Professional Documents
Culture Documents
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School Name Paracelis Technical & Vocational High School School Year 2021 - 2022 Grade Level Grade 9 (Year Section G-MELINA
GUARDIAN
ADDRESS PARENTS REMARKS
(if Not Parent)
Age MOTHER Contact
Sex (M/F)
IP
LRN
NAME BIRTH DATE as of TONGUE (Ethnic
RELIGIO Number of Learning
(Last Name, First Name, Middle Name) (mm/dd/yyyy) Octob (Grade 1 N Mother's Maiden Parent or Modality
Group) House #/ Father's Name (Last (Please refer to
er 31 to 3 Only) Municipality/ Name (Last Name, Guardian
Street/ Sitio/ Barangay Province Name, First Name, Name Relationship the legend on last
City First Name, Middle
Purok Middle Name) page)
Name)
BAGGOY,
Christiani MOUNTAIN GULIQUEY,FRE Modular
136310130019 BAGGOY,DARHEM, GULIQUEY M 08-09-2007 14 Iloko Bago POBLACION PARACELIS FLOREMON
ty PROVINCE DA,ANSELMO, (print)
LAGAWE
BALUNSIT,
BALUNSIT,SHANE BERIS, Christiani MOUNTAIN CHANO,DORIS, Modular
136310130218 M 02-16-2007 14 Iloko Ilocano POBLACION PARACELIS BENVIENIDO
CHANO ty PROVINCE ONGACHEN, (print)
ANNOQUE
BANDAS, SALINGBAY,N
Majokayo Christiani MOUNTAIN Modular
136310140142 BANDAS,JB, SALINGBAY M 11-14-2006 14 Ilocano POBLACION PARACELIS BENJAMIN ORILYN,PASCU
ng ty PROVINCE (print)
KIAT-ONG A,
BANGGOLLAY,
BANGGOLLAY,BEAVER, Majokayo Christiani MOUNTAIN EWANGAN,ME Modular
136310130038 M 09-23-2005 16 Iloko POBLACION PARACELIS GANONAY
EWANGAN ng ty PROVINCE LANIE,BENITO, (print)
WAGLISON
BARUZO,
Christiani MOUNTAIN LAMONG,LYDI Modular
136279130031 BARUZO,LEOMIE, LAMONG M 07-16-2006 15 Balangao Barlig BANAWAL NATONIN EUFEMIO
ty PROVINCE A,ALUBONG, (print)
GALLARDO
BLANZA, SUMINAR,ELIZ
Majokayo Christiani MOUNTAIN Modular
136004120026 BLANZA,BRYAN, SUMINAR M 02-24-2007 14 Ilocano POBLACION PARACELIS DENVER ABETH,BALAQ
ng ty PROVINCE Digital
DACUYAG UIT,
CHARCHAR, DANGGALAN,E
CHARCHAR,NATHANIEL, Tonglaya Christiani MOUNTAIN Modular
136276130029 M 06-16-2007 14 Balangao POBLACION PARACELIS LEO DNA,MACAYFI
DANGGALAN n ty PROVINCE (print)
LONGCHASEN A,
CLEMENTE, WEGIYON,MAR
Majokayo Christiani MOUNTAIN Modular
221005130060 CLEMENTE,BRYAN, WEGIYON M 07-02-2007 14 Iloko POBLACION PARACELIS VICTOR ICEL,BAGUIWO
ng ty PROVINCE (print)
MACWIS N,
DALAYDAY,
Christiani MOUNTAIN LUDAN,MARIS Modular
136302130086 DALAYDAY,REUBEN, LUDAN M 12-14-2006 14 Gaddang Gaddang BANTAY PARACELIS ROMEO
ty PROVINCE A,CAYYOG, (print)
AGGAYABAN
DAWING, LABADDAN,RO
Christiani MOUNTAIN Modular
136279130021 DAWING,WARREN, LABADDAN M 08-21-2006 15 Balangao Barlig BANAWAL NATONIN CRISPIN SITA,BANGGA
ty PROVINCE (print)
NIYAPEN WAN,
DIAWAN, TINAYNAN,MA
Majokayo Christiani MOUNTAIN Modular
136310130061 DIAWAN,ALDRIN, TINAYNAN M 02-22-2006 15 Iloko POBLACION PARACELIS ANTONINO RIE,PARONGPO
ng ty PROVINCE (print)
CABUYAO NG,
Christiani MOUNTAIN DIAZ, JERWIN BANGUIYAO,A Modular
136302130012 DIAZ,LORDWIN, BANGUIYAO M 03-28-2005 16 Gaddang Gaddang BANTAY PARACELIS
ty PROVINCE RODEL LMA,, (print)
FERWAKEY, BITANGA,RAC
Christiani MOUNTAIN Modular
136310130076 FERWAKEY,ROBERT, BITANGA M 07-31-2007 14 Ilocano Kalinga POBLACION PARACELIS WILBERT HEL
ty PROVINCE (print)
GALLARDE AN,MEWAG,
GALINGANA,I
FINOTTON,KENNEDY, Christiani MOUNTAIN FINOTTON, Modular
136310130008 M 12-12-2006 14 Iloko Barlig BANTAY PARACELIS MELDA,SOCIAS
GALINGANA ty PROVINCE JIMMY FERRER (print)
,
PANGSIW,BRE T/I
Christiani OUTLOOK BAGUIO FINOTTON, Modular
136310130228 FINOTTON,RAYMARK, PANGSIW M 09-14-2006 15 Iloko Barlig BENGUET NDA,MAGGON DATE:2021-09-
ty DRIVE CITY ROGER FERRER (print)
GOY, 30
Kadaklan
GAPAYAN, TONGA-
/ Christiani MOUNTAIN Modular
136310130018 GAPAYAN,GABRIEL, TONGA-AN M 02-03-2007 14 Ilocano POBLACION PARACELIS FERNANDO AN,PETRA,MA
Kachakra ty PROVINCE (print)
DAWING RCELO,
n
Christiani MOUNTAIN GRANTOZA, MALA,LYDIA,B Modular
136308110012 GRANTOZA,RODEL, MALA M 11-30-2005 15 Gaddang Gaddang BANTAY PARACELIS
ty PROVINCE ALBERTO L , (print)
CHIYAWAN,VI
Christiani MOUNTAIN HIDALGO, JESS Modular
136310130060 HIDALGO,JOSIAH, CHIYAWAN M 07-22-2007 14 Iloko Barlig POBLACION PARACELIS RGINIA,TORA
ty PROVINCE BAGO (print)
WAN,
CLEMENTE,KRI
KIMAYONG,KRHENT, Christiani MOUNTAIN KIMMAYONG, Modular
136310140139 M 03-26-2007 14 Ilocano Barlig POBLACION PARACELIS STINE,MACWIS
CLEMENTE ty PROVINCE JOSEPH DAON (print)
,
LATTAO,
Christiani MOUNTAIN RAYMUNDO,JU Modular
136301130029 LATTAO,ANGELO, RAYMUNDO M 06-26-2007 14 Gaddang Baliwon BANTAY PARACELIS ANGELINO
ty PROVINCE NALYN,, (print)
MIGUEL
MANGAWONG,
MANGAWONG,DIETHER, Christiani MOUNTAIN LATTAO,JOSEF Modular
136301140006 M 11-14-2005 15 Ilocano Ilocano BANTAY PARACELIS MARTEL
LATTAO ty PROVINCE INA,MANUEL, (print)
POCALES
TINAYNAN, SILLATOC,BER
TINAYNAN,ALLEN DAVE, Christiani MOUNTAIN Modular
136310130012 M 07-16-2006 15 Ilocano Gaddang POBLACION PARACELIS ANTHONY NADETH,RAFA
SILLATOC ty PROVINCE (print)
PARONGPONG EL,
TODCO,
TODCO,RANYL DOMINIC, Christiani MOUNTAIN TALLOY,MERY Modular
136310110096 M 05-17-2006 15 Iloko Baliwon POBLACION PARACELIS DOMINGO
TALLOY ty PROVINCE L,BALUNSIT, (print)
GAWAYEN
35 <=== COMBINED
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date BELINDA CAPDOS TINACBA
Date MALE 35
Balik Aral B/A Name of school last attended & Year BRENDTON SINDAT AYUNGO (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 0
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 35
BoSY Date: EoSY Date: