Professional Documents
Culture Documents
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School Name San Manuel HS School Year 2021 - 2022 Grade Level Grade 10 Section DAFFODIL
GUARDIAN
AGE ADDRESS PARENTS REMARKS
(if Not Parent)
as of MOTHER Contact
Sex (M/F)
IP
NAME BIRTH DATE 1st TONGUE RELIGIO Number of Learning
LRN (Ethnic Father's Name Mother's Maiden
(Last Name, First Name, Middle Name) (mm/dd/yyyy) Frida (Grade 1 Group)
N House #/ Parent or Modality (Please refer to
y 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
June Purok
Name) Name)
page)
CITY OF
MACAPULAY,JOHN WESTLY, Kapampa Christiani MACAPULAY, HALILI,ARLEN Modular
106738110051 M 04-04-2006 15 CUT-CUT II TARLAC TARLAC
HALILI ngan ty FER NIDERA E,CORPUZ, Digital
(Capital)
CITY OF MESA JR,
Kapampa Christiani MANGACO,ME Modular
106738120167 MESA,JESSIE, MANGACO M 12-23-2003 17 CUT-CUT II TARLAC TARLAC GAUDENCIO
ngan ty RLINA,-, Digital
(Capital) CORPUZ
CITY OF QUIJANO, DELA
Kapampa Christiani Modular
106738110064 QUIJANO,ALVIN, DELA CRUZ M 08-22-2005 15 CUT-CUT II TARLAC TARLAC ROBERTO CRUZ,CLARITA
ngan ty Digital
(Capital) AGUSTIN ,NAPIZA,
CITY OF SAGUN,
SAGUN,RICODEL RICH, Kapampa Christiani SAN EUGENIO,CITA Modular
106702110147 M 11-25-2005 15 TARLAC TARLAC ROMEO
EUGENIO ngan ty MANUEL DEL,PALMA, Digital
(Capital) SANDOVAL
CITY OF
Kapampa Christiani SISON, MARVIN CABALU,LIZ,C Modular
106738110070 SISON,ARVILLE, CORCUERRA M 11-08-2005 15 CUT-CUT II TARLAC TARLAC
ngan ty ROCHA ORCUERA, Digital
(Capital)
CITY OF
VERSOZA JR.,ALEXANDER, Kapampa Christiani SAN VERSOZA SR, BOADO,ROSAL Modular
106705110126 M 01-14-2006 15 TARLAC TARLAC
BOADO ngan ty MANUEL ALEXANDER B IE,U, Digital
(Capital)
CITY OF VIDAD, MANG
Christiani BALINGCAN Modular
105363110052 VIDAD,JAY MARK, MANG JUAN M 12-04-2005 15 Tagalog TARLAC TARLAC CRISOSTOMO JUAN,DJOANA,
ty AWAY Digital
(Capital) CALINDAS LABOGEN,
CITY OF
Kapampa Christiani VILLAFANA, SUPAN,RAQUE Modular
106738100110 VILLAFAÑA,ALEXIES, SUPAN M 01-28-2005 16 CUT-CUT II TARLAC TARLAC
ngan ty NIÑO CASTRO L,CALIGAGAN, Digital
(Capital)
CITY OF
Kapampa Christiani SAN ADONA, FORONDA,JON Modular
106705110002 ADONA,ANGELA, FORONDA F 12-06-2005 15 TARLAC TARLAC
ngan ty MANUEL ALBERTO - ALYN,A, Digital
(Capital)
CITY OF ARROYO,
ARROYO,MACLEEN JHAY, Kapampa Christiani SAN LLAGAS,MELA Modular
106705140145 F 08-25-2006 14 TARLAC TARLAC JAYSON
LLAGAS ngan ty MANUEL NIE,CRUCERO, Digital
(Capital) CASTILLO
CITY OF CORPUZ JR,
Kapampa Christiani DIZON,MAY,BR Modular
106738110032 CORPUZ,SHARMANE, DIZON F 10-05-2005 15 CUT-CUT II TARLAC TARLAC IGNACIO
ngan ty IONES, Digital
(Capital) MALONZO
CITY OF
Christiani BALINGCAN CRUZ, MANUEL FIESTA,LIANIZ Modular
106698120044 CRUZ,SHERYL, FIESTA F 10-08-2006 14 Tagalog TARLAC TARLAC
ty AWAY D A,L, Digital
(Capital)
CITY OF DULDULAO, DELA
DULDULAO,LHYKA JANE, DELA Christiani SAN Modular
136867120497 F 11-30-2005 15 Tagalog TARLAC TARLAC JOSEPH CRUZ,EVELYN,
CRUZ ty PASCUAL Digital
(Capital) CAPITLI FLORES,
GARCIA,
CITY OF
Christiani SAN MARBERN DAVID,ELLEN, Modular
106797110062 GARCIA,KATRINA, DAVID F 05-10-2006 15 Tagalog TARLAC TARLAC
ty MANUEL RUSSEL PEÑA, Digital
(Capital)
JOAQUIA
CITY OF MAMANGUN,
Kapampa Christiani SAN ALFARO,MARY Modular
106705130006 MAMANGUN,REJEAN, ALFARO F 10-21-2005 15 TARLAC TARLAC RENATO
ngan ty MANUEL JANE,PALO, Digital
(Capital) REYES
CITY OF
Christiani SAN MAÑEGO, CASTRO,IRENE Modular
106706100047 MAÑEGO,MARIEL, CASTRO F 10-06-2003 17 Tagalog TARLAC TARLAC
ty PASCUAL MARLON E ,NUCUP, Digital
(Capital)
CITY OF
Kapampa Christiani MUSA, NIDERA,MERLI Modular
106738120019 MUSA,JESSA, NIDERA F 06-02-2004 17 CUT-CUT II TARLAC TARLAC
ngan ty MARCELO - NDA,-, Digital
(Capital)
CITY OF OFRECIO,
OFRECIO,FATIMA ROSE, Christiani VILLA SALVADOR,FL Modular
106708120035 F 10-26-2006 14 Tagalog TARLAC TARLAC ROSENDO
SALVADOR ty BACOLOR ORENCE,D, Digital
(Capital) DAVID
CITY OF POUCEDIO, OLONAN,MA
POUCEDIO,MARY CLYDE, Kapampa Christiani Modular
106704110062 F 08-20-2006 14 SAN JOSE TARLAC TARLAC GERANIO VERONICA,MU
OLONAN ngan ty Digital
(Capital) PIYAGAN ÑOZ,
CITY OF ROSETE,
ROSETE,MARIA SANDRA, VILLA PANGAN,CYND Modular
106708110038 F 05-15-2006 15 Tagalog Others TARLAC TARLAC ALLAN
PANGAN BACOLOR Y,SANTOS, Digital
(Capital) GARABILLO
CITY OF
Kapampa Christiani SAN JULIANO,WILL Modular
106705110098 RUIZ,JANELL ANN, JULIANO F 03-09-2006 15 TARLAC TARLAC RUIZ, ANDY T
ngan ty MANUEL EN,B, Digital
(Capital)
CITY OF SAHAGUN, PARALLON,JOS
SAHAGUN,JADRIELLE WINNIE Kapampa Christiani Modular
106704110075 F 09-10-2006 14 SAN JOSE TARLAC TARLAC ADRIAN SAINIE,ADAYA
MAE, PARALLON ngan ty Digital
(Capital) ARCEO ,
CITY OF TORRES JR,
Christiani SAN PASCUA,ROWE Modular
106706100068 TORRES,MICHELLE, PASCUA F 03-06-2004 17 Tagalog TARLAC TARLAC MAXIMO
ty PASCUAL NA,ALAGAO, Digital
(Capital) SAHAGUN
P <=== COMBINED
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date WILFREDO FELIPE PARAS
Date MALE 21
Balik Aral B/A Name of school last attended & Year DIOSA ALEJO QUIACHON (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 17
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 38
BoSY Date: EoSY Date: