Professional Documents
Culture Documents
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School Name Consuegra Elementary School School Year 2022 - 2023 Grade Level Grade 6 Section HELICONIA
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)
BRILATA,
BRILATA,CRISTIAN Christiani CONSUEGR ZABALA,CRIST
121592150021 M 12-17-2009 12 Waray LEYTE LEYTE SILVANO
EMMANUEL, - ty A INE,ZABALA,
URMENETA
BROÑOLA,
Christiani CONSUEGR QUEBEC,JONID
121592160053 BROÑOLA,MARLON, JR QUEBEC M 01-12-2011 11 Waray LEYTE LEYTE MARLON
ty A A,GATURIAN,
AMEN
DALUT, BALTAZAR,WE
Christiani CONSUEGR
121237150001 DALUT,JONNE, BALTAZAR M 01-24-2008 14 Waray LEYTE LEYTE BIENVENIDO LFRIDA,COMM
ty A
UMPAD ENDADOR,
DELANTAR,
Christiani CONSUEGR GUARINO,GEM
121592160054 DELANTAR,JACOB, GUARINO M 08-01-2011 11 Waray LEYTE LEYTE LOLITO JR
ty A MA,ROMERO,
BRILATA
BORINAGA,JO
Christiani CONSUEGR GALA, JOEL
121592160036 GALA,JOHN IVAN, BORINAGA M 12-30-2010 11 Waray LEYTE LEYTE VELYN,GANAB
ty A CODERA
ES,
GONZAGA,
Christiani CONSUEGR OSABEL,LENY,
121592150030 GONZAGA,REY, OSABEL M 04-09-2010 12 Waray LEYTE LEYTE TOMAS
ty A CUMAYAS,
CABALLES
GONZALES,
GONZALES,JOHN PAUL, Christiani LAURON,ERLI
121606160001 M 04-07-2011 11 Waray SALOG LEYTE LEYTE CAMILO
LAURON ty NDA,QUIR,
TROYO
MALINAO,
Christiani CONSUEGR TANGILE,HEID
121592160006 MALINAO,REYMARK, TANGILE M 12-15-2010 11 Waray LEYTE LEYTE REYNALDO
ty A E,GONDONG,
ROSAL
MILLOS,
Christiani CONSUEGR GAYO,LODEVI
121592160011 MILLOS,JOLO RENZ, GAYO M 10-25-2010 12 Waray LEYTE LEYTE JOSEPH
ty A NA,CARBO,
ABILLA
NODALO,
Christiani CONSUEGR COLLERA,ANA
121592130037 NODALO,DENNIS, COLLERA M 05-17-2007 15 Waray LEYTE LEYTE DOMINGO
ty A BIL,A,
GOLLEM
Christiani CONSUEGR PACALA, HAVANA,MAD
121592160045 PACALA,DENMAR, - M 08-20-2011 11 Waray LEYTE LEYTE
ty A MARVIN ELYN,,
REALIZ, JOSE
Christiani CONSUEGR CALSA,ANNAL
121592160013 REALIZ,MARLON, CALSA M 03-27-2011 11 Waray LEYTE LEYTE CHRISTOPHER
ty A YN,DACLITAN,
REYES
Leyte II
HELICONIA
REMARKS
Learning
Modality (Please refer to
the legend on last
page)
Face to Face
Face to Face
Face to Face
Face to Face
Face to Face
Face to Face
Face to Face
T/I
Face to Face DATE:2022-
08-23
Face to Face
Face to Face
Blended
Blended
Face to Face
ROSALES,
Christiani CONSUEGR VILLEGAS,NEN
121592150037 ROSALES,JAY-R, VILLEGAS M 03-07-2010 12 Waray LEYTE LEYTE GERRY
ty A ITA,BELLO,
ZABALA
TABUGON,
TABUGON,REV SSIRAM, Christiani CONSUEGR DUBLIN,MARIS
121592160037 M 05-07-2011 11 Waray LEYTE LEYTE JOHN VER
DUBLIN ty A SA,VILLENA,
CRUZA
ATIZON, NODALO,JENNI
Christiani CONSUEGR
121592160016 ATIZON,ZYREL MEA, NODALO F 02-07-2011 11 Waray LEYTE LEYTE RENATO ELYN,GOLLEM
ty A
MONIVA ,
CABALLES, TANGILE,BEVE
Christiani CONSUEGR
121592160041 CABALLES,VALERIE, TANGILE F 12-09-2010 11 Waray LEYTE LEYTE GERRYMIE RLY,GONDONG
ty A
QUEBEC ,
DAMAYO,
Christiani CONSUEGR LEQUIN,MARGI
500141160149 DAMAYO,MARIAN, LEQUIN F 02-04-2010 12 Tagalog LEYTE LEYTE MAXINO
ty A E,SENENING,
FLORES
MEDALLA,TER
Christiani CONSUEGR GALA, ROMEO
121592140065 GALA,JENNIFER, MEDALLA F 10-18-2008 14 Waray LEYTE LEYTE ESITA,SALIDA
ty A SAN MARTIN
GA,
GATURIAN, STA
GATURIAN,ELIZA MAE, STA Christiani CONSUEGR
121592160057 F 08-31-2011 11 Waray LEYTE LEYTE ELESIO THERESA,JULI
THERESA ty A
DIGNOS ET,RETANA,
GUIAPAL, ARGALLO,DIN
Christiani CONSUEGR
121592160024 GUIAPAL,NORMINA, ARGALLO F 05-05-2010 12 Waray LEYTE LEYTE NANDIA ALYN,BATERN
ty A
ZALIKA A,
MIJARES, BALBERO,GER
Christiani CONSUEGR
121592160059 MIJARES,SHAINAH, BALBERO F 11-24-2010 11 Waray LEYTE LEYTE RICHARD ALDIN,CUBICO
ty A
SABENORIO ,
SARCILLA, ZALDARRIAGA
SARCILLA,JENEL, Christiani CONSUEGR
121592160060 F 12-20-2010 11 Waray LEYTE LEYTE NOEL ,ROGELIA
ZALDARRIAGA ty A
BUSTILLO JRA,BADINAS,
SEMAÑA,
Christiani CONSUEGR MILLOS,RINA,C
121592160062 SEMAÑA,ROGELYN, MILLOS F 10-11-2010 12 Waray LEYTE LEYTE REYNANT
ty A ADAY,
AMPA
25 <=== COMBINED
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date JUDITH DELANTAR LASTRA
Date MALE 16
Balik Aral B/A Name of school last attended & Year GEROME REPONTE NEGAD (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 9
Disability
Dropped DRP Reason and Effectivity Date Accelerated ACL Specify Level & Effectivity Data
Late Enrollment LE Reason (Enrollment beyond 1st Friday of SY) BoSY Date: EoSY Date:
TOTAL 25
BoSY Date: EoSY Date:
Face to Face
Face to Face
Face to Face
Face to Face
Face to Face
Face to Face
Face to Face
Face to Face
Face to Face
Face to Face
NTAR LASTRA
EoSY Date:
d thru LIS