Professional Documents
Culture Documents
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School Name Paclasan ES School Year 2019 - 2020 Grade Level Grade 1 Section CAMIA
GUARDIAN
AGE ADDRESS PARENTS
(if Not Parent)
as of MOTHER Contact
Sex (M/F)
IP
LRN
NAME BIRTH DATE 1st TONGUE
(Ethnic
RELIGIO Number of
(Last Name, First Name, Middle Name) (mm/dd/yyyy) Frida (Grade 1 N Father's Name Mother's Maiden Parent or
Group) House #/
y to 3 Only) Municipality/ (Last Name, First Name (Last Name, Guardian
Street/ Sitio/ Barangay Province Name Relationship
City Name, Middle First Name, Middle
June Purok
Name) Name)
NERY,KATHLY
Christiani PACLASAN ORIENTAL BACAY,
110638180008 BACAY,REN'Z, NERY M 09-05-2012 6 Tagalog ROXAS N
ty (POB.) MINDORO WARREN ROYO
JOY,ORTEGA,
MALUBAY,BA
Christiani PACLASAN ORIENTAL BUAN, RYAN
110638180010 BUAN,PRINCE, MALUBAY M 09-27-2012 6 Tagalog ROXAS BYLYN,VENAN
ty (POB.) MINDORO PABLO
CIO,
CRUZ,PRINCES
Christiani PACLASAN ORIENTAL S
110459180030 CRUZ,YURI EZEKHIEL, - M 10-13-2012 6 Tagalog ROXAS
ty (POB.) MINDORO BRIGITTE,CLOS
A,
CUEVA,
Christiani PACLASAN ORIENTAL GALVEZ,ANAL
110638180006 CUEVA,REYNALDO, JR GALVEZ M 10-29-2012 6 Tagalog ROXAS REYNALDO
ty (POB.) MINDORO IZA,DIONISIO,
ESPINOSA SR
GADONG,PRIN
DIMATULAC,
Christiani PACLASAN ORIENTAL CESS
110638180060 DIMATULAC,LANCE, GADONG M 08-30-2012 6 Tagalog ROXAS RANDY
ty (POB.) MINDORO ANN,DOMINGO
AUNGON
,
FAJUTAGANA, BITUIN,MARIA
FAJUTAGANA,LORENZ Christiani PACLASAN ORIENTAL
110638180009 M 12-15-2012 6 Tagalog ROXAS ARNOLD LIWANAG,MAR
GABRIEL, BITUIN ty (POB.) MINDORO
YAZON QUEZ,
MALUBAY,
Christiani PACLASAN ORIENTAL PRADO,DJUAN
110638180013 MALUBAY,KYLE, PRADO M 05-22-2012 7 Tagalog ROXAS ARNALDO
ty (POB.) MINDORO NA,MALIGO,
VENANCIO
MAPANO,
Christiani PACLASAN ORIENTAL VALDEZ,MARI
110638170027 MAPANO,DANIEL, VALDEZ M 01-22-2012 7 Tagalog ROXAS CRESENCIANO
ty (POB.) MINDORO NA,PANTOJO,
CEZAR
SALVACION,
Christiani PACLASAN ORIENTAL ANTOLIN,GRA
110638180031 SALVACION,CALVIN, ANTOLIN M 12-16-2012 6 Tagalog ROXAS MAR JOHN
ty (POB.) MINDORO CE,ALMAZAN,
ORACION
SERRANO,
Christiani PACLASAN ORIENTAL LUJARIO,ANGE
110638180072 SERRANO,JOEL, JR LUJARIO M 04-13-2012 7 Tagalog ROXAS JOEL DELA
ty (POB.) MINDORO LINA,LUCAS,
CRUZ SR
TARNATE, CASTILLO,MA
TARNATE,VREN JAYDAN, Christiani PACLASAN ORIENTAL
110640180011 M 06-30-2013 5 Tagalog ROXAS BAYANI ERIKA
CASTILLO ty (POB.) MINDORO
EVANGELISTA JOY,VISCA,
REMARKS
T/I DATE:2019-
06-03
T/O
DATE:2019/08/1
6
T/I DATE:2019-
06-03
ZACARIAS,
Christiani PACLASAN ORIENTAL ALMAZAN,WE
109469180469 ZACARIAS,RENZ, ALMAZAN M 02-19-2013 6 Tagalog ROXAS CHIPPY
ty (POB.) MINDORO LLA,IGNACIO,
FERNANDO
ANTARAN,
ANTARAN,MA. VIANCA Christiani PACLASAN ORIENTAL GAGUIS,LEZIE
110638180045 F 12-18-2012 6 Tagalog ROXAS MARK ANTON
MARZEL, GAGUIS ty (POB.) MINDORO L,ROBLES,
MAGBATA
ANTOLIN, DIMATULAC,M
ANTOLIN,CHARLEE XEINE, Christiani PACLASAN ORIENTAL
110638180063 F 12-21-2012 6 Tagalog ROXAS ANDRICH ARY
DIMATULAC ty (POB.) MINDORO
ATILANO JANE,RAGASA,
ARGUELLES,
Christiani PACLASAN ORIENTAL GABALOG,JULI
110638180043 ARGUELLES,RENCY, GABALOG F 05-06-2013 6 Tagalog ROXAS RICHARD
ty (POB.) MINDORO ET,GARA,
CEZAR
Christiani PACLASAN ORIENTAL BERNARDO, GAHISAN,ROM
110638180050 BERNARDO,CAITLYN, GAJISAN F 08-03-2012 6 Tagalog ROXAS
ty (POB.) MINDORO CELBERT G ELYN,G,
DIMAILIG,
DIMAILIG,FRANCHEZKA Christiani PACLASAN ORIENTAL TEOPE,ROSEM
110638180056 F 10-10-2013 5 Tagalog ROXAS KENETH
MARIE, TEOPE ty (POB.) MINDORO ARIE,CEZAR,
DELOS SANTOS
FESARIT,MELA
Christiani PACLASAN ORIENTAL DIONISIO,
110638180066 DIONISIO,GWEN, FESARIT F 03-01-2013 6 Tagalog ROXAS NIE,GERONIMO
ty (POB.) MINDORO RUEL ALEJO
,
FERRERA,
FERRERA,PRINCESS JANDY, Christiani PACLASAN ORIENTAL SUMANTING,H
110638180064 F 03-22-2013 6 Tagalog ROXAS JOHN LOUIE
SUMANTING ty (POB.) MINDORO YDIE,GAJISAN,
ALCORAN
FORMON, UDTOHAN,MEL
Christiani PACLASAN ORIENTAL
110638180055 FORMON,CHIESHA, UDTOHAN F 10-10-2013 5 Tagalog ROXAS ENRICO DE GRACE,DELA
ty (POB.) MINDORO
BELEN CRUZ,
GABUTE, SALIBIO,MARY
Christiani PACLASAN ORIENTAL
110638180034 GABUTE,ELIZA, SALIBIO F 11-15-2012 6 Tagalog ROXAS DANTE CRIS,MENDOZ
ty (POB.) MINDORO
MERANO A,
DIMATULAC,G
GAGWIS,ALLEH ZANDRA, Christiani PACLASAN ORIENTAL GAGWIS, JOHN
110638180020 F 07-04-2013 5 Tagalog ROXAS ERALDINE,MA
DIMATULAC ty (POB.) MINDORO RIO
PANO,
T/I DATE:2019-
06-03
T/I DATE:2019-
06-03
GLORI,
Christiani PACLASAN ORIENTAL SANZ,SHEILA,F
110638180065 GLORI,XYRIZ KHAMRYN, SANZ F 11-11-2013 5 Tagalog ROXAS MICHAEL
ty (POB.) MINDORO ADRIQUILAN,
LIMBO
MARCELO,
MARCELO,FRINZES SOFIA, Christiani PACLASAN ORIENTAL GALARIO,GEM
110638180067 F 02-21-2013 6 Tagalog ROXAS JHONDER
GALARIO ty (POB.) MINDORO MA,MANUEL,
ARGUELLES
MARCELO, DE
MARCELO,SHYNE EMERALD, Christiani PACLASAN ORIENTAL
110638180003 F 12-17-2013 5 Tagalog ROXAS JAZZEL LEON,ANALIE,
DE LEON ty (POB.) MINDORO
ARGUELLES PERALTA,
MIRASOL,
MIRASOL,VHANESA JANE, Christiani PACLASAN ORIENTAL MAITIM,GIMM
110638180023 F 07-20-2013 5 Tagalog ROXAS JOHN PAUL
MAITIM ty (POB.) MINDORO A,MAGNO,
ROMANO
MONTESA,AIN
NAPOLITANO,
NAPOLITANO,KRIZIA Christiani ORIENTAL A
110638180022 F 03-20-2013 6 Tagalog ROXAS JOHN
YSABELLE, MONTESA ty MINDORO JESSA,MORGA
SALENDREZ
DO,
PAEZ, MARQUEZ,REC
PAEZ,CATALEYA KATE, Christiani PACLASAN ORIENTAL
110638180024 F 10-14-2012 6 Tagalog ROXAS JAYMARC HELLE,MIRASO
MARQUEZ ty (POB.) MINDORO
FLORES L,
POBLETE,
POBLETE,MHECIA LAY, Christiani PACLASAN ORIENTAL FREMISTA,MA
110638180041 F 10-04-2012 6 Tagalog ROXAS MELCHOR
FREMISTA ty (POB.) MINDORO RILYN,ARBOL,
NALAZON
ROMANO,
Christiani PACLASAN ORIENTAL GAÑO,NERISSA
110638180047 ROMANO,JHESSA MAE, GAÑO F 05-22-2013 6 Tagalog ROXAS MARK JAYSON
ty (POB.) MINDORO ,FEDELIN,
REYES
UMANDAL,
UMANDAL,SOPHIA YURIKA, Christiani PACLASAN ORIENTAL VECINAL,DAIS
110638180005 F 09-14-2013 5 Tagalog ROXAS KAREL JAY
VECINAL ty (POB.) MINDORO Y,GAYATIN,
GABAYNO
VILLARRUZ,
VILLARRUZ,ARRLEAH JULLIAH, Christiani PACLASAN ORIENTAL ADAP,LEALIZA
110640180165 F 10-01-2012 6 Tagalog ROXAS GARRY
ADAP ty (POB.) MINDORO ,GELINDON,
MAHILUM
43 <=== COMBINED
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date HAYLEE GANAN FABELLON
Date MALE 14
Balik Aral B/A Name of school last attended & Year JENNIE LUNIZA RUGA (Signature of School Head over Printed Nam
Transfered In T/I Name of Public (P) Private (PR) School & Effectivity
Date Learner With LWD Specify (Signature of Adviser over Printed Name)
FEMALE 28
Disability
Dropped DRP Reason and Effectivity Date Accelerated ACL Specify Level & Effectivity Data
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) BoSY Date: EoSY Date:
TOTAL 42
BoSY Date: EoSY Date:
T/I DATE:2019-
11-13
T/I DATE:2019-
06-03
AN FABELLON
EoSY Date:
d thru LIS