Professional Documents
Culture Documents
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
Sex (M/F)
R
NAME IP of
BIRTH DATE 1st TONGUE RELIGIO Father's Name Mother's
LRN (Last Name, First Name, Middle (Ethnic House #/ Parent
(mm/dd/yyyy) Frid (Grade N (Last Name, Maiden Name
Name) Group) Street/ Municipality Relationsh or
ay 1 to 3 Barangay Province First Name, (Last Name, Name
Sitio/ / City ip Guardia
June Only) Purok
Middle Name) First Name, n
Middle Name)
FAJUTNAO,
FAJUTNAO,JHUN REY, Romblo Bantoa Christia DANCALAN,AN
158531100283 M 11-17-2004 14 BALOGO CALATRAVA ROMBLON REYMUND
DANCALAN manon non nity ALYN,PAZ,
CASIMERO
FAJUTNAO,
FAJUTNAO,KENETH DAVE, Romblo Christia EDMA,ELSA,VA
111393120005 M 04-28-2006 13 BALOGO CALATRAVA ROMBLON ALBERTO
EDMA manon nity LMORIDA,
TORIAMPO
FALCUTILA, MANA,MARICE
FALCUTILA,PETER MARCO, Romblo Bantoa Christia
111393120006 M 08-01-2005 13 BALOGO CALATRAVA ROMBLON ARNOLD L,VICTORIANO
MANA manon non nity
MAGRAMO ,
FALLARNA, FAJILAGMAGO,
FALLARNA,CHRISTIAN KIERT, Romblo Bantoa Christia
111313110007 M 09-04-2005 13 BALOGO CALATRAVA ROMBLON ROLANDO MABELLE,FAD
FAJILAGMAGO manon non nity
ROMERO RIQUELAN,
FERRANCULLO MERANO,TRINI
Romblo Bantoa Christia
136437120006 FERRANCULLO,TROY, MERANO M 11-18-2005 13 BALOGO CALATRAVA ROMBLON , RAMONCITO DAD,FAMPULA
manon non nity
MAGRAMO ,
VICTORIANO,R
FLORES,BEN CYROSE, Romblo Bantoa Christia
136797110311 M 04-02-2006 13 BALOGO CALATRAVA ROMBLON FLORES, BEN B OSELYN,BAÑO
VICTORIANO manon non nity
ZA,
GALAN,
Romblo Christia MANTAC,MARI
111393100020 GALAN,ALEX, MANTAC M 10-28-2004 14 BALOGO CALATRAVA ROMBLON ALEJANDRO
manon nity LOU,MANOY,
MENORCA
MAGRAMO,JEN
LISAY,MARK LORENCE, Romblo Christia LISAY, MARVIN
111393100027 M 03-03-2004 15 BALOGO CALATRAVA ROMBLON NIFER,SAMUL
MAGRAMO manon nity MONTALES SR
DE,
MANOY,
Romblo Bantoa Christia FALLARNA,EVA
111393110030 MANOY,JAN REY, FALLARNA M 10-23-2005 13 BALOGO CALATRAVA ROMBLON MARLON
manon non nity ,MORENO,
MANAYON
(Please refer
to the legend
on last page)
Pending TI
MANZO,MARK LAURINCE, Romblo Christia MANZO, RECTO,MARYV
111393100038 M 09-18-2004 14 BALOGO CALATRAVA ROMBLON
RECTO manon nity MARTY SIXON ILLE,GANGGA,
MENORCA,
Romblo Christia TABIN,MILAGR
111393100047 MENORCA,JESSIE, TABIN M 10-22-2003 15 BALOGO CALATRAVA ROMBLON FELIPE
manon nity OS,MANZO,
MANLIGAS JR
MENORCA,
Romblo Bantoa Christia FESARIT,VIVIA
111393100051 MENORCA,JOMAR, FESARIT M 05-16-2005 14 BALOGO CALATRAVA ROMBLON NILDE
manon non nity N,SIXON,
MARCELINO
PALARAN,MAR
MERANO,
Romblo Bantoa Christia Y
111393110045 MERANO,JHUN PAUL, PALARAN M 01-19-2006 13 BALOGO CALATRAVA ROMBLON MARJHUN
manon non nity PAULINE,SABA
BALDERA
NDAL,
MONTAÑO,
Christia KALIGTASA BONGABON ORIENTAL SOLANGON,RE
110396100040 MONTAÑO,JONAS, SOLANGON M 06-30-2004 14 Tagalog MAMERTO
nity N G MINDORO CA,TACASA,
MACOY JR
NAVARRO,CAT
Christia
111393100058 NAVARRO,CARL JUSTIN, - M 01-23-2004 15 Tagalog BALOGO CALATRAVA ROMBLON HYREN,MAGRA
nity
MO,
OCAMPO,
Romblo Bantoa Christia SIXON,DAISY,F
111393110048 OCAMPO,VIC ANDREW, SIXON M 04-11-2006 13 BALOGO CALATRAVA ROMBLON ARTURO
manon non nity ERNANDEZ,
GALLANO
FROGOSA,MA
Bantoa RELOJ, KID
111412130058 RELOJ,JHON KHEN, FROGOSA M 12-23-2005 13 Ati Others SAN ROQUE CALATRAVA ROMBLON RIEL,MARTINE
non, Asi FAMPULA
Z,
SACAPANO,MARK LESTER, Christia SACAPAÑO, MAGRAMO,LU
136534130393 M 04-01-2005 14 Tagalog BALOGO CALATRAVA ROMBLON
MAGRANO nity MODESTO M CY,SIXON,
Sibuyan
Mangya SELOSA,
Romblo Christia ALBA,CHARO,
111393120004 SELOSA,ALVEN, ALBA M 01-16-2005 14 n- BALOGO CALATRAVA ROMBLON ALDIN
manon nity MALUNES,
Tagabu GALACETE
kid
MAESTRO,MAR
SIXON,
Romblo Christia Y
111393120011 SIXON,KENT CYRIL, MAESTRO M 07-11-2005 13 BALOGO CALATRAVA ROMBLON RONALD
manon nity ANN,SAGUN,S
MARCELINO
AGUN
MANOY,CHERR
Romblo Bantoa Christia SIXON, WILLY
111393110062 SIXON,MARK IVAN, MANOY M 03-14-2006 13 BALOGO CALATRAVA ROMBLON YBETH,ROMER
manon non nity FERNANDEZ
O,
SIXSON, CASTILLO,EVE
SIXSON,JOHN LLOYD, Romblo Christia
111393110059 M 01-03-2006 13 BALOGO CALATRAVA ROMBLON DANILO LYN,BILLIONES
CASTILLO manon nity
ROBLO ,
FAJUTNAO,
Romblo Bantoa Christia SIXON,SIONY,
111393110008 FAJUTNAO,CHIL MAY, SIXON F 03-03-2006 13 BALOGO CALATRAVA ROMBLON ROBERTO
manon non nity GALARIO,
BENDOL
FAJUTNAO,
Romblo Bantoa Christia SIXON,SIONY,
111393100008 FAJUTNAO,CHILOVE, SIXON F 10-12-2004 14 BALOGO CALATRAVA ROMBLON ROBERTO
manon non nity GALARIO,
BENDOL
T/I
DATE:2019-
06-03
Pending TI
Pending TI
FAMERO,
Bantoa Christia SAGUN,MARIT
111335140051 FAMERO,JENELYN, SAGUN F 09-28-2005 13 Tagalog BALOGO CALATRAVA ROMBLON JONATHAN
non nity ES,GALLANO,
FORCADAS
FERRERA,
FERRERA,KRISTINE JOY, Romblo Bantoa Christia MOJADO,MYRN
111393110011 F 12-25-2005 13 BALOGO CALATRAVA ROMBLON RONALD
MOJADO manon non nity A,MINGGO,
MAGBATA
CASIMERO,VE
FONDEVILLA,MARIANE, Romblo Bantoa Christia FONDEVILLA,
111393110013 F 01-05-2006 13 BALOGO CALATRAVA ROMBLON RGIE,FALLARN
CASIMERO manon non nity PAUL GALICIA
A,
GALAN,
Romblo Christia MANTAC,MARI
111393100021 GALAN,MARIE CHU, MANTAC F 07-27-2002 16 BALOGO CALATRAVA ROMBLON ALEJANDRO
manon nity LOU,MANOY,
MENORCA
BALDON,JOSE
Romblo Christia GALLANO,
111393110020 GALLANO,JOAN, BALDON F 10-10-2004 14 BALOGO CALATRAVA ROMBLON PHINE,ALLAMI
manon nity LINO MANZO
N,
GERONIMO,
Romblo Christia GALARIO,LANI
111393120009 GERONIMO,SARAH, GALARIO F 07-23-2006 12 BALOGO CALATRAVA ROMBLON CRISTOPHER
manon nity E,GUEVARRA,
GALLANO
Sibuyan
Mangya MADJOS, SALVADOR,AN
MADJOS,ASSALEA ANN, Romblo Christia
111393110027 F 08-08-2006 12 n- BALOGO CALATRAVA ROMBLON NICANOR ALISA,ESPINE
SALVADOR manon nity
Tagabu BAGOTSAY DA,
kid
MAGRAMO,
Romblo Christia SAGUN,BERLI
111393110028 MAGRAMO,URI MAE, SAGUN F 10-29-2005 13 BALOGO CALATRAVA ROMBLON ULYSSES
manon nity NA,GADON,
GALLANO
INDIAS,CHILO
MANTES,HASSHIE JANE, Bantoa Christia MANTES,
111393110032 F 02-20-2006 13 Tagalog BALOGO CALATRAVA ROMBLON VE,FERRANCU
INDIAS non nity CHRISTOPHER
LLO,
VICTORIANO,J
MANZO,CHRISZYLLA JANE, Romblo Christia MANZO,
111393110034 F 06-05-2006 13 BALOGO CALATRAVA ROMBLON OCELYN,MANT
VICTORIANO manon nity CRISTY SIXON
AC,
MAQUINTO,JO
Romblo Christia
111393110036 MAQUINTO,CRISTENA, - F 09-21-2006 12 BALOGO CALATRAVA ROMBLON SEPHINE,PENE
manon nity
S,
MENDOZA,
Romblo Christia MACALDO,VIVI
111393120003 MENDOZA,AIRESH, MACALDO F 10-28-2005 13 BALOGO CALATRAVA ROMBLON MANNY
manon nity AN,,
MOSCOSO
MOLATO,
MOLATO,JOANNE KAYE, Romblo Bantoa Christia TUMAOB,JOAN
111393110046 F 05-02-2006 13 BALOGO CALATRAVA ROMBLON GLENN
TUMAOB manon non nity ,MANOY,
PEDROSA
ROMERO, MADEJA,ROSE
Romblo Christia
111393110052 ROMERO,SHEN, MADEJA F 10-10-2006 12 BALOGO CALATRAVA ROMBLON SAMSON MARIE,MADUR
manon nity
SIXON O,
SIXON,
Romblo Christia CASIMERO,LIN
111393110058 SIXON,FIONA FAYE, CASIMERO F 04-05-2006 13 BALOGO CALATRAVA ROMBLON JOMARK
manon nity A,CORPUZ,
MERANO
47 <=== COMBINED
List and Code of Indicators under REMARKS column
Cod Cod Prepared by; Certified Correct:
Indicator Required Information Indicator Required Information REGISTERED BoSY EoSY
e e
Transfered Out T/O Name of Public (P) Private (PR) School & CCT Receipient CCT CCT Control/reference number & JUDITH FETALCORIN FABELLON
Effectivity Date Effectivity Date MALE 28
Balik Aral B/A ESTHER ORTEGA MANOY (Signature of School Head over Prin
Transfered In T/I Name of Public (P) Private (PR) School & Name of school last attended & Year Name)
(Signature of Adviser over Printed
Effectivity Date Learner With LW FEMALE 19 Name)
Disability D Specify
Dropped DRP Reason and Effectivity Date Accelerated BoSY Date: EoSY Date:
Late LE Reason (Enrollment beyond 1st Friday of ACL Specify Level & Effectivity Data TOTAL 47
Enrollment June) BoSY Date: EoSY Date:
EoSY Date:
d thru LIS