Professional Documents
Culture Documents
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School ID 162504 Region III Division City of San Jose Del Monte District San Jose Del Monte West
School Name San Manuel Elementary School School Year 2022 - 2023 Grade Level Grade 2 Section LETTUCE
GUARDIAN
AGE ADDRESS PARENTS
(if Not Parent)
as of MOTHER Contact
Sex (M/F)
IP
NAME BIRTH DATE 1st TONGUE RELIGIO Number of
LRN (Ethnic Mother's Maiden
(Last Name, First Name, Middle Name) (mm/dd/yyyy) Frida (Grade 1 Group)
N House #/ Father's Name (Last Parent or
y to 3 Only) Municipality/ Name (Last Name, Guardian
Street/ Sitio/ Barangay Province Name, First Name, Name Relationship
City First Name, Middle
June Purok Middle Name)
Name)
CITY OF
AGUILAR,NICK FRANCIS, Christiani SAN AGUILAR, MANAL,ROSIE
162504200122 M 12-17-2014 Tagalog SAN JOSE BULACAN
MANAL ty MANUEL ARNEL UCAB VILL,GADO,
DEL MONTE
CITY OF ARSENIO,
Christiani SAN SALAZAR,CHE
162504200090 ARSENIO,FRANCIS, SALAZAR M 03-16-2015 Tagalog SAN JOSE BULACAN FELICITO
ty MANUEL RYL,DULIANO,
DEL MONTE MORENO
CITY OF
BALAORO,STEPHEN LANCE, Christiani SAN BALAORO, CANDAZA,MAR
136648200389 M 10-23-2015 Tagalog SAN JOSE BULACAN
CANDAZA ty MANUEL RICKY - Y JOY,-,
DEL MONTE
CITY OF BUNA,
Christiani SAN REAL,NELIA,C
162504200123 BUNA,MARK DAVE, REAL M 03-11-2015 Tagalog SAN JOSE BULACAN REDEMTO
ty MANUEL ADIS,
DEL MONTE ALVARIO
DAGOHOY, VILLALUZ,MA
DAGOHOY,MYKE EZRHAEL, Christiani KALOOKAN NCR THIRD
136648200116 M 09-21-2015 Tagalog MICHAEL RIVIC,SURIAGA
VILLALUZ ty CITY DISTRICT
LOGARTA ,
CITY OF DE GUZMAN,
DE GUZMAN,ADRIAN JHAY, Christiani SAN MACHAN,JANI
162504200042 M 10-02-2015 Tagalog SAN JOSE BULACAN STANLEY
MACHAN ty MANUEL CE,ELEORDA,
DEL MONTE FORTIA
CITY OF
Christiani GRACEVILL FAIN, COLLIN MUCA,MARIST
162504200036 FAIN,MARK ANDREI, MUCA M 09-09-2014 Tagalog SAN JOSE BULACAN
ty E ATANACIO ELA,CORNELO,
DEL MONTE
CITY OF JULARBAL,
JULARBAL,JOHN TROY, Christiani SAN BUENAFLOR,E
162504200038 M 01-13-2015 Tagalog SAN JOSE BULACAN RUBEN
BUENAFLOR ty MANUEL LENA,CASTRO,
DEL MONTE MANALASTAS
San Jose Del Monte West
LETTUCE
REMARKS
Learning
Modality (Please refer to
the legend on last
page)
Modular
(print)
Modular
(print)
Modular
(print)
Modular
(print)
Face to Face
Modular
Pending TI
(print)
Online
Face to Face
Online
Modular
(print)
CITY OF LOPEZ, MARCELINO,A
LOPEZ,PRINCE ARJUN, Christiani GRACEVILL
162504200071 M 08-30-2015 Tagalog SAN JOSE BULACAN JUNIFER RLENE,SINGSO
MARCELINO ty E
DEL MONTE SATORE N,
CITY OF MALUMBAY,
MALUMBAY,PRINCE Christiani SAN FLORA,MELISS
107165200141 M 10-10-2014 Tagalog SAN JOSE BULACAN RICARDO
CRAWFORD, FLORA ty MANUEL A,CALDE,
DEL MONTE PANTOJA
MARASIGAN,R
NCR MANIEGO, DON
MANIEGO,XYLLE KENDRICK, Christiani DOÑA QUEZON HEGINE
104772200040 M 11-26-2014 Filipino SECOND CARL
MARASIGAN ty IMELDA CITY ELOISE,FUENT
DISTRICT PEÑALOSA
ES,
CITY OF PAGUD,
Christiani SAN HORE,MARICE
401483200003 PAGUD,KENNETH EZRA, HORE M 05-13-2015 Tagalog SAN JOSE BULACAN BONIFACIO
ty MANUEL L,TOGADO,
DEL MONTE BASA JR
CITY OF RIVERA,
Christiani SAN
112278200048 RIVERA,JOVIN, PADILLA M 07-31-2015 Tagalog SAN JOSE BULACAN BENJAMIN PADILLA,JOY,,
ty MANUEL
DEL MONTE PLACIDO
TEMPORAZA,M
CITY OF
TUMBAGAHAN,KYLE GENUEL, Christiani SAN TUMBAGAHAN, IA
162504200015 M 08-22-2015 Tagalog SAN JOSE BULACAN
TEMPORAZA ty MANUEL GERIK IDEA AIZALEE,NEPO
DEL MONTE
MUCENO,
CITY OF ABANILLA,
ABANILLA,PRINCESS ANGEL, Christiani GRACEVILL REMETIO,MELI
162504200035 F 09-26-2015 Tagalog SAN JOSE BULACAN ROBERT
REMETIO ty E SSA,NAVAJA,
DEL MONTE DETORRES
CITY OF MONTEGRAND
ABDULA,ZAVANNAH, Christiani SAN ABDULA,
162504200088 F 08-04-2015 Tagalog SAN JOSE BULACAN E,JULIET,BOMB
MONTEGRANDE ty MANUEL LOREN RAFOL
DEL MONTE ASE,
CITY OF PAJO,JOAN
Christiani SAN ABELLA,
162504200029 ABELLA,KUIXIA, PAJO F 08-14-2015 Tagalog SAN JOSE BULACAN MARGARETTE,
ty MANUEL JERICK ORTIZ
DEL MONTE LABIANO,
ESGUERRA,MA
CITY OF AMOYO,
AMOYO,YHUNA MAE, Christiani SAN RY
109707190211 F 06-14-2014 Tagalog SAN JOSE BULACAN ROMEO
ESGUERRA ty MANUEL GRACE,MARCI
DEL MONTE MAQUIRANG JR
ANO,
CITY OF MIRAFUENTES,
ANG,ARIANNE MARIE, Christiani SAN ANG, RODRIGO
401483200007 F 04-04-2015 Tagalog SAN JOSE BULACAN JENALYN,PRES
MIRAFUENTES ty MANUEL GRAGASLAO JR
DEL MONTE ORES,
CITY OF BALANQUIT,
BALANQUIT,KAIZEY JULIA, Christiani GRACEVILL ARABIA,ERLIN
162504200022 F 10-14-2014 Tagalog SAN JOSE BULACAN NELSON
ARABIA ty E DA,FLORES,
DEL MONTE GRANADA
MANILA, BUENAVENTUR
BUENAVENTURA,KARSCI JANE, Christiani BARANGAY BERCASIO,JOY,
136460200013 F 10-16-2014 Tagalog SAMPALOC NCR, FIRST A, DERWIN
BERCASIO ty 555 UNGGAY,
DISTRICT PALGUERA
CALOPEZ, EVANGELISTA,
CALOPEZ,NAOMI FEME, Christiani
162504200062 F 09-10-2014 Tagalog GOMEZ SAN ISIDRO ISABELA FELICIANO MELANIE,RAM
EVANGELISTA ty
CARUMBA OS,
Face to Face
Modular
(print)
Blended Pending TI
Modular
(print)
Face to Face
Face to Face
Face to Face
Online
T/I
Modular
DATE:2022-08-
(print)
22
Online
T/I
Modular
DATE:2022-08-
(print)
22
Online
T/I
Blended DATE:2022-08-
22
Online
CASTILLO, ANTONIO,MELI
Christiani
107513190057 CASTILLO,JAMAICA, ANTONIO F 03-15-2014 Tagalog NATIPUAN NASUGBU BATANGAS FELIXBERTO SSA,BITONGGA
ty
VILLALUZ ,
CITY OF
LABAG,ALETHEIA ZEPHORA, Christiani SAN LABAG, MARK BAÑES,ANALY
162504200027 F 09-15-2015 Tagalog SAN JOSE BULACAN
BAÑES ty MANUEL LONGNAN N,CALICDAN,
DEL MONTE
CITY OF RENDON,
RENDON,MISHA KENDRA, Christiani SAN SANDIGAN,NO
162506200153 F 09-17-2014 Tagalog SAN JOSE BULACAN MARCIAL
SANDIGAN ty MANUEL RA,ENTIENZA,
DEL MONTE CALANGIAN
REYES,
NCR
Christiani KALIGAYAH QUEZON DEXTER CHUA,MARIVIC
136533200099 REYES,YVANE, CHUA F 01-01-2015 Tagalog SECOND
ty AN CITY BRYAN ,ARTISTA,
DISTRICT
ACOSTA
CITY OF SANTOS,
SANTOS,PRINCESS ANGEL, Christiani SAN VERAN,VILMA,
162504200016 F 10-16-2014 Tagalog SAN JOSE BULACAN JERICO
VERAN ty MANUEL GERONG,
DEL MONTE PADRELANAN
37 <=== COMBINED
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date RICKY CABELIN PACQUING
Date MALE 17
Balik Aral B/A Name of school last attended & Year IRISH INGRID MARQUEZ VELISANO (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 20
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 37
BoSY Date: EoSY Date:
Face to Face
Modular
(print)
Modular
(print)
Modular
(print)
Face to Face
Modular
Pending TI
(print)
T/I
Blended DATE:2022-08-
22
Face to Face
Face to Face
Modular
(print)
d Correct:
EoSY Date: