(Enclosure No. 2 to DepEd Order No. 2, s.

2014)
FORM 1

DEPARTMENT OF EDUCATION
EARLY REGISTRATION FORM

School ID: 106571 Region: III – CENTRAL LUZON

School Name: STA. INES ELEMENTARY SCHOOL Division: TARLAC PROVINCE
School District: PANIQUI NORTH
KINDERGARTEN

CATEGORY OF C/Y
WITH DISABILITY**
NAME SEX AGE BIRTHDATE ADDRESS REMARKS*
(for children and youth
with disabilities only
Ashton Kurt Aethan C. Lambino M 5 10-10-2014 Sta. Ines, Paniqui, Tarlac
Vince Andrew F. Sadiaza M 5 05-09-2015 Sta. Ines, Paniqui, Tarlac
Manuel C. Manaloto M 5 06-13-2015 Sta. Ines, Paniqui, Tarlac
Frinz Gekael Flora M 5 01-03-2015 Sta. Ines, Paniqui, Tarlac
Jhun Dail Gutierrez M 5 03-04-2015 Sta. Ines, Paniqui, Tarlac
Jeferson Magpili M 5 06-23-2015 Sta. Ines, Paniqui, Tarlac
Neil San Juan M 5 05-08-2015 Sta. Ines, Paniqui, Tarlac
Randel Antolin M 5 08-11-2015 Sta. Ines, Paniqui, Tarlac
Kenneth Antolin M 5 08-11-2015 Sta. Ines, Paniqui, Tarlac
Ariel Caseria M 5 03-09-2015 Sta. Ines, Paniqui, Tarlac
Justin Capinuyan M 5 06-23-2015 Sta. Ines, Paniqui, Tarlac
Mark Jhoren Lambino M 5 11-10-2014 Sta. Ines, Paniqui, Tarlac
Chris Nathan Manaloto M 5 04-15-2015 Sta. Ines, Paniqui, Tarlac

Majelyn M. Garay F 5 01-10-2015 Sta. Ines, Paniqui, Tarlac

Princess Junica C. Requiso F 5 09-02-2014 Sta. Ines, Paniqui, Tarlac
Princess Chloe C. Dela Cruz F 5 10-14-2014 Sta. Ines, Paniqui, Tarlac
Luzila Grace O. Reyes F 5 01-06-2015 Sta. Ines, Paniqui, Tarlac
Karen Lai J. Relles F 5 04-15-2015 Sta. Ines, Paniqui, Tarlac
Eljoy C. Sabalo F 5 10-15-2014 Sta. Ines, Paniqui, Tarlac
Laian H. Bueno F 5 12-13-2014 Sta. Ines, Paniqui, Tarlac
Ghail G. Untalan F 5 04-15-2015 Sta. Ines, Paniqui, Tarlac
Kendra C. Beltran F 7 03-20-2013 Sta. Ines, Paniqui, Tarlac
Lindsay Jazz Conte F 5 11-15-2014 Sta. Ines, Paniqui, Tarlac
Princess Angel Abuan F 5 11-06-2014 Sta. Ines, Paniqui, Tarlac
Jhenielle C. Carpo F 5 06-25-2015 Sta. Ines, Paniqui, Tarlac
Nicole D. Carpo F 5 12-10-2014 Sta. Ines, Paniqui, Tarlac
Kate Jessica Calpito F 5 12-11-2014 Sta. Ines, Paniqui, Tarlac
Jade Jalbuena F 5 05-01-2015 Sta. Ines, Paniqui, Tarlac
Julia Calpito F 5 07-23-2015 Sta. Ines, Paniqui, Tarlac
Jerrica Marquez F 5 12-25-2014 Sta. Ines, Paniqui, Tarlac

Remarks*:
1. For Grade 1 Registrants: Has attended/not attended Kindergarten class
2. For ALS: Information whether the child/youth prefers to learn through the ADM=Alternative Delivery Mode (MISOSA, e-IMPACT, DORP) or ALS = Alternative
Learning System
Category of C?Y with Disability**: Visual Impairment, Hearing, Intellectual Disability, Learning Disability, Speech/Language Impairment, Serious Emotional Disturbance,
Autism, Orthopedic Impairment, Special Health Problems, Multiple Disabilities
 (Enclosure No. 2 to DepEd Order No. 2, s. 2014)
FORM 1

DEPARTMENT OF EDUCATION
EARLY REGISTRATION FORM

School ID: 106571 Region: III – CENTRAL LUZON

School Name: STA. INES ELEMENTARY SCHOOL Division: TARLAC PROVINCE
School District: PANIQUI NORTH
GRADE ONE

CATEGO
RY OF
AG BIRTHDAT
LRN NAME SEX ADDRESS C/Y WITH REMARKS*
E E
DISABILIT
Y**
106571190001 ACOSTA, JHAY-R, JR., ALBAY M 6 04-12-2014 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190028 BALASTA, JOHN STEPHEN, TUBAY M 6 01-06-2014 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190002 CAPARINO, SEAN ESRAEL, GASPAR M 6 05-06-2014 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190003 CARPO, RAMON, JR INGASALO M 6 12-22-2013 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190004 CASERIA, BERNIE, JR CARPO M 6 07-14-2013 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190029 CLARIDAD, JAYVEE, LABURA M 5 07-15-2014 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190030 CORNEL, ROLDAN, SANTIAGO M 6 01-30-2014 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190005 DAILEG, HURBEN, UBANA M 5 06-17-2014 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190006 DE GUZMAN, MARC AEDANN, CALPITO M 5 07-28-2014 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190007 DE VERA, DHIAN JAY, SEVILLAGA M 6 12-21-2013 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190008 DURAN, BUICK, JR LAMBINO M 6 05-09-2014 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190009 FLORES, RHADIAN JHEY, VERONA M 6 01-07-2014 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190010 LAMBINO, ASCE, SEVILLAGA M 5 08-16-2014 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190011 LAMORENA, JOHN LORENCE, HIPOL M 5 08-06-2014 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190031 MIRANDA, PRINCE LIAM, CABANERO M 7 01-03-2013 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190012 PANTE, SAIMON, CARPO M 6 03-05-2014 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190013 PELIGRO, JERICO, CASERIA M 5 07-09-2014 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190014 RELLES, SALVADOR, III LIBRES M 6 12-28-2013 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190015 RELLES, SEAN EUREY, JABAS M 6 02-23-2014 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190016 SUSANO, IVLER, NICOLAS M 6 08-29-2013 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class

106571190032 ABAY, TRICIA MAE, LAMBINO F 6 11-06-2013 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190017 AGANON, MARIA ESTELA, SADIAZA F 6 10-27-2013 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190018 BARAWID, LIANNA MAE, HABAL F 5 06-26-2014 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190019 BARAWID, MILES AIEN, HABAL F 7 04-25-2013 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190020 CABANERO, MA. VEATRISE, BULONG F 5 07-10-2014 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190033 CALPITO, RONALYN, BARRETO F 6 12-29-2013 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190021 GAMIDO, PRINCESS, GANGCA F 6 12-13-2013 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190022 NAZAL, JUNEAH RAIN, NICOLAS F 6 01-12-2014 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190023 PERILLO, CLOE AEMIE LIGHTCEY, CALPITO F 6 06-04-2014 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190024 PUQUIZ, LEA MAE, TABERNERO F 5 07-01-2014 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190025 RELLES, MAXENE, TULAWE F 6 12-24-2013 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190026 SENOJA, GRAZIE ALTHEA, BARAWID F 6 07-25-2013 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class
106571190027 SINLAO, SELINA MAY, CORNEL F 6 05-11-2014 Sta. Ines, Paniqui, Tarlac Has Attended Kindergarten Class

Remarks*:
1. For Grade 1 Registrants: Has attended/not attended Kindergarten class
2. For ALS: Information whether the child/youth prefers to learn through the ADM=Alternative Delivery Mode (MISOSA, e-IMPACT, DORP) or ALS = Alternative
Learning System
Category of C?Y with Disability**: Visual Impairment, Hearing, Intellectual Disability, Learning Disability, Speech/Language Impairment, Serious Emotional Disturbance,
Autism, Orthopedic Impairment, Special Health Problems, Multiple Disabilities
(Enclosure No. 2 to DepEd Order No. 2, s. 2014)
FORM 1

DEPARTMENT OF EDUCATION
EARLY REGISTRATION FORM

School ID: 106571 Region: III – CENTRAL LUZON

School Name: STA. INES ELEMENTARY SCHOOL Division: TARLAC PROVINCE
School District: PANIQUI NORTH
GRADE TWO
CATEGORY OF
C/Y WITH
LRN NAME SEX AGE BIRTHDATE ADDRESS DISABILITY** REMARKS*
(for children and
youth with
disabilities only
106571180002 ANDRES,MICHAEL, REGALARIO M 7 01-23-2013 Sta. Ines, Paniqui, Tarlac
106571180004 BANCIFRA,JAYDEE, AQUINO M 7 02-10-2013 Sta. Ines, Paniqui, Tarlac
106571180005 CABANERO,LAUREN JELO, CACABELOS M 7 10-18-2012 Sta. Ines, Paniqui, Tarlac
106571180006 CALPITO,CEDRICK, BARAWID M 7 01-27-2013 Sta. Ines, Paniqui, Tarlac
106571180007 CALPITO,DOMINIC, VIADNES M 7 02-17-2013 Sta. Ines, Paniqui, Tarlac
106571180008 CANALES,DYLAN, ABUAN M 6 07-23-2013 Sta. Ines, Paniqui, Tarlac
106571180009 CASERIA,DANIEL, MENDOZA M 7 08-26-2012 Sta. Ines, Paniqui, Tarlac
106571160006 CORONEL,ANDREW, ASUNCION M 9 12-22-2010 Sta. Ines, Paniqui, Tarlac
106571180010 ELUNA,FRANCIS SMILE, EVANGELISTA M 7 03-31-2013 Sta. Ines, Paniqui, Tarlac
106571180011 ELUNA,MARK ALDEN, CALPITO M 7 10-28-2012 Sta. Ines, Paniqui, Tarlac
106571180012 FERNANDO,JOBAN, LIBRES M 8 04-13-2012 Sta. Ines, Paniqui, Tarlac
106571180013 GABANO,HEINN RICH, BALMES M 7 12-08-2012 Sta. Ines, Paniqui, Tarlac
106571180014 MARIANO,SEAN PHILIP, GARIBAY M 7 10-27-2012 Sta. Ines, Paniqui, Tarlac
106571180015 NORIEL,ARJHAY, CASERIA M 7 03-12-2013 Sta. Ines, Paniqui, Tarlac
106571180016 RABANAL,JERIC, SALON M 7 10-19-2012 Sta. Ines, Paniqui, Tarlac
106571180017 VILLAFLOR,KENT KIAN, RELLES M 7 02-05-2013 Sta. Ines, Paniqui, Tarlac
106571180018 VIVERO,BRYAN, CALPITO M 7 10-29-2012 Sta. Ines, Paniqui, Tarlac

106571180019 ABUAN,ALTHEA JANE, NOEL F 6 11-24-2013 Sta. Ines, Paniqui, Tarlac

106571180020 CABANERO,ROLINDA, CASERIA F 7 12-25-2012 Sta. Ines, Paniqui, Tarlac
106571180021 CABANERO,YIN CHLOE, CALE F 7 09-17-2012 Sta. Ines, Paniqui, Tarlac
106571180022 CALICA,LHEALYN, CARPO F 7 08-07-2012 Sta. Ines, Paniqui, Tarlac
106571180023 CALPITO,JOY ANN, CALPITO F 7 02-27-2013 Sta. Ines, Paniqui, Tarlac
106571180035 CALPITO,SITTI ZARAH, BAYLEN F 7 02-24-2013 Sta. Ines, Paniqui, Tarlac
106571180024 CLEMENTE,EDRIANA, CALPITO F 7 04-16-2013 Sta. Ines, Paniqui, Tarlac
106571180025 FLORA,ISHYA FE, DIMAYA F 7 09-14-2012 Sta. Ines, Paniqui, Tarlac
106571180026 GARAY,ALEXISS, MEDINA F 7 03-03-2013 Sta. Ines, Paniqui, Tarlac
106571180027 LAMBINO,MARJORIE, CALPITO F 7 04-07-2013 Sta. Ines, Paniqui, Tarlac
106571180028 LAMBINO,RAZEN KATE, SALDIVAR F 7 12-16-2012 Sta. Ines, Paniqui, Tarlac
106571180033 MANALOTO,MARIEL, CALICA F 6 07-01-2013 Sta. Ines, Paniqui, Tarlac
106571180029 NORIEL,BIANCA MAY, ABAD F 7 10-26-2012 Sta. Ines, Paniqui, Tarlac
106571180030 PULIDO,LALAINE, HIPOL F 7 01-12-2013 Sta. Ines, Paniqui, Tarlac
102545180037 SABALO,XYRIES JOY, CASERIA F 7 01-29-2013 Sta. Ines, Paniqui, Tarlac
106571180031 SANTOS,GRACE, OREJUDOS F 6 10-14-2013 Sta. Ines, Paniqui, Tarlac
106571180032 SIBAYAN,RHAINE ANNE, BARAWID F 9 05-14-2011 Sta. Ines, Paniqui, Tarlac

Remarks*:
1. For Grade 1 Registrants: Has attended/not attended Kindergarten class
2. For ALS: Information whether the child/youth prefers to learn through the ADM=Alternative Delivery Mode (MISOSA, e-IMPACT, DORP) or ALS = Alternative
Learning System
Category of C?Y with Disability**: Visual Impairment, Hearing, Intellectual Disability, Learning Disability, Speech/Language Impairment, Serious Emotional Disturbance,
Autism, Orthopedic Impairment, Special Health Problems, Multiple Disabilities
(Enclosure No. 2 to DepEd Order No. 2, s. 2014)
FORM 1
DEPARTMENT OF EDUCATION
EARLY REGISTRATION FORM
School ID: 106571 Region: III – CENTRAL LUZON
School Name: STA. INES ELEMENTARY SCHOOL Division: TARLAC PROVINCE
School District: PANIQUI NORTH
GRADE THREE
CATEGORY OF
C/Y WITH
DISABILITY**
LRN NAME SEX AGE BIRTHDATE ADDRESS REMARKS*
(for children and
youth with
disabilities only
106571170001 ABALOS,JOHN LESTER, CASERIA M 8 02-04-2012 Sta. Ines, Paniqui, Tarlac
106571170041 ANTOLIN,IVIEN, MONLION M 8 09-02-2011 Sta. Ines, Paniqui, Tarlac
106571170021 ANTOLIN,KURT XANDER, APAGA M 8 05-16-2012 Sta. Ines, Paniqui, Tarlac
106571170030 CALPITO,RONNIE, BARRETO M 8 10-28-2011 Sta. Ines, Paniqui, Tarlac
106571170022 ESTIPULAR,JHAREN, CESAR M 8 04-15-2012 Sta. Ines, Paniqui, Tarlac
106571170004 NAZAL,JOHN ARENZ, NICOLAS M 9 05-16-2011 Sta. Ines, Paniqui, Tarlac
106571170007 PUQUIZ,FRANCIS, TABERNERO M 8 03-14-2012 Sta. Ines, Paniqui, Tarlac
106571170039 SUSANO,VHENMAR ROI, NICOLAS M 8 11-19-2011 Sta. Ines, Paniqui, Tarlac
106571170026 UNTALAN,GIL, IV GAMIDO M 7 08-21-2012 Sta. Ines, Paniqui, Tarlac
106571170038 CASERIA,CHRISTIAN, CARPO M 7 06-12-2012 Sta. Ines, Paniqui, Tarlac
106571170003 DAILEG,MECKO, UBANA M 8 02-10-2012 Sta. Ines, Paniqui, Tarlac
106571170008 PUQUIZ,GINO REN'Z, NIDEA M 8 02-17-2012 Sta. Ines, Paniqui, Tarlac
500128170044 REYES,LANCE GABRIEL, OBIAS M 8 09-28-2011 Sta. Ines, Paniqui, Tarlac
106571170009 SADIAZA,VON ANDREI BERT, FERNANDEZ M 8 05-12-2012 Sta. Ines, Paniqui, Tarlac
106571170027 VALDEZ,JERALD, ESTRONILO M 8 04-24-2012 Sta. Ines, Paniqui, Tarlac

106571170010 ABAY,ROSALIE, LAMBINO F 8 08-17-2011 Sta. Ines, Paniqui, Tarlac

106571170012 AUSTRIA,ELENA MAE, DELA CRUZ F 8 05-31-2012 Sta. Ines, Paniqui, Tarlac
106571170013 BANCIFRA,JESSICA JOY, SOLEDAD F 9 01-01-2011 Sta. Ines, Paniqui, Tarlac
106571170040 CALPITO,GAVERIANA FAYE, BAYSA F 8 02-17-2012 Sta. Ines, Paniqui, Tarlac
106571170029 CALPITO,PRINCESS JONALYN, CUARESMA F 7 07-06-2012 Sta. Ines, Paniqui, Tarlac
106571170016 CARPO,GISELLE, DAILEG F 7 06-20-2012 Sta. Ines, Paniqui, Tarlac
106571170032 CATALAN,ALLEAH, SEVILLAGA F 9 11-08-2010 Sta. Ines, Paniqui, Tarlac
101429170089 LAMBINO,LIANNE JORIE MAE, - F 8 09-27-2011 Sta. Ines, Paniqui, Tarlac
110631170018 MAGPILI,JENNELYN, SAUSAL F 9 06-04-2011 Sta. Ines, Paniqui, Tarlac
106571170035 NORIEL,ELIZABETH, RELLES F 8 12-21-2011 Sta. Ines, Paniqui, Tarlac
106571170020 PANGILINAN,RONAMAE, DE GUZMAN F 8 01-14-2012 Sta. Ines, Paniqui, Tarlac
106571170037 SEVILLAGA,KIESHA VENNIZE, RUIZ F 7 08-15-2012 Sta. Ines, Paniqui, Tarlac
106571170042 ABUAN,AIRA GRACE, NOEL F 8 12-28-2011 Sta. Ines, Paniqui, Tarlac
106571170011 ACOSTA,LOVELY JOY, ALBAY F 8 12-10-2011 Sta. Ines, Paniqui, Tarlac
106571170028 BALASTA,MELODY JHAZMINE, CALPITO F 8 09-17-2011 Sta. Ines, Paniqui, Tarlac
106571170014 BARONGAN,JINGKY, CALPITO F 7 07-09-2012 Sta. Ines, Paniqui, Tarlac
106571170015 CALPITO,LEYANN, BALADAD F 8 06-11-2011 Sta. Ines, Paniqui, Tarlac
106571170043 CALPITO,SITTI ZAINAB, BAYLEN F 8 12-02-2011 Sta. Ines, Paniqui, Tarlac
106308170019 CAMACHO,JENNILYN, REBATO F 7 06-11-2012 Sta. Ines, Paniqui, Tarlac
106571170031 CASERIA,MARNAFE, BERMEJO F 7 08-10-2012 Sta. Ines, Paniqui, Tarlac
106571170033 CORNEL,ROSE GIRLIE, SANTIAGO F 8 07-21-2011 Sta. Ines, Paniqui, Tarlac
104699170015 DELA PEÑA,JILLEAN MICHE, FLORA F 8 12-11-2011 Sta. Ines, Paniqui, Tarlac
106571170019 FLORA,JESSICA, GALINDO F 8 01-04-2012 Sta. Ines, Paniqui, Tarlac
106571170045 FUENTES,FERCELLE ELAINE, ANTOLIN F 8 10-18-2011 Sta. Ines, Paniqui, Tarlac
106571170034 GABANO,AKISHA MAE, DAILEG F 8 11-17-2011 Sta. Ines, Paniqui, Tarlac
106571170036 RELLES,KIMBERLY, BORRES F 7 06-18-2012 Sta. Ines, Paniqui, Tarlac

Remarks*:
1. For Grade 1 Registrants: Has attended/not attended Kindergarten class
2. For ALS: Information whether the child/youth prefers to learn through the ADM=Alternative Delivery Mode (MISOSA, e-IMPACT, DORP) or ALS = Alternative
Learning System
Category of C?Y with Disability**: Visual Impairment, Hearing, Intellectual Disability, Learning Disability, Speech/Language Impairment, Serious Emotional Disturbance,
Autism, Orthopedic Impairment, Special Health Problems, Multiple Disabilities

(Enclosure No. 2 to DepEd Order No. 2, s. 2014)

 FORM 1

DEPARTMENT OF EDUCATION
EARLY REGISTRATION FORM

School ID: 106571 Region: III – CENTRAL LUZON

School Name: STA. INES ELEMENTARY SCHOOL Division: TARLAC PROVINCE
School District: PANIQUI NORTH
GRADE FOUR

CATEGORY OF
C/Y WITH
LRN NAME SEX AGE BIRTHDATE ADDRESS DISABILITY** REMARKS*
(for children and
youth with
disabilities only
10657116000
1
CACOYONG,MARK GERNEL, HIPOL M 9 01-05-2011 Sta. Ines, Paniqui, Tarlac
10657116000
3
CARPO,RICARDO, JR GARAY M 9 11-17-2010 Sta. Ines, Paniqui, Tarlac
10657116000
4
CASERIA,CHRIS JUNE, CARPO M 9 05-27-2011 Sta. Ines, Paniqui, Tarlac
10657116000
5
CASERIA,SAMUEL JOY, MARANGA M 9 08-31-2010 Sta. Ines, Paniqui, Tarlac
10657116000
7
DURAN,MART BRYANT, LAMBINO M 9 10-06-2010 Sta. Ines, Paniqui, Tarlac
10657116000
8
ESTIPULAR,KHYL JUSTINE, CESAR M 9 10-18-2010 Sta. Ines, Paniqui, Tarlac
10012516003
4
LIBRES,GERALD, BALABA M 8 08-11-2011 Sta. Ines, Paniqui, Tarlac
10657116001
0
NAVARRO,RJ JADE, MARI M 9 05-25-2011 Sta. Ines, Paniqui, Tarlac
10657116001
1
NORIEL,ROY, MUEGA M 9 08-25-2010 Sta. Ines, Paniqui, Tarlac
10657116002
9
OGUIS,JERMY, FABRICANTE M 9 01-14-2011 Sta. Ines, Paniqui, Tarlac
10653316001
2
SALAZAR,VHINZ ANDREI, BANCIFRA M 9 10-20-2010 Sta. Ines, Paniqui, Tarlac
10657116001
2
UNTALAN,SAMUEL KUHRT, GAMIDO M 9 12-10-2010 Sta. Ines, Paniqui, Tarlac
10657116001
3
VIVERO,RONALD, CALPITO M 9 09-01-2010 Sta. Ines, Paniqui, Tarlac

10657116001
4
AGANON,MA ANGELA, SADIAZA F 9 11-27-2010 Sta. Ines, Paniqui, Tarlac
10657116001
5
BANCIFRA,ASHLEY FAITH, SARONA F 9 04-15-2011 Sta. Ines, Paniqui, Tarlac
10657116001
6
BARONGAN,CHINKEE, CALPITO F 9 05-21-2011 Sta. Ines, Paniqui, Tarlac
10657116001
7
CALICA,LYEIAN MAE, CARPO F 9 12-18-2010 Sta. Ines, Paniqui, Tarlac
10657116001
8
CALPITO,SHANE, AQUINO F 9 11-01-2010 Sta. Ines, Paniqui, Tarlac
10657116001
9
CARBOS,JENELYN, ANTIPALA F 9 11-08-2010 Sta. Ines, Paniqui, Tarlac
10657116002
0
CARPO,JOANA KATHRINE, INGASALO F 9 10-24-2010 Sta. Ines, Paniqui, Tarlac
10657116002
1
CASERIA,TRISH JOYCE, - F 9 06-10-2010 Sta. Ines, Paniqui, Tarlac
10658516005
6
DEL MUNDO,KYLIE KHIM, ANG F 8 08-07-2011 Sta. Ines, Paniqui, Tarlac
10657116002
2
GASPAR,MARIA MILAGROS JIE, CREDO F 8 06-09-2011 Sta. Ines, Paniqui, Tarlac
10657116002
3
LAMORENA,LOVELY JOY, HIPOL F 9 02-23-2011 Sta. Ines, Paniqui, Tarlac
10657116002
4
MANALOTO,LEIGH EUNICE, CALICA F 9 12-11-2010 Sta. Ines, Paniqui, Tarlac
10657116003
0
PAGARA,CATHLYN, CASERIA F 10 02-26-2010 Sta. Ines, Paniqui, Tarlac
10657116002
5
RAMOS,CHARIZ TRACY, CALPITO F 9 08-03-2010 Sta. Ines, Paniqui, Tarlac
10657116002
6
RUBIO,REANNA MAE, DECASA F 9 10-21-2010 Sta. Ines, Paniqui, Tarlac
10657116002
7
SADIAZA,ERICH JOY, ALAAN F 8 06-10-2011 Sta. Ines, Paniqui, Tarlac
10657116002
8
SALUDEZ,ALEXA, GARIBAY F 9 08-20-2010 Sta. Ines, Paniqui, Tarlac

Remarks*:
1. For Grade 1 Registrants: Has attended/not attended Kindergarten class
2. For ALS: Information whether the child/youth prefers to learn through the ADM=Alternative Delivery Mode (MISOSA, e-IMPACT, DORP) or ALS = Alternative
Learning System
Category of C?Y with Disability**: Visual Impairment, Hearing, Intellectual Disability, Learning Disability, Speech/Language Impairment, Serious Emotional Disturbance,
Autism, Orthopedic Impairment, Special Health Problems, Multiple Disabilities
(Enclosure No. 2 to DepEd Order No. 2, s. 2014)
FORM 1
DEPARTMENT OF EDUCATION
EARLY REGISTRATION FORM
School ID: 106571 Region: III – CENTRAL LUZON
School Name: STA. INES ELEMENTARY SCHOOL Division: TARLAC PROVINCE
School District: PANIQUI NORTH
GRADE FIVE
CATEGORY OF
C/Y WITH
LRN NAME SEX AGE BIRTHDATE ADDRESS DISABILITY** REMARKS*
(for children and
youth with
disabilities only
10657115000
1
AGUILAR,PAUL ASI, MAMENG M 10 02-03-2010 Sta. Ines, Paniqui, Tarlac
10657115000
2
ANTOLIN,IVAN, MONLION M 10 12-31-2009 Sta. Ines, Paniqui, Tarlac
10657115000
3
ANTOLIN,MARK JERICK, CALPITO M 10 10-03-2009 Sta. Ines, Paniqui, Tarlac
10657115000
4
BAAY,RAYMART, CARPO M 10 01-10-2010 Sta. Ines, Paniqui, Tarlac
10657115003
6
BARAWID,YUAN, CALPITO M 10 09-19-2009 Sta. Ines, Paniqui, Tarlac
10657117004
4
CALPITO,FERNANDO, CASTIDAD M 15 07-28-2004 Sta. Ines, Paniqui, Tarlac
10657115000
5
CALPITO,JOHN KRISTOFFE, BARAWID M 10 04-10-2010 Sta. Ines, Paniqui, Tarlac
10657115000
6
DE GUZMAN,GIAN MHEL, LIBRES M 10 12-07-2009 Sta. Ines, Paniqui, Tarlac
10657115003
8
ELUNA,MARK ALLEN, CALPITO M 9 08-25-2010 Sta. Ines, Paniqui, Tarlac
10657115000
7
ERBITE,JHAN PAUL, TABERNERO M 10 03-23-2010 Sta. Ines, Paniqui, Tarlac
10657115000
8
EUMAGUE,CHRISTOPER, GUILLERMO M 10 03-06-2010 Sta. Ines, Paniqui, Tarlac
10657115000
9
LAMBINO,RAVEN, SALDIVAR M 10 05-25-2010 Sta. Ines, Paniqui, Tarlac
11064014018
4
MAGPILI,JERRYMIL, SAUSAL M 13 01-16-2007 Sta. Ines, Paniqui, Tarlac
10657115001
0
MANUEL,JOHN ICEN, ANTOLIN M 10 06-06-2010 Sta. Ines, Paniqui, Tarlac
10657115001
1
MARI,MARK CYRUS, GUMANGAN M 9 06-30-2010 Sta. Ines, Paniqui, Tarlac
10657115001
2
NORIEL,MARK ANTHONY, MACALANDA M 10 05-20-2010 Sta. Ines, Paniqui, Tarlac
10656815006
2
OLONAN,CLARK KENT, CALPITO M 10 04-05-2010 Sta. Ines, Paniqui, Tarlac
10657115003
9
RABANAL,JB BRIX, FLORA M 9 09-09-2010 Sta. Ines, Paniqui, Tarlac
10655915000
2
SACLAO,SANDY, CATAMORA M 9 08-27-2010 Sta. Ines, Paniqui, Tarlac
10787915016
4
SADIAZA,KING JORIC, ALAAN M 10 11-02-2009 Sta. Ines, Paniqui, Tarlac
10657115001
3
SEVILLAGA,KEITH CYRILL, BAYSA M 10 12-29-2009 Sta. Ines, Paniqui, Tarlac
10657115001
4
SUMAOANG,JAYROLD, YU-AG M 10 05-20-2010 Sta. Ines, Paniqui, Tarlac
10657115001
5
VIVERO,RODEL, JR CALPITO M 11 05-10-2009 Sta. Ines, Paniqui, Tarlac
23 <=== TOTAL MALE
10657115001
8
ACOSTA,KRISTINE, CALICA F 10 11-27-2009 Sta. Ines, Paniqui, Tarlac
10657115001
9
CALPITO,LESEL, BALADAD F 10 04-04-2010 Sta. Ines, Paniqui, Tarlac
10657115002
0
CANCINO,ASHLEY GAIL, CARIAGA F 10 04-10-2010 Sta. Ines, Paniqui, Tarlac
10657115002
2
CASERIA,JASMINE, VALDEZ F 10 01-19-2010 Sta. Ines, Paniqui, Tarlac
10657115002
1
CASERIA,JHENNA, MALONZO F 9 10-09-2010 Sta. Ines, Paniqui, Tarlac
10702316007
8
DELA CRUZ,LIANNE MAURICE, SOTILLO F 10 11-10-2009 Sta. Ines, Paniqui, Tarlac
10657115002 FERNANDEZ,JAENELLE ANGELLI,
3 SADIAZA
F 9 07-04-2010 Sta. Ines, Paniqui, Tarlac
10657115002
4
FLORA,SHYRISH MHAE, CORPUZ F 10 01-31-2010 Sta. Ines, Paniqui, Tarlac
10657115002
5
GALVADORES,MORNING SHANE, VIDUYA F 10 12-27-2009 Sta. Ines, Paniqui, Tarlac
10949515010
2
GROMIO,ALYANA, MEDINA F 9 09-18-2010 Sta. Ines, Paniqui, Tarlac
10657115002
6
JAZMIN,ARBY RHIANNE, CARPO F 10 05-24-2010 Sta. Ines, Paniqui, Tarlac
10657115002 MENDOZA,JONARICE KHATE, BARAWID F 10 11-26-2009 Sta. Ines, Paniqui, Tarlac
7
10657115002
8
MORZO,ROSEMARIE, MERCULIO F 10 03-05-2010 Sta. Ines, Paniqui, Tarlac
10657115003
1
PULIDO,ANA FAUSTINA, HIPOL F 9 06-29-2010 Sta. Ines, Paniqui, Tarlac
10657115003
2
RAÑESES,ALEXIAH NICOLE, CASERIA F 9 07-21-2010 Sta. Ines, Paniqui, Tarlac
10657115003
3
RUFINO,RUBY ROSE, GUILLERMO F 10 03-14-2010 Sta. Ines, Paniqui, Tarlac
10657115003
4
SOBRADO,KASANDRA MARIZ, OGUIZ F 9 07-07-2010 Sta. Ines, Paniqui, Tarlac
10657115003
5
VALDEZ,ANGEL, ESTRONILO F 10 11-26-2009 Sta. Ines, Paniqui, Tarlac

Remarks*:
1. For Grade 1 Registrants: Has attended/not attended Kindergarten class
2. For ALS: Information whether the child/youth prefers to learn through the ADM=Alternative Delivery Mode (MISOSA, e-IMPACT, DORP) or ALS = Alternative
Learning System
Category of C/Y with Disability**: Visual Impairment, Hearing, Intellectual Disability, Learning Disability, Speech/Language Impairment, Serious Emotional Disturbance,
Autism, Orthopedic Impairment, Special Health Problems, Multiple Disabilities
(Enclosure No. 2 to DepEd Order No. 2, s. 2014)
FORM 1

DEPARTMENT OF EDUCATION
EARLY REGISTRATION FORM

School ID: 106571 Region: III – CENTRAL LUZON

School Name: STA. INES ELEMENTARY SCHOOL Division: TARLAC PROVINCE
School District: PANIQUI NORTH
GRADE SIX

CATEGORY OF
C/Y WITH
LRN NAME SEX AGE BIRTHDATE ADDRESS DISABILITY** REMARKS*
(for children and
youth with
disabilities only
10657114000
1
ABUAN,ALDRIN JOHN, NOEL M 11 12-11-2008 Sta. Ines, Paniqui, Tarlac
10657114000
2
ABUAN,MICHAEL ANGELO, GONZALES M 10 09-06-2009 Sta. Ines, Paniqui, Tarlac
10657114000
3
ANDRES,RODNEIL JOHN, REGALARIO M 11 04-23-2009 Sta. Ines, Paniqui, Tarlac
10657114000
4
CALPITO,BRENT LEE, - M 10 07-30-2009 Sta. Ines, Paniqui, Tarlac
10657114000
5
CALPITO,JOHN GIO, BAYSA M 10 09-23-2009 Sta. Ines, Paniqui, Tarlac
10657114000
6
CARPO,DAVID GIBSON, MARI M 11 03-10-2009 Sta. Ines, Paniqui, Tarlac
10657114000
7
CORNEL,ANTHONY, RELLES M 11 12-26-2008 Sta. Ines, Paniqui, Tarlac
10657114000
8
CORNEL,ROGER, JR SANTIAGO M 11 02-09-2009 Sta. Ines, Paniqui, Tarlac
10515714001
1
DAILEG,JOHN RUHNEB, UBANA M 11 02-28-2009 Sta. Ines, Paniqui, Tarlac
10657114000
9
FLORA,JOHN STEVEN ROY, LOBENARIO M 11 01-14-2009 Sta. Ines, Paniqui, Tarlac
10657114001
0
FRONDA,JAMES, GRAVO M 11 03-09-2009 Sta. Ines, Paniqui, Tarlac
10657114001
1
OREJUDOS,LANCE EZEKEIL, CASERIA M 11 04-13-2009 Sta. Ines, Paniqui, Tarlac
10657114001
2
UGOY,CHRISTIAN KENNETH, VALDEZ M 11 05-20-2009 Sta. Ines, Paniqui, Tarlac
13 <=== TOTAL MALE
10657114001 BALASTA,MARGARETTE JHAMELA,
3 CALPITO
F 11 05-13-2009 Sta. Ines, Paniqui, Tarlac
10657114001
4
BELTRAN,CASSANDRA MAE, CABANERO F 11 01-14-2009 Sta. Ines, Paniqui, Tarlac
10657114001
5
CABUANG,JASHLEY, BARAWID F 11 03-03-2009 Sta. Ines, Paniqui, Tarlac
10657114001
6
CARPO,JAMAICA, INGASALO F 11 02-08-2009 Sta. Ines, Paniqui, Tarlac
10657114001
7
CARPO,JESSICA MAE, GARAY F 11 05-25-2009 Sta. Ines, Paniqui, Tarlac
13663414078
1
CLARIDAD,REA CRISTINE, CALPITO F 11 12-16-2008 Sta. Ines, Paniqui, Tarlac
10657114001
8
CORNEL,MARIEL, RELLES F 10 06-16-2009 Sta. Ines, Paniqui, Tarlac
10657114001
9
FERNANDO,CHLENICE IDAH JO, LIBRES F 11 05-22-2009 Sta. Ines, Paniqui, Tarlac
10657114002
0
FLORA,JAMAICA, GALINDO F 10 09-11-2009 Sta. Ines, Paniqui, Tarlac
10657114002
1
FLORES,IZABELLA SHAYNE, ABUAN F 11 10-07-2008 Sta. Ines, Paniqui, Tarlac
10956814014
9
GABANO,HILARY KAYE, BALMES F 11 05-26-2009 Sta. Ines, Paniqui, Tarlac
10657114002
2
GARAY,PRINCESS ARMALYN, MEDINA F 10 08-17-2009 Sta. Ines, Paniqui, Tarlac
1.366E+11 LAGRADA,TAMAECA, SALIENTES F 11 01-21-2009 Sta. Ines, Paniqui, Tarlac
10657114002
3
MANUEL,CRIZZIA JANE, ANTOLIN F 11 01-01-2009 Sta. Ines, Paniqui, Tarlac
10657114002
4
NORIEL,LARA JANE, FAUSTO F 11 04-08-2009 Sta. Ines, Paniqui, Tarlac
11173314009
5
OGUIS,VALERIE, FABRICANTE F 11 03-03-2009 Sta. Ines, Paniqui, Tarlac
10657114002
5
PINEDA,CHRISTINE, NORIEL F 10 06-17-2009 Sta. Ines, Paniqui, Tarlac
10657114002
6
PUQUIZ,PRECIOUS JOY, TABERNERO F 10 06-30-2009 Sta. Ines, Paniqui, Tarlac
10657114002
7
RABANAL,VALERIE ASHLIE, FLORA F 11 06-04-2009 Sta. Ines, Paniqui, Tarlac
10657114002 RAMOS,PAULA FAITH, CALPITO F 11 03-20-2009 Sta. Ines, Paniqui, Tarlac
8
10657114002
9
RANESES,KEZIAH DANIELLA, CASERIA F 11 12-14-2008 Sta. Ines, Paniqui, Tarlac
10657114003
0
RELLES,MARIA ISABEL, TULAWE F 11 12-15-2008 Sta. Ines, Paniqui, Tarlac
10657114003
1
SADIAZA,ALHEYSA MAE, CALPITO F 11 09-26-2008 Sta. Ines, Paniqui, Tarlac
10657114003
2
SINLAO,JESSIELYN, CORNEL F 11 04-25-2009 Sta. Ines, Paniqui, Tarlac

Remarks*:
1. For Grade 1 Registrants: Has attended/not attended Kindergarten class
2. For ALS: Information whether the child/youth prefers to learn through the ADM=Alternative Delivery Mode (MISOSA, e-IMPACT, DORP) or ALS = Alternative
Learning System
Category of C/Y with Disability**: Visual Impairment, Hearing, Intellectual Disability, Learning Disability, Speech/Language Impairment, Serious Emotional Disturbance,
Autism, Orthopedic Impairment, Special Health Problems, Multiple Disabilities
(Enclosure No. 3 to DepEd Order No. 2, s. 2014)
FORM 2A
SCHOOL PLAN TO ADDRESS NEEDS

Name of Elementary School: STA. INES ELEMENTARY SCHOOL

Division: TARLAC PROVINCE Region: III – CENTRAL LUZON
Date Accomplished: ___________________________

Please indicate additional inputs needed.

TENTATIVE ENROLMENT A. Additional Inputs Needed (Please indicate number)

GRADE LEVEL
M F TOTAL Classroom Teachers Textbooks Seats
1. Kindergarten 13 17 30 1 1 31 21
2. Grade 1 20 13 33 0 0 30 22
3. Grade 2 17 16 31 0 0 13 29
4. Grade 3 15 26 41 0 0 9 25
5. Grade 4 13 17 30 0 0 8 26
6. Grade 5 23 18 41 0 0 30 20
7. Grade 6 13 24 37 0 0 25 15
TOTAL 1 1 146 158

B. Inputs Needs
Learners under the ADMs Tentative Enrolment Teacher-
Modules
Facilitator
Age 9 0 0 0 0 0
Age 10 0 0 0 0 0
Age 11 0 0 0 0 0
Age 12 and above 0 0 0 0 0
TOTAL 0 0 0 0 0

B. Inputs Needs
Learners under the ADMs Tentative Enrolment Teacher-
Modules
Facilitator
Age 9 0 0 0 0 0
Age 10 0 0 0 0 0
Age 11 0 0 0 0 0
Age 12 and above 0 0 0 0 0
TOTAL 0 0 0 0 0

TENTATIVE ENROLMENT C. Additional Inputs Needed (Please indicate number)

CATEGORIES OF DISABILITY
M F TOTAL Classroom Teachers Textbooks Seats
Visual Impairment 0 0 0 0 0 0 0
Hearing Impairment 0 0 0 0 0 0 0
Intellectual Disability 0 0 0 0 0 0 0
Speech/Language Impairment 0 0 0 0 0 0 0
Serious Emotional Disturbance 0 0 0 0 0 0 0
Autism 0 0 0 0 0 0 0
Orthopedic Impairment 0 0 0 0 0 0 0
Special Health Problems 0 0 0 0 0 0 0
Multiple Diseases 0 0 0 0 0 0 0
TOTAL 0 0 0 0 0 0 0

D. PROPOSED DIFFERENTIATED PROGRAM INTERVENTION E. ASSISTANCE NEEDED

1. Formal Delivery System Number of Textbooks and Seats are needed.
2. ADMs -
3. Special Education in Inclusive Setting -
Submitted by:

MA. TERESA V. MAWIRAT, Ed.D

Name and Signature of School Head
Principal-I
Designation
Mobile Number: 09286238552
E-mail Address: 106571.staineses@deped.gov.ph
PICTORIALS