Professional Documents
Culture Documents
Semester First Semester School Year 2022 - 2023 Grade Level Grade 12 Track and Strand
Sex (M/F)
NAME BIRTH DATE as of
LRN Religious Affilication Mother's Maid
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy) Octob Father's Name (Last
er 31st Name (Last Na
House #/ Street/ Sitio/ Purok Barangay Municipality/ City Province Name, First Name, Middle
First Name, Mi
Name)
Name)
BARTOLOME
POBLACION NUEVA CABAY, FERNANDO
104221080005 CABAY,JOVEN ASLEY BARTOLOME M 09/29/2003 19 Christianity VILLAVERDE RYJENE,MAR
(TUROD) VIZCAYA PASCUAL
,MARABE
JALLORINA,L
NUEVA DACANAY, ROWELL
104220100009 DACANAY,JOHNNE PHILIP JALLORINA M 01/27/2005 17 Christianity SAWMILL VILLAVERDE NA LEI,DEL
VIZCAYA TOBIAS
ROSARIO,
NUEVA FERNANDEZ, JAY BRIMBUENA,
104219100014 FERNANDEZ,JHON LOID TAACA M 11/16/2004 17 Christianity PIEZA VILLAVERDE
VIZCAYA UBANDO TAACA,
NUEVA GARCIA, LLOYD ALAMAN,RIZ
104216100014 GARCIA,LAWRENCE ALAMAN M 11/14/2004 17 Christianity NAGBITIN VILLAVERDE
VIZCAYA PADILLA VALDEZ,
NUEVA
104215140049 LINGAY,JERRY N M 01/22/2003 19 Christianity CABULUAN VILLAVERDE LINGAY, SIMON NIHAR,JENNY
VIZCAYA
GUARDIAN
TS REMARKS
(if learner is not Living with Parent)
Contact
Number of Learning
Mother's Maiden Parent or Modality
Name
Name (Last Name, Guardian (Please refer to the
(Last Name, First Name, Relationship
First Name, Middle legend on last page)
Name Extension, Middle
Name)
BAGUATAN,CECI
PARENT Face to Face
LIA,SALVAN,
ANDRES,ANGELI
PARENT Face to Face
NA,ALLAC,
BARTOLOME,ME
RYJENE,MARABE PARENT Face to Face
MARABE
JALLORINA,LORE
NA LEI,DEL Modular (print)
ROSARIO,
BRIMBUENA,JOY,
PARENT Modular (print)
TAACA,
ALAMAN,RIZZA,
PARENT Face to Face
VALDEZ,
TOLENTINO,AME
PARENT Face to Face
LITA,CAMBIA,
MARINAS,MIRAZ
Modular (print)
EL,ESPIRITU,
PRANGAN,NOVE
PARENT Face to Face
LYN,RAMOS,
NUNEZ,EDITHA,
PARENT Face to Face
MADELO,
FERNANDEZ,JUVI
E
Face to Face
ANN,EVANGELIO
LAZO,VANESSA,
Face to Face
BELTRAN,
BINTAWAN NUEVA SERAPION, JOHN SOLMERIN,AG
104213140194 SERAPION,GIANE MARK SOLMERIN M 12/13/2005 16 Christianity VILLAVERDE
NORTE VIZCAYA BUENO S,GUIEB,
ORIPON,EVAN
109342140476 CORPUZ,RIZALYN ORIPON F 12/30/2005 16 Christianity CAMP 4 TUBA BENGUET CORPUZ, ALFREDO
LINE,CUMIA,
HERMOSO,CL
BINTAWAN NUEVA OBENA, DANILO
104213100044 OBENA,JHEREMY NICHOLE HERMOSO F 12/03/2005 16 Christianity VILLAVERDE E PAZ,DE
NORTE VIZCAYA JOHN
GUZMAN,
BINTAWAN NUEVA BUSTILLOS,E
104213100048 PARAYNO,LOREA JANELLE BUSTILLOS F 01/29/2005 17 Christianity VILLAVERDE PARAYNO, ORBANO
NORTE VIZCAYA YN,,
DEL
BINTAWAN NUEVA RIVERA, ARTHUR
104214140201 RIVERA,LAARNI CHARMAINE LEI DEL ROSARIO F 12/15/2004 17 Christianity VILLAVERDE ROSARIO,MA
SUR VIZCAYA FERRER
LYLANIE,LEA
BALICAT,MA
NUEVA SAMBRANO, FIDEL
104174100022 SAMBRANO,MARIFE BALICAT F 03/27/2005 17 Christianity TUCAL SOLANO ELENA,NAZA
VIZCAYA SUGUITAN
O,
NUEVA ALCANTARA,
104178100016 VIDAD,KATRINA ALCANTARA F 10/15/2005 17 Christianity SAN JUAN SOLANO VIDAD, ISAIAS
VIZCAYA MA,,
NUEVA WASIN, NOEL
104223100099 WASIN,MARICRIS AMOLACION F 04/20/2004 18 Christianity IBUNG VILLAVERDE AQUINO,MER
VIZCAYA SAGUIPED
32 <=== COMBINED
OCUMEN,AILYN,
PARENT Face to Face
S,
DOMINGO,SHERY
PARENT Face to Face
L,TOMAS,
GUTIEREZ,ROSA
PARENT Face to Face
LINDA,RIVERA,
ORIPON,EVANGE
PARENT Face to Face
LINE,CUMIA,
GACELOS,JOSEP
PARENT Face to Face
HINE,ABALOS,
BALANGATAN,R
Face to Face
OZEL,LINA,
CAS,DONNABEL,-
PARENT Face to Face
ADUCA,ROSALIE,
Face to Face
COLLADO,
ANDRADA,CIND
PARENT Face to Face
Y,,
MARTIN,MARIED
PARENT Face to Face
EL,,
HERMOSO,CLAIR
E PAZ,DE PARENT Face to Face
GUZMAN,
BUSTILLOS,EVEL
RELATIVE Face to Face
YN,,
VIZCARRA,GEM
PARENT Face to Face
MA,NICOLAS,
DEL
ROSARIO,MARY PARENT Face to Face
LYLANIE,LEAL,
BALICAT,MA
ELENA,NAZAREN PARENT Face to Face
O,
VIERNES,LOVELL
PARENT Face to Face
E,FERNANDEZ,
ALCANTARA,PRI
PARENT Face to Face
MA,,
d by;
Beginning of the End of the
Indicator Code Required Information Indicator Code Required Information REGISTERED
Semester Semester
Transfered Out T/O CCT Receipient CCT CCT Control/reference number &
Effectivity Date MALE 14
Name of School, Date of 1st Attendance and Balik Aral B/A Name of school last attended & Year
Date of Last Attendance if Transferred Out
Transfered In T/I Learner With LWE Specify Exceptionality of the Learner
FEMALE 18
Exceptionality Beginning of the Semeste
Accelerated ACL Specify Level & Effectivity Date
TOTAL 32
8/22/22 12:00 AM