You are on page 1of 2

(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)

School ID 103329 Region II Division Isabela District Echague West

School Name Dammang East Elementary School School Year 2021 - 2022 Grade Level Kinder Section KINDER

GUARDIAN
ADDRESS PARENTS REMARKS
(if Not Parent)
Age MOTHER Contact

Sex (M/F)
as of TONGUE IP
NAME BIRTH DATE RELIGIO Number of Learning
LRN (Ethnic Mother's Maiden
(Last Name, First Name, Middle Name) (mm/dd/yyyy) Octob (Grade 1 Group)
N House #/ Father's Name (Last Parent or Modality (Please refer to
er 31 to 3 Only) Municipality/ Name (Last Name, Guardian
Street/ Sitio/ Barangay Province Name, First Name, Name Relationship the legend on last
City First Name, Middle
Purok Middle Name) page)
Name)

APELADO, GAMMAD,JESU
APELADO,STEPHEN ANGELO, Christiani DAMMANG Modular
103329210011 M 10-27-2016 5 Yogad Yogad ECHAGUE ISABELA ARTURO SA,MADDERAY
GAMMAD ty EAST (print)
PASCUA ,

BAYANG, CABILDO,JOAN
BAYANG,DOMINIC JOHN, Christiani DAMMANG Modular
103329210003 M 02-19-2016 5 Tagalog Yogad ECHAGUE ISABELA DOMINGO A MARIE,DELA
CABILDO ty EAST (print)
ASPA CRUZ,

IBARRA,LHAY
CALANGAN,LAWRENCE, Christiani DAMMANG CALANGAN, Modular
103329210021 M 01-18-2016 5 Yogad Yogad ECHAGUE ISABELA LANY,MACARI
IBARRA ty WEST CELSO BALLAD (print)
LAY,

Christiani DAMMANG CULANG,MYRE Modular


103329210022 CULANG,JUSTINE, - M 02-14-2016 5 Yogad Yogad ECHAGUE ISABELA
ty EAST NE,GAUAN, (print)

DAGULO, GAMMAD,CRIS
DAGULO,JOHN CLARENCE, Christiani DAMMANG Modular
103329210023 M 01-11-2016 5 Yogad Yogad ECHAGUE ISABELA JOSEPH ELDA,MADDER
GAMMAD ty EAST (print)
GUIANG AY,
DE LEON,
DE LEON,JUSTINE CLARK, Christiani DAMMANG VALENCIA,APR Modular
103329210017 M 12-08-2015 5 Yogad Yogad ECHAGUE ISABELA CHRISTIAN
VALENCIA ty EAST IL JOY,GALE, (print)
AIDA
DONAYRE,
Christiani DAMMANG JACA,MARIFE, Modular
103329210008 DONAYRE,ZEUN FELVERT, JACA M 11-07-2015 5 Yogad Yogad ECHAGUE ISABELA ALBERTO
ty EAST MAROTO, (print)
BARCOS

Christiani DAMMANG BANGAYAN,JO Modular


103329210020 EULOGIO,JONER, BANGAYAN M 11-17-2015 5 Yogad Yogad ECHAGUE ISABELA
ty EAST Y,ALAMBAY, (print)

Christiani DAMMANG FURUC, ARIEL GARZOTA,LOR Modular


103329210028 FURUC,JUSTIN DAVE, GARZOTA M 10-21-2016 5 Yogad Yogad ECHAGUE ISABELA
ty WEST GINTO ENE,MOLINA, (print)

IBARRA,
Christiani DAMMANG MONTON,LEA, Modular
103329210016 IBARRA,RONALDO, MONTON M 07-27-2016 5 Yogad Yogad ECHAGUE ISABELA HARRENCE
ty EAST MADDERAY, (print)
ERECE

Christiani DAMMANG LINA,EVERLYN Modular


103329210009 LINA,ELDRICH RENCE, - M 09-25-2016 5 Tagalog Yogad ECHAGUE ISABELA
ty EAST ,ESCUMBIEN, (print)

GONZAGA,ANT
Christiani DAMMANG LOGAN, MARK Modular
103329210026 LOGAN,MARK JHON, GONZAGA M 03-30-2016 5 Yogad Yogad ECHAGUE ISABELA ONETTE,SAMU
ty EAST JAMES PILLA (print)
T,
MANAOIS, TERRITORIO,Z
MANAOIS,MARK IAN, Christiani DAMMANG Modular
103329210019 M 08-07-2016 5 Yogad Yogad ECHAGUE ISABELA REYMON YXA,ALCANTA
TERRITORIO ty EAST (print)
IBARRA RA,
MATTERIG,
Christiani DAMMANG VEGAS,RACHE Modular
103329210004 MATTERIG,JOHN LOUIE, VEGAS M 07-25-2016 5 Yogad Yogad ECHAGUE ISABELA JUNE
ty EAST L,IBEAS, (print)
CACAYAN

Christiani DAMMANG MATTERIG, GIL BIAG,JOANNA, Modular


103329210007 MATTERIG,STEVEN LEE, BIAG M 10-26-2016 5 Yogad Yogad ECHAGUE ISABELA
ty EAST JR CACAYAN ALIMANE, (print)

SALVADOR, JARAMILLO,M
SALVADOR,DANIEL JR., Christiani DAMMANG Modular
103329210015 M 08-18-2016 5 Yogad Yogad ECHAGUE ISABELA DANIEL ARIAN,GARING
JARAMILLO ty EAST (print)
IBARRA AN,
SECRETARIO,
SECRETARIO,SAMRIL JAY, Christiani DAMMANG PATRICIO,SHE Modular
103329210012 M 04-18-2016 5 Yogad Yogad ECHAGUE ISABELA SIMPLICIO
PATRICIO ty EAST RIL,ASPA, (print)
RENDADO

17 <=== TOTAL MALE

Christiani DAMMANG ASPA, JEREMY MAIGUE,ABIG Modular


103329210013 ASPA,MAXINE JADE, MAIGUE F 08-07-2016 5 Yogad Yogad ECHAGUE ISABELA
ty EAST ECARMA AIL,DUMON, (print)

PANGANIBAN,
BAYANG,PRECIOUS HAZEL Christiani DAMMANG BAYANG, Modular
103329210018 F 09-29-2016 5 Yogad Yogad ECHAGUE ISABELA ARLENE,VALE
JEWEL, PANGANIBAN ty EAST MARCOS ASPA (print)
NCIA,
MANALIGOD,M
Christiani DAMMANG BULAN, JOSE Modular
103329210024 BULAN,KYLIE, MANALIGOD F 08-24-2016 5 Yogad Yogad ECHAGUE ISABELA ARGIE,TACCAB
ty EAST JOEY ASPA (print)
BAN,
COSTILLAS,
CALANGAN,VERONICA, Christiani DAMMANG CALANGAN,RO Modular
103329210014 F 07-07-2016 5 Yogad Yogad ECHAGUE ISABELA OLIVAR
CALANGAN ty EAST SEVIE,ASPA, (print)
BERNADEZ

CATALON, TACCABAN,DA
CATALON,CRISANTA, Christiani DAMMANG Modular
103329210025 F 10-23-2016 5 Yogad Yogad ECHAGUE ISABELA ARSENIO ISY,CARABBAC
TACCABAN ty EAST (print)
SARMIENTO AN,

ESCAÑO,KRIST
Christiani DAMMANG Modular
103329210006 ESCAÑO,KIAN ANDREA, - F 04-17-2016 5 Yogad Yogad ECHAGUE ISABELA INA,BANGILAN
ty EAST (print)
,
GAUAN, CARREON,VAN
Christiani DAMMANG Modular
103329210005 GAUAN,DANIELA, CARREON F 02-01-2016 5 Yogad Yogad ECHAGUE ISABELA DANIEL GIE,SABBALUC
ty EAST (print)
DOMINGO A,
MAMARIL,
MAMARIL,SOFIA ARABELLA, Christiani DAMMANG RIVERA,KAYC, Modular
103329210002 F 10-30-2016 5 Yogad Yogad ECHAGUE ISABELA REYMAR
RIVERA ty EAST UALAT, (print)
MACARILAY
MIGUEL,
Christiani DAMMANG BALANO,CHRIS Modular
103329210010 MIGUEL,DOMINIQUE, BALANO F 01-09-2016 5 Yogad Yogad ECHAGUE ISABELA DOMINIC
ty EAST TINA,DAYO, (print)
FLORES
MAMARIL,ANT
REYES,KAREN BELLE, Christiani DAMMANG REYES, EDWIN Modular
103329210027 F 10-16-2016 5 Yogad Yogad ECHAGUE ISABELA ONETTE,BALD
MAMARIL ty EAST SANTIAGO (print)
OS,
TAGACAY,
TAGACAY,ALTHEA JANELLE, Christiani DAMMANG SORIANO,JEWE Modular
103329210001 F 07-03-2016 5 Tagalog Yogad ECHAGUE ISABELA ANTHONY
SORIANO ty EAST LYN,TORINO, (print)
RAMOS

11 <=== TOTAL FEMALE

28 <=== COMBINED

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 PERLITA SECOLLES ALOMBRO
Date MALE 17
Balik Aral B/A Name of school last attended & Year JOANA RAGASA TACCABAN (Signature of School Head over Printed Name)
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 28
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Tuesday, November 2, 2021

You might also like