Professional Documents
Culture Documents
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School Name Pamian Integrated School School Year 2022 - 2023 Grade Level Grade 10 Section EINSTEIN
GUARDIAN
ADDRESS PARENTS REMARKS
(if Not Parent)
Age MOTHER Contact
Sex (M/F)
IP
NAME BIRTH DATE as of TONGUE RELIGIO Number of Learning
LRN (Ethnic Mother's Maiden
(Last Name, First Name, Middle Name) (mm/dd/yyyy) Octob (Grade 1 Group)
N House #/ Father's Name (Last Parent or Modality (Please refer to
er 31 to 3 Only) Municipality/ Name (Last Name, Guardian
Street/ Sitio/ Barangay Province Name, First Name, Name Relationship the legend on last
City First Name, Middle
Purok Middle Name) page)
Name)
Cebuano /
Sinugbua Christiani SURIGAO DEL CUINO,ROSALI
214505120007 CUINO,RONEAN, CARDENIO M 02-14-2007 15 BOGAK LINGIG Face to Face
nong ty SUR E,CARDENO,
Binisay
Cebuano /
DAGANATO,JU
DAGANATO,JIMBOY, Sinugbua Christiani SURIGAO DEL
214505120008 M 12-25-2005 16 BOGAK LINGIG DITH,MONTICA Face to Face
MONTICALVO nong ty SUR
LVO,
Binisay
TAGA-AMO,
Christiani SURIGAO DEL PUETA,MARYJ
214505120025 TAGA-AMO,RYAN JADE, PUETA M 12-30-2005 16 Manobo BOGAK LINGIG CESARIO Face to Face
ty SUR OY,OLIVA,
MALATE
TAGUE,
Christiani SURIGAO DEL FIGUROA,JESSI
214505120026 TAGUE,RHIAN, FIGUROA M 12-16-2006 15 Manobo BOGAK LINGIG REYNALDO Face to Face
ty SUR E,MANO,
OLIVARES
Cebuano/
ARGENTE, T/O
Kana/ Christiani SURIGAO DEL MALBAS,MARI
214518120012 ARGENTE,HEZEL, MALBAS F 09-28-2007 15 BOGAK LINGIG VINCENT Face to Face DATE:2023/02/
Sinugboa ty SUR CEL,JADOL,
ESCOBIO 01
nong Bini
Cebuano /
CEBRERO, CAÑETE,MARY T/I
Sinugbua Christiani SURIGAO DEL
119925120203 CEBRERO,RENALYN, CAÑETE F 10-07-2006 16 Cebuano BOGAK LINGIG RICHARD LYN,VILLACAR Face to Face DATE:2022-08-
nong ty SUR
REYES LOS, 22
Binisay
Cebuano /
LABUS, T/I
Sinugbua Christiani SURIGAO DEL PAMUTHO,JUD Modular
132609130226 LABUS,MELOJEAN, PAMUTHO F 01-02-2007 15 BOGAK LINGIG MAXIMO JR DATE:2022-09-
nong ty SUR EA,MARCOS, (print)
LAPIZ 05
Binisay
Cebuano /
Sinugbua Christiani SURIGAO DEL MALATE,MARI
214505120015 MALATE,RINA CRIS, CASTULO F 10-23-2006 16 BOGAK LINGIG Face to Face
nong ty SUR VIC,CASTULO,
Binisay
Cebuano /
TAGA-
Sinugbua Christiani SURIGAO DEL
214505150030 TAGA-AMO,CHARES JEL, PUETA F 08-13-2007 15 BOGAK LINGIG AMO,MARY Blended
nong ty SUR
JOYCE,PUETA,
Binisay
Cebuano /
Sinugbua Christiani SURIGAO DEL VILLARO,MER
214505120027 VILLARO,RUTCHIE, ANDAMON F 06-05-2007 15 BOGAK LINGIG Face to Face
nong ty SUR CY,ANDAMON,
Binisay
16 <=== COMBINED
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date CHANIELOU JAVIER MARTINEZ
Date MALE 6
Balik Aral B/A Name of school last attended & Year MARIA DIANE DIAZ CONSUEGRA (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 9
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 15
BoSY Date: EoSY Date: