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11 EIM A School Form 1 SF 1
11 EIM A School Form 1 SF 1
School Name Emiliano Lizares NHS School ID 302706 District Bacolod City V District
Division Bacol
Semester Second Semester School Year 2021 - 2022 Grade Level Grade 11 Track and Strand
Section 11 EIM A Course (for TVL only) Electrical Installation and Maintenance (NC II)
Sex (M/F)
NAME BIRTH DATE as of
LRN Religious Affilication Mother's Maid
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy) Octob Father's Name (Last
er 31st Name (Last Na
House #/ Street/ Sitio/ Purok Barangay Municipality/ City Province Name, First Name, Middle
First Name, Mi
Name)
Name)
DELOS
BACOLOD NEGROS BERMUDEZ,
117466090023 BERMUDEZ,GILBERT JR DELOS REYES M 08/03/2002 19 Christianity ESTEFANIA REYES,IRENE
CITY (Capital) OCCIDENTAL GILBERT MUPAS SR
OZA,
Technical-Vocational-Livelihood Track
GUARDIAN
TS REMARKS
(if learner is not Living with Parent)
Contact
Number of Learning
Mother's Maiden Parent or Modality
Name
Name (Last Name, Guardian (Please refer to the
(Last Name, First Name, Relationship
First Name, Middle legend on last page)
Name Extension, Middle
Name)
DELICANA,ANNA
PARENT Modular (print) CCT
BELLE,AGDANA,
BAYLOSIS,CHON
Modular (print)
A,LAVIDES,
CRISPINA,NEMEN
Modular (print) CCT
O,GADIANO,
GANANCIAL,MER
PARENT Modular (print)
CIDITA,FLORES,
MONTEROYO,NE
PARENT Modular (print) CCT
LITA,,
DELOS
REYES,IRENE,EÑ Modular (print) CCT
OZA,
FULGERAS,ELVIR
PARENT Modular (print) CCT
A,TIQUERO,
GUDACA,MELAN
Modular (print)
E,CORDOVA,
SIBONGA,LUZMI
Modular (print)
NDA,SAMPIT,
SALAZAR,JONEL
PARENT Modular (print)
YN,PADASAS,
EMPERADO,EDE
Modular (print)
N,BALBUENA,
AUQUICO,MA
Modular (print)
THERESA,GALEA,
BACOLOD NEGROS MALALUAN,D
117394090071 DONGUINES,GARYL LORENZO MALALUAN M 03/07/2002 19 Christianity ESTEFANIA DONGUINES, GARY
CITY (Capital) OCCIDENTAL Y,,
FLORENTINO,
BACOLOD NEGROS AGALLAS,MA
117466100103 FLORENTINO,JOHN MARK AGALLAS M 04/07/2003 18 Christianity GRANADA VIRGILIO BARNEZO
CITY (Capital) OCCIDENTAL EL,VILLAFLO
JR
LEOGAN,
VISTA BACOLOD NEGROS SABANAL,RO
181004100118 LEOGAN,LEONARD SABANAL M 06/23/2003 18 Christianity FRANCISCO
ALEGRE CITY (Capital) OCCIDENTAL IE,LACSON,
SARONA
MARY
VISTA BACOLOD NEGROS NAVARRO, DANTE
117457090080 NAVARRO,MILES SORDILLO M 09/15/2003 18 Christianity JANE,SORDIL
ALEGRE CITY (Capital) OCCIDENTAL ARCALA
ORNILLO,
DIMASU-
VISTA BACOLOD NEGROS ONAYAN, RODOLFO
181004100142 ONAYAN,RED JOHNSON BRAI DIMASU-AY M 11/10/2004 16 Christianity AY,LUCITA,B
ALEGRE CITY (Capital) OCCIDENTAL SALGADO SR
AFE,
SOLIMAN,MEDYL
Modular (print) CCT
NE,ROQUE,
JUNTADO,GEMM
Modular (print)
A,ROTAS,
AGALLAS,MARIC
Modular (print)
EL,VILLAFLOR,
LLERA,EVA,BER
RELATIVE Modular (print)
ONGUEZ,
MAKALOWA,ERL
PARENT Modular (print)
NDA,PALOMAR,
PANES,ANABELL
PARENT Modular (print) CCT
E,DESTRO,
GABALEO,LOIS,V
Modular (print)
ALERA,
BULGAR,BERNA
Modular (print)
DETTE,ISADA,
SABANAL,ROSAL
PARENT Modular (print)
E,LACSON,
BULANDRES,MA
PARENT Modular (print)
RLYN,C,
SARIO,KAREN,BO
PARENT Modular (print)
RCELAS,
VIGILAR,JOSIE,F
PARENT Modular (print)
UENTEBELLA,
AGUIRRE,LIEZEL,
PARENT Modular (print)
MAHILUM,
MARY
JANE,SORDILLO, Modular (print)
ORNILLO,
MALAS,HELEN,B
Modular (print) CCT
OT-AY,
DIMASU-
AY,LUCITA,BUEN PARENT Modular (print) CCT
AFE,
ONTOLAN,BETTY
RELATIVE Modular (print)
-,
DETARINO,HANA
Modular (print)
MIL,MAHILUM,
PALOMATA,
BACOLOD NEGROS SALLAO,NOR
117461100264 PALOMATA,JOHN LEO SALLAO M 05/08/2005 16 Christianity GRANADA LEONARDO
CITY (Capital) OCCIDENTAL BAÑO,
CALAOLAO JR
SAUCE,
BACOLOD NEGROS FUENTES,REG
117466100216 SAUCE,CYRELL FUENTES M 04/27/2005 16 Christianity GRANADA CHRISTOPHER
CITY (Capital) OCCIDENTAL A,ESTRELLA,
HAWOD
GUMBAN,
BACOLOD NEGROS BARCELO,MA
117466090078 GUMBAN,ROSELYN BARCELO F 02/08/2003 18 Christianity GRANADA REYNALDO
CITY (Capital) OCCIDENTAL ,ARCEDE,
ARANAS
48 <=== COMBINED
Transfered Out T/O CCT Receipient CCT CCT Control/reference number &
Effectivity Date MALE 41
Name of School, Date of 1st Attendance and Balik Aral B/A Name of school last attended & Year
SALLAO,NORA,A
PARENT Modular (print) CCT
BAÑO,
LEGASPINA,AMY,
PARENT Modular (print) CCT
ORNIAS,
BADANA,REMA,D
Modular (print) CCT
ETARINO,
MENDOZA,MARJ
PARENT Modular (print)
ORIE,BUAYA,
LOJA,MARICAR,B
Modular (print)
ALDISIMO,
TINGALA,JESSIC
Modular (print)
A,ALUNAN,
FUENTES,REGIN
PARENT Modular (print)
A,ESTRELLA,
MOREÑO,NEMIA,
PARENT Modular (print) CCT
AMAR,
MASULA,JASMIN,
RELATIVE Modular (print)
TICAR,
CORDERO,REGIN
PARENT Modular (print)
A,CABRERA,
BORLAN,ELJEAN,
PARENT Modular (print)
ENIEGO,
BARCELO,MARIA
Modular (print)
ARCEDE,
ESCARILLA,MICH
Modular (print)
ELLE,BUHIA,
BENIABON,GINA,
Modular (print)
ZABALA,
SOMBESE,EVELY
Modular (print)
N,MODALO,
PANADO,LEAH,M
PARENT Modular (print)
ALUNES,
d by;
TOTAL 48
2/7/22 12:00 AM