Early Registration Form-Lis (Cacawan)

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Enclosure No, 2 to DepEd Order No. 2 s.

2014

DEPARTMENT OF EDUCATION EARLY REGISTRATION FORM School ID: 132728 School Name: Cacawan Elementary School Region: Division:
School District:

GRADE I

NAME

SEX AGE BIRTHDATE

ADDRESS REMARKS

1 2 3 4 5 6

Raper Segura Donque Gula Macatangay Toledo

GRADE I , Razem , Carlos Primo , Angel , Michele Ann , Samara , Rica

Segura Raper Comawas Millioneda Ferolino Ferolino

1/6/2007

Cacawan,Cambatong Cacawan,Cambatong Cacawan,Cambatong Cacawan,Cambatong Cacawan,Cambatong

MALE Grade I
Remarks:

FEMALE

TOTAL

1. For Grade I Entrants: has attended/ not attended Kindergarten class 2. For ALS: Information whether the child/youth prefers to learn through the ADM=alternative delivery model (MIMOSA,e-IMPACT, DORP or ALS-alternative learning system Category of C/Y with Disability: Visual impairment, Hearing impairment, Intellectual Disability, Learning Disability, Speech/Language impairment, Serious Emotional Disturbance, Autism, Orthopedic impairment, Special Health Problem, Multiple Disabilities.

Prepared by: SOLEBEL P. JIMENEZ Teacher-1

Enclosure No, 2 to DepEd Order No. 2 s. 2014

DEPARTMENT OF EDUCATION EARLY REGISTRATION FORM School ID: 132728 School Name: Cacawan Elementary School Region: Division:
School District:

GRADE II

NAME

SEX AGE BIRTHDATE

ADDRESS REMARKS

1 2 3 4 5 6

Bayron Lacorte Bayron Bonjoc Lajera Macatangay

, , , , , ,

Alben James Princess April Mae Elloizah Mae Sherryl

Ramos Abule Piedad Ferolino Lacorte Ferolino

M M F F F F

6 6 7 7 6 6

9/7/2001 7/11/2007 4/20/2006 3/21/2007 8/20/2007

Cabaayan,Cambatong Cacawan,Cambatong Cacawan,Cambatong Dumoy,Cambatong Cacawan,Cambatong

11/28/2006 Cabaayan,Cambatong

Grade II

MALE 2

FEMALE 4

TOTAL 6

Prepared by: SOLEBEL P. JIMENEZ Teacher-1

Enclosure No, 2 to DepEd Order No. 2 s. 2014

DEPARTMENT OF EDUCATION EARLY REGISTRATION FORM School ID: 132728 School Name: Cacawan Elementary School Region: Division:
School District:

GRADE III

NAME

SEX AGE BIRTHDATE

ADDRESS REMARKS

1 2 3 4 5 6 7 8 9

Bayron Bayron Becera Donque Mauday Segura Toledo Donque Escobia

, , , , , , , , ,

Isedrick Marjun Weldreck Jaryl Sainor Lemuel


TJ

Ramos Piedad Uyamot Llanos Inojales Ferolino Comawas Ramirez

Daylyn Helen Joyce

M M M M M M M F F

7 9 8 7 8 7 8 8 8

3/26/2006 Cabaayan,Cambatong 12/7/2004 Cabaayan,Cambatong 1/7/2006 6/6/2006 3/13/2006 11/5/2005 12/5/2005 Cacawan,Cambatong Cacawan,Cambatong Cacawan,Cambatong Cacawan,Cambatong Cacawan,Cambatong

1/27/2006 Cabaayan,Cambatong

12/19/2005 Cabaayan,Cambatong

Grade III

MALE 7

FEMALE 2

TOTAL 9

Prepared by: MARIVIC D. SUMAGAYSAY Teacher-II

Enclosure No, 2 to DepEd Order No. 2 s. 2014

DEPARTMENT OF EDUCATION EARLY REGISTRATION FORM School ID: 132728 School Name: Cacawan Elementary School Region: Division:
School District:

GRADE IV

NAME

SEX AGE BIRTHDATE

ADDRESS REMARKS

1 Alisbo 2 Bandola, 3 Canumay 4 Depra 5 Estremos 6 Llanos 7 Sabado Jr. 8 Segura 9 Tanio Jr. 10 Acedilla 11 Llanos 12 Macatangay 13 Mauday

, Rafael , Marlou , James Russel , Kenth John , Gian , Alben , Bernardo , Lawrence , Dionesio , Honielyn Cristine , Shannon , Sania

Parro Casagda Segura Pogusa Cabalit Ramos Saga Inojales Tarrosa Bandola Mandabon Ferolino Llanos

M M M M M M M M M F F F F

9 11 8 9 9 9 9 9 11 9 9 8 10

10/10/2004 9/15/2001 9/5/2005 5/21/2005 5/1/2004 4/2/2005 2/9/2005 3/24/2004 8/19/2002 6/23/2004 1/1/2005 8/20/2005

San Miguel,Talisay San Miguel,Talisay Cacawan,Cambatong San Miguel,Talisay San Miguel,Talisay Cacawan,Cambatong Agsaban,Talisay Cacawan,Cambatong San Miguel,Talisay San Miguel,Talisay Cacawan,Cambatong Cacawan,Cambatong

9/10/2003 Cabaayan,Cambatong

Grade IV

MALE 9

FEMALE 4

TOTAL 13

Prepared by: MARIVIC D. SUMAGAYSAY Teacher-II

Enclosure No, 2 to DepEd Order No. 2 s. 2014

DEPARTMENT OF EDUCATION EARLY REGISTRATION FORM School ID: 132728 School Name: Cacawan Elementary School Region: Division:
School District:

GRADE V

NAME

SEX AGE BIRTHDATE

ADDRESS REMARKS

1 Abadingo 2 Amoyo Jr. 3 Becera 4 Berongan Jr. 5 Bonjoc 6 Calunsag 7 Comawas 8 Donque 9 Donque 10 Ogatis 11 Parro 12 Pejano 13 Toledo 14 Veras 15 Villaranda 16 Ampis 17 Berongan 18 Berot 19 Edpalina 20 Edpalina 16 Euldan 17 Ferolino 18 Malinao 19 Rendon 20 Suan 21 Veras 22

, Jeyrold , Aldrian , Weljen , Diosdado , Marjun , Mackjon , Jomar , Argie , Debbson , Paul John , Erwin , Jomarick , Justine , Ella Kim , Jeath , Rolyn , Lonisa , Vibie Rose , Elvie , Roselie , Jennifer , Rea Mae , Rona , Rosan , Aple Nieza , Sessel

Oranza Senining Uyamot Manlantao Ferolino Duriga Comawas Rubinos Egsoc Llano Amoyo Ferolino Oranza Lorra Baraullo Veras Maunes Policios Policios Maunes Abadingo Veras Veras Gula Vallescas

M M M M M M M M M M M M M M F F F F F F F F F F F

4/5/2003

Agsaban,Talisay

3/28/2004 Dreamland,Cambatong 10/30/2003 Cacawan,Cambatong 9/27/2002 Dreamland,Cambatong 4/10/2002 Cacawan,Cambatong Cacawan,Cambatong 9/8/2004 Cacawan,Cambatong Cacawan,Cambatong Cacawan,Cambatong 2/17/2001 1/9/2003 10/8/2003 Agsaban,Talisay Dreamland,Cambatong Cacawan,Cambatong Dreamland,Cambatong Kasikuhan,Talisay 4/17/2002 Dreamland,Cambatong 4/10/1998 Dreamland,Cambatong 1/4/2004 Dreamland,Cambatong 3/25/2000 Dreamland,Cambatong 5/20/2001 Dreamland,Cambatong Dreamland,Cambatong 3/5/2004 2/3/2003 9/2/2002 8/8/2004 1/9/2004 Dreamland,Cambatong Dreamland,Cambatong Dreamland,Cambatong Agsaban,Talisay Dreamland,Cambatong 5/30/2003 Dreamland,Cambatong

Grade V

MALE 15

FEMALE 6

TOTAL 21

Prepared by: ARNIEL D. ABORDE Teacher-1

Enclosure No, 2 to DepEd Order No. 2 s. 2014

DEPARTMENT OF EDUCATION EARLY REGISTRATION FORM School ID: 132728 School Name: Cacawan Elementary School Region: Division:
School District:

GRADE VI

NAME

SEX AGE BIRTHDATE

ADDRESS REMARKS

1 Abadingo
2 Bayron 3 Lariosa 4 Llanos 5 Montenegro 6 Suan 7 Ampis 8 Ampis 9 Babaran 10 Babaran 11 Bandola 12 Estorpe 13 Malinao 14 Macatangay 15 Pelorina 16 Ramos 17 Sobriano 18 Vallescas 19 Veras 20 Villaranda 21 Zamora

, Garry , Albert , Jeyrold , Jayful , Andy , Harold Jay , Imee , Ivee , Jean , Lenesgen , Bonita , Shiela , Mercy , Shanelou , Donna Mae , Cristine Mae , Rosenean , Reame , Echelle , Jenna , Joelina

Montenegro Piedad Dumaloan Mandabon Carao Gula Perater Perater Escobia C. Casagda Rivas Yongco Ferolino Escobia Lobo Oranza Yongco Canedo Parro Galvano

M M M M M M F F F F F F F F F F F F F F F

12 13 10 13 11 10 11 11 12 10 13 12 12 11 11 10 10 11 12 11 13

2/10/2002 7/1/2000 2/5/2003 8/22/2002 12/24/2003

Agsaban,Talisay Cabaayan,Cambatong Cacawan,Cambatong Agsaban,Talisay Agsaban,Talisay

11/20/2000 Cacawan,Cambatong

1/31/2003 Dreamland,Cambatong 1/31/2003 Dreamland,Cambatong 7/20/2002 Dreamland,Cambatong 5/21/2003 Dreamland,Cambatong 9/30/2000 4/26/2001 Kasikuhan,Talisay Kasikuhan,Talisay

11/5/2001 Dreamland,Cambatong 10/10/2002 Dreamland,Cambatong 3/27/2003 Dreamland,Cambatong 5/26/2003 5/18/2003 1/1/2003 3/2/2002 5/8/2002 8/23/2000 TOTAL 21 Cacawan,Cambatong Agsaban,Talisay Dreamland,Cambatong Dreamland,Cambatong Kasikuhan,Talisay Kasikuhan,Talisay

Grade VI

MALE 6

FEMALE 15

Prepared by: ARNIEL D. ABORDE Teacher-1

Enclosure No, 2 to DepEd Order No. 2 s. 2014

DEPARTMENT OF EDUCATION EARLY REGISTRATION FORM School ID: 132728 School Name: Cacawan Elementary School Region: Division:
School District:

KINDERGARTEN

NAME

SEX AGE BIRTHDATE

ADDRESS REMARKS

1
2 3 Sending 4 5 6 Ferolino 7 8 9 10 11 12 13 14 15 16 , Hannah Kim Abadingo F 11/2/2008 , Renjie Mabale 6/19/2009

Grade VI

MALE 6

FEMALE 10

TOTAL 16

Prepared by: JEAN A. TARROSA Teacher-1

DEPARTMENT OF EDUCATION EARLY REGISTRATION FORM School ID: 132728 School Name: Cacawan Elementary School Region: Division:
School District:

GRADE III

NAME

SEX AGE BIRTHDATE

LRN Number REMARKS

Canumay Segura Tanio Jr. Llanos Macatangay Mauday

, James Russel , Lawrence , Dionesio Cristine , Shannon , Sania

Segura Inojales Tarrosa Mandabon Ferolino Llanos

M M M F F F

8 9 11 9 8 10

9/5/2005 3/24/2004 8/19/2002 1/1/2005 8/20/2005 9/10/2003

DEPARTMENT OF EDUCATION EARLY REGISTRATION FORM School ID: 132728 School Name: Cacawan Elementary School Region: Division:
School District:

CARAGA SURIGAO DEL SUR

GRADE VI
THIRD GRADING GRADES
Makabayan

NAME

SEX AGE BIRTHDATE

LRN Number
English Filipino Math Science

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Babaran Becera Bonoc Callanga Donque Ferolino Gula Llanos Pejano Suan Villaranda Abule Bayron Caedo Lajera Llanos Pogosa Sabado Zamora Zamora

, Jomar , Weljun , Nicko , Elven , Debbson , Erold Jay , Mark Michael , Junrick , Patrick , Ian James , Jhon Mark , Angelyn , Honeylor , Joslyn , Joan , Arabella , Alexandra , Angeline , Gretchen , Mia

Gato Uyamot Ferolino Costan Rubinos Abadingo Millioneda Mandabon Amoyo Gula Verante Dumaloan Ramos Gato Lacorte Ramos Costan Saga Galvano Senining

M M M M M M M M M M M F F F F F F F F F

9/14/1998 9/22/2001 1/27/2002 10/3/1999 11/13/2003 6/19/2001 5/26/2002 5/24/1998 5/12/2000 9/17/2001 7/15/1999 7/26/2002 7/28/2000 1/12/2001 2/1/2001 3/17/2002 6/7/2002 6/24/2000 1/15/2002 8/1/2008

132731070002 132729070009 132728120002 132728070004 132728090003 132728070007 132728070008 132728070012 132731070006 132728070016 132728070017 132728070001 132728070003 132731070004 132728070009 13272807011 132728070014 132728070015 132731070007 132729070049

DEPARTMENT OF EDUCATION EARLY REGISTRATION FORM School ID: 132728 School Name: Cacawan Elementary School Region: Division:
School District:

CARAGA SURIGAO DEL SUR HINATUAN NORTH

GRADE III

THIRD GRADING GRADES NAME SEX AGE BIRTHDATE LRN Number


Makabayan English Filipino Math Science

1 2 3 4 5 6

Canumay Llanos Segura Llanos Macatangay Mauday

, James Russel , Alben , Lawrence Cristine , Shannon , Sania

Segura Ramos Inojales Mandabon Ferolino Llanos

M M M F F F

8 9 9 9 8 10

9/5/2005 4/2/2005 3/24/2004 1/1/2005 8/20/2005 9/10/2003

132728100002 132728100006 118466100070 132728100008 132728100009 132728100010

Enclosure No. 3 to DepEd Order No. 2 s. 2014

School Plan to Address Needs


Name of Elementary School: Division: Date Accomplished: CACAWAN ELEMENTARY SCHOOL Surigao del Sur January, 2014 Region: CARAGA

Please indicate additional inputs needed

Grade level Kindergarten Grade I Grade II Grade III Grade IV Grade V Grade VI TOTAL

Tentative Enrolment M F Total Classroom

A. Additioanl Inputs Needed (Please indicate number) Teachers Textbooks

2 7 9 15 6

4 2 4 6 15

6 9 13 21 21

Learners under the ADMs/ALS Age 9 Age 10 Age 11 Age 12 & above

Tentative Enrolment 0 0 0 0

B. Inputs Needed
Teacher/Facilitator

0 0 0 0

FORM 2A

ion: CARAGA

Seats

Inputs Needed Modules

Categories of Disability CHILDREN WITH: Visual impairment Hearing impairment Intellectual Disability Speech/Language impairment Serious Emotional Disturbance Autism Orthopedic impairment Special Health Problems TOTAL

Tentative Enrolment Classroom 0 0 0 1 0 0 0 0 1

C. Additional Inputs Needed (Please indicate number) Teachers Textbooks

Proposed Differentiated Program Intervention Formal Delivery

D. Assisance Needed Provision of workbooks, utilization of instructional Enhanced teaching strategies, intensify STAR materials and implementation of the budget granted to Observation, upgrade teachers competencies and the schools.

strengthen stakeholders participation and support to all programs and projects of the school.
2 Grant service credits, strengthening LGU support and Organized literacy class, conduct household survey and assistance and request for AGAP teacher provide non-formal education to everybody without racial discrimination

ADM/ALS

Extend moral, financial and educational support for the Special Avail of scholarship grant for special education and implement benefit of everybody. possible programs and projects of the ALS and provide special trainings/education to everybody

Submitted by:

MARIVIC D. SUMAGAYSAY
T-II/School Head Cellphone Number: E-mail Address: 09106705721 civiramsumagaysay@gmail.com

Needed mber) Seats

ded ion of instructional he budget granted to

ng LGU support and acher

ional support for the

say@gmail.com

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