Professional Documents
Culture Documents
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School Name City of Malolos High School - Canalate School Year 2021 - 2022 Grade Level Grade 9 (Year Section TURQUOISE
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)
CITY OF
BUENDIA,MARK RICHMOND, Christiani BUENDIA, GARCIA,MARY
104889120008 M 06-09-2007 14 Tagalog CANALATE MALOLOS BULACAN
GARCIA ty RODELO BOCA ANN,LOPEZ,
(Capital)
CITY OF
CARBONELL,RICARDO III, Christiani CARBONELL, LEONCIO,MICH
104889130003 M 11-28-2005 15 Tagalog CANALATE MALOLOS BULACAN
LEONCIO ty RICARDO M JR ELLE,P,
(Capital)
CITY OF DILATRE,ROSA
Christiani
104889120062 DULATRE,RIANNER, - M 04-12-2005 16 Tagalog CANALATE MALOLOS BULACAN NA,SUERTE
ty
(Capital) FELIPE,
GONZALES, STA
GONZALES,JEDIDIA NOEL, STA Christiani SANTO
104889120018 M 11-19-2007 13 Tagalog PAOMBONG BULACAN ROLANDO CATALINA,FA
CATALINA ty NINO
LUCAS NNY,SOLFICO,
CITY OF GUINTO,
Christiani SANTOS,MARC
104889120019 GUINTO,JAYCEE RAJ, SANTOS M 07-21-2007 14 Tagalog ANILAO MALOLOS BULACAN ALBERTO
ty ELA,CAPULE,
(Capital) LOMOTAN JR
MARCELO,MA
CITY OF JAVIER,
JAVIER,ST. CLARENCE, Christiani RIA
104889120011 M 05-26-2006 15 Tagalog CANALATE MALOLOS BULACAN VICENTE
MARCELO ty ELIZABETH,RA
(Capital) PANGAN
MIREZ,
LOMOTAN,
Christiani CAPILI,NIDA,C
104991130310 LOMOTAN,NEIGEL, CAPILI M 06-14-2007 14 Tagalog SAN ROQUE PAOMBONG BULACAN ANGELITO
ty APILI,
IGNACIO
CITY OF HIDALGO,CAR
Christiani MAGSAKAY,
104883120030 MAGSAKAY,CARLO, HIDALGO M 09-30-2007 14 Tagalog ANILAO MALOLOS BULACAN MENCITA,TUM
ty NICOLAS
(Capital) ALI,
CITY OF POPATCO,
POPATCO,CEDRICK KHIERL, Christiani NAVAJA,ANGE
104892130021 M 09-22-2007 14 Tagalog CANALATE MALOLOS BULACAN CHRISTOPHER
NAVAJA ty LINA,GEMEDA,
(Capital) BAUTISTA
RAGOS,MARY
Christiani CALAPACU
107006130013 RAGOS,JOHN JUSTIN, - M 01-02-2007 14 Tagalog SUBIC ZAMBALES GRACE,RAMOS
ty AN
,
CITY OF REYES,
Christiani TUAZON,JOCE
240001130497 REYES,NATHANIEL, TUAZON M 10-25-2006 15 Tagalog BANGKAL MALOLOS BULACAN EDUARDO
ty LYN,CARTIN,
(Capital) SUPAN
URQUOISE
REMARKS
Learning
Modality (Please refer to
the legend on last
page)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Online
T/I
Modular
DATE:2021-
(print)
09-13
Online
CITY OF SANTOS,
SANTOS,AERON MATTHEW, Christiani CABRERA,MIR
104889120038 M 10-28-2007 14 Tagalog CANALATE MALOLOS BULACAN ALDREF
CABRERA ty ACLE,GALICIA,
(Capital) GIGANTE
CITY OF VIAJE,
Christiani SEDERIA,JOCE
104867120011 VIAJE,JAMES CARL, SEDERIA M 05-02-2005 16 Tagalog CANALATE MALOLOS BULACAN JOSELITO
ty LYN,OLESCO,
(Capital) MADRIGAL
JUMAQUIO,
MANAHAN,AN
JUMAQUIO,TRISHA MAE, Christiani KAPITANGA ALLAN
400770150013 F 11-29-2006 14 Tagalog PAOMBONG BULACAN NIELYN,BULA
MANAHAN ty N HERBERT
ONG,
TANTOCO
ALMARIO,JEN
PANGILINAN,ELISA MAE, Christiani SAN ISIDRO PANGILINAN,
104991120183 F 03-24-2007 14 Tagalog PAOMBONG BULACAN NIFER,CAPULO
ALMARIO ty I ROWEL REYES
NG,
ALMARIO,JEN
PANGILINAN,JASMINE MAE, Christiani SAN ISIDRO PANGILINAN,
104991120184 F 03-24-2007 14 Tagalog PAOMBONG BULACAN NIFER,CAPULO
ALMARIO ty I ROWEL REYES
NG,
CITY OF SANGLE,JENNI
Christiani SANTOS,
104883120044 SANTOS,FEONA KIT, SANGLE F 03-24-2007 14 Tagalog ANILAO MALOLOS BULACAN FER,MENDOZA
ty SHERWIN
(Capital) ,
CITY OF VISTAN,
Christiani BONDOC,VERO
104889130013 VISTAN,ROVELLE, BONDOC F 02-29-2008 13 Tagalog CANALATE MALOLOS BULACAN RUSSELLE
ty NICA,BINUYA,
(Capital) SALAZAR
27 <=== COMBINED
Modular
(print)
Online
Modular
(print)
Modular
(print)
Online
Online
Online
Modular
(print)
Online
Modular
(print)
Modular
(print)
Modular
(print)
Online
Online
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date GENESIS LLANILLO TOLENTINO
Date MALE 14
Balik Aral B/A Name of school last attended & Year CHRISZELYN UY MAGLAYA (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 13
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