Professional Documents
Culture Documents
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School Name Ipil-Jinalinan ES School Year 2022 - 2023 Grade Level Grade 6 Section ADELFA
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)
ALAGAO, NAMBONG,JAC
ALAGAO,DEAN ALBERT, Christiani
438515150058 M 01-01-2011 11 Kinaray-a GUA BARBAZA ANTIQUE RAYLIN KELOU,RONDA
NAMBONG ty
AMABRAN IN,
ANTONIO, CEDEÑO,RENE
Christiani
114961160001 ANTONIO,RENZ JHON, CEDEÑO M 12-05-2010 11 Kinaray-a CAPOYUAN BARBAZA ANTIQUE REYNOLD BETH,ARGONE
ty
ESPARTERO S,
BACAOCO,MA
Christiani BAÑA, GEORGE
438557160015 BAÑA,JEFFERSON, BACAOCO M 01-19-2011 11 Kinaray-a JINALINAN BARBAZA ANTIQUE KRISTHA
ty HOYLE
RUFFA,BUT,
ESPAÑOLA,
Christiani PALMA,FELY,E
114965160043 ESPAÑOLA,RHANNY, PALMA M 09-13-2010 12 Kinaray-a JINALINAN BARBAZA ANTIQUE VALENTIN
ty SPARAGOZA,
MARCELLA
LARANJA,
LARANJA,KINGFRED ELMER, Christiani FLORES,ELLEN
114965160029 M 12-18-2010 11 Kinaray-a JINALINAN BARBAZA ANTIQUE BELFRED
FLORES ty ,PUGA,
TIDULA
MERJUAR,
Christiani PALMA,JENIFE
114965160034 MERJUAR,JHON PHILIP, PALMA M 11-10-2010 11 Kinaray-a JINALINAN BARBAZA ANTIQUE JOEL
ty R,DELA CRUZ,
ESPAÑOLA
MONDIA,
Hiligayno Christiani MONEVA,JUDE
114965160022 MONDIA,DEMPSTER, MONEVA M 11-04-2010 11 PALMA BARBAZA ANTIQUE ANTONIO
n ty LLI,VELASCO,
SAMILLANO
MONDIA,
Christiani DUEÑAS,JESSI
136746150268 MONDIA,JESSIE, DUEÑAS M 07-22-2010 12 Tagalog PALMA BARBAZA ANTIQUE JEORCIE
ty CA,SEGOVIA,
FLORES
PALMA,
Christiani CHAVEZ,EDNA
438557150019 PALMA,DHEO, CHAVEZ M 09-11-2010 12 Kinaray-a PALMA BARBAZA ANTIQUE ANTHONY
ty ,LLANELLIO,
GARCERO
PRIETO,
PRIETO,ARKEN MIGUEL, Christiani CONDES,CARM
438557160017 M 02-16-2011 11 Kinaray-a JINALINAN BARBAZA ANTIQUE CHRISTOPHER
CONDES ty ELA,SEVEGAN,
AREVALO
RENGALOTA,
Christiani FLORES,DOLL
114965160036 RENGALOTA,DIEGO, FLORES M 11-28-2010 11 Kinaray-a JINALINAN BARBAZA ANTIQUE SAMUEL
ty Y,AGUSTIN,
COMPETENTE
Christiani ALFONSO,ADE
136847160067 ALFONSO,ANGELICA, - F 11-19-2009 12 Kinaray-a GUA BARBAZA ANTIQUE
ty LFA,BARTOLO,
ASMOD, UNTAL,REMED
ASMOD,KIMBERLY ERICA, Christiani
438557150020 F 07-19-2011 11 Kinaray-a PALMA BARBAZA ANTIQUE ROMEO IOS,DELA
UNTAL ty
QUIMAHJAN CRUZ,
Barbaza
ADELFA
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-
08-22
Face to Face
Modular
(print)
Face to Face
Face to Face
Face to Face
GREGORIO,AN
CORDERO,
CORDERO,CAMILLE JOY, Christiani NA
114965160005 F 02-06-2011 11 Kinaray-a BERI BARBAZA ANTIQUE EVELIO
GREGORIO ty MARIE,DESEN
LORENZO
GAÑO,
DALUMPINES, RUBICA,DAISY
DALUMPINES,SHEENA MARIE, Christiani
438515150049 F 01-31-2011 11 Kinaray-a JINALINAN BARBAZA ANTIQUE EDGAR ,DIVINAGRACI
RUBICA ty
JUNGCO A,
ESPAÑOLA,
ESPAÑOLA,ANNA SHANE, Christiani QUILAQUIL,NO
114965160048 F 04-07-2011 11 Kinaray-a JINALINAN BARBAZA ANTIQUE ARTURO
QUILAQUIL ty RMA,TIRADO,
MARCELLA
ESPAÑOLA, LABATORIO,C
ESPANOLA,SAMANTHA Christiani
438515150051 F 10-15-2011 11 Kinaray-a JINALINAN BARBAZA ANTIQUE MICHAEL HARLYN,RUBI
YZABEL, LABATORIO ty
BAJALA CA,
LABRADOR,SHAMCEY, Christiani LABRADOR, ESPANOLA,LO
438515150054 F 09-25-2012 10 Kinaray-a BERI BARBAZA ANTIQUE
ESPANOLA ty ALLAN VELYN,,
MANAGUIT, BARTOLO,SAL
Christiani
114965160007 MANAGUIT,JELA, BARTOLO F 12-20-2010 11 Kinaray-a BERI BARBAZA ANTIQUE JOEL VACION,JUNG
ty
ALEJANDRO CO,
MENDOZA,
Christiani PERMO,CLERNI
114965160016 MENDOZA,ALLANNIE, PERMO F 10-11-2010 12 Kinaray-a SANTA ANA TIBIAO ANTIQUE ALLAN
ty E,MATIONG,
GONZALES
NAVIDA,
NAVIDA,DHOREN LEILA, MANALO,BEVE
136675160014 F 01-20-2011 11 Tagalog Others JINALINAN BARBAZA ANTIQUE EDGARDO
MANALO RLY,GUMBAN,
BANDOLA
NOVELO,
Christiani YOSA,ANA
109544160023 NOVELO,LINZIE YSAVEL, YOSA F 11-15-2010 11 Tagalog IPIL BARBAZA ANTIQUE SALVADOR
ty SHYLA,AMAR,
MORILLO
OMALLAO, TANJUANGCO,
OMALLAO,BEA MONIQUE, Christiani
136608170373 F 08-05-2011 11 Tagalog SANTA ANA TIBIAO ANTIQUE ROBERT MYRA,AGUSTI
TANJUANGCO ty
ZAMORA N,
ONTE,KISSHA ANGELA, Christiani ONTE, IGANACIO,AN
438557150022 F 12-04-2009 12 Kinaray-a PALMA BARBAZA ANTIQUE
IGNACIO ty JUDEMER GELINE,,
PAGSUGUIRON,
PAGSUGUIRON,GLYZA MAY, Christiani HERMAN,LUZ,
114965160052 F 05-24-2011 11 Kinaray-a PALMA BARBAZA ANTIQUE RONIE
HERMAN ty ESPAÑOLA,
CRISTOBAS
BLANCIA,HELE
Christiani YBERA, ERLE
114965160018 YBERA,TWEENEY, BLANCIA F 01-03-2011 11 Kinaray-a BERI BARBAZA ANTIQUE NGRACE,BENA
ty ANDRES
LITA,
26 <=== COMBINED
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date GERALDINE DAQUIPIL TORTAL TORTA
Date MALE 11
Balik Aral B/A Name of school last attended & Year CHERRY ALFARO REMO (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 15
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 26
BoSY Date: EoSY Date:
Face to Face
CCT
Face to Face
Face to Face
Face to Face
Modular
(print)
Face to Face
Face to Face
Face to Face
Face to Face
Face to Face
CCT
Face to Face
Face to Face
EoSY Date:
d thru LIS