABISO,EDELY GUIUO,ANTO
N,TORRES,
NIO,TULIAO,
103226110021
LANGUIDO, NICHOLE
FUGABAN
06-30-2006
Iloko
Ilocano
Others
TAGARAN
CITY OF
CAUAYAN
ISABELA
LANGUIDO,
JAIME
CACAYURAN
103226110023
04-28-2006
10
Iloko
Ilocano
Others
TAGARAN
CITY OF
CAUAYAN
ISABELA
LIMBAUAN,
BARTOLOME
BAQUIRAN
ZILABBO,LUCI
A,ADAOAG,
103226150035
LOPEZ, NICHOLE
MARGARETTE ASTILLO
09-23-2006
Tagalog Tagalog
Christia
nity
TAGARAN
CITY OF
CAUAYAN
ISABELA
LOPEZ,
RONALD
DURATO
ASTILLO,VIVIA LOPEZ,RONAL
N,DOROY,
D,DURATO,
103226130033
05-09-2006
10
Iloko
Ilocano
Christia
nity
TAGARAN
CITY OF
CAUAYAN
ISABELA
LUCES,
ISAGANI
DIMILLIONES
103226120043
09-06-2005
10
Iloko
Ilocano
Christia
nity
TAGARAN
CITY OF
CAUAYAN
ISABELA
MAMUYAC,
RICHARD
PASION
MAMUYAC,RIC
PALOMO,MARI
HARD,PASION
TES,,
,
103226110033
04-21-2006
10
Iloko
Ilocano
Christia
nity
TAGARAN
CITY OF
CAUAYAN
ISABELA
TAGUBA,
ROQUE
QUILANG
PENALOSA,JOC
TAGUBA,ROQ
ELYN,REAMBO
UE,QUILANG,
N,
103225120066
TAGUINOD, ESTEPHANIE
BARIZA
07-31-2002
13
Iloko
Ilocano
Christia
nity
TAGARAN
CITY OF
CAUAYAN
ISABELA
TAGUINOD,
ANTHONY
BARIZA,MARLY TAGUINOD,AN
N,AGGARAO,
THONY,,
103226110035
04-11-2006
10
Iloko
Ilocano
Christia
nity
TAGARAN
CITY OF
CAUAYAN
ISABELA
VILLAR,
WILFREDO
SANTOS
MARAMAG,ZE
NAIDA,NINO,
ESCOREL,ANT
ONIO,ALMOR
ADIE,
LANGUIDO,JAI
ME,CACAYURA
N,
LIMBAUAN,BA
RTOLOME,BA
QUIRAN,
LUCES,ISAGA
NI,DIMILLION
ES,
VILLAR,WILFR
EDO,SANTOS,
T/I
DATE:201606-13
T/I
DATE:201606-13
T/I
DATE:201606-13
Cod
Required Information
e
Transfered Out
Transfered In
T/I
Dropped
Indicator
Cod
Required Information
e
REGISTERED
BoSY
MALE
15
FEMALE
15
TOTAL
30
EoSY
Prepared by;
BoSY Date:
Certified Correct:
EoSY Date:
BoSY Date:
EoSY Date:
ATOC LACAMBRA
EoSY Date: