Grade Level and School Information

# DATE No LRN / GRADE LAST GRADE
CURRICULUM SCHOOL With LRN LEVEL TO LEVEL

(Regular, STE, SPM) YEAR COMPLETED
(Y/N) ENROLL
1 August 09, 2021 SPM 2021-2022 Y GRADE 7 GRADE 6

2 August 09, 2021 REGULAR 2021-2022 Y GRADE 7 GRADE 6
3 August 09, 2021 REGULAR 2021-2022 N GRADE 7 GRADE 6
6 August 09, 2021 SPM 2021-2022 Y GRADE 7 GRADE 6
7 August 09, 2021 STE 2021-2022 Y GRADE 7 GRADE 6
THE ABOVE DATA ARE JUST SAMPLE, KINDLY EDIT ONCE YOU STARTED ENCODING
GRADE LEVEL AND SCHOOL INFORMATION
LAST SCHOOL
YEAR LAST SCHOOL ATTENDED SCHOOL ID SCHOOL ADDRESS
COMPLETED
2020-2021 AMAMPEREZ ELEMENTARY SCHOOL 102119 AMAMPEREZ, VILLASIS, PANGASINAN

2020-2021 BACAG CENTRAL SCHOOL 102128 BACAG, VILLASIS, PANGASINAN
2020-2021 CAPULAAN ELEMENTARY SCHOOL 102134 CAPULAAN, VILLASIS, PANGASINAN
2020-2021 CARAMUTAN ELEMENTARY SCHOOL 102135 CARAMUTAN, VILLASIS, PANGASINAN
2020-2021 BACAG EAST ELEMENTARY SCHOOL 102129 BACAG, VILLASIS, PANGASINAN
ATION
SCHOOL SCHOOL TO ENROLL IN SCHOOL ID

TYPE
PUBLIC DON RAMON E. COSTALES MNHS 300308

SCHOOL ADDRESS PSA CERTIFICATE LRN
NO.
POBLACION ZONE II, VILLASIS, PANGASINAN 2009-187 102119140026

POBLACION ZONE II, VILLASIS, PANGASINAN 2009-1682
POBLACION ZONE II, VILLASIS, PANGASINAN 102128140067
LAST NAME FIRST NAME MIDDLE NAME
VILLANO JASMINE ANGEL BUÑAG

DABAN RICSON DIZON
BERNARDO ARNOLD VILLANDA
DELA PEÑA ATASHA FURUGGANAN
DINGLE CHESTER ORALLO
SIBAYAN JELAIZARY FERNANDEZ
DE GUZMAN ANGELANOA CINENSE
STUDENT INFORMATION
BELONGING
DATE OF BIRTH AGE SEX TO IP IF MOTHER RELIGION
COMMUNITY YES TONGUE
(Y/N)
November 02, 2009 12 F N ILOCO ROMAN CATHOLIC

August 07, 2009 12 M N ILOCO ROMAN CATHOLIC
July 11, 2009 12 M N ILOCO ROMAN CATHOLIC
February 22, 2009 12 F N ILOCO ROMAN CATHOLIC
October 02, 2009 13 M N ILOCO ROMAN CATHOLIC
March 29, 2009 12 F N ILOCO ROMAN CATHOLIC
JANUARY 10, 2008 13 F N TAGALOG ROMAN CATHOLIC
ADDRESS
DOES THE LEARNER DO YOU HAVE ANY
HAVE SPECIAL IF ASSISTIVE TECHNOLOGY IF HOUSE NUMBER & SUBDIVISION /
EDUCATION YES DEVICES AVAILABLE AT YES STREET VILLAGE / ZONE
NEEDS? (Y/N) HOME? (Y/N)
N N 394 ZONE 4
N N 66 SUR
N N 16 SITIO LEPANTO
N N 12 EAST
N N 11 EAST
N N TANGAT ROAD ZONE 7
N N EAST
ADDRESS
BARANGAY CITY / MUNICIPALITY PROVINCE REGION
AMAMPEREZ VILLASIS PANGASINAN I

BACAG VILLASIS PANGASINAN I
CAPULAAN VILLASIS PANGASINAN I
CARAMUTAN VILLASIS PANGASINAN I
FATHER
FULL NAME (LAST NAME, FIRST NAME, HIGHEST EDUCATIONAL EMPLOYMENT
MIDDLE NAME) ATTAINMENT STATUS
VILLANO, MARK ALVIN BUCASAS HIGH SCHOOL GRADUATE FULL TIME

DABAN, RICARDO CASTRO ELEMENTARY GRADUATE PART TIME
BERNARDO, ARNOLD PACLEB HIGH SCHOOL GRADUATE SELF-EMPLOYED
DELA PEÑA, JEFFREY HIGH SCHOOL GRADUATE FULL TIME
HIGH SCHOOL GRADUATE FULL TIME
SIBAYAN, JERRY ZABALA HIGH SCHOOL GRADUATE PART TIME
CRUZ, RAMIL MILLETE HIGH SCHOOL GRADUATE SELF-EMPLOYED
PARENT / GU
MOTHER
WORKING HOME DUE HIGHEST EDUCATIONAL
FULL NAME (LAST NAME, FIRST
TO COMMUNITY CONTACT NUMBER NAME, MIDDLE NAME)
QUARANTINE? (Y/N) ATTAINMENT
N 9513080287 BUÑAG, LYNLEE BRUNIO HIGH SCHOOL GRADUATE

N 9339537079 DIZON, MA. CRISTINA DE JOSE COLLEGE GRADUATE
Y 9966701941 VILLANDA, JANETTE AQUIS OTHERS
N 9291254350 FURUGGANAN, VICARJANE COLLEGE GRADUATE
N 9291254350 HIGH SCHOOL GRADUATE
N 9318383366 FERNANDEZ, GLAIZA JOY HIGH SCHOOL GRADUATE
N 9167216797 DE GUZMAN, MARLENE CINENSE HIGH SCHOOL GRADUATE
PARENT / GUARDIAN INFORMATION
MOTHER
EMPLOYMENT WORKING HOME DUE
STATUS QUARANTINE? (Y/N)
FULL TIME N VILLANO, MERCEDES BUCASAS

PART TIME N 9234236356 DABAN, MA. CRISTINA DIZON
SELF-EMPLOYED Y 9488604386 BERNARDO, ARNOLD PACLEB
FULL TIME N FURUGGANAN, VICKY MONTERO
PART TIME N 9635144435
PART TIME N 9092185101 SIBAYAN, JERRY ZABALA
SELF-EMPLOYED N 9167216797 DE GUZMAN, MARLENE CINENSE
GUARDIAN
HIGHEST EDUCATIONAL WORKING HOME DUE
EMPLOYMENT STATUS TO COMMUNITY
ATTAINMENT QUARANTINE? (Y/N)
HIGH SCHOOL GRADUATE UNEMPLOYED DUE TO COMMUNITY QUARANTINE N

COLLEGE GRADUATE PART TIME N
HIGH SCHOOL GRADUATE SELF-EMPLOYED Y
HIGH SCHOOL GRADUATE PART TIME N
HIGH SCHOOL GRADUATE NOT WORKING N
HIGH SCHOOL GRADUATE SELF-EMPLOYED N
HOW DOES YOUR CHILD GO HOW MANY OF YOUR HOUSEHOLD MEMBERS ARE STUDYING IN S. Y. 2021-202
TO SCHOOL?
COMMUTE
WALKING
GRADE 1
GRADE 2
GRADE 3
GRADE 4
GRADE 5
GRADE 6
GRADE 7
GRADE 8
GRADE 9
FAMILY-
SCHOOL
SERVICE
OWNED
KINDER
PUBLIC
CONTACT NUMBER 4Ps (Y/N)
9222806681 Y 1 1
9234236356 Y 1 1
9966701941 N 1 1 1 1 1
9635144435 N 1 1
1
9318383366 N 1 1 1
9167216797 N 1 1 1 1
HOUSEHOLD CAPACITY AND ACCESS TO DISTANCE LEA
ARE STUDYING IN S. Y. 2021-2022 WHO CAN PROVIDE INSTRUCTIONAL SUPPORT TO DEVICES AVAILABLE FOR THE LEARNER
THE CHILD'S DISTANCE LEARNING?
GRANDPARENTS
ELDER SIBLINGS
ABLE TO LEARN
NON-CABLE TV
SMARTPHONE
GUARDIANS
CELLPHONE
GRADE 10
GRADE 11
GRADE 12
PARENTS /
EXTENDED
MEMBERS
CABLE TV
DESKTOP
OTHERS
OTHERS
LAPTOP
FAMILY
TABLET
ALONE
RADIO
NONE
BASIC
1 1 1 1
1 1 1 1
1 1
1 1 1 1 1 1 1
1 1 1 1 1
1
1 1
E LEARNER
NONE
OTHERS
1
1
1
1
1
1
YES
INTERNET
1
NO
TO DISTANCE LEARNING
CONNECTION (Y/N)
OWN MOBILE
1
1
1
1
1
DATE
1 OWN
1
1
BROADBAND
COMPUTER
SHOP
INTERNET?
OTHER PLACES
NONE
HOW DO YOU CONNECT TO THE
ONLINE
1
1
LEARNING
1
1
TELEVISION
RADIO
MODULAR
1
1
1
1
1
1
1
LEARNING
1
1
1
1
BLENDED
DISTANCE LEARNING MODALITY
LACK OF
1
1
AVAILABLE
GADGETS
INSUFFICIENT
1
LOAD
UNSTABLE
1
1
1
1
1
INTERNET
CONNECTION
EXISTING
HEALTH
CONDITIONS
CHALLENGES THAT AFFECTS CHILD LE
LIMITED FACE TO FACE
HALLENGES THAT AFFECTS CHILD LEARNING WILLINGNESS TO ALLOW
CONFLICT WITH REASON
NO OR LACK OF
DISTRACTIONS
INDEPENDENT
DIFFICULTY IN
SPACE FOR
AVAILABLE
ACTIVITIES
STUDYING
LEARNING
FEAR OF LIMITED/NO HEALTH HELPING HELPING
OTHERS
OTHER
Y N GETTING TRANSPORTA RELATED HOUSEHOLD FAMILY

INFECTED TION CONCERNS CHORES BUSINESS
1
1
E INFORMANT INDICATE ACTUAL DATE WHEN DID YOU
RETRIEVED/CALLED/CONTACTED
PRESENCE OF
ARM OTHERS FATHER MOTHER GUARDIA DATE OF OFFICIAL ENROLLMENT
CONFLICT N
# DATE No LRN / GRADE
CURRICULUM SCHOOL
With LRN LEVEL TO TRACK
(Regular, STE, SPM) YEAR
(Y/N) ENROLL
1 August 09, 2021 SPM 2021-2022 Y GRADE 7

2 August 09, 2021 REGULAR 2021-2022 Y GRADE 7
3 August 09, 2021 REGULAR 2021-2022 N GRADE 7
6 August 09, 2021 SPM 2021-2022 Y GRADE 7
7 August 09, 2021 STE 2021-2022 Y GRADE 7
THE ABOVE DATA ARE JUST SAMPLE, KINDLY EDIT ONCE YOU STARTED ENCODING
GRADE LEVEL AND SCHOOL INFORMATION
LAST GRADE LAST SCHOOL

STRAND LEVEL YEAR LAST SCHOOL ATTENDED SCHOOL ID
COMPLETED COMPLETED
GRADE 6 2020-2021 AMAMPEREZ ELEMENTARY SCHOOL 102119

GRADE 6 2020-2021 BACAG CENTRAL SCHOOL 102128
GRADE 6 2020-2021 CAPULAAN ELEMENTARY SCHOOL 102134
GRADE 6 2020-2021 CARAMUTAN ELEMENTARY SCHOOL 102135
GRADE 6 2020-2021 BACAG EAST ELEMENTARY SCHOOL 102129
ND SCHOOL INFORMATION
SCHOOL
SCHOOL ADDRESS SCHOOL TO ENROLL IN SCHOOL ID
TYPE
AMAMPEREZ, VILLASIS, PANGASINAN PUBLIC DON RAMON E. COSTALES MNHS 300308

BACAG, VILLASIS, PANGASINAN PUBLIC DON RAMON E. COSTALES MNHS 300308
CAPULAAN, VILLASIS, PANGASINAN PUBLIC DON RAMON E. COSTALES MNHS 300308
CARAMUTAN, VILLASIS, PANGASINAN PUBLIC DON RAMON E. COSTALES MNHS 300308
PSA CERTIFICATE
SCHOOL ADDRESS LRN
NO.

POBLACION ZONE II, VILLASIS, PANGASINAN 2009-1682
LAST NAME FIRST NAME MIDDLE NAME
VILLANO JASMINE ANGEL BUÑAG

DABAN RICSON DIZON
BERNARDO ARNOLD VILLANDA
DELA PEÑA ATASHA FURUGGANAN
DINGLE CHESTER ORALLO
SIBAYAN JELAIZARY FERNANDEZ
DE GUZMAN ANGELANOA CINENSE
STUDENT INFORMATION
BELONGING
TO IP IF MOTHER
DATE OF BIRTH AGE SEX COMMUNITY RELIGION
YES TONGUE
(Y/N)
November 02, 2009 12 F N ILOCO ROMAN CATHOLIC

August 07, 2009 12 M N ILOCO ROMAN CATHOLIC
July 11, 2009 12 M N ILOCO ROMAN CATHOLIC
February 22, 2009 12 F N ILOCO ROMAN CATHOLIC
October 02, 2009 13 M N ILOCO ROMAN CATHOLIC
March 29, 2009 12 F N ILOCO ROMAN CATHOLIC
JANUARY 10, 2008 13 F N TAGALOG ROMAN CATHOLIC
ADDRESS
DOES THE LEARNER DO YOU HAVE ANY
HAVE SPECIAL IF ASSISTIVE TECHNOLOGY IF HOUSE NUMBER & SUBDIVISION /
EDUCATION YES DEVICES AVAILABLE AT YES STREET VILLAGE / ZONE
NEEDS? (Y/N) HOME? (Y/N)
N N 394 ZONE 4
N N 66 SUR
N N 16 SITIO LEPANTO
N N 12 EAST
N N 11 EAST
N N TANGAT ROAD ZONE 7
N N EAST
ADDRESS
BARANGAY CITY / MUNICIPALITY PROVINCE REGION
AMAMPEREZ VILLASIS PANGASINAN I

CAPULAAN VILLASIS PANGASINAN I
CARAMUTAN VILLASIS PANGASINAN I
FATHER
FULL NAME (LAST NAME, FIRST NAME, HIGHEST EDUCATIONAL EMPLOYMENT
MIDDLE NAME) ATTAINMENT STATUS
VILLANO, MARK ALVIN BUCASAS HIGH SCHOOL GRADUATE FULL TIME

DABAN, RICARDO CASTRO ELEMENTARY GRADUATE PART TIME
BERNARDO, ARNOLD PACLEB HIGH SCHOOL GRADUATE SELF-EMPLOYED
DELA PEÑA, JEFFREY HIGH SCHOOL GRADUATE FULL TIME
HIGH SCHOOL GRADUATE FULL TIME
SIBAYAN, JERRY ZABALA HIGH SCHOOL GRADUATE PART TIME
CRUZ, RAMIL MILLETE HIGH SCHOOL GRADUATE SELF-EMPLOYED
PARENT / GUAR
MOTHER
WORKING HOME DUE HIGHEST EDUCATIONAL
QUARANTINE? (Y/N) ATTAINMENT
N 9513080287 BUÑAG, LYNLEE BRUNIO HIGH SCHOOL GRADUATE

N 9339537079 DIZON, MA. CRISTINA DE JOSE COLLEGE GRADUATE
Y 9966701941 VILLANDA, JANETTE AQUIS OTHERS
N 9291254350 FURUGGANAN, VICARJANE COLLEGE GRADUATE
N 9291254350 HIGH SCHOOL GRADUATE
N 9318383366 FERNANDEZ, GLAIZA JOY HIGH SCHOOL GRADUATE
N 9167216797 DE GUZMAN, MARLENE CINENSE HIGH SCHOOL GRADUATE
PARENT / GUARDIAN INFORMATION
MOTHER
EMPLOYMENT WORKING HOME DUE
STATUS QUARANTINE? (Y/N)
FULL TIME N VILLANO, MERCEDES BUCASAS

PART TIME N 9234236356 DABAN, MA. CRISTINA DIZON
SELF-EMPLOYED Y 9488604386 BERNARDO, ARNOLD PACLEB
FULL TIME N FURUGGANAN, VICKY MONTERO
PART TIME N 9635144435
PART TIME N 9092185101 SIBAYAN, JERRY ZABALA
SELF-EMPLOYED N 9167216797 DE GUZMAN, MARLENE CINENSE
GUARDIAN
HIGHEST EDUCATIONAL WORKING HOME DUE
EMPLOYMENT STATUS TO COMMUNITY
ATTAINMENT QUARANTINE? (Y/N)
HIGH SCHOOL GRADUATE UNEMPLOYED DUE TO COMMUNITY QUARANTINE N

COLLEGE GRADUATE PART TIME N
HIGH SCHOOL GRADUATE SELF-EMPLOYED Y
HIGH SCHOOL GRADUATE NOT WORKING N
HIGH SCHOOL GRADUATE SELF-EMPLOYED N
HOW DOES YOUR CHILD GO HOW MANY OF YOUR HOUSEHOLD MEMBERS ARE STUDYING IN S. Y. 2021-2022
TO SCHOOL?
COMMUTE
WALKING
GRADE 1
GRADE 2
GRADE 3
GRADE 4
GRADE 5
GRADE 6
GRADE 7
GRADE 8
GRADE 9
FAMILY-
SCHOOL
SERVICE
OWNED
KINDER
PUBLIC
CONTACT NUMBER 4Ps (Y/N)
9222806681 Y 1 1
9234236356 Y 1 1
9966701941 N 1 1 1 1 1
9635144435 N 1 1
1
9318383366 N 1 1 1
9167216797 N 1 1 1 1
HOUSEHOLD CAPACITY AND ACCESS TO DISTANCE LEARN
ARE STUDYING IN S. Y. 2021-2022 WHO CAN PROVIDE INSTRUCTIONAL SUPPORT TO DEVICES AVAILABLE FOR THE LEARNER
THE CHILD'S DISTANCE LEARNING?
GRANDPARENTS
ELDER SIBLINGS
ABLE TO LEARN
NON-CABLE TV
SMARTPHONE
GUARDIANS
CELLPHONE
GRADE 10
GRADE 11
GRADE 12
PARENTS /
EXTENDED
MEMBERS
CABLE TV
DESKTOP
OTHERS
OTHERS
LAPTOP
FAMILY
TABLET
ALONE
RADIO
NONE
BASIC
1 1 1 1
1 1 1 1
1 1
1 1 1 1 1 1 1
1 1 1 1 1
1
1 1
E LEARNER
NONE
OTHERS
1
1
1
1
1
1
YES
INTERNET
1
NO
TO DISTANCE LEARNING
CONNECTION (Y/N)
OWN MOBILE
1
1
1
1
1
DATE
1 OWN
1
1
BROADBAND
COMPUTER
SHOP
INTERNET?
OTHER PLACES
NONE
HOW DO YOU CONNECT TO THE
ONLINE
1
1
LEARNING
1
1
TELEVISION
RADIO
MODULAR
1
1
1
1
1
1
1
LEARNING
1
1
1
1
BLENDED
DISTANCE LEARNING MODALITY
LACK OF
1
1
AVAILABLE
GADGETS
INSUFFICIENT
1
LOAD
UNSTABLE
1
1
1
1
1
INTERNET
CONNECTION
EXISTING
HEALTH
CONDITIONS
CHALLENGES THAT AFFECTS CHILD LEARNI
LIMITED FACE TO FACE
HALLENGES THAT AFFECTS CHILD LEARNING WILLINGNESS TO ALLOW
CONFLICT WITH REASON
NO OR LACK OF
DISTRACTIONS
INDEPENDENT
DIFFICULTY IN
SPACE FOR
AVAILABLE
ACTIVITIES
STUDYING
LEARNING
FEAR OF LIMITED/NO HEALTH HELPING HELPING
OTHERS
OTHER
Y N GETTING TRANSPORTA RELATED HOUSEHOLD FAMILY

INFECTED TION CONCERNS CHORES BUSINESS
1
1
E INFORMANT INDICATE ACTUAL DATE WHEN DID YOU
RETRIEVED/CALLED/CONTACTED
PRESENCE OF GUARDIA
ARM OTHERS FATHER MOTHER DATE OF OFFICIAL ENROLLMENT
CONFLICT N

Grade Level and School Information

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Grade Level and School Information

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# DATE No LRN / GRADE LAST GRADE

CURRICULUM SCHOOL With LRN LEVEL TO LEVEL

1 August 09, 2021 SPM 2021-2022 Y GRADE 7 GRADE 6

2020-2021 AMAMPEREZ ELEMENTARY SCHOOL 102119 AMAMPEREZ, VILLASIS, PANGASINAN

SCHOOL SCHOOL TO ENROLL IN SCHOOL ID

PUBLIC DON RAMON E. COSTALES MNHS 300308

POBLACION ZONE II, VILLASIS, PANGASINAN 2009-187 102119140026

VILLANO JASMINE ANGEL BUÑAG

November 02, 2009 12 F N ILOCO ROMAN CATHOLIC

BARANGAY CITY / MUNICIPALITY PROVINCE REGION

AMAMPEREZ VILLASIS PANGASINAN I

VILLANO, MARK ALVIN BUCASAS HIGH SCHOOL GRADUATE FULL TIME

N 9513080287 BUÑAG, LYNLEE BRUNIO HIGH SCHOOL GRADUATE

FULL TIME N VILLANO, MERCEDES BUCASAS

HIGH SCHOOL GRADUATE UNEMPLOYED DUE TO COMMUNITY QUARANTINE N

FEAR OF LIMITED/NO HEALTH HELPING HELPING

Y N GETTING TRANSPORTA RELATED HOUSEHOLD FAMILY

1 August 09, 2021 SPM 2021-2022 Y GRADE 7

LAST GRADE LAST SCHOOL

GRADE 6 2020-2021 AMAMPEREZ ELEMENTARY SCHOOL 102119

AMAMPEREZ, VILLASIS, PANGASINAN PUBLIC DON RAMON E. COSTALES MNHS 300308

POBLACION ZONE II, VILLASIS, PANGASINAN 2009-187 102119140026

VILLANO JASMINE ANGEL BUÑAG

November 02, 2009 12 F N ILOCO ROMAN CATHOLIC

BARANGAY CITY / MUNICIPALITY PROVINCE REGION

AMAMPEREZ VILLASIS PANGASINAN I

VILLANO, MARK ALVIN BUCASAS HIGH SCHOOL GRADUATE FULL TIME

N 9513080287 BUÑAG, LYNLEE BRUNIO HIGH SCHOOL GRADUATE

FULL TIME N VILLANO, MERCEDES BUCASAS

HIGH SCHOOL GRADUATE UNEMPLOYED DUE TO COMMUNITY QUARANTINE N

FEAR OF LIMITED/NO HEALTH HELPING HELPING

Y N GETTING TRANSPORTA RELATED HOUSEHOLD FAMILY

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