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Sf1 - 2022 - Grade 8 (Year II) - Bougainvillea
Sf1 - 2022 - Grade 8 (Year II) - Bougainvillea
Sf1 - 2022 - Grade 8 (Year II) - Bougainvillea
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School Name Dumalian ES School Year 2022 - 2023 Grade Level Grade 8 (Year Section BOUGAINVILLEA
GUARDIAN
ADDRESS PARENTS REMARKS
(if Not Parent)
Age MOTHER Contact
Sex (M/F)
IP
LRN
NAME BIRTH DATE as of TONGUE (Ethnic
RELIGIO Number of Learning
(Last Name, First Name, Middle Name) (mm/dd/yyyy) Octob (Grade 1 N Mother's Maiden Parent or Modality
Group) House #/ Father's Name (Last (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)
Name)
Cebuano /
PAGADIAN ANTIOLA, T/I
ANTIOLA,JOVANIE, Sinugbua Christiani ZAMBOANGA NEMARIA,JINK
126088140011 M 07-13-2009 13 LOURDES CITY JIMMY Face to Face DATE:2022-08-
NEMARIA nong ty
(Capital)
DEL SUR
BARTIQUIL
Y,CALUNOD,
22
Binisay
T/I
PAGADIAN BANAGAN, DATE:2022-08-
BANAGAN,ANGELO, Subanon, Christiani ZAMBOANGA KUMAGAO,AR
126088140014 M 11-11-2008 13 LOURDES CITY ENERIO Face to Face 22NLS
KUMAGAO Western ty
(Capital)
DEL SUR
PANDIAG
LYN,MABINI,
DATE:2022/10/
28
T/I
Cebuano /
PAGADIAN DATE:2022-08-
Sinugbua Christiani ZAMBOANGA GAÑA,ROSEVIL
126088120072 GAÑA,RONEL, - M 11-08-2005 16
nong
Subanen
ty
LOURDES CITY
DEL SUR LA,B,
Face to Face 22NLS
(Capital) DATE:2022/10/
Binisay
21
PAGADIAN T/I
Subanen, No ZAMBOANGA ALLIOS,ROVEL
196043140017 ALLIOS,RELAN, - F 11-01-2005 16
Central
Subanen
Religion
LOURDES CITY
DEL SUR LA,LUMIMPAT,
Face to Face DATE:2022-08-
(Capital) 22
PAGADIAN BARTIQUIL, BAHIBAG,ANA T/I
BARTIQUIL,RACHEL, Christiani ZAMBOANGA
126040130069 F 01-05-2008 14 Cebuano LOURDES CITY PONCIANO CORITA,VILLO Face to Face DATE:2022-09-
BAHIBAG ty
(Capital)
DEL SUR
HOMILDAS RIA, 15
PAGADIAN T/I
Subanen, Christiani ZAMBOANGA GUNAYAN, JUN ALLOS,JOVELY
126088150003 GUNAYAN,JASMINE, ALLOS F 10-18-2008 14
Central
Subanen
ty
LOURDES CITY
DEL SUR LUMILIS N,KUMAGAO,
Face to Face DATE:2022-08-
(Capital) 22
Cebuano / HOMILDAS,
PAGADIAN T/I
HOMILDAS,FRETCH Sinugbua Christiani ZAMBOANGA BUENAVENTU CABAYLES,NO
126088140022 F 08-13-2009 13 Cebuano LOURDES CITY Face to Face DATE:2022-08-
ALTHEA MARIE, CABAYLES nong ty
(Capital)
DEL SUR RA JR RMA,ROMANO,
22
Binisay TELERON
16 <=== COMBINED
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date JAHARIA W. MOHAMMAD, EdD
Date MALE 10
Balik Aral B/A Name of school last attended & Year DONNA FAYE TAMULA YROG-IROG (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 6
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 16
BoSY Date: EoSY Date: