Beruflich Dokumente
Kultur Dokumente
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
Sex (M/F)
Contact
NAME IP
BIRTH DATE of 1st TONGUE Number of
LRN (Last Name, First Name, Middle (Ethnic RELIGION House #/ Father's Name
Name)
(mm/dd/yyyy) Friday (Grade 1 to Group) Mother's Maiden Name Parent or (Please refer to
3 Only) Street/ Municipality (Last Name, First Guardian
June Barangay Province (Last Name, First Name, Name Relationship the legend on
Sitio/ / City Name, Middle
Middle Name) last page)
Purok Name)
MANILA, ABUBO,
13644517002 ABUBO,RAYE ALLEN, 05-02- Tagalo Christianit BARANGAY BRUZON,GUIMELY,
8 BRUZON
M
2012
7 g y 28
TONDO NCR, FIRST ALLAN RAY
LORENZO,
DISTRICT RIVERA
MANILA, CUATERNO, PEREZ,ELIZABETH,
13644517005 CUATERNO,EDRIAN 08-15- Tagalo Christianit BARANGAY SAN
0 JOSH, PEREZ
M
2011
7 g y 274 NICOLAS
NCR, FIRST HERNANDO DE
DISTRICT ORE CASTRO,
GUISINGA,
13644517000 GUISINGA,IÑIGO 12-16- Tagalo Christianit MANILA,
BARANGAY LAWRENCE FERNANDO,LARA,
5 ALFRED, FERNANDO
M
2011
7 g y 214
TONDO NCR, FIRST
ALFRED BENOZA,
DISTRICT
LACERONA
MANILA, HERMOSO,
13644517000 HERMOSO,PRINCE 01-31- Tagalo Christianit BARANGAY MATUCAN,IRENE,
M 7 TONDO NCR, FIRST MILVER
6 IVER, MATUCAN 2012 g y 18 DISTRICT RUBICO
GONZALES,
MANILA, JEMINA,
13644517005 JEMINA,JOHN 09-27- Tagalo Christianit BARANGAY DAYAO,ARSHEIL,
1 MATTHEW, DAYAO
M
2011
7 g y 68
TONDO NCR, FIRST JEFFREY
DELA CRUZ,
DISTRICT SANTOS
MANILA, LACSON,
13644517001 LACSON,ENZO 06-03- Tagalo Christianit BARANGAY PAATAN,JOYCE,
8 VEETIN, PAATAN
M
2012
7 g y 187
TONDO NCR, FIRST YSMAEL DELA
VALDEZAMO,
DISTRICT ROSA
MANILA, MANGUBAT,
48205617000 MANGUBAT,KAI 03-15- Tagalo Christianit BARANGAY AFROILAN,MARIA
M 7 TONDO NCR, FIRST RANDY
7 RANDELL, AFROILAN 2012 g y 214 DISTRICT DAFIELMOTO
SHERYLL,ACAIN,
MANILA, VENOSA,PRINCESS
13644517005 VENOSA,XIAN 11-25- Tagalo Christianit BARANGAY
4 LENARD, -
M
2011
7 g y 56
TONDO NCR, FIRST CHRISTINE,
DISTRICT VILLANUEVA,
MANILA, MELGAREJO,
MELGAREJO, 04-28- Tagalo Christianit BARANGAY CANLAS,MARIDEL,
### F 7 196
TONDO NCR, FIRST ROBERTO
PAGLINAWAN,
EIRABERT, CANLAS 2012 g y DISTRICT CONCEPCION
MANILA,
13644517006 NEPACINA,ANGEL 07-22- Tagalo Christianit BARANGAY NEPACINA, BROSOLA,SHERYL
6 ROXANNE, BROSOLA
F
2011
7 g y 48
TONDO NCR, FIRST
GUILLER LO ROSE,ALONZO,
DISTRICT
MANILA, PAED,
13643217036 PAED,MARY 02-17- Tagalo Christianit BARANGAY CABICO,MERIGIAN,
F 7 51
TONDO NCR, FIRST MICHAEL
LAURIO,
8 ALEXANDRA, CABICO 2012 g y DISTRICT AGUSTIN
30 <=== COMBINED
C
List and Code of Indicators under REMARKS column
o Prepared by; Certified Correct:
Indicator Required Information Indicator Code Required Information REGISTERED BoSY EoSY
d
e
Transfered Out T Name of Public (P) Private (PR) School &
/ Effectivity Date
CCT Receipient CCT CCT Control/reference number & Effectivity Date
MALE 13 13 REYNANTE ROXAS MALANO
O Balik Aral B/A Name of school last attended & Year JUVY CLEOPE LUCERO (Signature of School Head over Printed
Transfered In Name of Public (P) Private (PR) School & Name)
(Signature of Adviser over Printed Name)
T
Effectivity Date Learner With
Disability
LWD Specify FEMALE 17 17 BoSY Date: EoSY Date:
Dropped
Late Enrollment
/I Reason and Effectivity Date
Reason (Enrollment beyond 1st Friday of
Accelerated ACL Specify Level & Effectivity Data
June 3, April 3, MARICEL AMPONIN - BASA
June)
TOTAL 30 30 2019 2019 (Signature of PSDS over Printed Name)
D
R
P Generated thru LIS
L
E
Generated on: Monday, March 30, 2020