Republic of the Philippines

Department of Education
REGION VII – CENTRAL VISAYAS
DIVISION OF BAIS CITY
Form 2: Consolidation Form
School: Bais City National High School- Senior High School
Address: Laurel Street, Bais City
Name of School Head: Mrs. Pinky Cancio

Learner’s Status
Heavily Moderately Affected Least
Affected Affected (26 – 55% Affected
(76 – 100 % (56 – 75% appliances, (0 -25%
appliances, appliances, clothes and appliances,
Name of the Learner Grade clothes and clothes and other clothes and
Level other household other household other
materials were household materials household
destroyed by materials were materials
the typhoon) were destroyed by were
destroyed by the typhoon) destroyed by
the typhoon) the typhoon)
Abueva, Laurence Flores 11 *
Adana, Alfie Cepe 11 *
Adana, Armando Cepe 11 *
Bairoy, Vencent Marcellana 11 *
Baldoza, Vince Nicolas Roma 11 *
Bantoto, Gelier Verano 11 *
Barcelon, Ruel Palagtiw 11 *
Basas, Vincent Prospero 11 *
Belingan, Reymark Taan 11 *
Cabiles, Richien Baldado 11 *
Cabual, Gem Eirl Oriondo 11 *
Cadiente, Reymark Caloring 11 *
Cristobal, Jesano Cabanag 11 *
Estayan, Peewee John Balansag 11 *
Estrebello, Fernando Jr. Tosoy 11
Dagangon, Vincent Corregidor 11 *
Dela peña, Mark Jember Emia 11 *
Dorio, Mark 11 *
Duran, Gonzalo Embalsado 11 *
Gravador, Arjie Romano 11 *
Grecia, Joe Kenneth 11 *
Hije, Rene Rickson Aniñon 11 *
Jamer, Rea Mark Amantillo 11 *
Jamer, Recgie Amantillo 11 *
Jamer, Sangie Cadavid 11 *
Jumuad, Junrel Refujia 11 *
Kadusale, Darwin Cabusog 11 *
Libosada, Dominic Palagtiw 11 *
Lopez, Jumary Malabo 11 *
Magalso, Algie Niño Olingay 11 *
Manlocot, Mark Jun Carreon 11 *
Manlocot, Harvie Jun Carreon 11 *
Nocete, Fegie Acar 11 *
Ocat, Francis Joseph Cultura 11 *
Orillan, Jonathan Bactol 11 *
Palomar. Jerry Boy Corpin 11 *
Pateño, Charl Louie Agdol 11 *
Perater, Rogelio Loresto Jr. 11 *
Piñero, Nick Vincent Pahayahay 11 *
Rubio, Michael Abrasaldo 11 *
Quindo, Jan Philippe Malinao 11 *

Address: Laurel St., Bais City

Telephone Nos.: (035) 402-3172; 522-1907
Email Address: bais.city@deped.gov.ph
Quiñones, John Mark Jayido 11 *
Reyes, Ryan James Aba 11 *
Tabunda, John Paul Silot 11 *
Tequil, Joel Amante 11 *
Ursula, Rheymee John Chavez 11 *
Zamora, Mark Anthony Diate 11 *
Banacia, Angelina Damaso 11 *
Toledo, Regina Gabatan 11 *
Relationship Parents / Guardian’s Willingness to Resume the
Name of Learner with the Modular Classes
Learner
(mother,
father, Grade
grandparent, Level After 1 to 2 After 3 to 4 After 5 to 6 More than 6
sister, weeks weeks weeks weeks
brother, aunt,
uncle,
neighbor,
etc.)
1. Abueva, Laurence Flores Maeschel 11 *
Abueva
2. Adana, Alfie Cepe Armando 11 *
Adana, Sr.
3. Adana, Armando Cepe, JR Armando 11 *
Adana, Sr.
4. Bairoy, Vencent Marcellana Merly 11 *
Marcellana
5. Baldoza, Vince Nicolas Roma Raul 11 *
Baldoza
6. Bantoto, Gelier Verano Valentino 11 *
Bantoto
7. Barcelon, Ruel Palagtiw Pinky 11 *
Barcelon
8. Basas, Vincent Prospero Vicente 11 *
Basas
9. Belingan, Reymark Taan Arlita 11 *
Belingan
10. Cabiles, Richien Baldado Retchie 11 *
Cabiles
11. Cabual, Gem Eirl Oriondo Rogelio 11 *
Cabual
12. Cadiente, Reymark Caloring Marigen 11 *
Caloring
13. Cristobal, Jesano Cabanag Jessie 11 *
Cristobal
14. Estayan, Peewee John Arthur 11 *
Balansag Estayan
15. Estrebello, Fernando Jr. Jose Teresa 11
Tosoy Estrebello
16. Dagangon, Vincent Delfin 11 *
Corregidor Dagangon
17. Dela peña, Mark Jember Emma Dela 11 *
Emia Peña
18. Dorio, Mark Mercy Dorio 11 *
19. Duran, Gonzalo Embalsado Teresita 11 *
Anadon
20. Gravador, Arjie Romano Virgilio 11 *
Gravador
21. Grecia, Joe Kenneth Bernaliza 11 *
Grecia
22. Hije, Rene Rickson Aniñon Anna 11 *
 Peñaroya
23. Jamer, Rea Mark Amantillo Freddie 11 *
Jamer
24. Jamer, Recgie Amantillo Freddie 11 *
Jamer
25. Jamer, Sangie Cadavid Samson 11 *
Jamer
26. Jumuad, Junrel Refujia Jigie 11 *
Tonador
27. Kadusale, Darwin Cabusog Merichel 11 *
Kadusale
28. Libosada, Dominic Palagtiw Segundino 11 *
Libosada
29. Lopez, Jumary Malabo Gelimar 11 *
Lopez
30. Magalso, Algie Niño Olingay Annie 11 *
Magalso
31. Manlocot, Mark Jun Carreon Anthony 11 *
Manlocot
32. Manlocot, Harvie Jun Anthony 11 *
Carreon Manlocot
33. Nocete, Fegie Acar Angie 11 *
Nocete
34. Ocat, Francis Joseph Cultura Jill Marie 11 *
Ocat
35. Orillan, Jonathan Bactol Josephine 11 *
Bactol
36. Palomar. Jerry Boy Corpin Bevenciana 11 *
Cabanag
37. Pateño, Charl Louie Agdol Levito 11 *
Pateño
38. Perater, Rogelio Loresto Jr. Rogelio 11 *
Perater, SR.
39. Piñero, Nick Vincent Wilma 11 *
Pahayahay Piñero
40. Rubio, Michael Abrasaldo Fernando 11 *
Rubio
41. Quindo, Jan Philippe Donald 11 *
Malinao Quindo
42. Quiñones, John Mark Jayido Renilfa 11 *
Quiñones
43. Reyes, Ryan James Aba Floro Reyes 11 *
44. Tabunda, John Paul Silot Isaias 11 *
Tabunda, JR.
45. Tequil, Joel Amante Ernesto 11 *
Tequil
46. Ursula, Rheymee John Rowena 11 *
Chavez Ursula
47. Zamora, Mark Anthony Anecita 11 *
Diate Zamora
48. Banacia, Angelina Damaso Gertrudes 11 *
Damaso
49. Toledo, Regina Gabatan Federico 11 *
Toledo
Form 3 : Summary Form

Learner’s Status Parents Willingness to Resume the Modular Classes

a. Percentage of learners who are a. Percentage of parents who wanted to

heavily affected resume the modular classes after 1 to 2
weeks
b. Percentage of learners who are b. Percentage of parents who wanted to
moderately affected resume the modular classes after 3 to 4 weeks
c. Percentage of learners who are c. Percentage of parents who wanted to resume
affected the modular classes after 5 to 6 weeks
d. Percentage of learners who are least d. Percentage of parents who wanted to
affected resume the modular classes in more than 6 weeks

Prepared by:

__________________________________
Name and Signature of M&E Coordinator

Noted by:

_____________________________
Name and Signature of School Head