Professional Documents
Culture Documents
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School Name Burdeos NHS (Judith NHS) School Year 2021 - 2022 Grade Level Grade 8 (Year Section B
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 Mother's Maiden Parent or
Group) House #/ Father's Name (Last
er 31 to 3 Only) Municipality/ Name (Last Name, Guardian
Street/ Sitio/ Barangay Province Name, First Name, Name Relationship
City First Name, Middle
Purok Middle Name)
Name)
MILLARE,MARI
Christiani AGUILLON,
108556120023 AGUILLON,KARL, MILLARE M 08-06-2007 14 Tagalog ALUYON BURDEOS QUEZON CRIS,PAGOBAY
ty RANNEL JUEGO
AN,
AYUSO, BALORO,EMEL
Christiani
108571100008 AYUSO,RICZEL, BALORO M 06-17-2004 17 Tagalog ALUYON BURDEOS QUEZON JIMMYDARDO ITA,CATAMISA
ty
ALAPAAP N,
BURGUILLO, DE
BURGUILLO,JONATHAN, DE Christiani
108556110005 M 09-22-2006 15 Tagalog ALUYON BURDEOS QUEZON JOCELON LARA,LOURDE
LARA ty
VILLANUEVA S,JUEGO,
DAJERO, ROMULO,AME
Christiani
108556140030 DAJERO,ANGELO, ROMULO M 11-12-2006 14 Tagalog ALUYON BURDEOS QUEZON MICHAEL LIA,VILLANUE
ty
LEYNES VA,
DELOS
Dumagat-
DELOS SANTOS,CRISHNIEL Christiani SANTOS, DURANTE,MAY
108561130233 M 01-20-2008 13 Tagalog Remonta POBLACION BURDEOS QUEZON
ALVIN, DURANTE ty JERMAN BEL,MELLETE,
do
BUGTONG
IBASCO,
Christiani ABING,ANALY
108556130036 IBASCO,GIAN CARLO, ABING M 02-16-2008 13 Tagalog ALUYON BURDEOS QUEZON AGOSTO
ty N,MORTALES,
BURGUILLO
LASIC,
Christiani AYUSO,JODIEL
108571120017 LASIC,EJAY, AYUSO M 08-11-2007 14 Tagalog ALUYON BURDEOS QUEZON EDGARDO
ty YN,TALAVERA,
EBRADA
NUDALO,
Christiani IDAÑO,NELMA,
108561140098 NUDALO,JUSTINE KYLE, IDAÑO M 06-12-2008 13 Tagalog POBLACION BURDEOS QUEZON ALBERTO
ty ILOILO,
GUEVARRA
SARMIENTO, CABALLERO,R
SARMIENTO,JHOVETH, Christiani
108556130026 M 01-09-2009 12 Tagalog ALUYON BURDEOS QUEZON ALBERTO OSALIE,TONDO
CABALLERO ty
SOPRANES ,
TALISAYON,
TALISAYON,KARL JOHNRICK, Christiani SUCE,SHIERLY,
109043130008 M 08-23-2008 13 Tagalog ALUYON BURDEOS QUEZON GILBERT
SUCE ty DEQUILLA,
ALVINO
B
REMARKS
Learning
Modality (Please refer to
the legend on last
page)
Modular
(print)
Modular
(print)
T/I
Modular
DATE:2021-09-
(print)
13
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
VILLAMOR,EARL FREDIRICK, Christiani SANTO VILLAMOR, GONZALES,RO
107254100056 M 10-10-2004 17 Tagalog SAN ROQUE BATANGAS
GONZALES ty TOMAS FREDDIE J NNA,TONDO,
BARBASA,TER
VILLANEA,REYMOND, Christiani VILLANEA,
108556100051 M 11-04-2004 16 Tagalog ALUYON BURDEOS QUEZON ESA,MENDOZA
BARBASA ty JOEL LEOZALA
,
ALVAREZ,
ALVAREZ,KIANA PIA, Agta- Christiani PUMARADA,JE
108561130212 F 11-06-2007 13 Tagalog ALUYON BURDEOS QUEZON FRANCIS
PUMARADA Dumagat ty NY,PASOOT,
RUTAGENES
AZCARRATE,
Christiani RUBIO,JESSA,O
108571120027 AZCARRATE,TREKCY, RUBIO F 05-18-2007 14 Tagalog ALUYON BURDEOS QUEZON ERWIN
ty BISPO,
VILLANUEVA
BALORO,
Christiani AYUSO,MARIL
108571130010 BALORO,AIRA MARIZ, AYUSO F 01-13-2008 13 Tagalog ALUYON BURDEOS QUEZON RENATO
ty OU,ALAPAAP,
NUNEZ
BANTUCAN, SALVOSA,BEV
BANTUCAN,COREEN ASHLEY, Christiani
108571130011 F 07-19-2008 13 Tagalog ALUYON BURDEOS QUEZON EDILBERTO ELYN,ALINTON
SALVOSA ty
ROMULO ,
BEREDO, MERCIALES,JO
BEREDO,ANGELINE, Christiani
108571130012 F 06-19-2008 13 Tagalog ALUYON BURDEOS QUEZON SONNY CELYN,PERMEJ
MERCIALES ty
MELLARI O,
CALAMIGAN, LEYNES,MARY
CALAMIGAN,RIENA MAE, Christiani
108556140032 F 10-08-2008 13 Tagalog ALUYON BURDEOS QUEZON LAWRENCE GRACE,RITUAL
LEYNES ty
VILLAFLOR ,
CAÑETE, ACEJO,JENEVY
Christiani
108571130013 CAÑETE,PRINCESS JANE, ACEJO F 05-12-2008 13 Tagalog Aeta ALUYON BURDEOS QUEZON RODOLFO ,DELOS
ty
LUCERO SANTOS,
DACUYA, CAPISTRANO,
DACUYA,KARAH NICOLE, Christiani
108571130014 F 04-25-2008 13 Tagalog POBLACION BURDEOS QUEZON PETER WILMA,OLIVE
CAPISTRANO ty
AZCARRATE ROS,
ALARZAR,MAR
FLORES,
Christiani IE
108556130031 FLORES,PRISCELLA, ALARZAR F 09-13-2008 13 Tagalog ALUYON BURDEOS QUEZON FREDERICK
ty GRACE,VILLAL
CANON
ON,
CITY OF MANALASTAS,
MANALASTAS,BERNADETTE, Christiani FERRER,MICHE
107914110035 F 06-06-2006 15 Tagalog SAN JOSE DASMARIÑ CAVITE BERNARD
FERRER ty L,CAPILI,
AS VILLASEÑOR
MILLARE,MARI
Christiani
108556130033 MILLARE,MARICON, - F 11-01-2007 13 Tagalog ALUYON BURDEOS QUEZON LOU,PAGUBAY
ty
AN,
NOCILLO,FLOR
Christiani NOTA, HARRY
108556120033 NOTA,JAMAYCA, NOCILLO F 07-17-2007 14 Tagalog ALUYON BURDEOS QUEZON DELIZA,ALTER
ty BAÑADERA
ADO,
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
T/I
Modular
DATE:2021-09-
(print)
14
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
T/I
Modular
DATE:2021-09-
(print)
15
Modular
(print)
Modular
(print)
VILLALON,HEN
Christiani ORTIZ, ABELIO
108556120034 ORTIZ,ALYSSA MAE, VILLALON F 10-31-2007 14 Tagalog ALUYON BURDEOS QUEZON EDINA,CALAMI
ty FLANCIA
GAN,
PALMENCO,
PALMENCO,MONICA, Christiani RECAFRINTE,N
108556130034 F 05-21-2008 13 Tagalog ALUYON BURDEOS QUEZON CHARLIE
RECAFRINTE ty IÑA,DE LARA,
MENESIS
TORIBIO,
TORIBIO,CLAIRE ANN, Christiani BERTUDEZ,ME
108561130251 F 06-12-2008 13 Tagalog POBLACION BURDEOS QUEZON EDWIN
BERTUDEZ ty LISSA,ORTIZ,
AMARGO
34 <=== COMBINED
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date MARNITA GONZALES BANDERADA
Date MALE 15
Balik Aral B/A Name of school last attended & Year REA AZAS BERMUDEZ (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 19
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 34
BoSY Date: EoSY Date:
Modular
(print)
Modular
(print)
Modular
(print)
LES BANDERADA
EoSY Date:
d thru LIS