Professional Documents
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SF1 - 2021 - Grade 5 - QUEZON
SF1 - 2021 - Grade 5 - QUEZON
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School ID 125992 Region IX Division Dipolog City District Dipolog City South
School Name Olingan South ES School Year 2021 - 2022 Grade Level Grade 5 Section QUEZON
GUARDIAN
ADDRESS PARENTS
(if Not Parent)
Age MOTHER Contact
Sex (M/F)
IP
LRN
NAME BIRTH DATE as of TONGUE (Ethnic
RELIGIO Number of
(Last Name, First Name, Middle Name) (mm/dd/yyyy) Octob (Grade 1 N Father's Name Mother's Maiden Parent or
Group) House #/
er 31 to 3 Only) Municipality/ (Last Name, First Name (Last Name, Guardian
Street/ Sitio/ Barangay Province Name Relationship
City Name, Middle First Name, Middle
Purok
Name) Name)
Cebuano
/ DIPOLOG ACOP, CARPITANOS,
Christiani ZAMBOANGA
125992160055 ACOP,CLIFFORD, CARPITANOS M 11-24-2010 10 Sinugbua OLINGAN CITY ESCLIPSER MISHEL,ACA-
ty DEL NORTE
nong (Capital) PERAS AC,
Binisay
Cebuano
/ DIPOLOG ALUMBRO,
Christiani ZAMBOANGA AGUNOB,LEAH
125755160004 ALUMBRO,JAYLORD, AGUHOB M 12-18-2010 10 Sinugbua OLINGAN CITY ARLIE
ty DEL NORTE ,ELLEMA,
nong (Capital) ENCARNACION
Binisay
DIPOLOG BACLA-AN,
Christiani ZAMBOANGA CALAPI,ANALI
125991160016 BACLA-AN,REX, CALAPI M 04-15-2011 10 Cebuano OLINGAN CITY LAURITO
ty DEL NORTE ZA,JUMALON,
(Capital) NUEVO JR
DIPOLOG GABASAN, MANLANGIT,L
GABASAN,WILLARD, Christiani ZAMBOANGA
125991160031 M 12-31-2010 10 Cebuano Subanen OLINGAN CITY ALEX OUIE,SANTARI
MANLANGIT ty DEL NORTE
(Capital) ANDALES TA,
Cebuano
/ DIPOLOG
Christiani ZAMBOANGA GALEZA, AMPER,DEMEL
125992160045 GALEZA,JD, AMPER M 08-01-2011 10 Sinugbua OLINGAN CITY
ty DEL NORTE JESSIE AGALOT YN,BULFA,
nong (Capital)
Binisay
Cebuano
/ DIPOLOG LANGGA, CORONEL,VAL
Christiani ZAMBOANGA
125992160026 LANGGA,STEVEN, CORONEL M 01-26-2011 10 Sinugbua OLINGAN CITY EDSEL SR ERIA,LEGADOS
ty DEL NORTE
nong (Capital) ALETA ,
Binisay
Cebuano
/ DIPOLOG MACARIO,
MACARIO,GIAN ARSENE, Christiani ZAMBOANGA FLORES,GENEL
125992160007 M 03-30-2011 10 Sinugbua OLINGAN CITY ANGELO
FLORES ty DEL NORTE ES,MANCAO,
nong (Capital) CONSTANCIA
Binisay
CITY OF
MAGALSO,ANTHONY JOSH, Christiani NCR THIRD MAGALSO, ASIS,ANNALIS
136652160226 M 06-13-2011 10 Tagalog PARADA VALENZUEL
ASIS ty DISTRICT JOSEPH ARIAS A,MACALLA,
A
Cebuano
/ DIPOLOG PERANTE, JAVIER,FAUSTI
Christiani ZAMBOANGA
125992160028 PERANTE,ALFRED, JAVIER M 07-03-2011 10 Sinugbua OLINGAN CITY ALBINO NA,DAGUINOT
ty DEL NORTE
nong (Capital) BANANOLA AS,
Binisay
QUEZON
REMARKS
Learning
Modality (Please refer to
the legend on last
page)
Modular
(print)
Modular
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Modular
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Modular
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Modular
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DIPOLOG SAILE,
SAILE,KHENT DHAREEL, Christiani ZAMBOANGA ARCALA,ROSE
125994160027 M 04-19-2011 10 Cebuano PUNTA CITY ROLANDO
ARCALA ty DEL NORTE LYN,SELORIO,
(Capital) DIVINAGRACIA
Cebuano
/ DIPOLOG SUMITON,
SUMITON,CHRISTIAN DAVE, Christiani ZAMBOANGA MALAYO,LOR
125992170051 M 03-06-2011 10 Sinugbua OLINGAN CITY WILSON
MALAYO ty DEL NORTE NA,JUMAWAK,
nong (Capital) DARUNDAY
Binisay
Cebuano
/ DIPOLOG AGUHOB, ELOLA,SHEINA
AGUHOB,EUNIECE FAITH, Christiani ZAMBOANGA
125992160012 F 02-05-2011 10 Sinugbua OLINGAN CITY JHASON MARIE,FLORES
ELOLA ty DEL NORTE
nong (Capital) UNDAP ,
Binisay
DIPOLOG
Christiani ZAMBOANGA ASMAN, BATION,ROSE
125989150057 ASMAN,NANCY, BATION F 06-26-2009 12 Cebuano OLINGAN CITY
ty DEL NORTE JUANITO B MARIE,P,
(Capital)
Cebuano
/ DIPOLOG BANDIVAS, GOMOLON,MA
BANDIVAS,CHONA LOUISSE, Christiani ZAMBOANGA
125992160014 F 04-25-2011 10 Sinugbua OLINGAN CITY JUNE RIX RITES,LLOREN
GOMOLON ty DEL NORTE
nong (Capital) JUTBA TE,
Binisay
Cebuano
/ CABALIDA, GONZAGA,CON
CABALIDA,KIRSTY LEE, Christiani EAST ZAMBOANGA
124510160030 F 04-18-2011 10 Sinugbua MANUKAN ALGEM DINI- IE,CONSTANTI
GONZAGA ty POBLACION DEL NORTE
nong AY NO,
Binisay
Cebuano
/ DIPOLOG YANGCO,MALI
ZAMBOANGA CAROLASAN,
125992160048 CAROLASAN,CAMILA, YANGCO F 11-12-2010 10 Sinugbua Others OLINGAN CITY EZEL,ZAMORA
DEL NORTE GERALD LUA
nong (Capital) S,
Binisay
CUBERO,
Christiani SURIGAO DEL QUINLOB,MAR
132707160030 CUBERO,APRIL, QUINLOB F 04-30-2011 10 Bol-anon BURGOS CORTES ELEAZER
ty SUR ISSA,DIAMARI,
JOSOL
Cebuano
/ DIPOLOG
Christiani LUGDUNGA ZAMBOANGA DAMPAYLA,LI
125966160019 DAMPAYLA,ULYZA, - F 01-15-2011 10 Sinugbua CITY
ty N DEL NORTE ZA,SUCO,
nong (Capital)
Binisay
Cebuano
/ DIPOLOG
Christiani ZAMBOANGA FUERTES,IREN
124990160015 FUERTES,JULIANE FAITH, - F 09-08-2010 11 Sinugbua DICAYAS CITY
ty DEL NORTE E,BALBUENA,
nong (Capital)
Binisay
JENOCTAN, DUHAYLUNGS
JENOCTAN,MARIAH MAE, Christiani CITY OF
404648150056 F 01-13-2010 11 Tagalog KAY-ANLOG LAGUNA JOEBERT OD,MAE,ESCA
DUHAYLUNGSOD ty CALAMBA
ABADIES BARTE,
Cebuano
/ DIPOLOG MURRO,
Christiani ZAMBOANGA BANSE,MANEL
125992170053 MURRO,ANNA, BANSE F 11-03-2009 11 Sinugbua OLINGAN CITY JERSON
ty DEL NORTE YN,MALAC,
nong (Capital) RELUYA
Binisay
Modular
(print)
Modular
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Modular
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Modular
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Modular
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Modular
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Modular
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Modular
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T/I
Modular
DATE:2021-
(print)
09-13
T/I
Modular
DATE:2021-
(print)
09-13
Modular
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Modular
(print)
Cebuano
/
Christiani DEL LANAO DEL OLA-A, ALLAN BALUCOS,MER
128079150051 OLA-A,JILLARY, BALUCOS F 08-24-2010 11 Sinugbua ILIGAN CITY
ty CARMEN NORTE ALJEX PIÑAS CY,GABULE,
nong
Binisay
Cebuano
/ DIPOLOG
Christiani ZAMBOANGA PANAMA, ROY OCAMIA,LANIE
125992160035 PANAMA,RENELEN, OCAMIA F 10-22-2011 10 Sinugbua OLINGAN CITY
ty DEL NORTE ENERO ,KAGATAN,
nong (Capital)
Binisay
Cebuano
/ DIPOLOG
Christiani ZAMBOANGA PANAMA, ROY OCAMIA,LANIE
125992160034 PANAMA,RONELEN, OCAMIA F 10-22-2011 10 Sinugbua OLINGAN CITY
ty DEL NORTE ENERO ,KAGATAN,
nong (Capital)
Binisay
DIPOLOG
Christiani ZAMBOANGA PINGKIAN,IRIS,
125991160027 PINGKIAN,PINKY ANNE, - F 04-13-2011 10 Cebuano OLINGAN CITY
ty DEL NORTE JUMAWAN,
(Capital)
Cebuano
/ DIPOLOG SAPPARRI, DUMAT-
Christiani ZAMBOANGA
125992160036 SAPPARI,KRISTINE, DUMAT-OL F 01-26-2011 10 Sinugbua OLINGAN CITY ALLAN OL,AILEEN,LE
ty DEL NORTE
nong (Capital) DINGLASA GADOS,
Binisay
DIPOLOG SUMINGUID,
Christiani ZAMBOANGA HAMOY,RITCH
125990160003 SUMINGUID,EZABEL, HAMOY F 09-20-2010 11 Cebuano Subanen DIWAN CITY REY
ty DEL NORTE EL,CUTAD,
(Capital) SUMANDAY
Cebuano
/ DIPOLOG TRIBUNSAY, PAGLALUNAN,
TRIBUNSAY,GEYSEN MAY, Christiani ZAMBOANGA
125992160023 F 10-30-2011 10 Sinugbua OLINGAN CITY BENJIE GERALYN,CAPI
PAGLALUNAN ty DEL NORTE
nong (Capital) PAJARILLO NIG,
Binisay
29 <=== COMBINED
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date LEO ADLAWON NAZARENO
Date MALE 12
Balik Aral B/A Name of school last attended & Year LYLAINE MAE A JIMENO (Signature of School Head over Printed Nam
Transfered In T/I Name of Public (P) Private (PR) School & Effectivity
Date Learner With LWD Specify (Signature of Adviser over Printed Name)
FEMALE 17
Disability
Dropped DRP Reason and Effectivity Date Accelerated ACL Specify Level & Effectivity Data
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) BoSY Date: EoSY Date:
TOTAL 29
BoSY Date: EoSY Date:
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N NAZARENO
EoSY Date:
d thru LIS