MELSF - Google Forms

8/24/2021 CANAAN EAST ELEMENTARY SCHOOL Modified Learner Enrollment and Survey Form (MLESF) SY 2021-2022
CANAAN EAST ELEMENTARY SCHOOL

Modified Learner Enrollment and Survey Form
(MLESF) SY 2021-2022
Dg-aaral.
2. Basahing mabuti ang mga tanong at sagutan ang mga angkop na espasyo at isulat ng maayos sa
MALAKING
TITIK ang iyong mga sagot. Sa mga aytem na hindi angkop, ilagay ang N/A.
3. Para sa mga tanong at paglilinaw, humingi ng tulong sa guro/taong tagapag alaga ng mag aaral.
Email *
lorena.agustin001@deped.gov.ph
Taong Panuruan *
Option 1
https://docs.google.com/forms/d/1ox-HyB_bf7tO5x4cidmqqU_wKvRXGbI-LcqfMYuJ4yk/edit#response=ACYDBNhzypaxtdfFHtoF8vq5UJ2bZKlHE3… 1/588
Ito ay survey kung saan lahat ay inaanyayahang sumagot, mga magulang/taong tagapag na
mag eenrol sa elementarya sa susunod na pasukan September 13, 2021 sa alin mang paaralan
na naisin.
I-check lamang ang naangkop
Mayroin LRN
Walang LRN
Balik-aral (d nag-aral noong nakaraang taon)
Baitang na nais ipatala *
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Huling baitang na natapos *
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Huling natapos na taon sa paaralan (i-type kung anong taon sa ibaba) *
Grade III
Huling paaralang pinasukan *
Paaralan kung saan nais ipatala ang mag-aaral *
Publiko
Uri ng paaralan *
Pampubliko
Pribado
ID ng paaralan
Address ng paaralan *
IMPORMASYON NG ESTUDYANTE
LEARNER'S REFERENCE NUMBER (LRN) I-type sa ibaba kung d alam hayaang blanko)
Pangalan ng mag-aaral (apelyido, unang pangalan, gitnang pangalan. (i-type sa ibaba ang
sagot). *
Petsa ng kapanganakan *
MM DD YYYY
/ /
Edad ng mag-aaral (sa ibaba po i-type ang sagot) *
Agustin,Nicole Viviene O.
Kasarian (i-check ang box)
Lalake
Babae
Nabibilang sa katutubong grupo/komunidad ng katutubong kultural (paki check po ang ibaba

para sa sagot) *
Oo
Hindi
Kung OO ang sagot, saang grupo nabibilang (i-type sa ibaba ang sagot) hindi *
Kinagisnang wika (i-type sa ibaba ang sagot)
Relihiyon (sa ibaba po ang sagot) *
Tirahan (sa ibaba po i-type ang sagot)
PARA SA MGA MAG-AARAL NA MAY KAPANSANAN

Ang mag-aral ba ay nangangailangan ng espesyal na tulong sa pag-aaral? (hal.; sa pisikal, mental, kondisyong medical,
bukos da iba pa)
Ang mag-aral ba ay nangangailangan ng espesyal na tulong sa pag-aaral? (hal.; sa pisikal,

mental, kondisyong medical, bukos da iba pa) -icheck ang box ng tamang sagot) *
Mayroon
Wala
Other:
Kung MAYROON, itype kung ano ang natatanging kalagayan ng bata sa ibaba)
May nagagamit bang "assistive technology devices sa inyong bahay tulad ng screen reader,
braille or DAISY *
Mayroon
Wala
Other:
Kung MAYROON ang sagot i-type kung ano ito sa ibaba)
IMPORMASYON NG MAGULANG/TAGAPAG-ALAGA
Pangalan ng magulang (apelyido, pangalan, gitnang pangalan)
Pinaka mataas na antas na pag-aaral na natapos ng ama. Paki check po ang box sa ibaba) *
Hindi nakapag-aral
Hindi nakapag-aral pero marunong bumasa at sumulat
Nakatuntong ng Elementarya
Nakapagtapos ng Elementarya
domingo
Nakapagtapos ng Sekundarya
Nakapagtapos sa Kolehiyo/Masteral/Doctorado o nakapag-aral ng Teknikal/Bokasyonal
Other:
Buong pangalan ng ina
Pinakamataas na antas na natapos sa pag-aaral ng ina *
Hindi nakapag-aral
Nakatuntong ng Sekundarya
Other:
Boung pangalan ng tagapag - alaga (sa ibaba i-type sa ibaba ang sagot) ang sagot)
Pinakamataas na antas na natapos sa pag-aaral ng taga pag-alaga) *
Hindi nakapag-aral
Other:
Kabilang ba ang inyong pamilya sa 4P's ng DSWD?
Oo
Hindi
KAPASIDAD AT KAPARAANAN NG TAHANAN PARA SA DISTANCE LEARNING
Ilang miyembro sa inyong tahanan kabilang na ang i-eenrol ang mag-aaral ngayong taong
panuruan 2020-2021 (i-check ang boxes sa ibaba) *
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
at iba pa (Halimbawa Kolehiyo/bokasyonal at iba pa)
Other:
https://docs.google.com/forms/d/1ox-HyB_bf7tO5x4cidmqqU_wKvRXGbI-LcqfMYuJ4yk/edit#response=ACYDBNhzypaxtdfFHtoF8vq5UJ2bZKlHE… 10/588
Sino-sino sa miyembro sa inyong tahanan ang maaring tumulong sa Distance Learning na pag-
aaral ng bata piliin ang lahat ng naaangkop (paki check po ang boxes sa ibaa) *
magulang o tagapag-alaga
nakatatandang kapatid
iba pang kamag-anak
tutor/ katulong sa bahay
wala
may kakayahang mag-aral ang batang nang mag -isa
Other:
Anong mga kagamitan sa tahanan ang magagamit ng bata sa pag-aaral? (paki check lamang
po ang boxes sa ibaba) *
cable TV
non-cable TV
basic cellphone
smart phone
tablet
radio
desktop computer
laptop
wala
at iba pa
Other:
Paano ka nakaka connect sa internet. Piliin lahat ng naangkop. (paki check lamang po ang
boxes sa ibaba
sariling mobile data
sariling DXL, WIFI O satelitte
computer shop
sa iba pang lugar sa labas ng bahay na may connection ng internet tulad ng silid aklatan, barangay
municipyo kapit bahay o kamag anak
wala
Other:
Mayroon bang internet signal sa inyong bahay *
Mayroon
Wala
Kung wala laktawan ang susunod na tanong
Other:
Ano-anong pamamaraan ng Distance Learning ang nais mo para sa inyong anak? Piliin ang
lahat ng naangkop. (check lang po ang box sa ibaba) *
online learning
telebisyon
radyo
modyular
magkahalong pagtuturo sa silid-aralan at ang apat na nabanggit sa itaas
iba pa
Other:
Ano-anong mga hadlang ang maaaring makaapekto sa proseso ng pagkatuto ng iyong anak
gamit ang distance education? Piliin ang lahat ng naaangkop(paki check ang box sa ibaba) *
kawalan ng gadgets/kagamitan
kakulangan ng load /data
hindi maayos na koneksyon sa cellphone/internet sa
may suliraning pangkalusugan
nahihirapang mag-aral ng mag-isa
may kasabay na gawaing bahay kawalan ng lugar para sa pag-aaral
mga sagabal sa pag-aaral (social media, ingay sa kapit-bahay/komunidad)
Other:
LIMITADONG "FACE -TO -FACE" NA PAG-AARAL Kung sakaling pahintulutan ang limitadong
"face -to -face" na pag-aaral pumapayag ka ba na dumalo/pumunta sa ganitong klase o paraan
ng pagtuturo sa iyong (mga) anak? *
Oo pumapayag ako
Hindi ako pumapayag
Kung ang iyong sagot ay HINDI AKO PUMAPAYAG paki suyong pumili ng isa lamang
pangunahing dahilan *
Takot o pangambang mahawaan ng Virus Covid 19
Kasalukuyang may karamdaman o mahinang kalusugan
Delikado dahil sa Armadong Tunggalian o Posibleng Engkwentro sa pagitan ng Militar at nasa

Kabilang panig ng Gobyerno
Limitado o walang masakyan
Tumutulong sa mga Gawaing Pantahan
iba pang dahilan (sabihin ang dahilan)
Other:
Aking pinatutunayan na ang nabaggit na impormasyon ay totoo at tama sa abot ng aking

kaalaman at pihihintulyan kong gamitin ng Kagawaran ng Edukasyon ang mga impormasyon ng
ankig anak upang makabuo at o i-update ang kanyang profile sa Learner Information System.
Ang mgaimpormasyon dito at dapat na ituring na kumpidensiyal at naaayon sa Data Privacy
Act of 2012. *
This form was created inside of Department of Education.
Forms

(MLESF) SY 2021-2022
Dg-aaral.
MALAKING
Email *
hanmarie29@gmail.com
Taong Panuruan *
Option 1
na naisin.
Mayroin LRN
Walang LRN
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Grade V
Publiko
Uri ng paaralan *
Pampubliko
Pribado
ID ng paaralan
sagot). *
MM DD YYYY
/ /
Princess Amanda Maxine
Lalake
Babae

para sa sagot) *
Oo
Hindi

bukos da iba pa)

Mayroon
Wala
Other:
braille or DAISY *
Mayroon
Wala
Other:
Hindi nakapag-aral
domingo
Other:
Hindi nakapag-aral
Other:
Hindi nakapag-aral
Other:
Oo
Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other:
iba pang kamag-anak
wala
Other:
cable TV
non-cable TV
basic cellphone
smart phone
tablet
radio
desktop computer
laptop
wala
at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
telebisyon
radyo
modyular
iba pa
Other:
Other:
Oo pumapayag ako
Hindi ako pumapayag

Other:

Act of 2012. *
Yes po
Forms

(MLESF) SY 2021-2022
Dg-aaral.
MALAKING
Email *
smaricarsantos54@gmail.com
Taong Panuruan *
Option 1
na naisin.
Mayroin LRN
Walang LRN
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Grade 2
Publiko
Uri ng paaralan *
Pampubliko
Pribado
ID ng paaralan
sagot). *
MM DD YYYY
/ /
ZEIN SOMERA SANTOS
Lalake
Babae

para sa sagot) *
Oo
Hindi

bukos da iba pa)

Mayroon
Wala
Other:
braille or DAISY *
Mayroon
Wala
Other:
Hindi nakapag-aral
domingo
Other:
Hindi nakapag-aral
Other:
Hindi nakapag-aral
Other:
Oo
Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other:
iba pang kamag-anak
wala
Other:
cable TV
non-cable TV
basic cellphone
smart phone
tablet
radio
desktop computer
laptop
wala
at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
telebisyon
radyo
modyular
iba pa
Other:
Other:
Oo pumapayag ako
Hindi ako pumapayag

Other:

Act of 2012. *
OO
Forms

(MLESF) SY 2021-2022
Dg-aaral.
MALAKING
Email *
rinawagayen4@gmail.com
Taong Panuruan *
Option 1
na naisin.
Mayroin LRN
Walang LRN
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Grade 2
Publiko
Uri ng paaralan *
Pampubliko
Pribado
ID ng paaralan
sagot). *
MM DD YYYY
/ /
HAIDIE W De guzman
Lalake
Babae

para sa sagot) *
Oo
Hindi

bukos da iba pa)

Mayroon
Wala
Other:
braille or DAISY *
Mayroon
Wala
Other:
Hindi nakapag-aral
domingo
Other:
Hindi nakapag-aral
Other:
Hindi nakapag-aral
Other:
Oo
Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other:
iba pang kamag-anak
wala
Other:
cable TV
non-cable TV
basic cellphone
smart phone
tablet
radio
desktop computer
laptop
wala
at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
telebisyon
radyo
modyular
iba pa
Other:
Other:
Oo pumapayag ako
Hindi ako pumapayag

Other:

Act of 2012. *
Totoo
Forms

(MLESF) SY 2021-2022
Dg-aaral.
MALAKING
Email *
jovelyne.gante001@deped.com
Taong Panuruan *
Option 1
na naisin.
Mayroin LRN
Walang LRN
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Publiko
Uri ng paaralan *
Pampubliko
Pribado
ID ng paaralan
sagot). *
MM DD YYYY
/ /
GANTE, MIA YSABELLE DUMAYAHON
Lalake
Babae

para sa sagot) *
Oo
Hindi

bukos da iba pa)

Mayroon
Wala
Other:
braille or DAISY *
Mayroon
Wala
Other:
Hindi nakapag-aral
domingo
Other:
Hindi nakapag-aral
Other:
Hindi nakapag-aral
Other:
Oo
Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other:
iba pang kamag-anak
wala
Other:
cable TV
non-cable TV
basic cellphone
smart phone
tablet
radio
desktop computer
laptop
wala
at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
telebisyon
radyo
modyular
iba pa
Other:
Other:
Oo pumapayag ako
Hindi ako pumapayag

Other: N/A

Act of 2012. *
Sumasang ayon
Forms

(MLESF) SY 2021-2022
Dg-aaral.
MALAKING
Email *
ladyseptember02@gmail.com
Taong Panuruan *
Option 1
na naisin.
Mayroin LRN
Walang LRN
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Publiko
Uri ng paaralan *
Pampubliko
Pribado
ID ng paaralan
sagot). *
MM DD YYYY
/ /
Rivera Chloe Alexa S.
Lalake
Babae

para sa sagot) *
Oo
Hindi

bukos da iba pa)

Mayroon
Wala
Other:
braille or DAISY *
Mayroon
Wala
Other:
Hindi nakapag-aral
domingo
Other:
Hindi nakapag-aral
Other:
Hindi nakapag-aral
Other:
Oo
Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other:
iba pang kamag-anak
wala
Other:
cable TV
non-cable TV
basic cellphone
smart phone
tablet
radio
desktop computer
laptop
wala
at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
telebisyon
radyo
modyular
iba pa
Other:
Other:
Oo pumapayag ako
Hindi ako pumapayag

Other:

Act of 2012. *
Oo
Forms

(MLESF) SY 2021-2022
Dg-aaral.
MALAKING
Email *
ladyseptember02@gmail.com
Taong Panuruan *
Option 1
na naisin.
Mayroin LRN
Walang LRN
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Publiko
Uri ng paaralan *
Pampubliko
Pribado
ID ng paaralan
sagot). *
MM DD YYYY
/ /
RIVERA,CHLOE ALEXA,S.
Lalake
Babae

para sa sagot) *
Oo
Hindi

bukos da iba pa)

Mayroon
Wala
Other:
braille or DAISY *
Mayroon
Wala
Other:
Hindi nakapag-aral
domingo
Other:
Hindi nakapag-aral
Other:
Hindi nakapag-aral
Other:
Oo
Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other:
iba pang kamag-anak
wala
Other:
cable TV
non-cable TV
basic cellphone
smart phone
tablet
radio
desktop computer
laptop
wala
at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
telebisyon
radyo
modyular
iba pa
Other:
Other:
Oo pumapayag ako
Hindi ako pumapayag

Other:

Act of 2012. *
Cherry A. Soni
Forms

(MLESF) SY 2021-2022
Dg-aaral.
MALAKING
Email *
niloquilaman@gmail.com
Taong Panuruan *
Option 1
na naisin.
Mayroin LRN
Walang LRN
https://docs.google.com/forms/d/1ox-HyB_bf7tO5x4cidmqqU_wKvRXGbI-LcqfMYuJ4yk/edit#response=ACYDBNhzypaxtdfFHtoF8vq5UJ2bZKlH… 100/588
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Grade IV
Publiko
Uri ng paaralan *
Pampubliko
Pribado
ID ng paaralan
sagot). *
MM DD YYYY
/ /
Danielle Gene M. Quilaman
Lalake
Babae

para sa sagot) *
Oo
Hindi

bukos da iba pa)

Mayroon
Wala
Other:
braille or DAISY *
Mayroon
Wala
Other:
Hindi nakapag-aral
domingo
Other:
Hindi nakapag-aral
Other:
Hindi nakapag-aral
Other:
Oo
Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other:
iba pang kamag-anak
wala
Other:
cable TV
non-cable TV
basic cellphone
smart phone
tablet
radio
desktop computer
laptop
wala
at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
telebisyon
radyo
modyular
iba pa
Other:
Other:
Oo pumapayag ako
Hindi ako pumapayag

Other:

Act of 2012. *
Oo
Forms

(MLESF) SY 2021-2022
Dg-aaral.
MALAKING
Email *
evelynvicentepramil@22.com
Taong Panuruan *
Option 1
na naisin.
Mayroin LRN
Walang LRN
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Grade IV
Publiko
Uri ng paaralan *
Pampubliko
Pribado
ID ng paaralan
sagot). *
MM DD YYYY
/ /
2012-01-08
Lalake
Babae

para sa sagot) *
Oo
Hindi

bukos da iba pa)

Mayroon
Wala
Other:
braille or DAISY *
Mayroon
Wala
Other:
Hindi nakapag-aral
domingo
Other:
Hindi nakapag-aral
Other:
Hindi nakapag-aral
Other:
Oo
Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other:
iba pang kamag-anak
wala
Other:
cable TV
non-cable TV
basic cellphone
smart phone
tablet
radio
desktop computer
laptop
wala
at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
telebisyon
radyo
modyular
iba pa
Other:
Other:
Oo pumapayag ako
Hindi ako pumapayag

Other:

Act of 2012. *
OO
Forms

(MLESF) SY 2021-2022
Dg-aaral.
MALAKING
Email *
raima_lazaro@yahoo.com
Taong Panuruan *
Option 1
na naisin.
Mayroin LRN
Walang LRN
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Grade V
Publiko
Uri ng paaralan *
Pampubliko
Pribado
ID ng paaralan
sagot). *
MM DD YYYY
/ /
2011-06-01
Lalake
Babae

para sa sagot) *
Oo
Hindi

bukos da iba pa)

Mayroon
Wala
Other:
braille or DAISY *
Mayroon
Wala
Other:
Hindi nakapag-aral
domingo
Other:
Hindi nakapag-aral
Other:
Hindi nakapag-aral
Other:
Oo
Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other: 1
iba pang kamag-anak
wala
Other:
cable TV
non-cable TV
basic cellphone
smart phone
tablet
radio
desktop computer
laptop
wala
at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
telebisyon
radyo
modyular
iba pa
Other:
Other:
Oo pumapayag ako
Hindi ako pumapayag

Other: N/A

Act of 2012. *
OO
Forms

(MLESF) SY 2021-2022
Dg-aaral.
MALAKING
Email *
rachellaririt@gmail.com
Taong Panuruan *
Option 1
na naisin.
Mayroin LRN
Walang LRN
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Kindergarten
Grade 1
Grade 2
Grade 3
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boxes sa ibaba
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boxes sa ibaba
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Wala
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Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
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Grade 9
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boxes sa ibaba
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wala
Other:
Mayroon
Wala
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online learning
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RETUMALTA,REIXA BENIZE BAUTISTA
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grade 3
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Grade 6
Grade 7
Grade 8
Grade 9
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Other:
iba pang kamag-anak
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Other:
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at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
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Other:
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RETUMALTA,REXIE BELLE BAUTISTA
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Hindi
Kindergarten
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grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
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Other:
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Other:
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radio
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at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
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Other:
Other:
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Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
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Other:
iba pang kamag-anak
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Other:
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basic cellphone
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radio
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laptop
wala
at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
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Other:
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ABELLA ALEXA, BERNABE
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Mayroon
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Wala
Other:
Hindi nakapag-aral
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Hindi nakapag-aral
Other:
Oo
Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
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Other: 1
iba pang kamag-anak
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Other:
cable TV
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basic cellphone
smart phone
tablet
radio
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laptop
wala
at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
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radyo
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iba pa
Other:
Other:
Oo pumapayag ako
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Other:

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ANGELICA B. ABELLA
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IBALE JOHN CALVIN DURAO
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Hindi nakapag-aral
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Hindi nakapag-aral
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Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
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iba pang kamag-anak
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Other:
cable TV
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radio
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at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
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Other:
Other:
Oo pumapayag ako
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Kindergarten
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AGUSTIN JHIEYSHAEL,PEDRALVIZ
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Oo
Hindi

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Mayroon
Wala
Other:
braille or DAISY *
Mayroon
Wala
Other:
Hindi nakapag-aral
domingo
Other:
Hindi nakapag-aral
Other:
Hindi nakapag-aral
Other:
Oo
Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
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Other: 3
iba pang kamag-anak
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Other:
cable TV
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basic cellphone
smart phone
tablet
radio
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laptop
wala
at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other: N/A
Mayroon
Wala
Other:
online learning
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Other:
Other:
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Kindergarten
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Other:
Kindergarten
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AGUSTIN CHANELLE,PEDRALVIZ
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Oo
Hindi

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Mayroon
Wala
Other:
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Mayroon
Wala
Other:
Hindi nakapag-aral
domingo
Other:
Hindi nakapag-aral
Other:
Hindi nakapag-aral
Other:
Oo
Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other: 3
iba pang kamag-anak
wala
Other:
cable TV
non-cable TV
basic cellphone
smart phone
tablet
radio
desktop computer
laptop
wala
at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other: N/A
Mayroon
Wala
Other:
online learning
telebisyon
radyo
modyular
iba pa
Other:
Other:
Oo pumapayag ako
Hindi ako pumapayag

Other:

Act of 2012. *
Oo
Forms

(MLESF) SY 2021-2022
Dg-aaral.
MALAKING
Email *
ninioenriquez@gmail.com
Taong Panuruan *
Option 1
na naisin.
Mayroin LRN
Walang LRN
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Publiko
Uri ng paaralan *
Pampubliko
Pribado
ID ng paaralan
sagot). *
ENRIQUEZ CARL JANSEN, IGNACIO
MM DD YYYY
/ /
Column 1
Lalake
Babae

para sa sagot) *
Oo
Hindi

bukos da iba pa)

Mayroon
Wala
Other:
braille or DAISY *
Mayroon
Wala
Other:
Hindi nakapag-aral
domingo
Other:
Hindi nakapag-aral
Other:
Hindi nakapag-aral
Other:
Oo
Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other: GRADE 6,2,KINDER
iba pang kamag-anak
wala
Other:
cable TV
non-cable TV
basic cellphone
smart phone
tablet
radio
desktop computer
laptop
wala
at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
telebisyon
radyo
modyular
iba pa
Other:
Other:
Oo pumapayag ako
Hindi ako pumapayag

Other: N/A

Act of 2012. *
YES
Forms

(MLESF) SY 2021-2022
Dg-aaral.
MALAKING
Email *
Regineesposo@gmail.com
Taong Panuruan *
Option 1
na naisin.
Mayroin LRN
Walang LRN
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Publiko
Uri ng paaralan *
Pampubliko
Pribado
ID ng paaralan
sagot). *
ESPOSO KYLE ANJELO ANTONIO
MM DD YYYY
/ /
Column 1
Lalake
Babae

para sa sagot) *
Oo
Hindi

bukos da iba pa)

Mayroon
Wala
Other:
braille or DAISY *
Mayroon
Wala
Other:
Hindi nakapag-aral
domingo
Other:
Hindi nakapag-aral
Other:
Hindi nakapag-aral
Other:
Oo
Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other: 3
iba pang kamag-anak
wala
Other:
cable TV
non-cable TV
basic cellphone
smart phone
tablet
radio
desktop computer
laptop
wala
at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
telebisyon
radyo
modyular
iba pa
Other:
Other:
Oo pumapayag ako
Hindi ako pumapayag

Other:

Act of 2012. *
N/A
Forms

(MLESF) SY 2021-2022
Dg-aaral.
MALAKING
Email *
czarinadurao@yahoo.com
Taong Panuruan *
Option 1
na naisin.
Mayroin LRN
Walang LRN
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
2020-2021
Publiko
Uri ng paaralan *
Pampubliko
Pribado
ID ng paaralan
sagot). *
IBALE BYRON JAMES DURAO
MM DD YYYY
/ /
Lalake
Babae

para sa sagot) *
Oo
Hindi

bukos da iba pa)

Mayroon
Wala
Other:
braille or DAISY *
Mayroon
Wala
Other:
Hindi nakapag-aral
domingo
Other:
Hindi nakapag-aral
Other:
Hindi nakapag-aral
Other:
Oo
Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other: GRADE 2 AND 3
iba pang kamag-anak
wala
Other:
cable TV
non-cable TV
basic cellphone
smart phone
tablet
radio
desktop computer
laptop
wala
at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
telebisyon
radyo
modyular
iba pa
Other:
Other:
Oo pumapayag ako
Hindi ako pumapayag

Other: N/A

Act of 2012. *
YES
Forms

(MLESF) SY 2021-2022
Dg-aaral.
MALAKING
Email *
janesyrynetagarino27@gmail.com
Taong Panuruan *
Option 1
na naisin.
Mayroin LRN
Walang LRN
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
2020-2021
CANAAN EAST,RIZAL,NUEVA ECIJA
Publiko
Uri ng paaralan *
Pampubliko
Pribado
ID ng paaralan
105640
CANAAN EAST,RIZAL,NUEVA ECIJA
sagot). *
FERNANDEZ,MARY ANN LUMBANG
MM DD YYYY
/ /
Lalake
Babae

para sa sagot) *
Oo
Hindi
NA
TAGALOG
ROMAN CATHOLIC
janesyrynetagarino27@gmail.com

bukos da iba pa)

Mayroon
Wala
Other:
NA
braille or DAISY *
Mayroon
Wala
Other:
NA
Hindi nakapag-aral
domingo
Other:
Hindi nakapag-aral
Other:
Hindi nakapag-aral
Other:
Oo
Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other: GRADE 8
iba pang kamag-anak
wala
Other:
cable TV
non-cable TV
basic cellphone
smart phone
tablet
radio
desktop computer
laptop
wala
at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
telebisyon
radyo
modyular
iba pa
Other:
Other:
Oo pumapayag ako
Hindi ako pumapayag

Other: PUMAPAYAG PO AKO NA MAG FACE TO FACE KUNG SAKALI MANG MERON

Act of 2012. *
YES
Forms

(MLESF) SY 2021-2022
Dg-aaral.
MALAKING
Email *
ce3075663@gmail.com
Taong Panuruan *
Option 1
na naisin.
Mayroin LRN
Walang LRN
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
2020-2021
Canaan east,rizal nueva ecija
Publiko
Uri ng paaralan *
Pampubliko
Pribado
ID ng paaralan
sagot). *
Evangelista Joseph Pascua
MM DD YYYY
/ /
Lalake
Babae

para sa sagot) *
Oo
Hindi
Wala
Tagalog
INC
Canaan east,rizal,nueva ecija

bukos da iba pa)

Mayroon
Wala
Other:
braille or DAISY *
Mayroon
Wala
Other:
Evangelista freddie Pascua
Hindi nakapag-aral
domingo
Other:
Evangelista cherry Pascua
Hindi nakapag-aral
Other:
Evangelista Cherry Pascua
Hindi nakapag-aral
Other:
Oo
Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other:
iba pang kamag-anak
wala
Other:
cable TV
non-cable TV
basic cellphone
smart phone
tablet
radio
desktop computer
laptop
wala
at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
telebisyon
radyo
modyular
iba pa
Other:
Other:
Oo pumapayag ako
Hindi ako pumapayag

Other:

Act of 2012. *
Oo
Forms

(MLESF) SY 2021-2022
Dg-aaral.
MALAKING
Email *
catherineevangelista092482@gmail.com
Taong Panuruan *
Option 1
na naisin.
Mayroin LRN
Walang LRN
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
2021
Canaan East Rizal Nueva Ecija
Publiko
Uri ng paaralan *
Pampubliko
Pribado
ID ng paaralan
Pampano Mangatarem Pangasinan
sagot). *
Arken Cabuang Evangelista
MM DD YYYY
/ /
Lalake
Babae

para sa sagot) *
Oo
Hindi
N/A
Tagalog
Iglesia Ni Cristo
catherineevangelista092482@gmail.com

bukos da iba pa)

Mayroon
Wala
Other:
braille or DAISY *
Mayroon
Wala
Other:
Bonifacio P. Evangelista Jr.
Hindi nakapag-aral
domingo
Other:
Catherine C. Evangelista
Hindi nakapag-aral
Other:
Evangelista Catherine Cabuang
Hindi nakapag-aral
Other:
Oo
Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other:
iba pang kamag-anak
wala
Other:
cable TV
non-cable TV
basic cellphone
smart phone
tablet
radio
desktop computer
laptop
wala
at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
telebisyon
radyo
modyular
iba pa
Other:
Other:
Oo pumapayag ako
Hindi ako pumapayag

Other:

Act of 2012. *
Oo
Forms

(MLESF) SY 2021-2022
Dg-aaral.
MALAKING
Email *
geraldineviluanbautista@gmail.com
Taong Panuruan *
Option 1
na naisin.
Mayroin LRN
Walang LRN
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
2021
Publiko
Uri ng paaralan *
Pampubliko
Pribado
ID ng paaralan
105640
sagot). *
Bautista Trish Ann Viluan
MM DD YYYY
/ /
Lalake
Babae

para sa sagot) *
Oo
Hindi
BAGO
Filipino
Roman Catholic

bukos da iba pa)

Mayroon
Wala
Other:
braille or DAISY *
Mayroon
Wala
Other:
Smartphone
Bautista Edilberto Rubin
Hindi nakapag-aral
domingo
Other:
Bautista Geraldine Viluan
Hindi nakapag-aral
Other:
Bautista Geraldine Viluan
Hindi nakapag-aral
Other:
Oo
Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other:
iba pang kamag-anak
wala
Other:
cable TV
non-cable TV
basic cellphone
smart phone
tablet
radio
desktop computer
laptop
wala
at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
telebisyon
radyo
modyular
iba pa
Other:
Other:
Oo pumapayag ako
Hindi ako pumapayag

Other:

Act of 2012. *
Forms

(MLESF) SY 2021-2022
Dg-aaral.
MALAKING
Email *
maluisaruiz@gmail.com
Taong Panuruan *
Option 1
na naisin.
Mayroin LRN
Walang LRN
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
2020_2021
Canaan east elementary school
Publiko
Uri ng paaralan *
Pampubliko
Pribado
ID ng paaralan
Canaan east RIZAL NUEVA ECIJA
N/A
sagot). *
Ruiz, Gerald M.
MM DD YYYY
/ /
Lalake
Babae

para sa sagot) *
Oo
Hindi
N/A
N/A
Iglesia ng diyos
maet14ruiz@gmail.com

bukos da iba pa)

Mayroon
Wala
Other:
N/A
braille or DAISY *
Mayroon
Wala
Other:
Cellphone
Ruiz, Hesron S.
Hindi nakapag-aral
domingo
Other:
Ruiz, Ma.luisa M.
Hindi nakapag-aral
Other:
Ruiz, Ma.luisa M.
Hindi nakapag-aral
Other:
Oo
Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other:
iba pang kamag-anak
wala
Other:
cable TV
non-cable TV
basic cellphone
smart phone
tablet
radio
desktop computer
laptop
wala
at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
telebisyon
radyo
modyular
iba pa
Other:
Other: N/A
Oo pumapayag ako
Hindi ako pumapayag

Other: N/A

Act of 2012. *
N/A
Forms

(MLESF) SY 2021-2022
Dg-aaral.
MALAKING
Email *
hard.lagasca15@gmail.com
Taong Panuruan *
Option 1
na naisin.
Mayroin LRN
Walang LRN
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
2021
Canaan East, Rizal,N.E
Publiko
Uri ng paaralan *
Pampubliko
Pribado
ID ng paaralan
N/A
Canaan East, Rizal, N.E
105640170047
sagot). *
Aquino, Cholyn Jake, Lagasca
MM DD YYYY
/ /
Lalake
Babae

para sa sagot) *
Oo
Hindi
N/A
Tagalog
UCCP
Hard.lagasca15@gmail.com

bukos da iba pa)

Mayroon
Wala
Other:
N/A
braille or DAISY *
Mayroon
Wala
Other:
N/A
Aquino,Jose, Tabliga Jr.
Hindi nakapag-aral
domingo
Other:
Aquino, Elisabeth,Lagasca
Hindi nakapag-aral
Other:
Aquino, Jose,Lagasca Jr.
Hindi nakapag-aral
Other:
Oo
Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other:
iba pang kamag-anak
wala
Other:
cable TV
non-cable TV
basic cellphone
smart phone
tablet
radio
desktop computer
laptop
wala
at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
telebisyon
radyo
modyular
iba pa
Other:
Other:
Oo pumapayag ako
Hindi ako pumapayag

Other: N!A

Act of 2012. *
Yes
Forms

(MLESF) SY 2021-2022
Dg-aaral.
MALAKING
Email *
chsa.maon.au@phinmaed.com
Taong Panuruan *
Option 1
na naisin.
Mayroin LRN
Walang LRN
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
2020-2021
Canaan East,Rizal,N.E
Publiko
Uri ng paaralan *
Pampubliko
Pribado
ID ng paaralan
N/A
Canaan East,Rizal,N.E
N/A
sagot). *
Maon,Cindy,Sarmac
MM DD YYYY
/ /
Lalake
Babae

para sa sagot) *
Oo
Hindi
IP
Tagalog
J.I.L
chsa.maon.au@phinmaed.com

bukos da iba pa)

Mayroon
Wala
Other:
N/A
braille or DAISY *
Mayroon
Wala
Other:
N/A
Maon,Mar,Bernabe
Hindi nakapag-aral
domingo
Other:
Maon,Emiliana,Sarmac
Hindi nakapag-aral
Other:
Maon,Emiliana,Sarmac
Hindi nakapag-aral
Other:
Oo
Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other: 4th year College
iba pang kamag-anak
wala
Other:
cable TV
non-cable TV
basic cellphone
smart phone
tablet
radio
desktop computer
laptop
wala
at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
telebisyon
radyo
modyular
iba pa
Other:
Other:
Oo pumapayag ako
Hindi ako pumapayag

Other: N/A

Act of 2012. *
Yes
Forms

(MLESF) SY 2021-2022
Dg-aaral.
MALAKING
Email *
jesusima.sadorra001@deped.gov.ph
Taong Panuruan *
Option 1
na naisin.
Mayroin LRN
Walang LRN
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
2020-2021
CANAAN EAST, RIZAL NUEVA ECIJA
Publiko
Uri ng paaralan *
Pampubliko
Pribado
ID ng paaralan
105640
CANAAN EAST RIZAL NUEVA ECIJA
401036150022
sagot). *
SADORRA,ALTHEA JHOY, RINONOS
MM DD YYYY
/ /
11
Lalake
Babae

para sa sagot) *
Oo
Hindi
BAGO TRIBE
TAGALOG
UCCP
jesusima.sadorra001@deped.gov.ph

bukos da iba pa)

Mayroon
Wala
Other:
braille or DAISY *
Mayroon
Wala
Other:
SADORRA, ALEXANDER, ABRIL
Hindi nakapag-aral
domingo
Other:
SADORRA, JESUSIMA, RINONOS
Hindi nakapag-aral
Other:
SADORRA, ALEXANDER, ABRIL
Hindi nakapag-aral
Other:
Oo
Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other:
iba pang kamag-anak
wala
Other:
cable TV
non-cable TV
basic cellphone
smart phone
tablet
radio
desktop computer
laptop
wala
at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
telebisyon
radyo
modyular
iba pa
Other:
Other:
Oo pumapayag ako
Hindi ako pumapayag

Other:

Act of 2012. *
Oo
Forms

(MLESF) SY 2021-2022
Dg-aaral.
MALAKING
Email *
manilynagustin65@gmail.com
Taong Panuruan *
Option 1
na naisin.
Mayroin LRN
Walang LRN
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other: GRADE 2
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Opsyon 1
Publiko
Uri ng paaralan *
Pampubliko
Pribado
ID ng paaralan
CANAAn EAST ELEMENTARY SCHOOL.
CANAAN EAST RIZAL NUEVA ECIJA.
sagot). *
MENGLANA MIKAELA DEAN, AGUSTIN
MM DD YYYY
/ /
Lalake
Babae

para sa sagot) *
Oo
Hindi
N/A
TAGALONG
ROMAN CATHOLIC
Malyn_agustin18@yahoo.com

bukos da iba pa)

Mayroon
Wala
Other:
N/A
braille or DAISY *
Mayroon
Wala
Other:
Cellphone
MENGLANA DENNIS, MIPALAR
Hindi nakapag-aral
domingo
Other:
MENGLANA MANILYN, AGUSTIN
Hindi nakapag-aral
Other:
MENGLANA MANILYN, AGUSTIN
Hindi nakapag-aral
Other:
Oo
Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other:
iba pang kamag-anak
wala
Other:
cable TV
non-cable TV
basic cellphone
smart phone
tablet
radio
desktop computer
laptop
wala
at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
telebisyon
radyo
modyular
iba pa
Other:
Other:
Oo pumapayag ako
Hindi ako pumapayag

Other:

Act of 2012. *
Oo
Forms

(MLESF) SY 2021-2022
Dg-aaral.
MALAKING
Email *
lmeealnas@gmail.com
Taong Panuruan *
Option 1
na naisin.
Mayroin LRN
Walang LRN
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Opsyon 1
Publiko
Uri ng paaralan *
Pampubliko
Pribado
ID ng paaralan
N/A
N/A
sagot). *
ALNAS JILIAN ACOSTA
MM DD YYYY
/ /
Lalake
Babae

para sa sagot) *
Oo
Hindi
Hindi
TAGALOG/ILOCANO
CATHOLIC
PUROK 6 CANAAN EAST RIZAL NUEVA EJICA

bukos da iba pa)

Mayroon
Wala
Other:
braille or DAISY *
Mayroon
Wala
Other:
JELSON ESTREMOS
Hindi nakapag-aral
domingo
Other:
JELSON ESTREMOS
Hindi nakapag-aral
Other:
ALNAS IMELDA
Hindi nakapag-aral
Other:
Oo
Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other:
iba pang kamag-anak
wala
Other:
cable TV
non-cable TV
basic cellphone
smart phone
tablet
radio
desktop computer
laptop
wala
at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
telebisyon
radyo
modyular
iba pa
Other:
Other:
Oo pumapayag ako
Hindi ako pumapayag

Other:

Act of 2012. *
Yes
Forms

(MLESF) SY 2021-2022
Dg-aaral.
MALAKING
Email *
angelajoybandejes08@gmail.com
Taong Panuruan *
Option 1
na naisin.
Mayroin LRN
Walang LRN
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Opsyon 1
2021
Publiko
Uri ng paaralan *
Pampubliko
Pribado
ID ng paaralan
N/A
N/A
N/A
sagot). *
Bandejes, anjela joy V.
MM DD YYYY
/ /
14
Lalake
Babae

para sa sagot) *
Oo
Hindi
N/A
N/A
GIL
Purok7 canaan east

bukos da iba pa)

Mayroon
Wala
Other:
N/A
braille or DAISY *
Mayroon
Wala
Other:
Cellphone
Mercy bandejes
Hindi nakapag-aral
domingo
Other:
Mercy bandejes
Hindi nakapag-aral
Other:
Mercy bandejes
Hindi nakapag-aral
Other:
Oo
Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other:
iba pang kamag-anak
wala
Other:
cable TV
non-cable TV
basic cellphone
smart phone
tablet
radio
desktop computer
laptop
wala
at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
telebisyon
radyo
modyular
iba pa
Other:
Other:
Oo pumapayag ako
Hindi ako pumapayag

Other: N/A

Act of 2012. *
N/A
Forms

(MLESF) SY 2021-2022
Dg-aaral.
MALAKING
Email *
ruizjerimei4@gmail.com
Taong Panuruan *
Option 1
na naisin.
Mayroin LRN
Walang LRN
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Opsyon 1
Canaan east rizal
Publiko
Uri ng paaralan *
Pampubliko
Pribado
ID ng paaralan
N/A
N/A
N/A
sagot). *
Ruiz, allian nicole C.
MM DD YYYY
/ /
27
Lalake
Babae

para sa sagot) *
Oo
Hindi
N/A
N/A
Catholic
Purok 7,canaan east rizal

bukos da iba pa)

Mayroon
Wala
Other:
N/A
braille or DAISY *
Mayroon
Wala
Other:
Cellphone
Ruiz, carmen S.
Hindi nakapag-aral
domingo
Other:
Ruiz, carmen S.
Hindi nakapag-aral
Other:
Ruiz, carmen S.
Hindi nakapag-aral
Other:
Oo
Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other:
iba pang kamag-anak
wala
Other:
cable TV
non-cable TV
basic cellphone
smart phone
tablet
radio
desktop computer
laptop
wala
at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
telebisyon
radyo
modyular
iba pa
Other:
Other:
Oo pumapayag ako
Hindi ako pumapayag

Other: N/A

Act of 2012. *
Opo
Forms

(MLESF) SY 2021-2022
Dg-aaral.
MALAKING
Email *
ritzdelacruz97@gmai.com
Taong Panuruan *
Option 1
na naisin.
Mayroin LRN
Walang LRN
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Opsyon 1
oo
Publiko
Uri ng paaralan *
Pampubliko
Pribado
ID ng paaralan
4215100190005
sagot). *
Alovera, Ace Timothy,
MM DD YYYY
/ /
Lalake
Babae

para sa sagot) *
Oo
Hindi
hindi
Tagalog
hindi
Purok 2

bukos da iba pa)

Mayroon
Wala
Other:
braille or DAISY *
Mayroon
Wala
Other:
mobile phone, laptop.desktop
Alovera Ace Timothy
Hindi nakapag-aral
domingo
Other:
Alovera Alliana Denesse Nietes
Hindi nakapag-aral
Other:
Alovera Alliana Denesse Nietes
Hindi nakapag-aral
Other:
Oo
Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other:
iba pang kamag-anak
wala
Other:
cable TV
non-cable TV
basic cellphone
smart phone
tablet
radio
desktop computer
laptop
wala
at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
telebisyon
radyo
modyular
iba pa
Other:
Other:
Oo pumapayag ako
Hindi ako pumapayag

Other:

Act of 2012. *
oo
Forms

(MLESF) SY 2021-2022
Dg-aaral.
MALAKING
Email *
aileen.ruiz001@deped.gov.ph
Taong Panuruan *
Option 1
na naisin.
Mayroin LRN
Walang LRN
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade6
Other:
2020-2021
Canaan East Elementary School
Canaan East Elementary School
Uri ng paaralan *
Pampubliko
Pribado
ID ng paaralan
105640
sagot). *
Ruiz Nazarene Carmela De Leon
MM DD YYYY
05 / 10 / 2010
11
Lalake
Babae

para sa sagot) *
Oo
Hindi
N/A
Tagalog
Roman Catholic

bukos da iba pa)

Mayroon
Wala
Other:
N/A
braille or DAISY *
Mayroon
Wala
Other:
N/A
Ruiz Rogelio Jr G
Hindi nakapag-aral
domingo
Other:
Aileen De Leon Ruiz
Hindi nakapag-aral
Other:
Aileen D. Ruiz
Hindi nakapag-aral
Other:
Oo
Hindi
Kindergarten
Grade 1
Grade 2
grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other:
iba pang kamag-anak
wala
Other:
cable TV
non-cable TV
basic cellphone
smart phone
tablet
radio
desktop computer
laptop
wala
at iba pa
Other:
boxes sa ibaba
computer shop
wala
Other:
Mayroon
Wala
Other:
online learning
telebisyon
radyo
modyular
iba pa
Other:
Other:
Oo pumapayag ako
Hindi ako pumapayag

Other:

Act of 2012. *
Opo
Forms

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8/24/2021 CANAAN EAST ELEMENTARY SCHOOL Modified Learner Enrollment and Survey Form (MLESF) SY 2021-2022

CANAAN EAST ELEMENTARY SCHOOL

I-check lamang ang naangkop

Balik-aral (d nag-aral noong nakaraang taon)

Baitang na nais ipatala *

Huling baitang na natapos *

Huling natapos na taon sa paaralan (i-type kung anong taon sa ibaba) *

Huling paaralang pinasukan *

Paaralan kung saan nais ipatala ang mag-aaral *

Edad ng mag-aaral (sa ibaba po i-type ang sagot) *

Kasarian (i-check ang box)

Nabibilang sa katutubong grupo/komunidad ng katutubong kultural (paki check po ang ibaba

Kinagisnang wika (i-type sa ibaba ang sagot)

Relihiyon (sa ibaba po ang sagot) *

Tirahan (sa ibaba po i-type ang sagot)

PARA SA MGA MAG-AARAL NA MAY KAPANSANAN

Ang mag-aral ba ay nangangailangan ng espesyal na tulong sa pag-aaral? (hal.; sa pisikal,

Kung MAYROON ang sagot i-type kung ano ito sa ibaba)

Pangalan ng magulang (apelyido, pangalan, gitnang pangalan)

Hindi nakapag-aral pero marunong bumasa at sumulat

Nakapagtapos sa Kolehiyo/Masteral/Doctorado o nakapag-aral ng Teknikal/Bokasyonal

Buong pangalan ng ina

Pinakamataas na antas na natapos sa pag-aaral ng ina *

Nakapagtapos sa Kolehiyo/Masteral/Doctorado o nakapag-aral ng Teknikal/Bokasyonal

Pinakamataas na antas na natapos sa pag-aaral ng taga pag-alaga) *

Hindi nakapag-aral pero marunong bumasa at sumulat

Nakapagtapos sa Kolehiyo/Masteral/Doctorado o nakapag-aral ng Teknikal/Bokasyonal

Kabilang ba ang inyong pamilya sa 4P's ng DSWD?

KAPASIDAD AT KAPARAANAN NG TAHANAN PARA SA DISTANCE LEARNING

at iba pa (Halimbawa Kolehiyo/bokasyonal at iba pa)

iba pang kamag-anak

tutor/ katulong sa bahay

may kakayahang mag-aral ang batang nang mag -isa

sariling mobile data

sariling DXL, WIFI O satelitte

Mayroon bang internet signal sa inyong bahay *

Kung wala laktawan ang susunod na tanong

magkahalong pagtuturo sa silid-aralan at ang apat na nabanggit sa itaas

kakulangan ng load /data

hindi maayos na koneksyon sa cellphone/internet sa

may suliraning pangkalusugan

nahihirapang mag-aral ng mag-isa

may kasabay na gawaing bahay kawalan ng lugar para sa pag-aaral

mga sagabal sa pag-aaral (social media, ingay sa kapit-bahay/komunidad)

Hindi ako pumapayag

Takot o pangambang mahawaan ng Virus Covid 19

Kasalukuyang may karamdaman o mahinang kalusugan

Delikado dahil sa Armadong Tunggalian o Posibleng Engkwentro sa pagitan ng Militar at nasa

Limitado o walang masakyan

Tumutulong sa mga Gawaing Pantahan

iba pang dahilan (sabihin ang dahilan)

Aking pinatutunayan na ang nabaggit na impormasyon ay totoo at tama sa abot ng aking

This form was created inside of Department of Education.

CANAAN EAST ELEMENTARY SCHOOL

I-check lamang ang naangkop

Balik-aral (d nag-aral noong nakaraang taon)

Baitang na nais ipatala *

Huling baitang na natapos *

Huling natapos na taon sa paaralan (i-type kung anong taon sa ibaba) *

Huling paaralang pinasukan *

Paaralan kung saan nais ipatala ang mag-aaral *

Edad ng mag-aaral (sa ibaba po i-type ang sagot) *

Princess Amanda Maxine

Kasarian (i-check ang box)