Professional Documents
Culture Documents
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School Name Edna Guillermo Memorial National High School School Year 2021 - 2022 Grade Level Grade 10 Section GAID
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 Mother's Maiden Parent or
Group) House #/ Father's Name (Last
er 31 to 3 Only) Municipality/ Name (Last Name, Guardian
Street/ Sitio/ Barangay Province Name, First Name, Name Relationship
City First Name, Middle
Purok Middle Name)
Name)
JOSE ABAD
Christiani DAVAO ABO, TRENCIO ABO,ROSALIN
128892120020 ABO, BRYAN LASYANG M 01-24-2004 17 Manobo Manobo SUGAL SANTOS
ty OCCIDENTAL TUBON DA,LASYANG,
(TRINIDAD)
JOSE ABAD
Christiani DAVAO BUALAN, ALOD,OLIVA,M
129060110015 4 BUALAN, JERICHO ALUD M 08-24-2006 15 Cebuano Manobo BUTULAN SANTOS
ty OCCIDENTAL DONIO ANGOS ALADIAN,
(TRINIDAD)
JOSE ABAD
Christiani DAVAO DULLANO, AGBON,GINA,L
129060110021 DULLANO, JET TROY AGBON M 10-17-2006 15 Cebuano BUTULAN SANTOS
ty OCCIDENTAL SHOJIE SAL LENA,
(TRINIDAD)
GAID
REMARKS
Learning
Modality (Please refer to
the legend on last
page)
Modular
(print)
Modular
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Modular
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Modular
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Modular
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Modular
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Modular
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Modular
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JOSE ABAD
Christiani DAVAO ENRIQUITO, QUIA,ADMILA,
129060110024 ENRIQUITO, DEMRICK QUIA M 12-20-2005 15 Blaan Blaan BUTULAN SANTOS
ty OCCIDENTAL RICKY MAON DANI,
(TRINIDAD)
Cebuano /
JOSE ABAD GUARINO,
GUARINO, NEL MARCH Sinugbua Christiani DAVAO BATINGAL,REG
128881110068 M 03-13-2006 15 BUTULAN SANTOS EUGENIO
BATINGAL nong ty OCCIDENTAL INA,-,
(TRINIDAD) LEBIOS
Binisay
Cebuano /
JOSE ABAD
Sinugbua Christiani DAVAO PALAHANG, AGBON,ANA
129735120173 PALAHANG, MARLON AGBON M 08-11-2005 16 SAN ISIDRO SANTOS
nong ty OCCIDENTAL MICHAEL RUIZ LUCIA,QUICO,
(TRINIDAD)
Binisay
JOSE ABAD
PARDIÑAS, CHARLES VERNIE Christiani DAVAO PARDIÑAS, BENIGNO,NONI
131303140288 M 04-01-2006 15 Cebuano Blaan BUTULAN SANTOS
BENIGNO ty OCCIDENTAL OLIVER PABLO LYN,MIER,
(TRINIDAD)
Modular
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Modular
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Modular
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Modular CCT
(print)
Modular
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Modular
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Modular
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Modular
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Modular
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Modular
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JOSE ABAD RIMANDO,
Davawen Christiani DAVAO EDAN,IRELYN,
128371110009 RIMANDO, REXLY EDAN M 12-28-2005 15 BUTULAN SANTOS ANTONIO
yo ty OCCIDENTAL LAGSILON,
(TRINIDAD) BENARO
JOSE ABAD
Christiani DAVAO AQUINO, JOSE SALIWO,LOLIT
129060110008 2 AQUINO, LARA JOY SALIWO F 03-15-2006 15 Cebuano BUTULAN SANTOS
ty OCCIDENTAL BEN JAMCO A,LENIZO,
(TRINIDAD)
Modular
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Modular
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Modular
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Modular
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Modular
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Modular
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Modular
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Modular
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Modular
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Modular
(print)
JOSE ABAD HEGREMOSA,
Christiani DAVAO DEL PARSASO,ZEN
129058100046 HEGREMOSA, SOPHIA PARSASO F 09-10-2005 16 Cebuano CAMALIAN SANTOS JUSTINIANO
ty SUR AIDA,TALLON,
(TRINIDAD) ARCILLAS
JOSE ABAD
Christiani DAVAO LACAY, ANGOS,REGIE,
129060120010 LACAY, JENCIL ANGOS F 06-09-2004 17 Manobo Manobo BUTULAN SANTOS
ty OCCIDENTAL VIRGILIO ALOD A,
(TRINIDAD)
JOSE ABAD
Christiani DAVAO MIER, ALLAN SEGOVIA,EMA,
128882100206 MIER, JENNY ROSE SEGOVIA F 10-02-2001 20 Cebuano BUTULAN SANTOS
ty OCCIDENTAL LUMPAAN -,
(TRINIDAD)
Modular
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Modular
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Modular
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Modular
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T/O
Modular
DATE:2022/01/
(print)
03
Modular
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T/O
Modular
DATE:2022/02/
(print)
15
Modular
(print)
Modular
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Modular
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Modular
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JOSE ABAD
Christiani DAVAO SANCHEZ, ERAMIS,ROSA
129060110049 6 SANCHEZ, JAYA RICA ERAMIS F 12-11-2005 15 Cebuano BUTULAN SANTOS
ty OCCIDENTAL ROGER BIO NNA,BITIWAN,
(TRINIDAD)
45 <=== COMBINED
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date ANTONIO DINGAL ALBERCA
Date MALE 22
Balik Aral B/A Name of school last attended & Year MAGNOLIA CLAIRE FABE GAID (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 23
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 45
BoSY Date: EoSY Date:
Modular
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Modular
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GAL ALBERCA
EoSY Date:
d thru LIS