Professional Documents
Culture Documents
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School Name Husing I. Lao Memorial ES School Year 2023 - 2024 Grade Level Grade 1 Section A
GUARDIAN
AGE ADDRESS PARENTS
(if Not Parent)
as of MOTHER Contact
Sex (M/F)
IP
LRN
NAME BIRTH DATE 1st TONGUE
(Ethnic
RELIGIO Number of
(Last Name, First Name, Middle Name) (mm/dd/yyyy) Frida (Grade 1 N Father's Name Mother's Maiden Parent or
Group) House #/
y to 3 Only) Municipality/ (Last Name, First Name (Last Name, Guardian
Street/ Sitio/ Barangay Province Name Relationship
City Name, Middle First Name, Middle
June Purok
Name) Name)
SAHALAN,RUH
SIMBAHAN PANGUTAR JAIN, RADJAIL
134498220036 JAIN,RAIZAL, SAHALAN M 12-13-2016 6 Tausug Islam SULU INA,NURHUSIN
(POB.) AN BAKAR
,
JALILUDDIN, JUFAKKAL,MA
JALILUDDIN,AL-JHEIYMAR, SIMBAHAN PANGUTAR
134498220035 M 01-12-2017 6 Tausug Islam SULU JHEY-AR DYANA,PARAI
JUFAKKAL (POB.) AN
TANUSI S,
Sama, JAMJAHARI,
JAMJAHARIE,RADZMEL, SIMBAHAN PANGUTAR JALAIDE,NURI
134509220016 M 10-26-2014 8 Pangutara Islam SULU MUHAIMIN
JALAIDE (POB.) AN SA,,
n KAMALI
SIMBAHAN PANGUTAR KALINUGAN, KALINUGAN,AI
134498160003 KALINUGAN,EDRIYAN, LAJI M 06-01-2011 12 Tausug Islam SULU
(POB.) AN ALJEN DA,,
KAMMING, AMINUDDIN,JA
SIMBAHAN PANGUTAR
134498220026 KAMMING,AIDAL, AMINUDDIN M 06-29-2017 6 Tausug Islam SULU KAISAR RMA,PULALON
(POB.) AN
TANUSI ,
SABDANI,
PANGUTAR SAIDUL,PARM
134498220011 SABDANI,ANAS, SAIDUL M 06-13-2017 6 Tausug Islam SULU HALIL
AN AISURI,OMAR,
BAYHAKKI
SABDANI,
SIMBAHAN PANGUTAR SAIDUL,PARM
134498220012 SABDANI,UNAYS, SAIDUL M 06-13-2017 6 Tausug Islam SULU HALIL
(POB.) AN AISURI,OMAR,
BAYHAKKI
Sama,
SIMBAHAN PANGUTAR HUSSIN, HIYA,RUAIDA,-
110809220028 ABDUL,RHINDALYN, HIYA F 02-14-2014 9 Pangutara Islam SULU
(POB.) AN ABDUL - ,
n
Sama, PARAIS,
PANGUTAR SIRIF,LAILA,M
134498220009 ALAWI,STELA, SIRIF F 03-30-2017 6 Pangutara Islam SULU ABDURAJI
AN ANTASIL,
n ALAWI
SIMBAHAN PANGUTAR BULKIN, AJID AHARIN,NISA,
134498220030 BULKIN,HAPPYZA, AHARIN F 02-09-2017 6 Tausug Islam SULU
(POB.) AN SARAKIL AJID,
REMARKS
Learning
Modality (Please refer to
the legend on last
page)
Face to Face
Face to Face
Face to Face
Blended
T/I
Face to Face DATE:2023-
08-29
Face to Face
Face to Face
Face to Face
Face to Face
T/I
Face to Face DATE:2023-
08-29
Face to Face
Face to Face
Face to Face
Sama,
ISNAINI,FATIMA SHERRIDA, SIMBAHAN PANGUTAR ISNAINI, RASUD,SHERW
134498220016 F 04-07-2017 6 Pangutara Islam SULU
RASUD (POB.) AN AMDAN INA,BARAHIM,
n
Sama, JAKARIA,
SIMBAHAN PANGUTAR SALA,DARWIN
134498220034 JAKARIA,SARWINA, SALA F 05-07-2017 6 Pangutara Islam SULU SADAR
(POB.) AN A,ISMAIL,
n AMBUTONG
Sama,
SIMBAHAN PANGUTAR KALINUGAN,
134498180055 KALINUGAN,MERY-AN, LARINO F 12-22-2012 10 Pangutara Islam SULU LARINO,AIDA,,
(POB.) AN ARJON
n
KONDING,
SIMBAHAN PANGUTAR KANING,JONA
134498220018 KONDING,SHERILYN, KANING F 12-25-2016 6 Tausug Islam SULU BENSAL
(POB.) AN LYN,MISUARI,
BAKAL
Sama,
SIMBAHAN PANGUTAR HAIH,BINANG,
134498220023 MUSA,HAMISA, HAIH F 06-24-2017 6 Pangutara Islam SULU MUSA, UNYIL
(POB.) AN HUSIN,
n
Sama, LAKIBUL,RAD
SIMBAHAN PANGUTAR SALI, KADAFY
134498220005 SALI,AISHA, LAKIBUL F 08-11-2017 6 Pangutara Islam SULU ZMINA,JULHA
(POB.) AN ARASANI
n NI,
Sama,
SIMBAHAN PANGUTAR SARAHADIL, AMIL,JAHRA,H
134498220069 SARAHADIL,FATRIMA, AMIL F 05-02-2017 6 Pangutara Islam SULU
(POB.) AN MODE TAHA ALIL,
n
TENNEH,
SIMBAHAN PANGUTAR ASANUDDIN,H
134498220044 TENNEH,ADELINA, ASANUDDIN F 12-28-2016 6 Tausug Islam SULU ABUBAKAR
(POB.) AN ANIA,ABDUA,
HASIM
Sama, UDDANG,
PANGUTAR MAHADI,DAR
134498220003 UDDANG,AMINA, MAHADI F 11-11-2016 6 Pangutara Islam SULU ALJAM
AN WISA,USUP,
n SAMMAN
22 <=== COMBINED
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date JUBAIRA TALUDJOG RAMSANI
Date MALE 9
Balik Aral B/A Name of school last attended & Year HAIRA SAKKAM ALIH (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 13
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 22
BoSY Date: EoSY Date:
Face to Face
Face to Face
Face to Face
Face to Face
Blended
Face to Face
Blended
Blended
DJOG RAMSANI
EoSY Date:
d thru LIS