Sf1 With Auto Age Computation.xlsx
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Sc (This
Region
School ID 113337 School Name
LRN
1 2 3
V
Division
CALATAGAN ELEMENTARY SCHOOL
NAME (Last Name, First Name, Middle Name)
Sex BIRTH DATE (M/F) (mm/ dd/yy)
AGE as of 1st Friday of June
(nos. of years as per last birthday)
BIRTH PLACE ( Province)
MOTHER TONGUE
IP (Specify Ethnic Group)
113337150044 CAÑETE, JUSTIN SUAREZ
M
7/26/10
7
Catanduanes
Bikol
Not a member of any ethnic group
113337150004 CULING, JAKE IVAN
M
10/18/10
7
Catanduanes
Bikol
Not a member of any ethnic group
11333750030 GIANAN, JUSTINE CLARENCE LAZADO
M
4/30/10
8
Catanduanes
Bikol
Not a member of any ethnic group
LRN
4 5 6 7 8 9 10 11
NAME (Last Name, First Name, Middle Name)
Sex BIRTH DATE (M/F) (mm/ dd/yy)
AGE as of 1st Friday of June
(nos. of years as per last birthday)
BIRTH PLACE ( Province)
MOTHER TONGUE
IP (Specify Ethnic Group)
11333750046 GIANAN, MATTHEW CONRADO
M
12/3/09
8
Catanduanes
Bikol
Not a member of any ethnic group
113191150016 LIM, XIAN DENCEE RODRIGUEZ
M
12/20/09
8
Catanduanes
Bikol
Not a member of any ethnic group
11333750049 MAGDARAOG, ALDRIN JR SORREDA
M
1/1/10
8
Catanduanes
Bikol
Not a member of any ethnic group
434024150006 OSIDO, SEBASTIAN JOSE CLAVANO
M
2/5/10
8
Catanduanes
Bikol
Not a member of any ethnic group
113337150033 RIVERA, MANNY JAMERO
M
11/15/09
8
Muntinlupa
Bikol
Not a member of any ethnic group
113337150035 SOLMERANO, RHYAN JR. TOMAGAN
M
3/31/10
8
Catanduanes
Bikol
Not a member of any ethnic group
113337160058 TABUZO, ISRAEL TABLIGAN
M
6/29/07
10
Catanduanes
Bikol
Not a member of any ethnic group
113337150054 TARIMAN, MARK JOY FRANCIS UBALDE
M
6/15/10
7
Catanduanes
Bikol
Not a member of any ethnic group
LRN
12 13 14
17 18 19
Sex BIRTH DATE (M/F) (mm/ dd/yy)
(nos. of years as per last birthday)
BIRTH PLACE ( Province)
MOTHER TONGUE
IP (Specify Ethnic Group)
113346150022 TAYSON, KENT ZHAKEIR
M
9/11/10
7
Catanduanes
Bikol
Not a member of any ethnic group
113352150148 VARGAS, ROHANN JOSON
M
4/13/10
8
Catanduanes
Bikol
Not a member of any ethnic group
113337150015 CAMBONGA, DIMPLE MARQUEZ
F
7/7/10
7
Catanduanes
Bikol
Not a member of any ethnic group
F
7/8/10
7
Catanduanes
Bikol
Not a member of any ethnic group
434025150021 LACADIN, CHRISTELA RAINE UBALDE
F
12/10/09
8
Catanduanes
Bikol
Not a member of any ethnic group
113337150021 MARQUEZ, NAHIA SUAREZ
F
6/28/10
7
Catanduanes
Bikol
Not a member of any ethnic group
107217150039 MARQUEZ, RHEINN ANGELA ISUGA
F
6/24/10
7
Catanduanes
Bikol
Not a member of any ethnic group
113337140109 MATIENZO, PRINCESS KAYE CAMACHO
F
3/19/10
8
Catanduanes
Bikol
Not a member of any ethnic group
15 113337150061 16
NAME (Last Name, First Name, Middle Name)
AGE as of 1st Friday of June
GONZALES, PRISHA VON REYES
LRN
20 21 22 23 24 25 26 27
NAME (Last Name, First Name, Middle Name)
Sex BIRTH DATE (M/F) (mm/ dd/yy)
AGE as of 1st Friday of June
(nos. of years as per last birthday)
BIRTH PLACE ( Province)
MOTHER TONGUE
IP (Specify Ethnic Group)
113337150041 OBO, DIVINE GRACE TIMBANG
F
9/24/10
7
Catanduanes
Bikol
Not a member of any ethnic group
113337160057 OCRAY, NIKKA LOUISSE LICUP
F
7/9/10
7
Catanduanes
Bikol
Not a member of any ethnic group
113337150022 RODRIGUEZ, TREXCY CAYABYAB
F
1/29/10
8
Catanduanes
Bikol
Not a member of any ethnic group
113352160011 SARMIENTO DANNAH WEYN ROMERO
F
11/24/09
8
Catanduanes
Bikol
Not a member of any ethnic group
113337150024 TAYOTO, JOZELLE ANNE TARRAGO
F
10/6/10
7
Catanduanes
Bikol
Not a member of any ethnic group
113337150025 TAYSON, DAPHNE ARADOR
F
12/3/09
8
Catanduanes
Bikol
Not a member of any ethnic group
113337150026 TORILLOS, LHORIE JEANNE OLESCO
F
3/7/10
8
Catanduanes
Bikol
Not a member of any ethnic group
113345150091 TUBORO, YZA IYA PALEAN
F
1/25/10
8
Catanduanes
Bikol
Not a member of any ethnic group
LRN
28
NAME (Last Name, First Name, Middle Name)
113337150070 VARGAS, MA. DENISE ABRASALDO
Sex BIRTH DATE (M/F) (mm/ dd/yy)
F
1/31/10
AGE as of 1st Friday of June
(nos. of years as per last birthday)
8
BIRTH PLACE ( Province)
MOTHER TONGUE
IP (Specify Ethnic Group)
Catanduanes
Bikol
Not a member of any ethnic group
LRN
NAME (Last Name, First Name, Middle Name)
Sex BIRTH DATE (M/F) (mm/ dd/yy)
AGE as of 1st Friday of June
(nos. of years as per last birthday)
BIRTH PLACE ( Province)
MOTHER TONGUE
IP (Specify Ethnic Group)
LRN
NAME (Last Name, First Name, Middle Name)
Sex BIRTH DATE (M/F) (mm/ dd/yy)
AGE as of 1st Friday of June
(nos. of years as per last birthday)
BIRTH PLACE ( Province)
MOTHER TONGUE
IP (Specify Ethnic Group)
List and code of Indicators under REMARK column Indicator
Code
Required Information
Indicator
Code
Transferred Ou T/O
Name of Public (P) Private (PR) School & EffectivityCCT Recipient
CCT
Transferred IN T/I Dropped DRP
Name of Public (P) Private (PR) School & EffectivityBalik-Aral Reason and Effectivity Date Learner With Dissabilit
B/A LWD
LRN
NAME (Last Name, First Name, Middle Name)
Late Enrollment LE
Sex BIRTH DATE (M/F) (mm/ dd/yy)
AGE as of 1st Friday of June
(nos. of years as per last birthday)
Reason (Enrollment beyond 1st Friday of June)
BIRTH PLACE ( Province)
Accelarated
MOTHER TONGUE
IP (Specify Ethnic Group)
ACL
School Form 1 (SF 1) School Register (This replaced Form 1, Master List & STS Form 2-Family Background and Profile)
CATANDUANES School Year
District
2018-2019
Virac North III
Grade Level
ADDRESS
Section
NAME OF PARENTS
RELIGION House # / Street/Sitio/ Purok
Christian Catholic Christian Catholic Christian Catholic
Barangay
Calatagan Tibang Calatagan Proper Valecia
Municipality/ City
Province
Father (1st name only if family name identical to learner)
Virac
Catanduanes
Reynaldo
Adelfa Suarez
Virac
Catanduanes
Jeffry Marquez
Vanessa Culing
Virac
Catanduanes
Marvin
Resley Lazado
Mother (Maiden: 1st Name, Middle & Last Name)
ADDRESS
NAME OF PARENTS
RELIGION House # / Street/Sitio/ Purok
Christian Catholic Christian Catholic Christian Catholic Christian Catholic Christian Catholic Christian Catholic Christian Catholic Christian Catholic
006 Real St. 150 Mabini St.
Sto. Cristo St. Sto. Cristo St. P. Panti St.
Barangay
Calatagan Tibang Calatagan Tibang Calatagan Tibang Calatagan Proper Calatagan Proper Calatagan Tibang Calatagan Proper Calatagan Tibang
Municipality/ City
Province
Father (1st name only if family name identical to learner)
Virac
Catanduanes
Mark Romel
Catherine Conrado
Virac
Catanduanes
Lawrence
Marife Rodriguez
Virac
Catanduanes
Aldrin
Rowena Sorreda
Virac
Catanduanes
Anniver
Jodita Clavano
Virac
Catanduanes
Virac
Catanduanes
Rhyan
Chona Tomagan
Virac
Catanduanes
Israel
Teresa Tabligan
Virac
Catanduanes
Francis
Joy
Mother (Maiden: 1st Name, Middle & Last Name)
Maricar Jamero
ADDRESS
NAME OF PARENTS
RELIGION House # / Street/Sitio/ Purok
Christian Catholic Christian Catholic Christian Catholic Christian Orthodox Church Christian Catholic Christian Catholic Christian Catholic Christian Catholic
Asuncion St. Sto. Cristo St. 42 Real St. Sto. Cristo St. 03 Real St.
Barangay
Calatagan Proper Calatagan Proper Calatagan Proper Calatagan Proper Calatagan Tibang Calatagan Tibang Calatagan Tibang Calatagan Tibang
Municipality/ City
Province
Father (1st name only if family name identical to learner)
Virac
Catanduanes
Edwardo Francisco
Zenith Ann Tayson
Virac
Catanduanes
Ronald
Johna Mae Joson
Virac
Catanduanes
Rodel
Sheryl Cambonga
Virac
Catanduanes
Larry
Sally Reyes
Virac
Catanduanes
Christopher
Maristela Ubalde
Virac
Catanduanes
Nino Rey
Maricel Sorrera
Virac
Catanduanes
Denny Lane
Gloria Isuga
Virac
Catanduanes
Norbert
Mary Rose Camacho
Mother (Maiden: 1st Name, Middle & Last Name)
ADDRESS
NAME OF PARENTS
RELIGION House # / Street/Sitio/ Purok
Christian Catholic Christian Catholic Christian Catholic Christian Catholic Christian Catholic Christian Catholic Christian Catholic Christian Catholic
Burgos St. J. Luna St. 070 Real St.
St. John Village
Barangay
Municipality/ City
Province
Father (1st name only if family name identical to learner)
Cavinitan
Virac
Catanduanes
Vicente
Cristina Timbang
Virac
Catanduanes
Nicomedes
Luscel Licup
Virac
Catanduanes
Warren
Rosalie Rodriguez
Virac
Catanduanes
Donny
Wennie Romero
Virac
Catanduanes
Jose Jr.
Marie Gazelle Tarrago
Virac
Catanduanes
Jovit
Manilyn Arador
Virac
Catanduanes
Delfin Magtangob
Myra T. Magtangob
Virac
Catanduanes
Eugene Earl
Menchie
Calatagan Tibang Calatagan Proper Calatagan Proper Calatagan Proper Calatagan Proper Calatagan Proper Calatagan Tibang
Mother (Maiden: 1st Name, Middle & Last Name)
ADDRESS
NAME OF PARENTS
RELIGION House # / Street/Sitio/ Purok
Christian Catholic
Barangay
Municipality/ City
Province
Father (1st name only if family name identical to learner)
Calatagan Proper
Virac
Catanduanes
Nestor
Mother (Maiden: 1st Name, Middle & Last Name)
Shiela
ADDRESS
NAME OF PARENTS
RELIGION House # / Street/Sitio/ Purok
Barangay
Municipality/ City
Province
Father (1st name only if family name identical to learner)
Mother (Maiden: 1st Name, Middle & Last Name)
ADDRESS
NAME OF PARENTS
RELIGION House # / Street/Sitio/ Purok
Barangay
Municipality/ City
Province
Father (1st name only if family name identical to learner)
mn Required Information
BoSY
CCT Control/reference number & Effectivity Date
MALE
13
Name of school last attended & Year Specify
FEMALE
15
TOTAL
28
EoSY
Mother (Maiden: 1st Name, Middle & Last Name)
Prepared by:
RACHEL P. GUALBERTO (Signature of Adviser over Printed
ADDRESS
NAME OF PARENTS
RELIGION House # / Street/Sitio/ Purok
Specify Level & Effectivity Data
Barangay
Municipality/ City
Province TOTAL
Father (1st name only if family name identical to learner) 28
Mother (Maiden: 1st Name, Middle & Last Name)
BoSY Date:
EoSYDa
h Modesty GUARDIAN (If not Parent)
REMARK/S Contact Number (Parent /Guardian)
Name
Relationship
(Please refer to the legend on last page)
CCT CCT 9092276837
GUARDIAN (If not Parent)
REMARK/S Contact Number (Parent /Guardian)
Name
Relationship
grandfather
9468695686 9085603872 9501257264 9129265791 9093337663 9077899752 9108031158 9468413171
(Please refer to the legend on last page)
CCT
GUARDIAN (If not Parent)
REMARK/S Contact Number (Parent /Guardian)
Name
Relationship
9507913191 9078526234 9120576614 9998765222 9294890155 9090875108 9100776286 9082001312
(Please refer to the legend on last page)
GUARDIAN (If not Parent)
REMARK/S Contact Number (Parent /Guardian)
Name
Relationship
99832993552 9486544861 9183235029 9305428599 9467457387 9506197879 9486319945 9095448279
(Please refer to the legend on last page)
GUARDIAN (If not Parent)
REMARK/S Contact Number (Parent /Guardian)
Name
Relationship
9098146283
(Please refer to the legend on last page)
GUARDIAN (If not Parent)
REMARK/S Contact Number (Parent /Guardian)
Name
Relationship
(Please refer to the legend on last page)
GUARDIAN (If not Parent)
REMARK/S Contact Number (Parent /Guardian)
Name
Relationship
(Please refer to the legend on last page)
Certified Correct:
GUALBERTO
er over Printed Name)
OPERO A. TURADO (Signature of School Head over Printed Name)
GUARDIAN (If not Parent)
REMARK/S Contact Number (Parent /Guardian)
Name
EoSYDate:
Relationship
BoSY Date:
(Please refer to the legend on last page)
EoSYDate:
Region
School ID 113337 School Name
LRN
1 2 3
V
Division
CALATAGAN ELEMENTARY SCHOOL
NAME (Last Name, First Name, Middle Name)
Sex BIRTH DATE (M/F) (mm/ dd/yy)
AGE as of 1st Friday of June
(nos. of years as per last birthday)
BIRTH PLACE ( Province)
MOTHER TONGUE
IP (Specify Ethnic Group)
113337150044 CAÑETE, JUSTIN SUAREZ
M
7/26/10
7
Catanduanes
Bikol
Not a member of any ethnic group
113337150004 CULING, JAKE IVAN
M
10/18/10
7
Catanduanes
Bikol
Not a member of any ethnic group
11333750030 GIANAN, JUSTINE CLARENCE LAZADO
M
4/30/10
8
Catanduanes
Bikol
Not a member of any ethnic group
LRN
4 5 6 7 8 9 10 11
NAME (Last Name, First Name, Middle Name)
Sex BIRTH DATE (M/F) (mm/ dd/yy)
AGE as of 1st Friday of June
(nos. of years as per last birthday)
BIRTH PLACE ( Province)
MOTHER TONGUE
IP (Specify Ethnic Group)
11333750046 GIANAN, MATTHEW CONRADO
M
12/3/09
8
Catanduanes
Bikol
Not a member of any ethnic group
113191150016 LIM, XIAN DENCEE RODRIGUEZ
M
12/20/09
8
Catanduanes
Bikol
Not a member of any ethnic group
11333750049 MAGDARAOG, ALDRIN JR SORREDA
M
1/1/10
8
Catanduanes
Bikol
Not a member of any ethnic group
434024150006 OSIDO, SEBASTIAN JOSE CLAVANO
M
2/5/10
8
Catanduanes
Bikol
Not a member of any ethnic group
113337150033 RIVERA, MANNY JAMERO
M
11/15/09
8
Muntinlupa
Bikol
Not a member of any ethnic group
113337150035 SOLMERANO, RHYAN JR. TOMAGAN
M
3/31/10
8
Catanduanes
Bikol
Not a member of any ethnic group
113337160058 TABUZO, ISRAEL TABLIGAN
M
6/29/07
10
Catanduanes
Bikol
Not a member of any ethnic group
113337150054 TARIMAN, MARK JOY FRANCIS UBALDE
M
6/15/10
7
Catanduanes
Bikol
Not a member of any ethnic group
LRN
12 13 14
17 18 19
Sex BIRTH DATE (M/F) (mm/ dd/yy)
(nos. of years as per last birthday)
BIRTH PLACE ( Province)
MOTHER TONGUE
IP (Specify Ethnic Group)
113346150022 TAYSON, KENT ZHAKEIR
M
9/11/10
7
Catanduanes
Bikol
Not a member of any ethnic group
113352150148 VARGAS, ROHANN JOSON
M
4/13/10
8
Catanduanes
Bikol
Not a member of any ethnic group
113337150015 CAMBONGA, DIMPLE MARQUEZ
F
7/7/10
7
Catanduanes
Bikol
Not a member of any ethnic group
F
7/8/10
7
Catanduanes
Bikol
Not a member of any ethnic group
434025150021 LACADIN, CHRISTELA RAINE UBALDE
F
12/10/09
8
Catanduanes
Bikol
Not a member of any ethnic group
113337150021 MARQUEZ, NAHIA SUAREZ
F
6/28/10
7
Catanduanes
Bikol
Not a member of any ethnic group
107217150039 MARQUEZ, RHEINN ANGELA ISUGA
F
6/24/10
7
Catanduanes
Bikol
Not a member of any ethnic group
113337140109 MATIENZO, PRINCESS KAYE CAMACHO
F
3/19/10
8
Catanduanes
Bikol
Not a member of any ethnic group
15 113337150061 16
NAME (Last Name, First Name, Middle Name)
AGE as of 1st Friday of June
GONZALES, PRISHA VON REYES
LRN
20 21 22 23 24 25 26 27
NAME (Last Name, First Name, Middle Name)
Sex BIRTH DATE (M/F) (mm/ dd/yy)
AGE as of 1st Friday of June
(nos. of years as per last birthday)
BIRTH PLACE ( Province)
MOTHER TONGUE
IP (Specify Ethnic Group)
113337150041 OBO, DIVINE GRACE TIMBANG
F
9/24/10
7
Catanduanes
Bikol
Not a member of any ethnic group
113337160057 OCRAY, NIKKA LOUISSE LICUP
F
7/9/10
7
Catanduanes
Bikol
Not a member of any ethnic group
113337150022 RODRIGUEZ, TREXCY CAYABYAB
F
1/29/10
8
Catanduanes
Bikol
Not a member of any ethnic group
113352160011 SARMIENTO DANNAH WEYN ROMERO
F
11/24/09
8
Catanduanes
Bikol
Not a member of any ethnic group
113337150024 TAYOTO, JOZELLE ANNE TARRAGO
F
10/6/10
7
Catanduanes
Bikol
Not a member of any ethnic group
113337150025 TAYSON, DAPHNE ARADOR
F
12/3/09
8
Catanduanes
Bikol
Not a member of any ethnic group
113337150026 TORILLOS, LHORIE JEANNE OLESCO
F
3/7/10
8
Catanduanes
Bikol
Not a member of any ethnic group
113345150091 TUBORO, YZA IYA PALEAN
F
1/25/10
8
Catanduanes
Bikol
Not a member of any ethnic group
LRN
28
NAME (Last Name, First Name, Middle Name)
113337150070 VARGAS, MA. DENISE ABRASALDO
Sex BIRTH DATE (M/F) (mm/ dd/yy)
F
1/31/10
AGE as of 1st Friday of June
(nos. of years as per last birthday)
8
BIRTH PLACE ( Province)
MOTHER TONGUE
IP (Specify Ethnic Group)
Catanduanes
Bikol
Not a member of any ethnic group
LRN
NAME (Last Name, First Name, Middle Name)
Sex BIRTH DATE (M/F) (mm/ dd/yy)
AGE as of 1st Friday of June
(nos. of years as per last birthday)
BIRTH PLACE ( Province)
MOTHER TONGUE
IP (Specify Ethnic Group)
LRN
NAME (Last Name, First Name, Middle Name)
Sex BIRTH DATE (M/F) (mm/ dd/yy)
AGE as of 1st Friday of June
(nos. of years as per last birthday)
BIRTH PLACE ( Province)
MOTHER TONGUE
IP (Specify Ethnic Group)
List and code of Indicators under REMARK column Indicator
Code
Required Information
Indicator
Code
Transferred Ou T/O
Name of Public (P) Private (PR) School & EffectivityCCT Recipient
CCT
Transferred IN T/I Dropped DRP
Name of Public (P) Private (PR) School & EffectivityBalik-Aral Reason and Effectivity Date Learner With Dissabilit
B/A LWD
LRN
NAME (Last Name, First Name, Middle Name)
Late Enrollment LE
Sex BIRTH DATE (M/F) (mm/ dd/yy)
AGE as of 1st Friday of June
(nos. of years as per last birthday)
Reason (Enrollment beyond 1st Friday of June)
BIRTH PLACE ( Province)
Accelarated
MOTHER TONGUE
IP (Specify Ethnic Group)
ACL
School Form 1 (SF 1) School Register (This replaced Form 1, Master List & STS Form 2-Family Background and Profile)
CATANDUANES School Year
District
2018-2019
Virac North III
Grade Level
ADDRESS
Section
NAME OF PARENTS
RELIGION House # / Street/Sitio/ Purok
Christian Catholic Christian Catholic Christian Catholic
Barangay
Calatagan Tibang Calatagan Proper Valecia
Municipality/ City
Province
Father (1st name only if family name identical to learner)
Virac
Catanduanes
Reynaldo
Adelfa Suarez
Virac
Catanduanes
Jeffry Marquez
Vanessa Culing
Virac
Catanduanes
Marvin
Resley Lazado
Mother (Maiden: 1st Name, Middle & Last Name)
ADDRESS
NAME OF PARENTS
RELIGION House # / Street/Sitio/ Purok
Christian Catholic Christian Catholic Christian Catholic Christian Catholic Christian Catholic Christian Catholic Christian Catholic Christian Catholic
006 Real St. 150 Mabini St.
Sto. Cristo St. Sto. Cristo St. P. Panti St.
Barangay
Calatagan Tibang Calatagan Tibang Calatagan Tibang Calatagan Proper Calatagan Proper Calatagan Tibang Calatagan Proper Calatagan Tibang
Municipality/ City
Province
Father (1st name only if family name identical to learner)
Virac
Catanduanes
Mark Romel
Catherine Conrado
Virac
Catanduanes
Lawrence
Marife Rodriguez
Virac
Catanduanes
Aldrin
Rowena Sorreda
Virac
Catanduanes
Anniver
Jodita Clavano
Virac
Catanduanes
Virac
Catanduanes
Rhyan
Chona Tomagan
Virac
Catanduanes
Israel
Teresa Tabligan
Virac
Catanduanes
Francis
Joy
Mother (Maiden: 1st Name, Middle & Last Name)
Maricar Jamero
ADDRESS
NAME OF PARENTS
RELIGION House # / Street/Sitio/ Purok
Christian Catholic Christian Catholic Christian Catholic Christian Orthodox Church Christian Catholic Christian Catholic Christian Catholic Christian Catholic
Asuncion St. Sto. Cristo St. 42 Real St. Sto. Cristo St. 03 Real St.
Barangay
Calatagan Proper Calatagan Proper Calatagan Proper Calatagan Proper Calatagan Tibang Calatagan Tibang Calatagan Tibang Calatagan Tibang
Municipality/ City
Province
Father (1st name only if family name identical to learner)
Virac
Catanduanes
Edwardo Francisco
Zenith Ann Tayson
Virac
Catanduanes
Ronald
Johna Mae Joson
Virac
Catanduanes
Rodel
Sheryl Cambonga
Virac
Catanduanes
Larry
Sally Reyes
Virac
Catanduanes
Christopher
Maristela Ubalde
Virac
Catanduanes
Nino Rey
Maricel Sorrera
Virac
Catanduanes
Denny Lane
Gloria Isuga
Virac
Catanduanes
Norbert
Mary Rose Camacho
Mother (Maiden: 1st Name, Middle & Last Name)
ADDRESS
NAME OF PARENTS
RELIGION House # / Street/Sitio/ Purok
Christian Catholic Christian Catholic Christian Catholic Christian Catholic Christian Catholic Christian Catholic Christian Catholic Christian Catholic
Burgos St. J. Luna St. 070 Real St.
St. John Village
Barangay
Municipality/ City
Province
Father (1st name only if family name identical to learner)
Cavinitan
Virac
Catanduanes
Vicente
Cristina Timbang
Virac
Catanduanes
Nicomedes
Luscel Licup
Virac
Catanduanes
Warren
Rosalie Rodriguez
Virac
Catanduanes
Donny
Wennie Romero
Virac
Catanduanes
Jose Jr.
Marie Gazelle Tarrago
Virac
Catanduanes
Jovit
Manilyn Arador
Virac
Catanduanes
Delfin Magtangob
Myra T. Magtangob
Virac
Catanduanes
Eugene Earl
Menchie
Calatagan Tibang Calatagan Proper Calatagan Proper Calatagan Proper Calatagan Proper Calatagan Proper Calatagan Tibang
Mother (Maiden: 1st Name, Middle & Last Name)
ADDRESS
NAME OF PARENTS
RELIGION House # / Street/Sitio/ Purok
Christian Catholic
Barangay
Municipality/ City
Province
Father (1st name only if family name identical to learner)
Calatagan Proper
Virac
Catanduanes
Nestor
Mother (Maiden: 1st Name, Middle & Last Name)
Shiela
ADDRESS
NAME OF PARENTS
RELIGION House # / Street/Sitio/ Purok
Barangay
Municipality/ City
Province
Father (1st name only if family name identical to learner)
Mother (Maiden: 1st Name, Middle & Last Name)
ADDRESS
NAME OF PARENTS
RELIGION House # / Street/Sitio/ Purok
Barangay
Municipality/ City
Province
Father (1st name only if family name identical to learner)
mn Required Information
BoSY
CCT Control/reference number & Effectivity Date
MALE
13
Name of school last attended & Year Specify
FEMALE
15
TOTAL
28
EoSY
Mother (Maiden: 1st Name, Middle & Last Name)
Prepared by:
RACHEL P. GUALBERTO (Signature of Adviser over Printed
ADDRESS
NAME OF PARENTS
RELIGION House # / Street/Sitio/ Purok
Specify Level & Effectivity Data
Barangay
Municipality/ City
Province TOTAL
Father (1st name only if family name identical to learner) 28
Mother (Maiden: 1st Name, Middle & Last Name)
BoSY Date:
EoSYDa
h Modesty GUARDIAN (If not Parent)
REMARK/S Contact Number (Parent /Guardian)
Name
Relationship
(Please refer to the legend on last page)
CCT CCT 9092276837
GUARDIAN (If not Parent)
REMARK/S Contact Number (Parent /Guardian)
Name
Relationship
grandfather
9468695686 9085603872 9501257264 9129265791 9093337663 9077899752 9108031158 9468413171
(Please refer to the legend on last page)
CCT
GUARDIAN (If not Parent)
REMARK/S Contact Number (Parent /Guardian)
Name
Relationship
9507913191 9078526234 9120576614 9998765222 9294890155 9090875108 9100776286 9082001312
(Please refer to the legend on last page)
GUARDIAN (If not Parent)
REMARK/S Contact Number (Parent /Guardian)
Name
Relationship
99832993552 9486544861 9183235029 9305428599 9467457387 9506197879 9486319945 9095448279
(Please refer to the legend on last page)
GUARDIAN (If not Parent)
REMARK/S Contact Number (Parent /Guardian)
Name
Relationship
9098146283
(Please refer to the legend on last page)
GUARDIAN (If not Parent)
REMARK/S Contact Number (Parent /Guardian)
Name
Relationship
(Please refer to the legend on last page)
GUARDIAN (If not Parent)
REMARK/S Contact Number (Parent /Guardian)
Name
Relationship
(Please refer to the legend on last page)
Certified Correct:
GUALBERTO
er over Printed Name)
OPERO A. TURADO (Signature of School Head over Printed Name)
GUARDIAN (If not Parent)
REMARK/S Contact Number (Parent /Guardian)
Name
EoSYDate:
Relationship
BoSY Date:
(Please refer to the legend on last page)
EoSYDate:
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