Professional Documents
Culture Documents
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School ID 127647 Region X Division Misamis Oriental District Claveria II (Claveria Distr
School Name Lanise ES School Year 2021 - 2022 Grade Level Grade 5 Section ADORABLE
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)
GANAPIN,
GANAPIN,KING PHILIP, Christiani MISAMIS HONCADA,MA
127647160017 M 05-21-2011 10 Cebuano Higaonon LANISE CLAVERIA DELFIN
HONCADA ty ORIENTAL RLY,ABUGHO,
TAGLINAO
Cebuano
/ GERANGAYA,
Christiani MISAMIS SABA,SITCHEL,
461511160001 GERANGAYA,BRANDON, SABA M 12-23-2010 10 Sinugbua LUNA CLAVERIA HERMIE
ty ORIENTAL FULMINAR,
nong LUMANGCO
Binisay
PAGUNPAGON,
Christiani MISAMIS LIANZON,
127664120012 LIANZON,JONEL, PAGUNTAGON M 05-24-2007 14 Cebuano LANISE CLAVERIA MARICEL,PAL
ty ORIENTAL VICTOR
ARCA,
Cebuano
/ NUYANA,
NUYANA,JOHN CHRISTIAN, Christiani MISAMIS TEJANO,CHER
127647160054 M 11-28-2010 10 Sinugbua LANISE CLAVERIA JUNNEL
TEJANO ty ORIENTAL YL,RANAN,
nong PIOQUINTO
Binisay
PINASAHEL, TEOFILO,MERC
Christiani MISAMIS
127647160016 PINASAHEL,JAMES, TEOFILO M 03-11-2011 10 Cebuano Higaonon LANISE CLAVERIA JERRY YDITA,LINODH
ty ORIENTAL
DASALAN AY,
PRAJES,
Christiani MISAMIS NOVAL,JOAN,G
127647160025 PRAJES,JUSTIN JAN, NOVAL M 06-20-2011 10 Cebuano LANISE CLAVERIA LIBRADO
ty ORIENTAL ALINATO,
AMONCIO
Cebuano
/ TAGANOS,EVA
Christiani MISAMIS
127902150012 TAGANOS,ERWIN, - M 08-19-2010 11 Sinugbua LANISE CLAVERIA NGELINE,SUMI
ty ORIENTAL
nong LLA,
Binisay
TEOFILO, KAKILALA,MA
Christiani MISAMIS
127647160035 TEOFILO,ANGELO, KAKILALA M 07-03-2011 10 Cebuano LANISE CLAVERIA BEBOY RYANN,CABAN
ty ORIENTAL
LINUDHAY A,
VILLAPANDO, PORLONGA,JO
VILLAPANDO,VINCENT BEN, Christiani MISAMIS
127647150016 M 03-14-2010 11 Cebuano Higaonon LANISE CLAVERIA GODOFREDO VELYN,TAÑAJ
PORLONGA ty ORIENTAL
GADRINAB URA,
ALAS-AS,
Christiani MISAMIS RANAN,MERCE
127647160019 ALAS-AS,JEANMARY, RANAN F 06-09-2011 10 Cebuano Higaonon LANISE CLAVERIA ROLAND
ty ORIENTAL DES,-,
COMBONG
BERSABAL,
BERSABAL,JHANALOU, Christiani MISAMIS VERANO,LADY
127647160037 F 01-26-2011 10 Cebuano Higaonon LANISE CLAVERIA JIMMY
VERANO ty ORIENTAL MAY,OLINAN,
MORENO
II (Claveria District)
ADORABLE
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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Christiani MISAMIS BRINGUEL, BONGGA,JASM
127647160010 BRINGUEL,REA MAE, BONGGA F 05-22-2011 10 Cebuano Higaonon LANISE CLAVERIA
ty ORIENTAL RODITO TUL-ID IN,VALLE,
BAYOTLANG,
CABUSOG,JEISLYN, Christiani MISAMIS CABUSOG, JESS
127647160038 F 04-13-2011 10 Cebuano Higaonon LANISE CLAVERIA MARLYN,TIMK
BAYOTLANG ty ORIENTAL BEBELLO
ANG,
CAMIGUIN,
Christiani MISAMIS DAWA,LEONIL
127647150047 CAMIGUIN,LARAMIE, DAWA F 04-20-2009 12 Cebuano LANISE CLAVERIA SAMUEL
ty ORIENTAL A,OLINAN,
LUMANDONG
CORRO,
Christiani MISAMIS GUMATAY,JEN
127647160039 CORRO,APPLE JEAN, GUMATAY F 11-05-2010 10 Cebuano Higaonon LANISE CLAVERIA ROLANDO
ty ORIENTAL NIFER,GUIRRA,
SUMILLA
FULMINAR,
Christiani MISAMIS BORRES,MARY
127647160011 FULMINAR,JENEFER, BORRES F 03-23-2011 10 Cebuano Higaonon LANISE CLAVERIA HILFRED
ty ORIENTAL JANE,CAHILIS,
LUMACSO SR
Cebuano
/ GURRO, MADRIGAL,JOS
GURRO,WENCYL ANN, Christiani MISAMIS
127647150040 F 07-23-2010 11 Sinugbua LANISE CLAVERIA WALTER EPHINE,LIPAN
MADRIGAL ty ORIENTAL
nong LANUTAN TA,
Binisay
Cebuano
/
HAN-AWON,HONEY MAE, Christiani MISAMIS HAN-AWON, SUMILE,PACIT
126782150214 F 05-25-2010 11 Sinugbua LANISE CLAVERIA
SUMILE ty ORIENTAL GEORGE D A,VALLE,
nong
Binisay
Cebuano
CAGAYAN
/ PANTALONE,C
SASAN,CHRIS ANGEL MAE, DE ORO MISAMIS SASAN, MARDE
127664160027 F 02-04-2011 10 Sinugbua Higaonon Others CUGMAN HRISTINE,JALA
PANTALONE CITY ORIENTAL TORREON
nong GAT,
(Capital)
Binisay
Cebuano
/
Christiani MISAMIS BEBELLO,TESS
127647150042 TEOFILO,SARAH, BEBELLO F 07-20-2010 11 Sinugbua LANISE CLAVERIA
ty ORIENTAL IE,LAPISAN,
nong
Binisay
UBATAY,
UBATAY,CHANDRENA JOY, Christiani MISAMIS ALAG,ANNA
127647160018 F 08-16-2011 10 Cebuano LANISE CLAVERIA MANUEL
ALAG ty ORIENTAL MARIE,LOOC,
SANCHEZ JR
27 <=== COMBINED
Modular
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Modular
(print)
Modular
(print)
Modular
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Modular
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Modular
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Modular
(print)
Modular
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Modular
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Modular
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T/I
Modular
DATE:2021-
(print)
09-13
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
List and Code of Indicators under REMARKS column
Indicator Code Required Information Indicator Code Required Information REGISTERED BoSY EoSY Prepared by; Certified Correct:
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date GERUM OCHIGUE SALATAN
Date MALE 9
Balik Aral B/A Name of school last attended & Year LORNA LIMOCON ARINGO (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 18
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 27
BoSY Date: EoSY Date:
EoSY Date:
d thru LIS