Scho

ol (This replaces Form 1, Master List & STS Form 2-Family Background and Profile)

Form School ID 500580 CARAGA Division Surigao del Sur District Tagbina I

1 (SF School Name Osmeña Integrated School School Year 2022 - 2023 Grade Level Grade 3 Section GABULE

1)
GUARDIAN
ADDRESS PARENTS REMARKS
(if Not Parent)
Age MOTHER Contact

Sex (M/F)
as of TONGUE IP
NAME BIRTH DATE RELIGIO Number of Learning

Scho
LRN (Ethnic Mother's Maiden
(Last Name, First Name, Middle Name) (mm/dd/yyyy) Octob (Grade 1 Group)
N House #/ Father's Name (Last Parent or Modality (Please refer to
er 31 to 3 Only) Municipality/ Name (Last Name, Guardian
Street/ Sitio/ Barangay Province Name, First Name, Name Relationship the legend on last
City First Name, Middle
Purok Middle Name) page)

ol
Name)

Cebuano /
Regis
500580190001 ALBINO,JEMARK, CALLANO M 04-12-2014 8
Sinugbua
nong
Binisay
Christiani
ty
OSMEÑA TAGBINA
SURIGAO DEL ALBINO, GARY CALLANO,JULI
SUR LIBRANZA EME,BUSQUE,
Blended
CCT

ter Cebuano /
AMOGIS,
Sinugbua Christiani SURIGAO DEL TIZON,MILDRE
500580190002 AMOGIS,DARYL, TIZON M 05-19-2014 8 OSMEÑA TAGBINA DANNY Blended
nong ty SUR D,ANDO,
BATISTIL
Binisay

Cebuano /
BALILING,
BALILING,JAMES YHOLLAN, Sinugbua Christiani SURIGAO DEL SIMBAJON,CEL
500580190003 M 11-08-2013 8 OSMEÑA TAGBINA RENANTE Blended
SIMBAJON nong ty SUR YN,ROQUID,
OPPUS
Binisay

Cebuano /
PARAN,MARY
Sinugbua Christiani VILLAVERD SURIGAO DEL BINARAO, NILO
132928190001 BINARAO,JHONNEL, PARAN M 09-16-2013 9 TAGBINA JANE,ALFORQ Blended
nong ty E SUR MOANA
UE,
Binisay

Cebuano /
CAAYAMAN,
CAAYAMAN,CHRISTIAN PAUL, Sinugbua Christiani SURIGAO DEL BAYRON,ADEL
500580190005 M 07-31-2013 9 OSMEÑA TAGBINA MARCELO Blended
BAYRON nong ty SUR AIDA,BALETE,
MANTILLA
Binisay

Cebuano /
Sinugbua Christiani SURIGAO DEL CALLANO, ABULE,THELM
500580190004 CALLANO,RENJUNE, ABULE M 06-11-2013 9 OSMEÑA TAGBINA Blended
nong ty SUR RICO MAZO A,NADERA,
Binisay

Cebuano /
CALLANO, MANSULBUHA
CALLANO,RICHMAR, Sinugbua Christiani SURIGAO DEL CCT
500580180003 M 09-02-2012 10 OSMEÑA TAGBINA ANDRES N,MALYN,PINA Blended
MANSULBUHAN nong ty SUR
ALQUIZOLA BONG-AL,
Binisay

NCR T/I
Christiani QUEZON CAÑONES, BAZAR,LOVEL
500580190006 CAÑONES,JEDIDIAH, BAZAR M 06-04-2014 8 Tagalog PAYATAS SECOND Blended DATE:2022-08-
ty CITY JESSIE LUROT Y,SALO,
DISTRICT 22

Cebuano /
DAGIUM, BIONA,MICHEL
DAGIUM,FRENCH DARILLE, Sinugbua Christiani SURIGAO DEL
500580190007 M 07-26-2014 8 OSMEÑA TAGBINA JUNREY LE,MANGUBAT Blended
BIONA nong ty SUR
UGYAM ,
Binisay

T/I
Cebuano /
DOMINGO, DATE:2022-08-
Sinugbua Christiani DAVAO BALILING,WEL
129431170032 DOMINGO,HERBERT, BALILING M 07-27-2011 11 Mandaya MANIKLING SAN ISIDRO HENRY Face to Face 23T/O
nong ty ORIENTAL LITA,OPPUS,
MENENDEZ DATE:2022/10/
Binisay
17
 Cebuano /
GODARIDO, DAPIGRAN,JAN
GODARIDO,SAMEL JADE, Sinugbua Christiani SURIGAO DEL
500580190008 M 11-02-2013 8 OSMEÑA TAGBINA ROMEL ICE,TENEFRAN Blended
DAPIGRAN nong ty SUR
CAÑONES CIA,
Binisay

Cebuano /
LABIS, ODCHIGUE,AN
Sinugbua Christiani SURIGAO DEL
500580190009 LABIS,JOVAN REY, ODCHIGUE M 08-15-2013 9 OSMEÑA TAGBINA PETERSON NALIZA,GABU Blended
nong ty SUR
SALDIVAR LI,
Binisay

Cebuano /
DUARTE,MARY
Sinugbua Christiani SURIGAO DEL LIALDE, JOVIL
500580190010 LIALDE,KETH JORYL, DUARTE M 11-28-2013 8 OSMEÑA TAGBINA GRACE,SERDA Blended
nong ty SUR JIMENEZ
N,
Binisay

Cebuano /
MANATAD,AN
Sinugbua Christiani SURIGAO DEL MARAYAN, CCT
500580190011 MARAYAN,JAYVIE, MANATAD M 11-20-2013 8 LAGO TAGBINA NALIZA,ADOR Blended
nong ty SUR JIMILO PONO
NO,
Binisay

Cebuano /
PADUELAN,
PADUELAN,PRINCE IVAN, Sinugbua Christiani SURIGAO DEL PANTANO,RITC
500580190012 M 12-31-2013 8 OSMEÑA TAGBINA RONALD Blended
PANTANO nong ty SUR HIE,PALIS,
BATITANG
Binisay

Cebuano /
Sinugbua Christiani SURIGAO DEL DUARTE,PRIMI
500580180023 RAMIREZ,LARY, GOMA M 09-07-2009 13 OSMEÑA TAGBINA Blended
nong ty SUR TIVA,SERDAN,
Binisay

Cebuano /
SALDIVAR,
SALDIVAR,BRIGIDO III, Sinugbua Christiani SURIGAO DEL SANCHEZ,MAR
500580190013 M 09-14-2013 9 OSMEÑA TAGBINA BRIGIDO Blended
SANCHEZ nong ty SUR IBEL,AROY,
FELICILDA JR
Binisay

Cebuano /
SARAMOSING, DELA
SARAMOSING,MARK GELISTER, Sinugbua Christiani SURIGAO DEL
500580190015 M 11-30-2013 8 OSMEÑA TAGBINA GELCOR CRUZ,MARY Blended
DELA CRUZ nong ty SUR
LOBIDO GRACE,YAP,
Binisay

Cebuano /
SEQUIÑA,
SEQUIÑA,MARK DUJAN, Sinugbua Christiani SURIGAO DEL ARICAYOS,MA
500580190017 M 03-04-2014 8 OSMEÑA TAGBINA FLORDELITO Blended
ARICAYOS nong ty SUR RICEL,LAGO,
NEBRIA
Binisay

Cebuano /
TIZON,
Sinugbua Christiani SURIGAO DEL PELONIA,FELIP
500580190016 TIZON,REYMARK, PELONIA M 12-14-2013 8 OSMEÑA TAGBINA REYNALDO Blended
nong ty SUR A,BAJA,
ORILLO
Binisay

Cebuano /
VERGARA,
Sinugbua Christiani SURIGAO DEL DAMARELIO,S
500580190018 VERGARA,KEN, DAMARELIO M 09-29-2013 9 OSMEÑA TAGBINA GILBERT Blended
nong ty SUR HERYL,ENOY,
LICAROS
Binisay

21 <=== TOTAL MALE

Cebuano /
BARBAS, CANUNAYON,
BARBAS,JAIRAH NEMSHEEN, Sinugbua Christiani SURIGAO DEL CCT
500580190019 F 01-11-2014 8 OSMEÑA TAGBINA JAYRANS NOEMI,LUMAN Blended
CANUNAYON nong ty SUR
TAGANILE TA,
Binisay
 Cebuano /
BAYSON, SANCHEZ,LUZ
BAYSON,CRINCE THAIRA, Sinugbua Christiani SURIGAO DEL
500580190034 F 12-30-2013 8 OSMEÑA TAGBINA ANDRES MINDA,ROTILL Blended
SANCHEZ nong ty SUR
SIMBAJON A,
Binisay

CITY OF NCR T/I

Christiani BISCO, GLENN CAÑONES,MAN
500438190236 BISCO,ANGELYN, CAÑONES F 05-22-2014 8 Tagalog PUTATAN MUNTINLUP FOURTH Face to Face DATE:2022-08-
ty GARROTE ILYN,MAQUE,
A DISTRICT 22

Cebuano /
CAAYAMAN, ROSALITA,REB
CAAYAMAN,ANGELA, Sinugbua Christiani SURIGAO DEL
500580190020 F 07-09-2014 8 OSMEÑA TAGBINA JULIETO ECCA,ARQUIZ Blended
ROSALITA nong ty SUR
MANTILLA A,
Binisay

Cebuano /
Sinugbua Christiani SURIGAO DEL CAAYAMAN,JE
500580190021 CAAYAMAN,PRECIOUS ANGEL, - F 06-27-2014 8 OSMEÑA TAGBINA Blended
nong ty SUR SEL,POLINAR,
Binisay

Cebuano /
GERMATA,
GERMATA,XAIRA DANIELA, Sinugbua Christiani SURIGAO DEL DALLON,DAIS
500580190022 F 09-12-2013 9 OSMEÑA TAGBINA RONIE Blended
DALLON nong ty SUR Y,DIONG,
SANGALLA
Binisay

Cebuano / VERGARA,MAR
HINALOC,
HINALOC,JULIET MAE, Sinugbua Christiani SURIGAO DEL IA CCT
500580190032 F 09-02-2013 9 OSMEÑA TAGBINA JULIETO Blended
VERGARA nong ty SUR NOMIA,ESTRE
MACARAYAN
Binisay VILLO,

Cebuano /
SAYAWAN,REB
LAGO,RUCEL SHANE, Sinugbua Christiani SURIGAO DEL LAGO, OLOGIO CCT
500580190035 F 03-29-2013 9 OSMEÑA TAGBINA ECCA,ESTRELL Blended
SAYAWAN nong ty SUR CAYETUNA
A,
Binisay

Cebuano /
MAKINANO,
MAKINANO,GEIRAH RHEST, Sinugbua Christiani SURIGAO DEL CALBARIO,IRIS
500580190024 F 09-24-2013 9 OSMEÑA TAGBINA GERALDO Blended
CALBARIO nong ty SUR H,SALAHAY,
BOOC
Binisay

Cebuano /
Sinugbua Christiani SURIGAO DEL ODCHIGUE, TAMBIS,ZENIF CCT
500580190025 ODCHIGUE,MYCA, TAMBIS F 05-19-2014 8 OSMEÑA TAGBINA Blended
nong ty SUR REY GABULE FER,RIVERO,
Binisay

Cebuano /
OGDOC,JANELLE PEARL, Sinugbua Christiani SURIGAO DEL OGDOC, JUNIEL CAÑONES,GIN
500580190027 F 01-10-2014 8 OSMEÑA TAGBINA Blended
CAÑONES nong ty SUR CABURNAY A,LUROT,
Binisay

Cebuano /
PULVERA,
PULVERA,SHECHINAH ERRL, Sinugbua Christiani SURIGAO DEL COLOBONG,GR
500580190026 F 08-01-2014 8 OSMEÑA TAGBINA RODRIGO Blended
COLOBONG nong ty SUR ACE,MARRON,
BIGAL JR
Binisay

Cebuano /
Sinugbua Christiani SURIGAO DEL SIMBAJON,VIL
500580190028 SIMBAJON,JOVELYN, - F 09-30-2013 9 OSMEÑA TAGBINA Blended
nong ty SUR MA,OBAOB,
Binisay

Cebuano /
SUAYBAGUIO, ELLADORA,FL
SUAYBAGUIO,VINCENT MAE, Sinugbua Christiani SURIGAO DEL
500580190029 F 09-24-2013 9 OSMEÑA TAGBINA MELVIN ORAMIE,CERR Blended
ELLADORA nong ty SUR
MERENCILLO O,
Binisay
 Cebuano /
Sinugbua Christiani SURIGAO DEL TALDE, ROGER SEMINE,JUDEL
500580190030 TALDE,CHARLOTTE, SEMINE F 07-07-2014 8 OSMEÑA TAGBINA Blended
nong ty SUR HABARADAS YN,CATA,
Binisay

Cebuano /
RIVAS,MARY T/I
Sinugbua Christiani SURIGAO DEL VERGARA,
500580190033 VERGARA,JULIA, RIVAS F 05-19-2014 8 OSMEÑA TAGBINA JOY,CORAMBA Blended DATE:2022-08-
nong ty SUR EVER LICAROS
O, 22
Binisay

Cebuano /
Sinugbua Christiani SURIGAO DEL YPIL, MICHAEL BALILING,ROS
500580190031 YPIL,CHERIZE FAITH, BALILING F 03-07-2014 8 OSMEÑA TAGBINA Blended
nong ty SUR MAG-ASO ALYN,OPPUS,
Binisay

17 <=== TOTAL FEMALE

38 <=== COMBINED

List and Code of Indicators under REMARKS column

Indicator Code Required Information Indicator Code Required Information REGISTERED BoSY EoSY Prepared by; Certified Correct:

Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date JOSELIN BULILAN CASEÑAS
Date MALE 21
Balik Aral B/A Name of school last attended & Year ELIZABETH TORAJA GABULE (Signature of School Head over Printed Name)
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 SY) BoSY Date: EoSY Date:
TOTAL 38
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Wednesday, November 16, 2022