Professional Documents
Culture Documents
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School Name Amaya Elementary School School Year 2020 - 2021 Grade Level Grade 4 Section CALLA LILY
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 Mother's Maiden Parent or
Group) House #/ Father's Name (Last
er 31 to 3 Only) Municipality/ Name (Last Name, Guardian
Street/ Sitio/ Barangay Province Name, First Name, Name Relationship
City First Name, Middle
Purok Middle Name)
Name)
Christiani ARCIAGA,REE-
108155160186 ARCIAGA,AKIHIRO KIEL, - M 04-06-2011 9 Tagalog AMAYA VII TANZA CAVITE
ty ANN,CENIZAL,
ARENDELA, ESPIRITU,CAR
ARENDELA,FARIZ JAIRUZ, Christiani
108164160004 M 12-25-2010 9 Tagalog JULUGAN I TANZA CAVITE REGIE OLINA,TORCEL
ESPIRITU ty
PASUCAL INO,
PARAGAS,GER
Christiani BAGONGON,
136761160202 BAGONGON,TROY, PARAGAS M 07-13-2010 10 Tagalog AMAYA I TANZA CAVITE ALDINE,GAMB
ty ROY GABUTAN
OA,
BONGOSIA,
BONGOSIA,LOUISE MICO, Christiani LIMAS,KAREN,
110470160038 M 10-15-2011 9 Tagalog AMAYA II TANZA CAVITE JOVANE
LIMAS ty MAGDARAUG,
MANITO
CAMAGONG,
CAMAGONG,CHRISTOPHER Christiani JUNGCO,HAZE
136891160705 M 12-09-2010 9 Tagalog AMAYA I TANZA CAVITE CHRISTIAN
JASH, JUNGCO ty L,CENTINO,
SAN JOSE
CANSINO,
CANSINO,CLARENCE, Christiani MENDIOLA,AR
164014160171 M 04-11-2011 9 Filipino AMAYA II TANZA CAVITE LHEMAN
MENDIOLA ty LENE,JUAREZ,
RAMOS
DELA
CENIZAL,JOSE GABRIEL, DELA Christiani CENIZAL,
108155160008 M 11-19-2010 9 Tagalog AMAYA VI TANZA CAVITE VEGA,MARILO
VEGA ty ROGEL ABAD
U,BORJA,
Christiani CHO,CHONA,SI
136473160148 CHO,JAMES, SISCON M 04-08-2011 9 Tagalog AMAYA I TANZA CAVITE
ty SCON,
COQUILLA,
COQUILLA,CHRISTIAN JAY, Christiani ZABIAN,ARME
228501160505 M 07-15-2011 9 Tagalog AMAYA I TANZA CAVITE FRANCIS JAY
ZABIAN ty LIA,DOMASIG,
PANIS
DE LARA,
DE LARA,CARLVIN CLAUDE, Christiani SAHUD CARLO ELACION,CHRI
402325160019 M 09-20-2010 10 Tagalog TANZA CAVITE
ELACION ty ULAN FRANCISCO STAL,GARCIA,
CAÑADA
DE RAMOS, MANAOAG,AB
DE RAMOS,KIAN BLAIRE, Christiani
406306170082 M 08-08-2011 9 Tagalog AMAYA II TANZA CAVITE PHILIP LESTER EGAIL,SANTOA
MANAOG ty
OCAMPO LLA,
DUERO,
Christiani ILAYA,CHARM
108155160278 DUERO,FRANCIS DAVE, ILAYA M 08-03-2010 10 Tagalog AMAYA I TANZA CAVITE FROILAN
ty AINE,LEGASPI,
ABEJUELA
Tanza
ALLA LILY
REMARKS
Learning
Modality (Please refer to
the legend on last
page)
Modular
(print)
Modular
(print)
T/I
Modular
DATE:2020-08-
(print)
10
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
PEREZ,
FERNANDEZ,FRANCE JOHANN, Christiani PEREZ,CHARMI
108155160366 M 07-04-2010 10 Tagalog AMAYA VII TANZA CAVITE DELNARD
PEREZ ty E,SUGATAN,
AUSTIN SOLIS
GAJOL, MARK
Christiani FELIZARDO,TR
108155160280 GAJOL,KIAN, FELIZARDO M 07-26-2010 10 Tagalog AMAYA II TANZA CAVITE LESLIE
ty INA,ABAD,
MAURICIO
GALLANO,MAR
Christiani
108155150253 GALLANO,CED YUHONSAFE, - M 12-09-2009 10 Filipino AMAYA I TANZA CAVITE ICEL,VILLANU
ty
EVA,
GALLARDO,
GALLARDO,HONESTO, JR Christiani MALTO,JOSEPH
108155160181 M 04-17-2010 10 Tagalog AMAYA II TANZA CAVITE HONESTO
MALTO ty INE,OLAÑO,
DELOS SANTOS
GALVEZ,
Christiani PERRY,CLARIB
108155150147 GALVEZ,CALVIN, PERRY M 06-10-2010 10 Tagalog AMAYA IV TANZA CAVITE CELESTINO
ty EL,CHALAN,
DELICANO
GEGUIERA,
Christiani BARSANA,AILE
108155160356 GEGUIERA,ALJHON, BARSANA M 08-27-2010 10 Tagalog AMAYA I TANZA CAVITE EDUARDO
ty EN,RALESE,
TENEZA
GOMEZ,ANNA
Christiani SAHUD GOMEZ, JESSIE
424046160014 GOMEZ,JAYSON, BALAGIHOQ M 10-01-2010 10 Tagalog TANZA CAVITE MARIE,MALAN
ty ULAN BAGALIHOG
A,
HORAS,
Christiani AVILA,MARY
108155160085 HORAS,DHANJO, AVILA M 01-20-2011 9 Tagalog AMAYA I TANZA CAVITE DANNY
ty JOY,ROSALIA,
BUENAOBRA
JONAS, LESTER
Christiani RAMOS,MARIF
108155150461 JONAS,KHURT, RAMOS M 10-20-2008 12 Tagalog AMAYA V TANZA CAVITE ANDREW
ty ER,BEGALBAL,
ANTON
MANESE,
Christiani SAHUD LITA,GEMMA,
136526160138 MANESE,RONIAN GENE, LITA M 11-23-2009 10 Tagalog TANZA CAVITE RONALD
ty ULAN MEDES,
BALANOYOS
NOBLEZA, BALLESTEROS,
NOBLEZA,PRINCE BENEDICT, Christiani
406989160007 M 09-17-2011 9 Tagalog AMAYA I TANZA CAVITE REYNALDO HAZEL,CORRE
BALLESTEROS ty
NOVERO A,
OCHOSA,
OCHOSA,RACEDUCFER, Christiani SAHUD CARESO,CARL
136587160014 M 10-13-2011 9 Tagalog TANZA CAVITE ROMEO III
CARESO ty ULAN A,PALMA,
CRUZ
SANGGUTANG, PAREDES,YOL
SANGGUTANG,SAM ARKIN, Christiani
108155160014 M 04-06-2011 9 Tagalog AMAYA I TANZA CAVITE JOEMAR ANDA,MOLINA
PAREDES ty
GUIRNALDO ,
ANIGO,
NAGAL,GINA,B
108155170451 ANIGO,JONALYN, NAGAL F 06-07-2010 10 Tagalog Islam AMAYA I TANZA CAVITE REYNALDO
IBAY,
FUINTES
CASARTE,MAR
ARENAL,
ARENAL,ANGEL JANE, Christiani Y
108155140159 F 03-30-2007 13 Tagalog AMAYA V TANZA CAVITE ANGIELO
CASARTE ty JANE,PEÑALOS
ANTON
A,
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
T/I
DATE:2020-08-
Modular
10NLPA
(print)
DATE:2021/05/
11
NLPA
Modular
DATE:2020/11/
(print)
06
Modular
(print)
Modular
(print)
T/I
Modular
DATE:2020-08-
(print)
10
T/I
Modular
DATE:2020-08-
(print)
10
T/I
Modular
DATE:2020-08-
(print)
10
Modular
(print)
NLPA
Modular
DATE:2021/02/
(print)
18
Modular
(print)
BARCENAS, DE
BARCENAS,RHIANE CAYE, DE Christiani
108155160174 F 05-01-2011 9 Tagalog AMAYA VI TANZA CAVITE REN MARI OCAMPO,CAMI
OCAMPO ty
SARMIENTO LLE,PESANON,
BILDAN,
Christiani DAANG ORINIO,SHIRLY
108125160022 BILDAN,CHRISTA MAE, ORINIO F 12-24-2010 9 Tagalog TANZA CAVITE RONALDO
ty AMAYA I ,ROSALES,
AQUITANIA
BOCALAN,
BOCALAN,XYRIEL JAIME, Christiani ALCOBER,FILIP
108155160289 F 09-10-2010 10 Tagalog AMAYA II TANZA CAVITE BERNARD
ALCOBER ty INA,ACERDEN,
FERNANDEZ
BONGCAWIL,G
Christiani
108087160012 BONGCAWIL,JULIE ANNE, - F 11-29-2010 9 Tagalog AMAYA I TANZA CAVITE RACE,MAISLIN
ty
G,
CABANGON,
CABANGON,AKIRA YOUHAN, Christiani DAANG CENIDO,GLADI
108170160162 F 01-14-2011 9 Tagalog TANZA CAVITE ROLZON
CENIDO ty AMAYA I ES,CASTILLO,
ROMANO
CALAG,
CALAG,DANNA MARIE, Christiani ESTRAÑERO,D
108606150017 F 09-27-2010 10 Tagalog AMAYA I TANZA CAVITE ROLDAN
ESTRAÑERO ty ONNA,PALINO,
MAGNAYE
CASUGAY,
Christiani MAGADA,MA
108155160040 CASUGAY,KHIESSA, MAGADA F 05-28-2011 9 Tagalog AMAYA I TANZA CAVITE MUCKIE
ty JESSA,SAÑOSA,
DUMABAN
Christiani PEREA,RIZCHE
424046150002 CIRIA,ALTHEA REIGN, PEREA F 09-24-2010 10 Tagalog AMAYA II TANZA CAVITE CIRIA, JOHNAL
ty LLE,,
DOLORITO,
DOLORITO,ALLIAH ANGEL, Christiani ADAN,EVA,TIM
108155160015 F 11-18-2010 9 Tagalog AMAYA VI TANZA CAVITE JOHN BREIMAR
ADAN ty POC,
MONTES
Christiani GALAPAGO,AP
108155160065 GALAPAGO,NICOLE ANN, - F 06-19-2011 9 Tagalog AMAYA V TANZA CAVITE
ty RIL,OPEÑO,
GAMAYAO,
GAMAYAO,JIA NICOLE, FELARCA,APRI
226001160280 F 08-28-2010 10 Tagalog Others AMAYA I TANZA CAVITE ISAGANE
FELARCA L JOY,LUIG,
GERAFUSCO
GRAJO,
Christiani ECO,HIEDIE,DO
108155160404 GRAJO,AIZEL ANNE, ECO F 05-30-2010 10 Tagalog AMAYA I TANZA CAVITE JERRYCO
ty CTOR,
ABIOG
LASTRA,
LASTRA,DIONNESSE, Christiani GOZO,NORMA,
136712160088 F 08-10-2011 9 Tagalog AMAYA I TANZA CAVITE DIONESIO
PURGATORIO ty PURGATORIO,
PURO
LIGORO,DESIR
Christiani EE-
108155160317 LIGORO,DIVINE-URIEL, - F 03-01-2011 9 Tagalog AMAYA IV TANZA CAVITE
ty ANN,ARRADAZ
A,
NOCON, GUMALE,MAR
NOCON,SOPHIA MARIE, Christiani
108155160018 F 09-09-2010 10 Tagalog AMAYA VII TANZA CAVITE JOSEPH Y
GUMALE ty
RALSTON - GRACE,CLITE,
T/I
Modular
DATE:2020-08-
(print)
14
Modular
(print)
T/I
Modular
DATE:2020-08-
(print)
10
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)
Christiani SAHUD SABATEN, VALERA,CHRIS
402329160065 SABATEN,IRISH, VALERA F 06-01-2011 9 Tagalog TANZA CAVITE
ty ULAN ARNEL TINE,,
48 <=== COMBINED
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date REA C.FAMORCAN Ed.D.
Date MALE 27
Balik Aral B/A Name of school last attended & Year VILMA MATILLA PONIENTE (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 21
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: 10/05/2020 EoSY Date: 07/10/2
TOTAL 48
BoSY Date: 10/05/2020 EoSY Date: 07/10/2021
ORCAN Ed.D.
d thru LIS