Professional Documents
Culture Documents
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School Name Tanagan NHS School Year 2021 - 2022 Grade Level Grade 9 (Year Section MABINI
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)
ANASTACIO,
ANASTACIO,CARL VINCE, Christiani SAN MANGA,MARIT
111419120012 M 04-04-2007 14 Tagalog MABINI ROMBLON FLORENCIO
MANGA ty ANDRES ES,GAMO,
FLORES
ANTONIO, JULGADO,LUZ
ANTONIO,CRIS LORENCE, Christiani SAN
111426120002 M 02-08-2007 14 Tagalog MATUTUNA ROMBLON WEDDIE VIMINDA,IBAÑ
JULGADO ty ANDRES
SARCENO EZ,
CUADERNAL,
Christiani SAN DIZON,EVITA,
111429120031 CUADERNAL,EIVANLEY, DIZON M 08-06-2007 14 Tagalog POBLACION ROMBLON LAYDON
ty ANDRES GAMO,
GADON
DEL MUNDO,
Christiani SAN LIYAW,LEUKR
111419110012 DEL MUNDO,JHO MAR, LIYAW M 06-19-2006 15 Tagalog MABINI ROMBLON ROMAR
ty ANDRES ESIA,DEBORA,
MADERA
ESPANOLA,
ESPANOLA,EARL PATRICK, Christiani SAN MARINO,NIEVE
111430120007 M 03-26-2003 18 Tagalog TAN-AGAN ROMBLON MARCELINO
MARINO ty ANDRES Z,MANRIQUE,
FRONDA
ESPAÑOLA,
ESPAÑOLA,ERNANIE, JR Christiani SAN MAGAPI,MERL
111419120018 M 07-16-2007 14 Tagalog MABINI ROMBLON ERNANIE
MAGAPI ty ANDRES Y,TOLEDO,
GAYTANO SR
FERNANDEZ,
Christiani ACOSTA,GINA,
111341120064 FERNANDEZ,JESSIE, ACOSTA M 04-22-2005 16 Tagalog PANIQUE ODIONGAN ROMBLON MIGUELITO
ty FLORENCIO,
MAGAYON JR
FLORENCIO,REYMARK, Christiani SAN FLORENCIO, GUNTAN,ARCE
111426120012 M 06-23-2006 15 Tagalog MATUTUNA ROMBLON
GUNTAN ty ANDRES ROBERT LIE,,
GABAYNO,
Christiani SAN TABERAO,EDE
111426120019 GABAYNO,RUDY, TABERAO M 10-15-2003 18 Tagalog MATUTUNA ROMBLON RANDOLFO
ty ANDRES N,ROBLES,
FAMISARAN
MAAMBONG,M
Christiani SAN GAMO, ODITO
111419120022 GAMO,KAYLE, MAAMBONG M 01-30-2007 14 Tagalog MABINI ROMBLON ARIVIC,FABEL
ty ANDRES BALDERA
LA,
REMARKS
Learning
Modality (Please refer to
the legend on last
page)
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CANOY,JOCEL
MACATOL,PRENCE EUGENE, Christiani SAN MACATOL,
111419120026 M 11-26-2006 14 Tagalog MABINI ROMBLON YN,VILLANUE
CANOY ty ANDRES RICKY TOLEDO
VA,
MENES,
Christiani SAN GAN,ELY,LUC
111419100038 MENES,REYMART, GAN M 09-06-2003 18 Tagalog MABINI ROMBLON REYNALDO
ty ANDRES AS,
ESPAÑOLA
OCTAVIANO, GALVEZ,MARY
OCTAVIANO,JOHN REX, Christiani SAN
111431130015 M 07-23-2003 18 Tagalog Ati VICTORIA ROMBLON JOSEPH ROSE,FALLARI
GALVEZ ty ANDRES
CAYANG A,
TOLEDO,
Bantoano LOPEZ,JENNYL
111334120012 TOLEDO,RJ, LOPEZ M 07-14-2007 14 Others PANIQUE ODIONGAN ROMBLON ROMMEL
n, Asi YN,MAGADA,
MORALES
DEMORA,
Christiani SAN GAN,LIDELINE,
111431120013 DEMORA,JUDELYN, GAN F 02-22-2007 14 Tagalog Ati VICTORIA ROMBLON ONOPRE
ty ANDRES MANGAO,
BANSOLI
ESPAÑOLA,
Christiani SAN MARIÑO,NIEVE
111430120013 ESPANOLA,SHIELA, MARINO F 07-09-2006 15 Tagalog TAN-AGAN ROMBLON MARCELINO
ty ANDRES S,MANRIQUE,
FRONDA
FABELLA,CRISTINE, Christiani SAN FABELLA, ERIC CATAJAY,CRIS
111430120028 F 11-18-2006 14 Tagalog MABINI ROMBLON
MAGBANUA ty ANDRES CAYA TINA,,
RAPSING,MAR
FABELLA,
Christiani SAN Y
111430120029 FABELLA,REY JANE, RAPSING F 01-08-2007 14 Tagalog MABINI ROMBLON RAYMOND
ty ANDRES JANE,ESQUELO
CAYA
NA,
FLORIDA,
Christiani SAN GAMO,MARILY
111430120032 FLORIDA,MABEL, GAMO F 06-08-2007 14 Tagalog TAN-AGAN ROMBLON MARVIN
ty ANDRES N,GABAYNO,
GRIMARIN
GAN,
Christiani SAN SOGUILON,CRI
111426120040 GAN,JODDY ANN, SOGUILON F 04-29-2007 14 Tagalog Ati VICTORIA ROMBLON FLORENTINO
ty ANDRES SALES,MERAN,
TAN
GANAN, CAPILLO,ROSA
Christiani SAN
111419110023 GANAN,JESSA, CAPILLO F 02-15-2005 16 Tagalog MABINI ROMBLON TEODY LINDA,IGNACI
ty ANDRES
FAJUTNAO O,
MANIPOL,
MANIPOL,BERNADETTE, Christiani SAN GABINETE,NEL
111430110030 F 11-30-2005 15 Tagalog TAN-AGAN ROMBLON RICKY
GABINETE ty ANDRES LY,OCAMPO,
MANGAT
OSORIO,
OSORIO,MARY JENE, Christiani SAN GONZALES,PR
111426120042 F 06-25-2007 14 Tagalog MATUTUNA ROMBLON MAYOLITO
GONZALES ty ANDRES ESCINIA,GAN,
SARCENO
PUJEDA,JUDELYN, Bantoano FAMADULAN,J
111341120023 F 07-02-2006 15 Others PANIQUE ODIONGAN ROMBLON
FAMADULAN n, Asi ANET,,
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NLPA
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DATE:2021/11/
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08
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Christiani SAN TALADTAD, DOROY,JELY,M
111430100056 TALADTAD,ALERA, DOROY F 01-15-2004 17 Tagalog TAN-AGAN ROMBLON
ty ANDRES ALBERTO GAN ARINO,
TALADTAD, MARCELINO,M
TALADTAD,MARIA APRILYN Christiani SAN
111430120012 F 04-27-2006 15 Tagalog TAN-AGAN ROMBLON MARNEL ARIA
EUNICE, MARCELINO ty ANDRES
GADON FE,ALCORAN,
TALADTAD,
TALADTAD,MIKAELLA JANE, Christiani SAN LUCAS,MOREN
111430120063 F 01-13-2007 14 Tagalog MATUTUNA ROMBLON JUANITO
LUCAS ty ANDRES A,GALICIA,
BUHALA
36 <=== COMBINED
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date HERIFE TALAMISAN MAZO
Date MALE 21
Balik Aral B/A Name of school last attended & Year JOHN REY VICTORIANO CESAR (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 15
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 36
BoSY Date: EoSY Date:
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MISAN MAZO
EoSY Date:
d thru LIS