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(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
Sex (M/F)
R
NAME IP of
BIRTH DATE 1st TONGUE RELIGIO Father's Name Mother's
LRN (Last Name, First Name, Middle (Ethnic House #/ Parent
(mm/dd/yyyy) Frid (Grade N (Last Name, Maiden Name
Name) Group) Street/ Municipality Relationsh or
ay 1 to 3 Barangay Province First Name, (Last Name, Name
Sitio/ / City ip Guardia
June Only) Purok
Middle Name) First Name, n
Middle Name)
Iraya ACEVEDA,
ACEVEDA,CHRISTIAN, Christia MANGANGA ORIENTAL
110339100003 M 07-11-2004 13 Tagalog mangya BACO PULOY
REMNAYON nity NI MINDORO
n CALAMNAN
Alangan ACEVEDA, CALBAYOG,NO
Christia ORIENTAL
110342100002 ACEVEDA,JAY-AR, CALBAYOG M 09-21-2003 14 Tagalog Mangya BAYANAN BACO ARMANDO RA,CALAMNAN
nity MINDORO
n LAGAY ,
BUTONES,
Christia ORIENTAL ROGAS,AUREL
110319100032 BUTONES,RICKY, ROGAS M 09-04-2005 12 Tagalog BAYANAN BACO ROMEO
nity MINDORO IA,FLORES,
ATIENZA
DELGADO,
Christia MANGANGA ORIENTAL TARCINA,SON
110340100043 DELGADO,JARREN, SONGCO M 08-28-2004 13 Tagalog BACO JOHNNY
nity NI MINDORO GCO,IRENE,
CALALUAN
Christia MANGANGA ORIENTAL DISPO, CANO,MERLYN
110331100013 DISPO,TRIEGUN, CANO M 09-05-2005 12 Tagalog BACO
nity NI MINDORO TEOFILO JR ,-,
DURANO,
DURANO,JOHN HENSON, Christia MANGANGA ORIENTAL AGUILAR,JONA
110340090036 M 09-04-2004 13 Tagalog BACO JHONDER
AGUILAR nity NI MINDORO LYN,REZARO,
GARONG
Alangan FUENTES,
Christia ORIENTAL SIDO,TESSIE,C
110331100016 FUENTES,JHOIL, SIDO M 09-14-2003 14 Tagalog Mangya MAYABIG BACO CARLO
nity MINDORO ALANGAY,
n BAGONGPUNO
MARAVILLA,MI
GARALDE,JOHN PAUL, Christia MANGANGA ORIENTAL GARALDE,
110340100051 M 09-14-2005 12 Tagalog BACO CHELLE,DAGU
MARAVILLA nity NI MINDORO JOSEPH ASI
MAN,
HERNANDEZ, BARRIENTOS,
HERNANDEZ,JOHN ANDRIE, Christia ORIENTAL
110319100075 M 06-26-2005 12 Tagalog BAYANAN BACO NINO ANDRO MARY
BARRIENTOS nity MINDORO
MIRAPLES JANE,RAMOS,
BANGKILING,R
Christia MANGANGA ORIENTAL INES,
170021090010 INES,BONG, CALBAYOG M 07-08-1998 19 Alangan Alangan BACO OSENDA,AME
nity NI MINDORO RICARDO C
N,
REMARKS
(Please refer
to the legend
on last page)
NLS
DATE:2018/10
/01
LE
DATE:2018/06
/06
Iraya
MANGANGA ORIENTAL DELISWIS,LIO
110340100056 INES,LIOVEN, DELISWIS M 01-01-2003 15 Tagalog mangya Others BACO INES, ALVEN
NI MINDORO NA,UMALMIN,
n
Iraya QUISERA,
Christia MANGANGA ORIENTAL INES,RONQUIL
110339100017 QUISERA,ADRIAN, RONQUILLO M 04-21-2004 14 Tagalog mangya BACO ROLANDO
nity NI MINDORO LO,MARIA,
n REMNAYON
Alangan
Christia ORIENTAL SIDO, DAMYAO MACAPINTA,PE
110331100039 SIDO,REX, MACAPINTA M 01-26-2004 14 Tagalog Mangya MAYABIG BACO
nity MINDORO CANGAY MPA,MAGAS,
n
Other Tadyaw
Filipino an Christia ORIENTAL SOMODIO, MATINDIG,MIN
110356100024 SOMODIO,MARWIN, MATINDIG M 08-16-2004 13 BAYANAN BACO
Langua Mangya nity MINDORO NATAN - DA,-,
ge n
VIAÑA,
Christia ORIENTAL CARPIO,JANET,
110331100046 VIAÑA,CEEJAY, CARPIO M 05-24-2005 13 Tagalog MAYABIG BACO CHRISTOPHER
nity MINDORO FALLORINA,
AQUINO
NCR
DE MAPILIS,KRISTINE JADE, Christia CITY OF DE MAPILIS, GINHAWA,CEC
136721100257 F 10-18-2004 13 Tagalog MALINAO SECOND
GINHAWA nity PASIG NOMER CANO ILLE,CUALES,
DISTRICT
Iraya BARAS
Christia ORIENTAL INES, DARWIN CALBAYOG,AM
110348100015 INES,ERICA, CALBAYOG F 05-15-2003 15 Tagalog mangya (MANGYAN BACO
nity MINDORO CALBAYOG OR,ACEVEDA,
n MINORITY)
Alangan LIMPAPOY,MIL
Christia ORIENTAL MACAPINTA,
110331100023 MACAPINTA,MARCA, LIMPAPOY F 11-08-2003 14 Tagalog Mangya MAYABIG BACO LETH,GUZMAN
nity MINDORO OWEL MAGAS
n ,
T/I
DATE:2018-
06-11NLS
DATE:2018/09
/15
T/I
DATE:2018-
06-11
Alangan PAGLAYAGAN,
MACAPINTA,MARLYN, Christia ORIENTAL MACAPINTA,
110331100024 F 06-13-2000 17 Tagalog Mangya MAYABIG BACO ANDREA,SEDO
PAGLAYAGAN nity MINDORO ROMEO -
n ,
Alangan PAGLAYAGAN,
MACAPINTA,VIVIAN, Christia ORIENTAL MACAPINTA,
110331100025 F 07-11-2003 14 Tagalog Mangya MAYABIG BACO ANDREA,SEDO
PAGLAYAGAN nity MINDORO ROMEO -
n ,
MALALUAN,
Christia SANTA ORIENTAL MANALO,MYRA
110320100085 MALALUAN,IYAHMAE, MANALO F 05-22-2005 13 Tagalog BACO FELIX
nity ROSA I MINDORO ,TAGUIAM,
CALDERON
MAÑIBO, MANSALAPUZ,
MAÑIBO,SHAIRA, Christia MANGANGA ORIENTAL
110340130204 F 09-10-2004 13 Tagalog BACO LEONARDO MARIVIC,PERJE
MANZALAPUZ nity NI MINDORO
CASTILLO S,
MONDEJAR,
MONDEJAR,MAXINE JANELLE, Christia MANGANGA ORIENTAL JULIUS CANTOS,ESTR
136525100346 F 02-11-2004 14 Tagalog BACO
CANTOS nity NI MINDORO ROSALES ELLA,B,
MONDEJAR
PANALIGAN,
PANALIGAN,JOY CEAN, Christia MANGANGA ORIENTAL AGUILAR,ROS
110340100064 F 03-27-2005 13 Tagalog BACO ZOSIMO
AGUILAR nity NI MINDORO ALLY,ADAY,
ROCABERTE
Iraya BARAS
Christia ORIENTAL GORMIN,NIDA,
110348100024 PANDAYO,TRISIA, GORMIN F 09-03-2001 16 Tagalog mangya (MANGYAN BACO
nity MINDORO AMEN,
n MINORITY)
Alangan REMNAYON,
REMNAYON,PATRICIA, Christia ORIENTAL ACEVEDA,CLA
110342100052 F 09-06-2003 14 Tagalog Mangya BANGKATAN BACO MELECIO
ACEVEDA nity MINDORO RITA,LAGAY,
n ACEVEDA
REZARO,
REZARO,JHUSTLYN KAYE, Christia MANGANGA ORIENTAL ALARDE,DICET
110340100072 F 04-05-2005 13 Tagalog BACO ROLANDO
ALARDE nity NI MINDORO A,ABANILLA,
AGUILAR
Christia MANGANGA ORIENTAL ROYO, RAÑA,JENELYN
110340100073 ROYO,ROSELYN GRACE, RANA F 10-06-2005 12 Tagalog BACO
nity NI MINDORO ROSENDO F ,O,
43 <=== COMBINED
T/I
DATE:2018-
06-06
T/I
DATE:2018-
08-13NLS
DATE:2018/11
/29
ENA CASTILLO
Transfered Out T/O Name of Public (P) Private (PR) School & CCT Receipient CCT CCT Control/reference number &
Effectivity Date Effectivity Date MALE 20
Balik Aral B/A MELISSA DIMAUNAHAN ROGAS (Signature of School Head over Prin
Transfered In T/I Name of Public (P) Private (PR) School & Name of school last attended & Year Name)
(Signature of Adviser over Printed
Effectivity Date Learner With LW FEMALE 18 Name)
Disability D Specify
Dropped DRP Reason and Effectivity Date Accelerated BoSY Date: EoSY Date:
Late LE Reason (Enrollment beyond 1st Friday of ACL Specify Level & Effectivity Data TOTAL 38
Enrollment June) BoSY Date: EoSY Date:
EoSY Date:
d thru LIS