Professional Documents
Culture Documents
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School Name Ugad Elementary School School Year 2021 - 2022 Grade Level Grade 6 Section LOTUS
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)
ACOBA,
Christiani ACOSTA,LINA,
103886150001 ACOBA,IVAN LLHOYD, ACOSTA M 06-21-2010 11 Ybanag Iabanag UGAD TUMAUINI ISABELA SIMEON
ty DENGURAY,
MADDAWIN
CAPELO,KELL
AGULTO, RICK
AGULTO,RICK KRAVEN JOSH, Christiani Y
103886150051 M 10-24-2009 12 Ibanag Iabanag UGAD TUMAUINI ISABELA JASON
CAPELO ty GRACE,RUMBA
BACCAY
UA,
TUDDAO,MARI
ALLAM,MICHAEL SAM, Christiani ALLAM, EDWIN
103886150034 M 07-25-2010 11 Ybanag Iabanag UGAD TUMAUINI ISABELA CEL,ALLAPITA
TUDDAO ty LAMAN
N,
BACCAY,
Christiani CARONAN,DAI
103886150040 BACCAY,M-JAY, CARONAN M 07-09-2010 11 Ybanag Iabanag UGAD TUMAUINI ISABELA MICHAEL
ty SY,RICO,
CALIGUIRAN
GUIUO,
Christiani PINUGU,REGIN
103886150046 GUIUO,R-JAY, PINUGU M 04-14-2010 11 Ibanag Iabanag UGAD TUMAUINI ISABELA DANILO
ty A,IRINGAN,
SANCHEZ
LAMAN,
LAMAN,RAYVEN DAVE, Christiani TANDAYU,ME
103879150007 M 06-27-2010 11 Ybanag Iabanag UGAD TUMAUINI ISABELA OLIVER
TANDAYU ty RLYN,TULIAO,
BATOON
LAMAN,
Christiani MANALO,HAID
103886150005 LAMAN,ZHAIRONE, MANALO M 11-29-2009 11 Ibanag Iabanag UGAD TUMAUINI ISABELA REYMOND
ty Y,RAMOS,
PACLEBA
MASCRABA,
Christiani FERRERA,JUBY
103886150007 MASCRABA,EJ, FERRERA M 08-24-2009 12 Ybanag Iabanag UGAD TUMAUINI ISABELA ERICK
ty LYN,SALES,
CONCHA
ORBINO,
ORBINO,RYAN CHRISTIAN, Christiani AMBRE,BASILI
103886150008 M 08-30-2010 11 Ibanag Iabanag UGAD TUMAUINI ISABELA RUBEN
AMBRE ty A,SANCHEZ,
MAGPALE
TAMANG,
Christiani BANGAN,MAR
103886150022 TAMANG,JOJO, BANGAN M 12-17-2009 11 Ibanag Iabanag UGAD TUMAUINI ISABELA GILBERT
ty LYN,PATAUEG,
BUENAVISTA
LOTUS
REMARKS
Learning
Modality (Please refer to
the legend on last
page)
Blended
Blended
CCT
Blended
Blended
Blended
Blended
Blended
Blended
Blended
Blended
Blended
Blended
Blended
Blended
TAMANG,
TAMANG,MARKKI CHARLES, Christiani LAMAN,MARIC
103886150036 M 05-21-2010 11 Ibanag Iabanag UGAD TUMAUINI ISABELA CHARLIE
LAMAN ty RIS,TARAYAO,
GAMMAD
TAMMA,JHON ALBERT, Christiani TAMMA, DENGURAY,PI
103886150024 M 01-19-2010 11 Ybanag Iabanag UGAD TUMAUINI ISABELA
DENGURAY ty ALBERTO LAR,,
TANDAYU, ALMOJUELA,R
Christiani
103886150019 TANDAYU,AR-R, ALMOJUELA M 09-14-2009 12 Ybanag Iabanag UGAD TUMAUINI ISABELA RANDY OWENA,PACOT
ty
GUIYAB ,
CABANGON,
CABANGON,PATRICIA MAE, Christiani LAMAN,CRIST
103886150041 F 03-21-2010 11 Ibanag Iabanag UGAD TUMAUINI ISABELA PEDRITO
LAMAN ty Y,LUMAUIG,
FEBRER
CHAVEZ, GANNABAN,SU
CHAVEZ,SANDARA, Christiani
103886150013 F 05-14-2010 11 Ybanag Iabanag UGAD TUMAUINI ISABELA SEVERINO NSHINE,BURA
GANNABAN ty
LUGA GA,
GUMATAY, LUMAUIG,JOC
GUMATAY,JEN-AYXEIL, Christiani
103886150018 F 10-03-2009 12 Ybanag Iabanag UGAD TUMAUINI ISABELA ANGELITO ELYN,MACATU
LUMAUIG ty
GUIYAB GGAL,
DEL
LAMAN,
LAMAN,CHRISTINE JOY, DEL Christiani ROSARIO,LOR
103886150061 F 10-13-2009 12 Ibanag Iabanag UGAD TUMAUINI ISABELA FLORITO
ROSARIO ty DIVINA,SUGUI
LALANTAN
TAN,
LAMAN,
Christiani VINARAO,BEL
103886150047 LAMAN,JHELAI, VINARAO F 07-09-2010 11 Ibanag Iabanag UGAD TUMAUINI ISABELA BERNARDINO
ty EN,ARUGAY,
LUGA JR
TAMANG,MER
MATA,
MATA,MICHAELAH GRACE, Christiani Y
103886150033 F 11-04-2009 11 Ibanag Iabanag UGAD TUMAUINI ISABELA MICHAEL
TAMANG ty GRACE,SADDU
CORPUZ
L,
MOLINA,
Christiani LUMAUIG,REC
103878150010 MOLINA,CHERISH, LUMAUIG F 04-01-2010 11 Ybanag Ybanag LANNA TUMAUINI ISABELA CHARLIE
ty HIE,TAMANG,
TALAGTAG
SAN ANTONIO,
SAN ANTONIO,SHANELLE, Christiani LAMAN,SHERY
103886150028 F 03-18-2010 11 Ybanag Iabanag UGAD TUMAUINI ISABELA ALDRIN
LAMAN ty L,LUMAUIG,
GAMERGA
Blended
Blended
Blended
Blended
Blended
Blended
CCT
Blended
Blended
Blended
Blended
Blended
Blended
Blended
Blended
CCT
Blended
Blended
Blended
Blended
SANCHEZ,
SANCHEZ,CHRISTINE, Christiani DUMELOD,JOA
103903150031 F 10-10-2010 11 Ibanag Iabanag UGAD TUMAUINI ISABELA WILSON
DUMELOD ty NA,BUCAD,
DENGURAY
VALLO, MELAD,LOREN
Christiani
103886150012 VALLO,NICA LOREN, MELAD F 04-12-2010 11 Ybanag Iabanag UGAD TUMAUINI ISABELA RONNIE ZA,MACABAN
ty
SANCHEZ GUN,
VINARAO, BAQUIRAN,MA
VINARAO,CHRISTINA, Christiani
103886150015 F 06-05-2010 11 Ibanag Iabanag UGAD TUMAUINI ISABELA DANILO RICEL,MALAN
BAQUIRAN ty
TAMANG NAO,
35 <=== COMBINED
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date CHRISTALLE MAY RICO SARANGAY
Date MALE 17
Balik Aral B/A Name of school last attended & Year MARITES JUDI TUMOLVA (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 35
BoSY Date: EoSY Date:
Blended
CCT
Blended
Y RICO SARANGAY
EoSY Date:
d thru LIS