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School Form 1 SF 1 67
School Form 1 SF 1 67
School Name Baleno National High School School ID 302115 District Baleno
Division Ma
Semester First Semester School Year 2022 - 2023 Grade Level Grade 12 Track and Strand
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)
RODRIGUEZ,C
CAINGCOY, ARNEL
113429100008 CAINGCOY,NEIL VINCENT RODRIGUEZ M 04/03/2005 17 Christianity DOCOL BALENO MASBATE OLINA,MANL
LICUP
S,
CANDIDATO, NOLI UY,NIDA,BAD
113420100063 CANDIDATO,REYMARK UY M 03/18/2005 17 Christianity POBLACION BALENO MASBATE
CAMPO OS,
CORTES, ALLAN ASNE,RUBINA
113432090027 CORTES,KEM ASNE M 12/10/2004 17 Christianity GANGAO BALENO MASBATE
PALACIO URIO,
DANAO, ROY LAURIO,JENN
113420100085 DANAO,ARVIN LAURIO M 01/14/2004 18 Christianity POBLACION BALENO MASBATE
MINGOY R,REY,
RAPSING,LIND
113423090026 JORGE,JOEL JR. RAPSING M 11/11/2002 19 Christianity CAGARA BALENO MASBATE JORGE, JOEL SR
HUELVA,
MAGLENTE, CAYUBIT,JEN
113420100142 MAGLENTE,JAMESON CAYUBIT M 04/12/2005 17 Christianity POBLACION BALENO MASBATE
ADOLFO OLIVA ER,FLORES,
MAGLENTE, MANLAPAS,A
136478123037 MAGLENTE,JUISWA MANLAPAS M 08/02/2004 18 Christianity POBLACION BALENO MASBATE
MICHAEL LYN,,
MAHINAY, ROLLY CORTES,JOVE
113420100150 MAHINAY,ALFIE CORTES M 04/08/2005 17 Christianity POBLACION BALENO MASBATE
BAJAR A,A,
F1-SHS)
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)
BEGORNIA,EVA,R
Blended
ODRIGUEZ,
RODRIGUEZ,CAR
OLINA,MANLAPA PARENT Blended T/I DATE:2022-08-22
S,
UY,NIDA,BADILL
Blended
OS,
ASNE,RUBINA,LA
Blended
URIO,
LAURIO,JENNIFE
Blended
R,REY,
ABSALON,GRACE
Blended
SALIVIO,
PALOMAR,LUCIT
Blended
A,BOBILES,
RAPSING,LINDA,
Blended
HUELVA,
CABALLERO,SUS
Blended
AN,CINCO,
BARRUN,VIVIAN,
Blended
MANLAPAS,
LICUP,MAUREEN,
Blended
MANLAPAS,
CAYUBIT,JENNIF
Blended
ER,FLORES,
MANLAPAS,ANA
Blended T/I DATE:2022-08-22
LYN,,
CORTES,JOVENCI
Blended
A,A,
MANLAPAS,
MORADO,NEC
113422100039 MANLAPAS,DENNIS MORADO M 08/19/2004 18 Christianity CAGARA BALENO MASBATE DIOSCORO
APSING,
MAGLENTE
PALOMAR,
CORTES,MAR
113423090037 PALOMAR,EMMANUEL JR. CORTES M 02/26/2003 19 Christianity CAGARA BALENO MASBATE EMMANUEL
,MAGLENTE,
BOBILES SR
PALOMAR,
CORTES,MAR
113423100061 PALOMAR,IAN CORTES M 04/29/2005 17 Christianity CAGARA BALENO MASBATE EMMANUEL
,MAGLENTE,
BOBILES SR
RAMIREZ, DELFIN OLIVA,IRENE
113377080025 RAMIREZ,JOHNDEL MALANA M 03/01/2003 19 Christianity POBLACION BALENO MASBATE
TOMLOD JR LANA,
RAPSING,
UY,LILIA,BAD
113420100182 RAPSING,DIOMEDES JR. UY M 04/14/2004 18 Christianity LIPATA BALENO MASBATE DIOMEDES
OS,
MANLAPAS SR
RAPSING,
UY,LILIA,BAD
113420090130 RAPSING,JUAN UY M 06/24/2002 20 Christianity LIPATA BALENO MASBATE DIOMEDES
OS,
MANLAPAS SR
GERMINA,LIGAY
Modular (print)
A,SALCEDO,
CORTES,MARIVIC
Blended
MAGLENTE,
CORTES,MARIVIC
Blended
MAGLENTE,
OLIVA,IRENE,MA
RELATIVE Blended
LANA,
UY,LILIA,BADILL
Blended
OS,
UY,LILIA,BADILL
Blended
OS,
CINCO,JOCELYN,
Blended
BADILLOS,
CINCO,JOCELYN,
Blended
BADILLOS,
BELLO,ANALYN,
Blended
FLORES,
AMADOR,MARIL
Blended
YN,ALBAO,
CORTES,JULIET,O
Face to Face T/I DATE:2022-08-22
LIVA,
MANLAPAS,ALO
Face to Face
NA,,
CANTORIA,MELIS
Blended
SA,INOPIA,
CAMPO,FATIMA,
Blended
MORADO,
CORTES,MERCY,
Blended
APAREJADO,
BEGORNIA,EVA,R
Blended
ODRIGUEZ,
APAREJADO,SIO
Blended
NY,BEGORNIA,
MAGLENTE,ANA
Blended T/I DATE:2022-08-22
LYN,BELLO,
DELA CRUZ, EFREN MAGLENTE,A
113442130058 DELA CRUZ,MA. SHEENA MAGLENTE F 10/27/2004 18 Christianity POTOSON BALENO MASBATE
CORTES LYN,BELLO,
MANLAPAS, BAJAR,ELIZA
113429100020 MANLAPAS,HAZEL ANN BAJAR F 02/10/2004 18 Christianity DOCOL BALENO MASBATE
RENATO PALOMAR H,LOPEZ,
ODONIO, CABALLERO,
113420100177 ODONIO,JESSABELL CABALLERO F 10/07/2004 18 Christianity POBLACION BALENO MASBATE
SALVADOR B IA,B,
40 <=== COMBINED
Transfered Out T/O CCT Receipient CCT CCT Control/reference number &
Effectivity Date MALE 25
Name of School, Date of 1st Attendance and Balik Aral B/A Name of school last attended & Year
Date of Last Attendance if Transferred Out
Transfered In T/I Learner With LWE Specify Exceptionality of the Learner
FEMALE 15
Exceptionality Beginning of the Semeste
Accelerated ACL Specify Level & Effectivity Date
TOTAL 40
8/22/22 12:00 AM
MARIANO,MYRN
Blended
A,QUIAWIT,
BAJAR,ELIZABET
Blended
H,LOPEZ,
CORTES,GERALD
Blended
NE,AMARO,
CABALLERO,DEL
Blended
A,B,
SUAL,MARIVIC,B
Blended
ELLO,
ONIO,ROSITA,DE
Blended
LA CRUZ,
d by;