Professional Documents
Culture Documents
SF1 - 2023 - Grade 5 - BURGOS
SF1 - 2023 - Grade 5 - BURGOS
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School Name Payangan Integrated School School Year 2023 - 2024 Grade Level Grade 5 Section BURGOS
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)
BARREDA, SAN
BARREDA,KIM VINCENT, SAN Christiani DINALUPIH
104587170022 M 05-18-2011 12 Tagalog PAYANGAN BATAAN LOPITO ANDRES,ELISA
ANDRES ty AN
MARTINEZ ,PICINO,
BASILOY,
Christiani DINALUPIH GOCO,RONA,R
500756170262 BASILOY,ROMMEL, GOCO M 01-13-2012 11 Tagalog PAYANGAN BATAAN ROLANDO
ty AN OBENACIO,
MANGADO
BITANGA,
BITANGA,AERON AIZENT, Christiani DINALUPIH NERVAR,RICHI
104587170021 M 10-22-2011 12 Tagalog PAYANGAN BATAAN REGIE
NERVAR ty AN EL,KATIMPO,
CAÑADA
BOLANDOS,JE
Christiani
107014180096 BOLANDOS,JOHN JIAN, - M 07-10-2012 11 Tagalog MATAIN SUBIC ZAMBALES NNY,BOLANTE
ty
,
DELA CRUZ,
DELA CRUZ,JHAY LHORDDEN, Christiani DINALUPIH REPOLLO,RUC
104587180029 M 12-29-2012 10 Tagalog PAYANGAN BATAAN JOHNREY
REPOLLO ty AN HEL,DIANA,
CANDIDO
GABAS,
Christiani DINALUPIH AQUINO,JELLY
104587180027 GABAS,DANZEL, AQUINO M 09-21-2011 12 Tagalog PAYANGAN BATAAN MARLON
ty AN ,JORGE,
FERMINA
nalupihan West
BURGOS
REMARKS
Learning
Modality (Please refer to
the legend on last
page)
Face to Face
Face to Face
Face to Face
Face to Face
Face to Face
Face to Face
Face to Face
Blended
T/O
Face to Face DATE:2024/02/
02
Face to Face
Face to Face
T/I
DATE:2023-
Face to Face 08-29T/O
DATE:2023/11/
03
Face to Face
MULI,APRIL
Christiani DINALUPIH MANAGTAG,
104587180015 MANAGTAG,JOEDEVER, MULI M 10-17-2012 11 Tagalog PAYANGAN BATAAN ROSE,LASCAN
ty AN ROMEO RAMOS
O,
MANCINARES, NORIEGA,JOSE
MANCINARES,ANDRO, Christiani DINALUPIH
104587170015 M 06-01-2012 11 Tagalog PAYANGAN BATAAN ARMAN PHINE,ESTOYA
NORIEGA ty AN
TESORERO ,
PANGOMLAYE REVILLA,BABY
PANGOMLAYEN,BRYAN Christiani DINALUPIH
104587170013 M 09-26-2011 12 Tagalog Aeta PAYANGAN BATAAN N, JOSEPH LYN,PASIGNA
JOSEPH, REVILLA ty AN
REMAREM HON,
RABAGO,
RABAGO,EDWARD JR, Christiani DINALUPIH ALMOCERA,AL
104587160009 M 01-08-2011 12 Tagalog PAYANGAN BATAAN EDWARD SR
ALMOCERA ty AN MA,BOLANTE,
GACUSAN
Masbaten
MULAT,MARYJ
yo / Christiani DINALUPIH RUBIS, JERRY
113582150012 RUBIS,MARJON, MULAT M 04-11-2010 13 PAYANGAN BATAAN ANE,ARCABAD
Minasbat ty AN VENENCE
O,
e
SISNO,
SISNO,EDWARD DOMINIC, Christiani DINALUPIH SOLIS,JOANNE,
104587180014 M 07-22-2012 11 Tagalog PAYANGAN BATAAN DOMINIC
SOLIS ty AN CANLAS,
PAPILLERA
BAHATAN,
BAHATAN,KYLA MAX, Christiani DINALUPIH MARZAN,HER
104587180020 F 02-17-2014 9 Tagalog PAYANGAN BATAAN MAXIMO
MARZAN ty AN MANE,ALALIG,
WACOY
BALDIVINO, DE
BALDIVINO,PRINCESS JULIANA, Christiani DINALUPIH
104587180023 F 09-16-2013 10 Tagalog PAYANGAN BATAAN BENEDICTO LUNA,JOCIPHE
DE LUNA ty AN
LOBIANO NE,PABOL,
RUSIANA,DAR
Christiani DINALUPIH BARELA, JESUS
104587180011 BARELA,JELCY JANE, RUSIANA F 08-10-2013 10 Tagalog PAYANGAN BATAAN ELIZA,IGNACI
ty AN CARIÑO
O,
BITANGA,
BITANGA,CAISA MICAELA, Christiani DINALUPIH JASA,HAYDEE,
104587180005 F 06-22-2013 10 Tagalog PAYANGAN BATAAN BERNARD
JASA ty AN LOPE,
ARGARIN
CABALLEGAN, BOLANTE,SAL
CABALLEGAN,GESA GRACE, Christiani DINALUPIH
104587180030 F 12-11-2012 10 Tagalog PAYANGAN BATAAN GERARDO VACION,CANT
BOLANTE ty AN
BARCIL UBA,
DAVID,
DAVID,PATRICIA PHOMMELA, Christiani DINALUPIH SESNO,LORMIZ
104587180010 F 02-20-2013 10 Tagalog PAYANGAN BATAAN FERNANDO
SESNO ty AN A,LLIORCA,
RIMPAS JR
FRANCISCO,
FRANCISCO,LIYAHNE FEI, Christiani DINALUPIH SESNO,ANALY
104587180021 F 02-02-2013 10 Tagalog PAYANGAN BATAAN ALBERT
SESNO ty AN N,PAPILLERA,
BARTULAY
MACARANAS,
Christiani DINALUPIH LOPEZ,CLARIS
104587140023 MACARANAS,LEA, LOPEZ F 05-27-2009 14 Sambal PAYANGAN BATAAN LEONARDO JR
ty AN SA,ACOSTA,
NAVEROS
Face to Face
Blended
Face to Face
Face to Face
Face to Face
Face to Face
Face to Face
Face to Face
Face to Face
Face to Face
Face to Face
Face to Face
Face to Face
Face to Face
Face to Face
Face to Face
Face to Face
LE
Face to Face DATE:2023/08/
29
MANGA, DELA
Christiani DINALUPIH
104587180009 MANGA,ANGEL, DELA CRUZ F 03-24-2013 10 Tagalog PAYANGAN BATAAN RONALD CRUZ,MARY
ty AN
GABAS ANN,MIRANO,
PANGANIBAN,
PANGANIBAN,ANNA MARIE, Christiani DINALUPIH
104587180031 F 09-01-2012 11 Tagalog Aeta PAYANGAN BATAAN ANDREA,LAXA
LAXAMANA ty AN
MANA,
MULAT,MARY
Christiani DINALUPIH RUBIS, JERRY
104587180026 RUBIS,QUENCEE, MULAT F 06-11-2012 11 Tagalog PAYANGAN BATAAN JANE,ARCABA
ty AN VINENCE
DO,
37 <=== COMBINED
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date DANAH MAE DE BELEN DE PADUA
Date MALE 19
Balik Aral B/A Name of school last attended & Year JONATHAN PAGUIO LALICAN (Signature of School Head over Printed Nam
Transfered In T/I Name of Public (P) Private (PR) School & Effectivity
Date Special Needs SNE Specify (Signature of Adviser over Printed Name)
FEMALE 17
Education D
Dropped DRP Reason and Effectivity Date Accelerated Specify Level & Effectivity Data
Late Enrollment LE Reason (Enrollment beyond 1st Friday of SY) ACL BoSY Date: EoSY Date:
TOTAL 36
BoSY Date: EoSY Date:
Face to Face
Face to Face
Face to Face
Face to Face
Face to Face
BELEN DE PADUA
EoSY Date:
d thru LIS