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Sf1 g11 Thorium
Sf1 g11 Thorium
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School Name Calawis NHS School Year 2020 - 2021 Grade Level Grade 10 Section MALIKHA
GUARDIAN
AGE ADDRESS PARENTS
(if Not Parent)
as of MOTHER
Sex (M/F)
IP
NAME BIRTH DATE 1st TONGUE RELIGIO Contact Number of
LRN (Ethnic Mother's Maiden
(Last Name, First Name, Middle Name) (mm/dd/yyyy) Frida (Grade 1 N House #/ Father's Name (Last Parent or Guardian
Group) Municipality/ Name (Last Name,
y to 3 Only) Street/ Sitio/ Barangay Province Name, First Name, Name Relationship
City First Name, Middle
June Purok Middle Name)
Name)
AYUNAN, DENNIS M
DAMIAN,
Christiani CITY OF ENCIENZO,VA
109348080040 ENCIENZO,FERDENAN, NERIC M 02-21-2003 17 Tagalog CALAWIS RIZAL ELMER
ty ANTIPOLO NESSA,NERIC,
BAGAYAN
MARCELINO, SALDIVAR,ENE
MACASINAG, JOHN CARLO Christiani CITY OF
109348100072 M 11-27-2004 18 Tagalog CALAWIS RIZAL RODRIGO RA,CIMANGKA
PALOMO ty ANTIPOLO
ZONIO ,
MANLAPAZ,NO
Christiani CITY OF
109348090067 MANLAPAZ,EDELBERT, - M 04-14-2003 17 Tagalog CALAWIS RIZAL RILYN,EMBEL
ty ANTIPOLO
Y,
MARCELINO, SALDIVAR,ENE
Christiani CITY OF
109348100072 MARCELINO,JADE, SALDIVAR M 11-27-2004 15 Tagalog CALAWIS RIZAL RODRIGO RA,CIMANGKA
ty ANTIPOLO
ZONIO ,
REMARKS
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MASANGKAY, DE
MASANGKAY,JOHN PAUL, DE Christiani CITY OF
109348100076 M 02-21-2005 17 Tagalog CALAWIS RIZAL VERGILIO JESUS,ANALYN
JESUS ty ANTIPOLO
PAELDONIA JR ,DELREY,
NALANGAN, KURT LG V. M
PEDROSA,
Christiani CITY OF LIPIN,MARIA,R
109348090083 PEDROSA,RENCE, LIMPIN M 03-28-2004 16 Tagalog CALAWIS RIZAL RICARDO
ty ANTIPOLO OSE,
CABOGAYAN
UNLAYAO, UNLAYAO,
Iglesia ni SITIO APIA CITY OF CAMANSO,
UNLAYAO, JERSON ATINDIDO M 7/9/2004 17 Tagalog CALAWIS RIZAL THADEUS JOCELMA MOTHER 9512873043
Cristo PUROK 7 ANTIPOLO JOCELMA
SEBASTIAN CAMANSO
VILLORENTE, RANTUGAN,PH
VILLORENTE,KENT REMUEL, Christiani CITY OF
109348100121 M 03-30-2004 16 Tagalog CALAWIS RIZAL RONALDO DE OEBE,TAMAYO
RANTUGAN ty ANTIPOLO
LUNA ,
ALMINE, ALMOETE,GEN
Christiani CITY OF
109352100005 ALMIÑE,GENY, ALMOETE F 04-18-2004 17 Tagalog CALAWIS RIZAL HENRY ALMO INA,BARTULA
ty ANTIPOLO
DIEL Y,
BELTRAN,ANGELICA JIMENEZ F
RODRIGUEZ
Christiani CRUZ, JERRY BUENO,VANES
165515120052 CRUZ,JESSA, BUENO F 11-11-2004 15 Tagalog PURAY (MONTALBA RIZAL
ty DOROTEO SA,BALABAT,
N)
DIAZ,
Christiani CITY OF SABALAN,MAT
109348100045 DIAZ,JENNY, SABALAN F 01-01-2001 19 Tagalog CALAWIS RIZAL CRISOSTOMO
ty ANTIPOLO ILDE,NACARIO,
RESURECTION
JIMENEZ, NORMILYN S. F
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9512873043
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T/I
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DATE:2020-10-
(print)
02
T/I
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DATE:2020-10-
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04
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JOVEN,
Roman CITY OF NONATO, NONATO,
JOVEN, JESSA ODARVE F 12/6/2001 20 Tagalog PUROK 4 CALAWIS RIZAL ROMMEL 9686593274
Catholic ANTIPOLO JOCELYN JOCELYN
EGLESIA
KATIMPO, RANTUGAN,JO
KATIMPO,JIRAHMEKYLA, Christiani CITY OF
114787100074 F 05-03-2005 15 Tagalog CALAWIS RIZAL MARINO VELYN,TAMAY
RANTUGAN ty ANTIPOLO
ZAPICO O,
Dumagat- SAN
Christiani CITY OF MALACA,
109348100069 MALACA,ERNALYN, SAN JOSE F 07-08-2005 14 Tagalog Remonta CALAWIS RIZAL JOSE,LINA,BAG
ty ANTIPOLO NORIEL VICTA
do AYAN,
RAGORO DOROTEO
Roman CITY OF DIWATA
RAGORO, ANNIE TEOPE F 11-30-1999 22 Tagalog PORUK 5 CALAWIS RIZAL SAMIRO HILDA 9197557387
Catholic ANTIPOLO HAIDEY TEOPE
MALVACIAS RAGORO
SALAZAR,
Christiani CITY OF LOPEZ,LATICIA
109348100098 SALAZAR,ARIAN, LOPEZ F 08-16-2005 15 Tagalog CALAWIS RIZAL ARMANDO
ty ANTIPOLO ,ASIONG,
CARLOS
Dumagat-
Christiani CITY OF MERIÑO,RACQ
109348100109 TARAY,MARRA, MERINO F 04-20-2005 15 Tagalog Remonta CALAWIS RIZAL TARAY, ROLLY
ty ANTIPOLO UIEL,S,
do
VISALES, ANGELYN
F
RODRIGUEZ
43 <=== COMBINED
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9197557387
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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 ROSANNA A. ORTIZ
Date MALE 19
Balik Aral B/A Name of school last attended & Year ELVIN G. TESTON (Signature of School Head over Pri
Transfered In T/I Name of Public (P) Private (PR) School & Effectivity
Date Learner With LWD Specify (Signature of Adviser over Printed Name)
FEMALE 25
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:
TOTAL 43
BoSY Date: EoSY Date:
CHRISTIAN DAVE C. CLAR
Generated thru LIS
Generated on:
ROSANNA A. ORTIZ
EoSY Date: