Professional Documents
Culture Documents
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School Name R. Lentejas Mem. School Of Fisheries School Year 2022 - 2023 Grade Level Grade 9 (Year Section PRINCE FISH
B
A GUARDIAN
ADDRESS G PARENTS
(if Not Parent)
Age MOTHER A
B Contact
Sex (M/F)
IP
LRN
NAME BIRTH DATE as of TONGUE (Ethnic
RELIGIO L
E Number of
(Last Name, First Name, Middle Name) (mm/dd/yyyy) Octob (Grade 1 N L
R Mother's Maiden Parent or
Group) House #/ Father's Name (Last
er 31 to 3 Only) Municipality/ OName, First Name, Name (Last Name, Guardian
Street/ Sitio/ Barangay
City
Province N First Name, Middle
Name Relationship
Purok NMiddle Name)
A AM Name)
,
L PO
B
P
E AN,
BAGALLON,BRENT ADAM, 09-08- Christiani TINAMBAC CALBAYOG WESTERN O
R
S AN
124128140003 M 15 Waray B
H PA
AMPOAN 2007 ty AN NORTE CITY SAMAR ,I
U TO
O
M BU
NIA
N
E
L
O AY
,LI
E
N
F
BERNALES,JOHN CARLO, PABU- 07-02- Christiani TINAMBAC CALBAYOG WESTERN ,L A,A
VA
M,
124128140077 M 14 Waray S
A
E
AYA 2008 ty AN SUR CITY SAMAR A
E NN,
LLE
T
V
L
N
N ESP
Y,M
O
E
IT
T AD
ARI
04-01- Christiani TINAMBAC CALBAYOG WESTERN R
N
Z SAL
124128130077 BOHOL,ANTHONY, VALLEY M 14 Waray O
E A,
TES
2008 ty AN NORTE CITY SAMAR P
T
A VA
JN
A
U
,SA
DO
R
IA
L GA
L
R
IO RA,
BUENAVENTURA,JEIAN, 08-07- Christiani TINAMBAC CALBAYOG WESTERN E
S
L DA
CUI
124128130178 M 15 Waray A
O
G
O DIO
L,
SALVADORA 2007 ty AN SUR CITY SAMAR O ZO
,O
P SA,
JN N,M
JUS
M
L
A
E
O ARI
AY
03-03- Christiani CALBAYOG WESTERN A
IS
R
124125120042 FELIZARIO,ANGELO, CUIZON M 15 Waray MALOPALO S LY
GUI
AN,
2007 ty CITY SAMAR G
D
E
L N,D
NT
N
O
A
P
E OR
E,M
O
S
11-19- Christiani CALBAYOG WESTERN E
R DIN
ARI
HU
124119120019 GUINTE,LOWE, MENDEZ M 14 Waray BANTE F
M
,
2007 ty CITY SAMAR IP ES,
BEL
RE,
R
A
B
IO
O
A
H ,ME
VIC
BE
ND
TO
02-28- Christiani MARCATUBI CALBAYOG WESTERN T
,N
U
N
124127130012 LEOPARDAS,RONALD, HURE M 14 Waray RN
EZ,
RIA
2008 ty G CITY SAMAR O
R
C
IS
M AL
,LO
U
IO
A
F ES,
LLI
B
S
Y
R
A AL
MO
GA
LERIO,ALVIN ROYCE, 04-09- Christiani TINAMBAC CALBAYOG WESTERN ,E
CG
C
124128130070 M 14 Waray ON
NTI
O,
BERNALES 2008 ty AN SUR CITY SAMAR N
O
IE A,P
VES
S
L
A
O
P AL
,MA
VIL
A
,V
C
L
MAHUSAY,ANDREW, 05-16- Christiani SALJAG CALBAYOG WESTERN LO
AN
LE
124046130003 M 14 Waray L
I
M
A
MONTIVES 2008 ty (BAUT) CITY SAMAR NES
NE,
GA
V
R
A
N ,S,M
ME
A
P
O
R
A
Z
D
U RC
ILA
MA
08-21- Christiani CALBAYOG WESTERN Q
T
M
A
124120130107 MORGIA,MARJHON, VILLEGAS M 14 Waray BANTIAN O
T AD
GR
BA
2008 ty CITY SAMAR IU
S
A
R ER,
A
IR OS
NO,
N
U
,
A
L
T A,H
LO
IE
O
09-09- Christiani TINAMBAC CALBAYOG WESTERN ,A INA
RE
DA
124128130047 PLANZAR,CARLITO, MABANO M 15 Waray JS
C
2007 ty AN SUR CITY SAMAR C
G MP
NA,
BA
O
C AS,
MA
,A
C
RA
V
LOS
R
O
A HU
,RE
BA
03-10- Christiani TINAMBAC CALBAYOG WESTERN R
E
124128130052 PUTAL,CARLITO III, DABALOS M 14 Waray L
N
R SA
BE
LE
2008 ty AN SUR CITY SAMAR G
L
IN
D Y,
CK,
NZ
A
A
T
A
IR LE
OG
S
O GA
S
C
C A,M
SUICO,ARNI JHONIUR, 11-11- Christiani CALBAYOG WESTERN T SPI,
124125120024 M 17 Waray MALOPALO R
I
O A
BALINZOGA 2004 ty CITY SAMAR A
,A
P
ELI
R GO
ZA,
A
A
T TID
BA
N
Y
01-04- Christiani CALBAYOG WESTERN E O,M
LD
124125110048 VELASCO,ARNEL, GOTIDO M 16 Waray MALOPALO T
A
2006 ty CITY SAMAR Z ARI
O,
O
U SSA
N
E ,,
I
L
RINCE FISH
REMARKS
Learning
Modality (Please refer to
the legend on last
page)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
T/I
Modular
DATE:2022-08-
(print)
22
Blended
Blended
Blended
Modular
(print)
Blended
Modular
(print)
Blended
Modular
(print)
Modular
(print)
B
R
A LA
E
C RIN
Y
T O,N
N
10-29- Christiani TINAMBAC CALBAYOG WESTERN O EN
124128130118 YRIGAN,RIAN, LARIÑO M 14 Waray A
2008 ty AN SUR CITY SAMAR L A,M
B
L
B
,R AH
DE
D
O
A US
LA
15 <=== TOTAL MALE A
O
C
B AY,
RMI
N
M
T
U
Z
E NO,
BACTOL,ANGELICA, 11-09- Christiani CALBAYOG WESTERN O
N NIL
124123130040 F 14 Waray DANAO I U
R
Y
DELARMINO 2007 ty CITY SAMAR D
E
C DA,
PES
,I PA
L
A IDA
L
C
O ND
A
D S,AI
04-01- Christiani TINAMBAC CALBAYOG WESTERN E
A
B BA
ON
124128130209 BOCTOY,AIRA JANE, PESIDAS F 14 Waray ,E ZA,
2008 ty AN SUR CITY SAMAR V
L
A LER
G,
S
R PLA
IC
E O,A
A NZ
JA
S RL
BRANZUELA,CHRISTINA, 11-16- Christiani TINAMBAC CALBAYOG WESTERN L AR,
124128130056 F 13 Waray U
A
T
D YN,
BALERO 2008 ty AN SUR CITY SAMAR V
S MA
,U
A PA
A
A
F HIL
JN
R GA
D
Y
L UM,
05-17- Christiani TINAMBAC CALBAYOG WESTERN O
A DO
124128130083 CALESA,JENNY ROSE, MARTIL F 14 Waray Waray O
A
O RIZ
2008 ty AN NORTE CITY SAMAR ,L RA,
R
N
R AL
DIA
G
IA
R
,U YN,
LIN
T
U
B
04-10- Christiani TINAMBAC CALBAYOG WESTERN JIR ,
O,M
124128130186 DURA,APRIL MAE, DIALINO F 14 Waray O
E
O TIP
2008 ty AN NORTE CITY SAMAR A
A
N ER
G
L
L ASE
B
Y
T GIE
A
B
A ,AN
IE
M ,,
07-25- Christiani TINAMBAC CALBAYOG WESTERN L
O
N A,M
EU
124128120225 FLOR,RHIAN, TIPASE F 16 Waray Q
,U
2006 ty AN NORTE CITY SAMAR L
N
T ON
DE
U
L
N
H
O
E ZA
LA,
A
D
E
L
,N LES
ME
BO
07-13- Christiani CALBAYOG WESTERN B
O
124125130033 GUINTE,NATHASHI, EUDELA F 15 Waray MALOPALO A
E
R ,
LIS
NO
2007 ty CITY SAMAR A
L
R
O
O
N SA,
LA,
U
Y
P
B
A CA
LU
IA NA
01-23- Christiani TINAMBAC CALBAYOG WESTERN ,E
T LIS
ZVI
124128130188 JABIQUE,JANIEL, BOÑOLA F 14 Waray M
R DE
2008 ty AN NORTE CITY SAMAR N
R
O TE,
MI
P
D RA,
U
T
O
N ND
E
A RO
Ñ
O
L A,G
LABANA,MA. CRISTINE, 12-24- Christiani CALBAYOG WESTERN R
S SA
ON
124119120033 F 15 Waray BANTE E
S
A ASP
NADERA 2006 ty CITY SAMAR I, DIL
AT
Z
A
P
N AN,
A
S LA,
O,J
,L
O
D
L
E AR
LAS
ESS
01-21- Christiani MARCATUBI CALBAYOG WESTERN V
Y
O
124127130024 LEOPARDAS,JEROLYN, ONATO F 13 Waray P
V AN
PEÑ
ICA
2009 ty G CITY SAMAR A
O
C ZA
R
E
V
D
S A,
,BO
A DO,
O
,IR
O NA
N MIL
LO
08-15- Christiani CALBAYOG WESTERN B
IA
N
R
W YO
124123130089 NUÑEZ,ANALYN, ARANZADO F 14 Waray DANAO I S
A AG
MO
2008 ty CITY SAMAR N
IC
AM G,
A
D RO
CS
O
IA
L
L
O S,S
O,H
C
O
F
N
09-12- Christiani CALBAYOG WESTERN V
R ER
TU
124124130055 POYOS,NIKKA, LOMOCSO F 14 Waray MALAJOG A
B
R
2008 ty CITY SAMAR A
A RA
ME
GA
N
E
D
,R TO,
NIA
DO,
A
Y
O
E ,TO
MA
10-28- Christiani MARCATUBI CALBAYOG WESTERN M
N
124127120032 PROBADORA,LYRA, TUGADO F 17 Waray R
T
D BA
RCI
GUI
2005 ty G CITY SAMAR A
A
A
E
G YO
NO,
A,S
N
L
C
J,A G,E
AL
ID
U
L
A RLI
TU
09-24- Christiani TINAMBAC CALBAYOG WESTERN R
O
R VA
124128130219 SALVADORA,LIEZIEL, BAYOG F 14 Waray ,O
M ND
BA
ÑA,
2008 ty AN SUR CITY SAMAR N
O
V
JR
E A,M
LL
A
T
E
O AHI
AS,
R
,T
07-31- Christiani CALBAYOG WESTERN L
M NA
MY
124119130044 TEJA,JOY, TUBALLAS F 14 Waray BANTE C
R RO
2008 ty CITY SAMAR A
O
A Y,
LE
A
IY DIL
S
JR NE,
D
C LAS
U
T
E DO
04-01- Christiani CALBAYOG WESTERN K
O
S
O ,EM
NIN
124119130023 UROT,MA. CAMILIA, RODILLAS F 14 Waray BANTE R RE
2008 ty CITY SAMAR Y
,L
A
O EL
A,
C YES
Y,P
E
Y
N
E
A ,DI
ER
12-26- Christiani TINAMBAC CALBAYOG WESTERN ,D
AD NA,
124128120147 VELASCO,JAMAICA, REYES F 15 Waray S
W
N
V
O U,
2006 ty AN NORTE CITY SAMAR T PAL
I DIN
LO
A
N
R ,MY
N NES
08-10- Christiani CALBAYOG WESTERN M
G RA,
124119130047 YUSON,CHERRY ANN, DIN F 14 Waray BANTE T ,
2008 ty CITY SAMAR O
I LA
E
S
L YO
IQ NG,
U
O
E
C
Modular
(print)
Blended
Blended
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Blended
Blended
Modular
(print)
Blended
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
18 <=== TOTAL FEMALE
33 <=== COMBINED
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date ROMEO DABALOS CASTANTE
Date MALE 15
Balik Aral B/A Name of school last attended & Year MA CHONA PASACAS ROJO (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 SY) BoSY Date: EoSY Date:
TOTAL 33
BoSY Date: EoSY Date:
EoSY Date:
d thru LIS