Professional Documents
Culture Documents
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School Name Tayug NHS School Year 2021 - 2022 Grade Level Grade 8 (Year Section BANABA
GUARDIAN
ADDRESS PARENTS REMARKS
(if Not Parent)
Age MOTHER Contact
Sex (M/F)
IP
LRN
NAME BIRTH DATE as of TONGUE (Ethnic
RELIGIO Number of Learning
(Last Name, First Name, Middle Name) (mm/dd/yyyy) Octob (Grade 1 N Father's Name Mother's Maiden Parent or Modality
Group) House #/ (Please refer to
er 31 to 3 Only) Municipality/ (Last Name, First Name (Last Name, Guardian
Street/ Sitio/ Barangay Province Name Relationship the legend on last
City Name, Middle First Name, Middle
Purok page)
Name) Name)
Pampang
CAYABYAB,CH
an/ T/I
GALLARDO,RENZ CARLO, Christiani GALLARDO, RISTINE Modular
106372130005 M 02-16-2007 14 Kapampa ANUPUL BAMBAN TARLAC DATE:2021-
CAYABYAB ty JOEL NOGOY REINA,DE (print)
ngan/ 09-13
VERA,
Pampan
GRINO, VICENTE,ROW
Christiani Modular
122258140043 GRIÑO,REYMART, VICENTE M 03-29-2008 13 Ilocano TRENCHERA TAYUG PANGASINAN ROMULO ENA,CATCHER
ty (print)
DAPITAN O,
LAYCO,
Christiani BARANGOB BUSTRIA,GERA Modular
102062130007 LAYCO,MARC PAUL, BUSTRIA M 08-17-2008 13 Iloko TAYUG PANGASINAN DEXTER
ty ONG LDINE,EBREO, (print)
SALOM
CAGAYAN
BANGCOYO,BE T/I
LISTUHAN,LEAN PRINCE JAY, Christiani DE ORO MISAMIS LISTUHAN, Modular
127979130156 M 11-28-2007 13 Cebuano MAMBUAYA NITA,ESTRADA DATE:2021-
BANGCOYO ty CITY ORIENTAL RODYARD GO Digital
, 09-13
(Capital)
SAN TRINIDAD,ROM T/I
NACIBAL,KYLE VINCENT, Christiani SAN NACIBAL, Modular
101977130008 M 01-14-2008 13 Iloko RAFAEL PANGASINAN ALYN,LATORR DATE:2021-
TRINIDAD ty NICOLAS ALVIN PULIDO (print)
WEST E, 09-13
NOLLIDO,
NOLLIDO,JUSTINE ANDREW, Christiani PAGAL,MARISS Modular
102068130013 M 10-03-2007 14 Ilocano TRENCHERA TAYUG PANGASINAN MANUEL
PAGAL ty A,CLAVANO, (print)
HERNANDEZ JR
PENULIAR, T/I
Christiani CASANICOL ESPIRITU,JUDI Modular
101893120008 PENULIAR,JONATHAN, ESPIRITU M 06-02-2005 16 Ilocano ROSALES PANGASINAN RONNIE DATE:2021-
ty ASAN TH,PERICO, (print)
CLEMENTE 09-13
PERALTA,
Christiani MAGALLAN DUCUSIN,AVE Modular
102066120120 PERALTA,GREAVEN, DUCUSIN M 03-08-2007 14 Iloko TAYUG PANGASINAN GREGORIO
ty ES NIL,BLANCO, (print)
OJASCASTRO
PORWELOS,
Christiani SAN BENITO,JUVY,P Modular
101979130005 PORWELOS,DARIUS, BENITO M 08-11-2008 13 Ilocano SAN ROQUE PANGASINAN DELFIN
ty NICOLAS ANAHON, (print)
ARPONIDA
RODICO,
RODICO,ARFER RAINS, Christiani SAN COCOTAN,AND Modular
101975130014 M 04-07-2008 13 Iloko SAN JOSE PANGASINAN ALEXANDER
COCOTAN ty NICOLAS REA,CABRERA, (print)
FERNANDEZ
VILLAPANA, T/I
Christiani MAGALLAN MARA,EVANGE
102072130029 VILLAPAÑA,ACE, MARA M 06-03-2008 13 Iloko TAYUG PANGASINAN ALFIE Blended DATE:2021-
ty ES LYN,AQUINO,
CAYABYAB 09-13
COLLADO,
COLLADO,MESHELIMAY, LAGERA,MERC Modular
102068130021 F 01-06-2008 13 Ilocano Others TRENCHERA TAYUG PANGASINAN MANOLITO
LAGERA Y,ALDIANO, (print)
HERNANDEZ
SAN CREDO, GALZOTE,JOSE
Modular
101367130018 CREDO,REYNA JOY, GALZOTE F 10-15-2008 13 Iloko Others MAMARLAO CARLOS PANGASINAN RENANTE PHINE,PALATA
(print)
CITY ORTILLO O,
DALASEN,
Christiani BARANGOB DASING,MADO Modular
102066130208 DALASEN,DZYRIE, DASING F 10-30-2008 13 Iloko TAYUG PANGASINAN RONNIE
ty ONG NNA,JAVINES, (print)
ASUNCION
T/I
FERNANDEZ,GENSIS VRINELA Christiani FERNANDEZ, LAGERA,MARG
102066140016 F 01-31-2008 13 Iloko TUKTUKAN GUIGUINTO BULACAN Blended DATE:2021-
MARIJ, LAGERA ty DIONEL TAACA IE,JAMIN,
09-13
PEREZ, ACOSTA,VIRGI
PEREZ,DIANNE ALEXIS, Christiani SAN Modular
101978130025 F 02-28-2007 14 Iloko SAN ROQUE PANGASINAN ALEXANDER E,CABALITASA
ACOSTA ty NICOLAS (print)
CALAYCAY N,
PEREZ, ACOSTA,VIRGI
Christiani SAN Modular
101978130026 PEREZ,TRIXIE, ACOSTA F 04-20-2008 13 Iloko SAN ROQUE PANGASINAN ALEXANDER E,CABALITASA
ty NICOLAS (print)
CALAYCAY N,
QUINTO, BALLESTEROS,
QUINTO,JHAN ZANDRINE, Christiani BARANGAY Modular
102067130095 F 05-29-2008 13 Iloko TAYUG PANGASINAN TEOFILO PERLITA,MIRA
BALLESTEROS ty C (POB.) (print)
MEHARIS NDA,
SANCHEZ, SANCHEZ,CRES
SANCHEZ,LYRA CHARRYSE, Christiani Modular
412062150057 F 01-04-2009 12 Iloko TRENCHERA TAYUG PANGASINAN LARRY ILDA,ZAPATER
ZAPATERO ty (print)
VERGARA O,
TACAZON, OLIPAS,WARLI
Christiani Modular
102065130035 TACAZON,ISABELLE, OLIPAS F 10-07-2006 15 Iloko LIBERTAD TAYUG PANGASINAN BENJAMIN TA,PASAMONT
ty (print)
CALAJATI JR E,
TOLENTINO, T/I
TOLENTINO,JENNIFER, Christiani ASCUETA,EFLE Modular
102063130034 F 03-20-2008 13 Iloko PALDIT SISON PANGASINAN JAIME JR DATE:2021-
ASCUETA ty DA,TUCAY, (print)
ESTONILO 09-13
32 <=== COMBINED
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date MARK ROMERO MARTINEZ
Date MALE 19
Balik Aral B/A Name of school last attended & Year REY MARK VIDAL LACADEN (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 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 32
BoSY Date: EoSY Date:
Generated thru LIS