Professional Documents
Culture Documents
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School Name Don Potenciano Catarata MNHS School Year 2020 - 2021 Grade Level Grade 9 (Year Section LOVE
GUARDIAN
ADDRESS PARENTS
(if Not Parent)
Age MOTHER Contact
Sex (M/F)
IP
LRN
NAME BIRTH DATE as of TONGUE (Ethnic
RELIGIO Number of
(Last Name, First Name, Middle Name) (mm/dd/yyyy) Octob (Grade 1 N Father's Name Mother's Maiden Parent or
Group) House #/
er 31 to 3 Only) Municipality/ (Last Name, First Name (Last Name, Guardian
Street/ Sitio/ Barangay Province Name Relationship
City Name, Middle First Name, Middle
Purok
Name) Name)
Cebuano
/ ALIVIO, LEPAOPAO,CA
ALIVIO,ANGELO CHARLES, Christiani
119764110003 M 05-25-2006 14 Sinugbua SOMOSA TABOGON CEBU RICHARD NDELARIA,PAC
LEPAOPAO ty
nong UMPAD ALDO,
Binisay
BALORO, ABALLE,MARI
Christiani GUADALUP CITY OF
120743110008 BALORO,MIKE JADE, ABALLE M 11-21-2005 14 Cebuano CEBU NESTOR CHEL,BERCER
ty E BOGO
GARING O,
CABAHUG,
Christiani GUADALUP CITY OF OCO,NANCY,O
162508130305 CABAHUG,RAYMOND, OCO M 01-30-2006 14 Cebuano CEBU RICHARD
ty E BOGO RANDE,
CAAYON
FARRALES, PIAÑAR,GENY,
Christiani
119764100021 FARRALES,JOHNY BOY, PIAÑAR M 02-18-2004 16 Cebuano SOMOSA TABOGON CEBU QUINTIN ANUB CAPANGPANG
ty
JR AN,
HERRIS, BONSUBRE,RIC
Christiani
119764120077 HERRIS,LEE, BONSUBRE M 12-27-2004 15 Cebuano SOMOSA TABOGON CEBU OBSTENINCIO HELL,PACALD
ty
MENA O,
Christiani LOBITAÑA,JOS
119764120078 LOBITAÑA,JOHN LOYD, - M 10-12-2003 17 Cebuano SOMOSA TABOGON CEBU PIOGO, ROY P
ty IE,P,
MOLEJON,
MOLEJON,JORGE RAFAEL, Christiani GUADALUP CITY OF MONARES,RAQ
119108110045 M 10-10-2005 15 Cebuano CEBU JORGE
MONARES ty E BOGO UEL,ARPON,
CATARATA
Cebuano
/ MOLEJON,
Christiani CABASE,NERIS
119764110030 MOLEJON,LYNDON, CABASE M 07-06-2006 14 Sinugbua SOMOSA TABOGON CEBU ERLINDO
ty SA,PIAÑAR,
nong CATAMPATAN
Binisay
REMARKS
Learning
Modality (Please refer to
the legend on last
page)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
T/I
Modular
DATE:2020-
(print)
08-03
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Christiani DELA CRUZ, PANILAG,MARI
119106120021 PANILAG,EDEMAR, - M 02-17-2003 17 Cebuano SOMOSA TABOGON CEBU
ty EDGAR C LOU,P,
Cebuano
/
Christiani PELAYO, MOLEJON,AMP
119760100028 PELAYO,FAUSTO, JR MOLEJON M 11-14-2004 15 Sinugbua SALAG TABOGON CEBU
ty FAUSTO P SR ARO,C,
nong
Binisay
PINANGAY,EV
Christiani GUADALUP CITY OF
119846100019 PINANGAY,JUSTINE KIEN, - M 01-17-2003 17 Cebuano CEBU ELYN,DEGOMI
ty E BOGO
O,
Cebuano
/
Christiani PIOGO, ROY LOBITANA,JOS
119764110041 PIOGO,ROGIE, LOBITAÑA M 10-19-2005 15 Sinugbua SOMOSA TABOGON CEBU
ty PIAÑAR IE,POTOT,
nong
Binisay
Cebuano
/
Christiani POYOS, MAGNO,LIZA,C
119764110043 POYOS,JOEVAN, MAGNO M 02-28-2005 15 Sinugbua SOMOSA TABOGON CEBU
ty CARLOS P ,
nong
Binisay
TOMBIGA, CATAM-
Christiani
119760080031 TOMBIGA,DONIE, CATAM-ISAN M 03-06-2003 17 Cebuano SAN ISIDRO TABOGON CEBU FRANCISCO ISAN,RICHIE,G
ty
SANCHEZ AHUSTA,
CABATAÑA, MONARES,JOS
CABATAÑA,MERRY GRACE, Christiani GUADALUP CITY OF
119108120032 F 02-18-2002 18 Cebuano CEBU SANTOS EPHINE,ARPON
MONARES ty E BOGO
ROSELLOSA JR ,
Cebuano
/
CUTAB,EURIKA JHAYNNE, Christiani CUTAB, DANTE PIAÑAR,JULIET
119242110031 F 06-17-2006 14 Sinugbua SOMOSA TABOGON CEBU
PIAÑAR ty ANGTUD A,RAMILLA,
nong
Binisay
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
T/I
Modular
DATE:2020-
(print)
08-03
Modular
(print)
PACALDO, EVANGELISTA,
PACALDO,JENNY, Christiani GUADALUP CITY OF
119106110020 F 05-05-2006 14 Cebuano CEBU REYNALDO JERELYN,GREG
EVANGELISTA ty E BOGO
HINOGUIN ORIO,
PEREGRINO,MARY LUZ, Christiani GUADALUP CITY OF PEREGRINO, DIGNOS,FELICI
119106110023 F 04-11-2005 15 Cebuano CEBU
DIGNOS ty E BOGO ELEXER C A,A,
UMPAD,
Christiani EBASAN,MARI
119764110052 UMPAD,REAH JANE, EBASAN F 11-06-2005 14 Cebuano SOMOSA TABOGON CEBU OLIVER
ty CEL,QUISEL,
PIAÑAR
URSABIA,
Christiani GUADALUP CITY OF COMETA,BEBE
121842100181 URSABIA,JUDY ANN, COMETA F 03-29-2004 16 Cebuano CEBU GERARDO
ty E BOGO LYN,BUTO,
CATAMPATAN
34 <=== COMBINED
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date CATHERINE MUNEZ LEPITEN
Date MALE 23
Balik Aral B/A Name of school last attended & Year CARINA CORNELIO ARNOCO (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 11
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 34
BoSY Date: EoSY Date:
Modular
(print)
Modular
(print)
Modular
(print)
UNEZ LEPITEN
EoSY Date:
d thru LIS