Professional Documents
Culture Documents
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School ID 132249 CARAGA Division Surigao City District Surigao City District I
School Name Day-asan ES School Year 2020 - 2021 Grade Level Kinder Section ORANGE A
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)
SURIGAO
ALBASIN,JHON LAURENCE, Sinurigao Christiani SURIGAO DEL ALBASIN, BUNIEL,FLORE
132249200018 M 06-21-2015 4 DAY-ASAN CITY
BUNIEL non ty NORTE JUNRIEL - NDA,CLOR,
(Capital)
SURIGAO
Sinurigao Christiani SURIGAO DEL BANGCOYO, BASOL,LORJA
132249200017 BANGCOYO,JERON, BASOL M 11-29-2014 5 DAY-ASAN CITY
non ty NORTE JESHON AMBA NE,BONARES,
(Capital)
SURIGAO CATARMAN,M
BECERRO,HERMAN JR., Sinurigao Christiani SURIGAO DEL BECERRO,
132249200006 M 06-08-2015 4 DAY-ASAN CITY ARGIE,GULTIA
CATARMAN non ty NORTE HERMAN CLOR
(Capital) N,
SURIGAO
BUNIEL,JOHN MATTHEW, Sinurigao Christiani SURIGAO DEL BUNIEL, JESON GREMIO,MARY
132249200014 M 09-22-2014 5 DAY-ASAN CITY
GREMIO non ty NORTE ALBASIN JOY,AQUINO,
(Capital)
SURIGAO CATARMAN,
CATARMAN,JONATHAN JR., Sinurigao Christiani SURIGAO DEL LAID,CHERRY,
132249200028 M 11-02-2014 5 DAY-ASAN CITY JONATHAN
LAID non ty NORTE NIÑAL,
(Capital) MAHINAY
SURIGAO
Sinurigao Christiani SURIGAO DEL ENDITA, BACSAN,VERV
132249200019 ENDITA,CLENT DAVE, BACSAN M 07-12-2015 4 DAY-ASAN CITY
non ty NORTE DANILO - INA,-,
(Capital)
SURIGAO GALOPE,
Sinurigao Christiani SURIGAO DEL ESPUERTA,MA
132249200020 GALOPE,JORICKS, ESPUERTA M 05-10-2015 5 DAY-ASAN CITY RICKY
non ty NORTE RIE JOY,GUMA,
(Capital) PERDIZO
SURIGAO JAPAY,
Sinurigao Christiani SURIGAO DEL
132249200021 JAPAY,JHON ROBERT, ESPINO M 09-26-2014 5 DAY-ASAN CITY ROBERT
non ty NORTE
(Capital) ROXAS
SURIGAO
Sinurigao Christiani SURIGAO DEL
132249200016 LAID,ZARREN DEE, - M 07-06-2015 4 DAY-ASAN CITY LAID,AIZA,-,
non ty NORTE
(Capital)
SURIGAO
LIBATO,JHON LOUIE, Sinurigao Christiani SURIGAO DEL LIBATO, LOWE CANAYONG,M
132249200029 M 03-10-2015 5 DAY-ASAN CITY
CANAYONG non ty NORTE UNDANGAN YRA,TIOZON,
(Capital)
SURIGAO LIPAOPAO,
LIPAOPAO,MATEO DUO, Sinurigao Christiani SURIGAO DEL PAULAR,MITC
132249200034 M 04-26-2015 5 DAY-ASAN CITY LESARES
PAULAR non ty NORTE HEL,ALMONIA,
(Capital) FLORIA
SURIGAO ESCRUPOLO,A
Sinurigao Christiani SURIGAO DEL MATULAC,
132249200004 MATULAC,AVEN, ESCRUPOLO M 07-19-2015 4 DAY-ASAN CITY LMIRA,ALBAZI
non ty NORTE ARIEL GUDIN
(Capital) N,
SURIGAO PAGARAN,
Sinurigao Christiani SURIGAO DEL PROLLO,JEAN,
132249200007 PAGARAN,JOHNRY, PROLLO M 12-20-2014 5 DAY-ASAN CITY REFOLDO
non ty NORTE CERVANTES,
(Capital) MISULA
SURIGAO TIGBAO,
Sinurigao Christiani SURIGAO DEL LIBATO,NENNI
132249200031 TIGBAO,JERALD, LIBATO M 05-31-2015 5 DAY-ASAN CITY NICOLAS
non ty NORTE A,PACILAN,
(Capital) VILLAGONZA
ao City District I
ORANGE A
REMARKS
Learning
Modality (Please refer to
the legend on last
page)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
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Modular
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Modular
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Modular
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Modular
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Modular
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Modular
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Modular
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Modular
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Modular
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Modular
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14 <=== TOTAL MALE
SURIGAO CATINDOY,
CATINDOY,CRISTINE JOY, Sinurigao Christiani SURIGAO DEL BANGCOYO,M
132249200013 F 11-23-2014 5 DAY-ASAN CITY LOU RICKY
BANGCOYO non ty NORTE A LUZ,LAID,
(Capital) IGMEN
SURIGAO CASTUYA,FLO
Sinurigao Christiani SURIGAO DEL CLOR, LOUIE
132249200002 CLOR,CHARMAE, CASTUYA F 08-16-2015 4 DAY-ASAN CITY RETES,LINAGA
non ty NORTE JUDILLA
(Capital) ,
SURIGAO CASTUYA,FLO
Sinurigao Christiani SURIGAO DEL CLOR, LOUIE
132249200001 CLOR,CHLOIE, CASTUYA F 09-19-2014 5 DAY-ASAN CITY RETES,LINAGA
non ty NORTE JUDILLA
(Capital) ,
BACSAN,APPL
SURIGAO
Sinurigao Christiani SURIGAO DEL E
132249200003 CLOR,CHRISTINE, BACSAN F 02-25-2015 5 DAY-ASAN CITY CLOR, ALJUN -
non ty NORTE MAY,CATARM
(Capital)
AN,
SURIGAO
Sinurigao Christiani SURIGAO DEL ILAGAN, LAID,MARICEL
132249200005 ILAGAN,JUI MACEL, LAID F 09-17-2015 4 DAY-ASAN CITY
non ty NORTE JULIUS CLOR ,BONARES,
(Capital)
SURIGAO HURO-
Sinurigao Christiani SURIGAO DEL JELEN, RONNIE
132249200030 JELEN,ROBILYN, HURO-HURO F 02-09-2015 5 DAY-ASAN CITY HURO,JUVY,CA
non ty NORTE PENDO
(Capital) GARA,
SURIGAO LOAYON,
LOAYON,CRYSTAL JOY, Sinurigao Christiani SURIGAO DEL ALBASIN,MYR
132249200015 F 01-30-2015 5 DAY-ASAN CITY CRISALDO
ALBASIN non ty NORTE NA,BECERRO,
(Capital) PACILAN
SURIGAO MORENO, COLDURA,GRE
MORENO,RHEA JEAN, Sinurigao Christiani SURIGAO DEL
132249200008 F 09-21-2014 5 DAY-ASAN CITY RANDY TCHEN,GIMON
CULDORA non ty NORTE
(Capital) LIBATO G,
23 <=== COMBINED
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date MARILYN ELLAR GILLO
Date MALE 14
Balik Aral B/A Name of school last attended & Year IRIS BAJA LIBARNES (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 9
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 23
BoSY Date: EoSY Date:
Modular
(print)
Modular
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Modular
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Modular
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Modular
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Modular
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Modular
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Modular
(print)
LLAR GILLO
EoSY Date:
d thru LIS