Professional Documents
Culture Documents
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School ID 109254 Region IV-A Division Tayabas City District Tayabas West
School Name Froilan E. Lopez ES School Year 2021 - 2022 Grade Level Kinder Section CAIMITO
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)
ABAINZA, TAGALOG,HEL
Christiani CITY OF
109254210102 ABAINZA,AGEO, TAGALOG M 11-10-2015 5 Filipino ISABANG QUEZON ARTURO EN,BUAYABAN
ty TAYABAS
PEÑAFLOR ,
AREVALO, MAMARIL,MIL
Christiani CITY OF
109254210103 AREVALO,RENMIL, MAMARIL M 03-04-2016 5 Filipino ISABANG QUEZON RENATO DRED,MANAWI
ty TAYABAS
ENTICO S,
BORBE,
Christiani CITY OF TUD,ELMA,TA
109254210058 BORBE,NETHAN, TUD M 11-10-2015 5 Filipino MAYOWE QUEZON DENNIS
ty TAYABAS YOTO,
CENTILLAS
BORGOÑOS,
BORGOÑOS,JEIRUZ JOAQUIN, Christiani CITY OF ENGUERRA,IV
109254210059 M 11-01-2015 5 Filipino ISABANG QUEZON JORDAN
ENGUERRA ty TAYABAS Y,PELLIJERA,
JUNIAR
SAN
EBORA,
EBORA,LYAME AIDEN, SAN Christiani CITY OF JOSE,ANGELIC
109254210062 M 10-23-2016 5 Filipino ISABANG QUEZON JOLAND
JOSE ty TAYABAS A,RIVADENER
OROGO
A,
EUBINA,
Christiani CITY OF LORICA,JOYCE
109254210060 EUBINA,JOHN JACOB, LORICA M 12-28-2015 5 Filipino ISABANG QUEZON MARMAN
ty TAYABAS L,ALBA,
LUCILA
EVANGELISTA,
EVANGELISTA,ROME Christiani CITY OF ARANDELA,CR
109254210104 M 10-10-2015 6 English ISABANG QUEZON ROMEO
KRISTOFER, ARANDELA ty TAYABAS ISTIE,ENTOMA,
CABRAL
AREGLADO,M
HERNANDEZ,
HERNANDEZ,CHASE PRAYNIER, Christiani CITY OF ARIA
109254210061 M 10-24-2015 6 Filipino ISABANG QUEZON PAUL JOHN
AREGLADO ty TAYABAS CHONA,JAVEL
VILLANTES
OSA,
MOLAS, ATIENZA,FLOR
Christiani CITY OF
109254210063 MOLAS,JHONEL, ATIENZA M 12-19-2015 5 Filipino MAYOWE QUEZON JHONNY ECEL,VELASC
ty TAYABAS
AMORQUIA O,
QUIJARO,WINN
ORTEGA,BRENT KYRIE, Christiani CITY OF ORTEGA, JUDE
108339210011 M 08-08-2016 5 Filipino ISABANG QUEZON IEBELE,FERRE
QUIJARO ty TAYABAS ANTION
R,
SALUD, BERMUDEZ,SH
SALUD,NATHANIEL LOYD, Christiani CITY OF ELJUDE IELA
109254210090 M 09-12-2016 5 Filipino ISABANG QUEZON
BERMUDEZ ty TAYABAS ZANDER MARIE,BATILE
FELLIZAR S,
ayabas West
CAIMITO
REMARKS
Learning
Modality (Please refer to
the legend on last
page)
Modular CCT
(print)
Modular
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Modular
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Modular
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Modular
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Modular
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T/I
Modular
DATE:2021-
(print)
11-15
Modular
(print)
VALDEREY, CALINOG,FERI
Christiani CITY OF
109254210105 VALDEREY,JACOB, CALINOG M 09-16-2016 5 Filipino ISABANG QUEZON GERRY ALIZA,BERSAB
ty TAYABAS
MORALES E,
BULAQUIÑA,M
VALLER,
VALLER,RHENDALE, Christiani CITY OF A
109254210064 M 07-21-2015 6 Filipino ISABANG QUEZON RODERICK
BULAQUIÑA ty TAYABAS NENITA,LUSTI
DAÑO
CA,
PALMERO,AILE
Christiani CITY OF ZAIDE,
109254210065 ZAIDE,CLIVE JUSTE, PALMERO M 02-09-2016 5 Filipino ISABANG QUEZON EN,MERCADEJ
ty TAYABAS RONALD PAÑA
AS,
FLORES, PADUA,AVA
FLORES,EVA RACHEL IANNE, Christiani CITY OF
109254210089 F 11-16-2015 5 Filipino ISABANG QUEZON MICHAEL SHEILA,OABEL
PADUA ty TAYABAS
FABRIA ,
LUCERIANO,
LUCERIANO,YVONNE Christiani CITY OF BALIZA,CAMIL
109254210116 F 06-14-2016 5 Filipino ISABANG QUEZON NESTY JAY
CALLIOPE, BALIZA ty TAYABAS LE,LIWANAG,
MENDOZA
MENDOZA,
MENDOZA,MA. JHAMAICA, Christiani CITY OF MORALES,LEA
109254210106 F 07-30-2016 5 Filipino ISABANG QUEZON JOHN HARDIE
MORALES ty TAYABAS H,BUEFANO,
PADERNA
SALTING,DIAN
Christiani CITY OF PAPA, RUBEN A
109254210069 PAPA,RUBY GRACE, SALTING F 09-07-2016 5 Filipino ISABANG QUEZON
ty TAYABAS SAMINIADA GRACE,VILLAL
ON,
REYMUNDO,
UMBRETE,JHES
REYMUNDO,AUDREE JANELLE, Christiani CITY OF ALLYSON
109254210071 F 10-15-2016 5 Filipino ISABANG QUEZON ICCA
UMBRETE ty TAYABAS ANTHONY
MAE,EDAÑO,
AYUMA
ROMERO, OBIEN,ANNA
Christiani CITY OF
109254210107 ROMERO,ANDREA, OBIEN F 05-04-2016 5 Filipino ISABANG QUEZON ALDRIN MARIE,ESPINIL
ty TAYABAS
DELGADO E,
TICZON,
Christiani CITY OF TIOC,ALICE,SA
109254210073 TICZON,ALEXA DENISE, TIOC F 04-01-2015 6 Filipino ISABANG QUEZON ROMEL
ty TAYABAS LAS,
CARABIO
Modular
(print)
Modular
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Modular CCT
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Modular
(print)
Modular
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Modular
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Modular
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Modular
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30 <=== COMBINED
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date DENNIS O. LABITA
Date MALE 16
Balik Aral B/A Name of school last attended & Year LOUELLA OCADO TABI (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 14
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 30
BoSY Date: EoSY Date:
EoSY Date:
d thru LIS