Professional Documents
Culture Documents
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School Name Veruela National High School School Year 2021 - 2022 Grade Level Grade 7 (Year Section ALGEBRA
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)
Cebuano
/ ALONZO, CALAYON,MA
Christiani AGUSAN DEL
131922150002 ALONZO,JOMARIE, CALAYON M 11-16-2008 12 Sinugbua POBLACION VERUELA RENANTE RICEL,GULAY
ty SUR
nong CAROMBA A,
Binisay
Cebuano
/ CERVANA,
Christiani MAGSAYSA AGUSAN DEL PRUTO,MARIL
131911140014 CERVAÑA,JERALD, PRUTO M 03-25-2009 12 Sinugbua Manobo VERUELA DAVID
ty Y SUR YN,SANCHEZ,
nong BARRIOS
Binisay
Cebuano
/ CUDO, CANUBAS,LEO
Christiani SAMPAGUIT AGUSAN DEL
131914140103 CUDO,LOUGIE, CANUBAS M 04-07-2008 13 Sinugbua VERUELA RENIEBOY NARDA,ANGC
ty A SUR
nong SEPADA ON,
Binisay
Cebuano
/
Christiani SANTA AGUSAN DEL MACALLA,JON
132017140030 MACALLA,GIAN, - M 07-19-2009 12 Sinugbua TRENTO
ty MARIA SUR ELYN,PAREJA,
nong
Binisay
MARCOS,
Christiani AGUSAN DEL JIMENEZ,ANGE
131922150172 MARCOS,ELEAZAR, JIMENEZ M 09-22-2008 13 Ilocano Cebuano POBLACION VERUELA REYMUNDO
ty SUR LES,AGUIRRE,
LOPEZ
NOVO,
Christiani AGUSAN DEL PERATER,EDEL
131922150198 NOVO,VINCENT, PERATER M 11-08-2008 12 Cebuano Manobo POBLACION VERUELA VICENTE
ty SUR IZA,ZAPANTA,
MARAVILLA
Cebuano
/ CUMING,GENE
Christiani AGUSAN DEL ROMAO,
131922140089 ROMAO,IVAN GLENN, CUMING M 11-05-2008 12 Sinugbua Cebuano POBLACION VERUELA ZA,MATARUN
ty SUR REDEMER PINO
nong G,
Binisay
ROTAQUIO,
Christiani AGUSAN DEL PASCUA,MERI
131922140133 ROTAQUIO,CLARENCE, PASCUA M 04-18-2009 12 Ilocano Ilocano POBLACION VERUELA ARNOLD
ty SUR AM,PADILLA,
LABASAN
ALGEBRA
REMARKS
Learning
Modality (Please refer to
the legend on last
page)
T/I
Modular
DATE:2021-
(print)
09-13
T/I
Modular
DATE:2021-
(print)
09-13
T/I
Modular
DATE:2021-
(print)
09-13
T/I
Modular
DATE:2021-
(print)
09-13
T/I
Modular
DATE:2021-
(print)
10-06
T/I
Modular
DATE:2021-
(print)
10-11
T/I
Modular
DATE:2021-
(print)
09-13
T/I
Modular
DATE:2021-
(print)
09-13
T/I
Modular
DATE:2021-
(print)
10-06
T/I
Modular
DATE:2021-
(print)
09-13
T/I
Modular
DATE:2021-
(print)
09-13
Cebuano
/ SALDIVAR,
Christiani SAN AGUSAN DEL BARRIOS,JOCE
131913140083 SALDIVAR,JANREY, BARRIOS M 01-14-2007 14 Sinugbua VERUELA ABRAHAM
ty GABRIEL SUR LYN,PASCUAL,
nong BILIGAN
Binisay
Cebuano
/ SANOT,
Bisaya/ Christiani AGUSAN DEL ELLAN,EMELY
131922140090 SANOT,EARL JOHN, ELLAN M 04-20-2009 12 Sinugbua POBLACION VERUELA ROLENDO
Binisaya ty SUR N,PENUELA,
nong FLORES
Binisay
Cebuano
/ TUBLAYAN,
Christiani AGUSAN DEL ROMAO,ELME
131922150164 TUBLAYAN,KENNETH, ROMAO M 10-25-2008 13 Sinugbua Manobo POBLACION VERUELA CESAR
ty SUR RA,RENAL,
nong CABASA
Binisay
VERANO,
Christiani AGUSAN DEL ABANGGAN,EL
131922140154 VERANO,ELVIS, ABANGGAN M 01-21-2009 12 Cebuano POBLACION VERUELA ROLANDO
ty SUR VIRA,SELGAS,
ORAY
BACALSO,
Davawen Christiani NEW COMPOSTELA TANO,ANALIZ
131922140160 BACALSO,MARVIE, TANO F 07-02-2009 12 PANAG MARLON
yo ty BATAAN VALLEY A,TINOY,
ALONZO
Cebuano
/
CABALLERO,SANDRIA, Bisaya/ Christiani AGUSAN DEL CABALLERO, BOKINGO,JOA
131922150146 F 12-04-2008 12 Sinugbua POBLACION VERUELA
BOKINGO Binisaya ty SUR MARIO AVILA N,SARONG,
nong
Binisay
Cebuano
/
Christiani AGUSAN DEL COMBAO, PABOA,MICHE
131916140009 COMBAO,ALMARIE, PABOA F 05-07-2009 12 Sinugbua POBLACION VERUELA
ty SUR ELVIN ENTIC LLE,ADORNA,
nong
Binisay
Cebuano
/ LLOREN, CABANESAS,R
LLOREN,JOYNALYN, Christiani AGUSAN DEL
131916140007 F 10-25-2007 14 Sinugbua POBLACION VERUELA JUNELO ONALYN,LUM
CABANISAS ty SUR
nong RIVERA BAY,
Binisay
ZAFRA,
Christiani AGUSAN DEL LOPEZ,AILEEN,
131922150191 ZAFRA,REALEEN, LOPEZ F 11-29-2008 12 Iloko POBLACION VERUELA REYNANTE DE
ty SUR FUNA,
LEON
T/I
Modular
DATE:2021-
(print)
09-13
T/I
Modular
DATE:2021-
(print)
09-13
T/I
Modular
DATE:2021-
(print)
10-08
T/I
Modular
DATE:2021-
(print)
09-13
T/I
Modular
DATE:2021-
(print)
09-13
T/I
Modular
DATE:2021-
(print)
09-13
T/I
Modular
DATE:2021-
(print)
09-13
T/I
Modular
DATE:2021-
(print)
09-13
T/I
Modular
DATE:2021-
(print)
09-13
T/I
Modular
DATE:2021-
(print)
09-13
T/I
Modular
DATE:2021-
(print)
09-13
T/I
Modular
DATE:2021-
(print)
10-06
T/I
Modular
DATE:2021-
(print)
09-13
T/I
Modular
DATE:2021-
(print)
09-13
T/I
Modular
DATE:2021-
(print)
10-08
10 <=== TOTAL FEMALE
26 <=== COMBINED
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date NIMFA POLISTICO BALASABAS
Date MALE 14
Balik Aral B/A Name of school last attended & Year JANET CHAVEZ CASTULO (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 June) BoSY Date: EoSY Date:
TOTAL 23
BoSY Date: EoSY Date:
EoSY Date:
d thru LIS