Professional Documents
Culture Documents
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School ID 125992 Region IX Division Dipolog City District Dipolog City South
School Name Olingan South ES School Year 2021 - 2022 Grade Level Grade 5 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)
Cebuano
/ DIPOLOG CALLORA, CAJEGAS,MARI
CALLORA,ELIJAH MORIE, Christiani ZAMBOANGA
125992160003 M 05-03-2011 10 Sinugbua OLINGAN CITY ROLLAN LOU,RECOSOS
CAJEGAS ty DEL NORTE
nong (Capital) BAGAUB A,
Binisay
Cebuano
/ DIPOLOG
CAROLASAN,BOERECE Christiani ZAMBOANGA CAROLASAN, ARELLANO,ME
125992160002 M 10-06-2011 10 Sinugbua OLINGAN CITY
ADRIAN, ARELLANO ty DEL NORTE LARRY ALERIA LBA,CUISON,
nong (Capital)
Binisay
Cebuano
/ DIPOLOG DIABORDO,
Christiani ZAMBOANGA ALUM,ANALY
125992160004 DIABORDO,LAWRENCE, ALUM M 03-10-2011 10 Sinugbua OLINGAN CITY NORFER
ty DEL NORTE N,OBORDO,
nong (Capital) RECTO
Binisay
Cebuano
/ DIPOLOG FLORES,
FLORES,JHON PAUL, Christiani ZAMBOANGA
125992160005 M 05-30-2011 10 Sinugbua OLINGAN CITY MICHALE
GRONDIANO ty DEL NORTE
nong (Capital) GIBAGA
Binisay
Cebuano
/ DIPOLOG GIAWAN, ALETA,IRENE
Christiani ZAMBOANGA
125992160044 GIANAN,JAMES RAYNE, ALETA M 03-03-2011 10 Sinugbua OLINGAN CITY JIMSON GRACE,VERAN
ty DEL NORTE
nong (Capital) LUCERO O,
Binisay
Cebuano
/ DIPOLOG
Christiani ZAMBOANGA ISIG, JOEL MULIG,RUBEL
125992160025 ISIG,JOHN KEVIN, MULIG M 02-10-2011 10 Sinugbua OLINGAN CITY
ty DEL NORTE ANDAWAT YN,AGODERA,
nong (Capital)
Binisay
Cebuano
/ DIPOLOG
LAGROSA,CHRISPAUL, Christiani ZAMBOANGA LAGROSA, ECHAVIA,CHO
125992160006 M 07-30-2011 10 Sinugbua OLINGAN CITY
ECHAVIA ty DEL NORTE ARTCHI ELNAR NA,BASTASA,
nong (Capital)
Binisay
Cebuano
/ DIPOLOG
MORANDARTE,JET, Christiani ZAMBOANGA MORANDARTE, SUMALPONG,E
457504160014 M 09-20-2010 11 Sinugbua OLINGAN CITY
SUMALPONG ty DEL NORTE LOU MONTEZA LVIE,SEVILLA,
nong (Capital)
Binisay
olog City South
MABINI
REMARKS
Learning
Modality (Please refer to
the legend on last
page)
Modular
(print)
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Modular
(print)
Modular
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Modular
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Modular
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Cebuano
/ DIPOLOG DAGUINOTAS,
NALZARO,KEIFER, Christiani ZAMBOANGA NALZARO,
125992160009 M 10-20-2011 10 Sinugbua OLINGAN CITY SUZETTE,ZAM
DAGUINOTAS ty DEL NORTE RHINE LLIDO
nong (Capital) ORAS,
Binisay
Cebuano
/ DIPOLOG PANAMA,
Christiani ZAMBOANGA OMILIG,JENIFE
125992160027 PANAMA,KENT JOFFER, OMILIG M 10-01-2011 10 Sinugbua OLINGAN CITY RODRIGOJR
ty DEL NORTE R,CORDOVA,
nong (Capital) MAWILI
Binisay
Cebuano
CARREON,MA
/ DIPOLOG SOTILLO,
SOTILLO,JOHN VINCENT, Christiani ZAMBOANGA AN K FLORIDA
125939160012 M 06-11-2011 10 Sinugbua OLINGAN CITY ALDRIN
CARREON ty DEL NORTE BLANCA,GUME
nong (Capital) BALBIDAS
LA,
Binisay
Cebuano
/ DIPOLOG SAPORTEZA,H
ACOJEDO,DONNA PRINCESS, Christiani ZAMBOANGA ACOJEDO, DON
125992160013 F 09-14-2011 10 Sinugbua OLINGAN CITY ERAH,VILLARE
SAPORTEZA ty DEL NORTE RHEX CORPUS
nong (Capital) AL,
Binisay
Cebuano/
DIPOLOG
ALMEDILLA,JOSELLE KATE, Kana/ Christiani ZAMBOANGA ALMEDILLA, OCAMPO,ANGE
457514150026 F 06-29-2011 10 GALAS CITY
OCAMPO Sinugboa ty DEL NORTE JOIELEE L,ESCABARTE,
(Capital)
nong Bini
Cebuano
/ DIPOLOG BALLON,
Christiani ZAMBOANGA RODRIGUEZ,N
125992160029 BALLON,RIZALYN, RODRIGUEZ F 12-30-2010 10 Sinugbua OLINGAN CITY JEFFERSON
ty DEL NORTE ARISSA,HOWA,
nong (Capital) CAROLASAR
Binisay
Cebuano
/ DIPOLOG
Christiani ZAMBOANGA BANTILAN, ELONG,ROSALI
125992170048 BANTILAN,VINE ROSE, ELONG F 08-21-2011 10 Sinugbua OLINGAN CITY
ty DEL NORTE ARVIN PABES E,TUMIMANG,
nong (Capital)
Binisay
Cebuano
/ DIPOLOG
ZAMBOANGA CAIS, ROLLY LIRA,ANALIZA,
125992160038 CAIS,ASHLEY MAY, LIRA F 05-22-2011 10 Sinugbua Others SINAMAN CITY
DEL NORTE ATSOY SOLIVA,
nong (Capital)
Binisay
Cebuano
/ DIPOLOG CATI-AN,
CATI-AN,RHEA JEAN, Christiani ZAMBOANGA LOMOGON,AIZ
125992160015 F 03-13-2011 10 Sinugbua OLINGAN CITY ROMMEL
LOMOGON ty DEL NORTE A,ALVAREZ,
nong (Capital) PIANIAR
Binisay
DIPOLOG MIRAFLOR,CE
DELA CRUZ,FHIONY, Bisaya/ Christiani BIASONG ZAMBOANGA DELA CRUZ,
125980160007 F 03-05-2011 10 Cebuano CITY CIL,SORROND
MIRAFLOR Binisaya ty (POB.) DEL NORTE ALRASHID AJO
(Capital) A,
Cebuano
/ DIPOLOG GAYAWON,
GAYAWON,ARABELLA FAITH, Christiani ZAMBOANGA AGUHOB,MAR
125992160017 F 01-21-2011 10 Sinugbua OLINGAN CITY CRISTOBAL
AGUHOB ty DEL NORTE Y JOY,UNDAP,
nong (Capital) MALIGRO
Binisay
Cebuano
/ DIPOLOG LAQUIO, MANLANGIT,H
LAQUIO,JHANSY WAYNE KATE, Christiani ZAMBOANGA
125992160019 F 09-14-2011 10 Sinugbua OLINGAN CITY JORANEL AIDELYN,DESC
MANLANGIT ty DEL NORTE
nong (Capital) IBANEZ ALLAR,
Binisay
Modular
(print)
Modular
(print)
Modular
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Modular
(print)
Modular
Digital
Modular
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Modular
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T/O
Modular
DATE:2021/09/
(print)
15
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RODRIQUEZ,C
LEDESMA,CASSANDRA JANINE, Christiani ABONG- ZAMBOANGA LEDESMA, HARITY
125414160004 F 08-03-2011 10 Cebuano TABINA
RODRIQUEZ ty ABONG DEL SUR JASON MAE,BERNADO
S,
Cebuano
/ DIPOLOG
Christiani ZAMBOANGA LUAGE,GERAL
125992160032 LUAGE,JONALYN, - F 06-26-2011 10 Sinugbua OLINGAN CITY
ty DEL NORTE YN,BERMUDO,
nong (Capital)
Binisay
TADIOQUE,MA
Davawen Christiani DAVAO MULAY, JIMY RIA
129252160057 MULAY,MA. ELINA, TADIOQUE F 05-05-2010 11 POBLACION CATEEL
yo ty ORIENTAL DOLOSA ELENA,PALMA
GIL,
Cebuano
/ DIPOLOG PALUGA, RAEL,ROSELY
Christiani ZAMBOANGA
125992160022 PALUGA,MAXENNE GAIL, RAEL F 01-08-2011 10 Sinugbua OLINGAN CITY MAXIMO N,SUMALPONG
ty DEL NORTE
nong (Capital) BUAGAS ,
Binisay
Cebuano
/ DIPOLOG
ROSALES,EIRENE GIFTER, Christiani ZAMBOANGA ROSALES,MARI
457504150020 F 09-03-2011 10 Sinugbua OLINGAN CITY
LIBAO ty DEL NORTE BEL,LIBAO,
nong (Capital)
Binisay
JACOSALEM,M
SABANAL,APRIL JOY, Christiani SALUNAYA NORTH SABANAL,
130178160082 F 04-27-2011 10 Tagalog MIDSAYAP ELINDA,JEMIN
JACOSALEM ty N COTABATO ZALDY ERMEJE
ES,
Cebuano
/ DIPOLOG BUSTALIÑO,M
Christiani ZAMBOANGA SALA, ALAN
125992170049 SALA,KATHLEEN, BUSTALINO F 06-01-2009 12 Sinugbua OLINGAN CITY ARY QUICYL
ty DEL NORTE CRUZ
nong (Capital) JEAN,ENOY,
Binisay
Cebuano
/ DIPOLOG
TABONIAG,WHINZHEL PHOEBE Christiani ZAMBOANGA TABONIAG, LAPUT,MARISE
125992170052 F 02-08-2011 10 Sinugbua SINAMAN CITY
FATE, LAPUT ty DEL NORTE ERWIN - L,-,
nong (Capital)
Binisay
Cebuano
/ DIPOLOG ZAMORAS,
ZAMORAS,CHRISTINE JEAN, Christiani ZAMBOANGA BALATAYO,JE
125992160037 F 08-09-2011 10 Sinugbua OLINGAN CITY RESTITUTOL
BALATAYO ty DEL NORTE ANNE,GOMEZ,
nong (Capital) AGURA
Binisay
29 <=== COMBINED
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date LEO ADLAWON NAZARENO
Date MALE 11
Balik Aral B/A Name of school last attended & Year MA CRISTINA CUENCA BALIOS (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 18
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 29
BoSY Date: EoSY Date:
Modular
(print)
Modular
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T/I
Modular
DATE:2021-
(print)
09-13
Modular
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Modular
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Modular
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N NAZARENO
EoSY Date:
d thru LIS
Generated on: Tuesday, May 24, 2022