Early Registration Form

Enclosure No.2 to DepEd Order No. 4, s.
2012
Form 1
DEPARTMENT OF EDUCATION
EARLY REGISTRATION FORM
School ID:
106558
School Name: ADUAS ELEMENTARY
District:
PANIQUI WEST
Grade/Year Level: SIX
Region:
III
Division: TARLAC PROVINCE
NAME
SEX
AGE
BIRTH
DATE
1. Abellera, Jhon Melchor T.

2. Abrazado Jr., Rolly G.
3. Aquino, Roldan B.
4. Bacarro, Elmer L.
5. Bacarro, Hero L.
6. Bernardo, Rovic Y.
7. Bumatay, John Jeric S.
8. Caerlang, Cedrick B.
9. Caerlang, Roy D.
10. Del Rosario, Elson
11. Dizon, Mark Anthony D.
12. Domingo, Bryson Cole I.
13. Ferrer, Aries Xander B.
14. Gabriel, Jossim Y.
15. Neri, Christian Josh C.
16. Ragsac, John Lee F.
17. Raymundo, Christopher D.
18. Tabago, Miko Jodell
19. Teodoro, Clarence Kyle G.
20. Teodoro, Erick Cyrlle F.
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
10
10
10
12
9
11
9
10
10
12
9
10
9
10
10
10
10
9
9
10
1-6-2004
1-20-2004
4-29-2003
7-5-2001
6-5-2004
3-11-2002
6-3-2004
11-15-2003
10-15-2003
8-15-2001
5-14-2004
9-25-2003
2-11-2004
11-24-2003
12-22-2003
11-5-2003
8-26-2003
3-21-2004
6-16-2004
6-15-2003
Remarks*
1.
2.
ADDRESS
Aduas Paniqui, Tarlac
CATEGORY
OF C/Y
WITH
DISABILITY
REMARKS
Currently enrolled in Grade V
For Grade I Registrants: Has attended/not attended Kindergarten class.

For ALS: Information whether the child/youth prefers to learn through the ADM (Alternative Delivery Mode) (MISOSA,
e-IMPACT, DORP) or ALS (Alternative Learning System)Category of C/Y with Disability**Visual Impairment,
Hearing Impairment, Intellectual Disability, Learning Disability, Speech/Language Impairment, Serious Emotional
Disturbance, Autism, Orthopaedic Impairment, Special health Problem, Multiple Disabilities.
Prepared by:
ROMY C.BAYNO
Teacher
Noted:
CHARITTE M. PARAZO
ESP - I
Enclosure No.2 to DepEd Order No. 4, s.2012
Form 1
School ID:
106558
District:
PANIQUI WEST
Grade/Year Level: SIX
Region:
III
NAME
SEX
AGE
BIRTH
DATE
1. Baldovino, Jenny P.
2. Candelario, Jane C.
3. Cobangbang, Shaina P.
4. Dizon, Jenica S.
5. Fernandez, Sharmaine Ann C.
6. Gabriel, Ericka Joy F.
7. Ignacio, Kristine Mae T.
8. Mangandi, Juver D.
9. Neri, Jamaica Jane V.
10. Reyes, Princess Nicole F.
11. Solisa, Chyrill Shaan
12. Valdez, Emilyn C.
13. Yap, Mikylla A.
F
F
F
F
F
F
F
F
F
F
F
F
F
10
9
9
9
9
10
10
9
10
9
11
10
9
12-27-2003
1-30-2004
2-15-2004
2-7-2004
3-8-2004
10-3-2003
1-16-2004
5-31-2004
1-4-2004
2-25-2004
8-15-2002
8-2-2003
5-3-2004
Remarks*
1.
2.
ADDRESS
Aduas Paniqui,Tarlac
CATEGORY
OF C/Y
WITH
DISABILITY
REMARKS


Prepared by:
ROMY C.BAYNO
Teacher
Noted:
CHARITTE M. PARAZO
ESP - I
Form 1
School ID:
106558
District:
PANIQUI WEST
Grade/Year Level: FIVE
Region:
III
NAME
SEX
AGE
BIRTH
DATE
1. Aquino, Joshua P.
2. Baldovino, Jay-ar F.
3. Baldovino, Jemar G.
4. Baldovino, Jemil G.
5. Bautista, Kyle F.
6. Bravo, Cloyd B.
7. Bumatay, Jomar
8. Dizon, Jayward
9. Fernandez, Emil V.
10. Fernandez, Joshua D.
11. Ferrer, Sean Alfred B.
12. Garcia, Erwin Q.
13. Garcia, Mark John Paul A.
14. Letran Jr., Richard G.
15. Licuan, Jaymar F.
16. Manglicmot, Daniel
17. Neri, Wendell I.
18. Quiza, Alfred A.
19. Ramos, Cyrus Jean
20. Ramos, Jay-ar G.
21. Sabado Jr., Raden G.
22. Simbre, Ariel E.
23. Tabago, Angelo A.
24. Tabago, Mike Jorell F.
25. Viejo, Mark Justine M.
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
10
9
9
9
9
9
15
10
9
9
9
9
9
10
10
12
9
9
11
10
9
11
10
10
9
3-16-2004
4-22-2005
6-22-2005
6-22-2005
10-22-2004
2-8-2005
1-10-2000
3-26-2004
6-7-2005
4-22-2005
10-3-2005
11-29-2004
2-10-2005
8-4-2004
10-23-2004
5-25-2002
8-22-2005
2-19-2005
7-29-2003
1-5-2005
3-6-2005
4-19-2003
10-2-2003
3-31-2005
6-15-2005
Remarks*
1.
2.
ADDRESS
CATEGORY
OF C/Y
WITH
DISABILITY
REMARKS
Currently enrolled in Grade IV


Prepared by:
JOSEPH EMMANUEL C.PAZZIBUGAN
Teacher
Noted:
CHARITTE M. PARAZO
ESP - I
Form 1
School ID:
106558
District:
PANIQUI WEST
Grade/Year Level: FIVE
Region:
III
NAME
SEX
AGE
BIRTH
DATE
ADDRESS
1. Abellera, Marsha T.
2. Caduyac, Shannia Lei T.
3. Cesario, Alexandra Nicole V.
4. Dela Cruz, Jeniline T.
5. Dizon, Shaira Mae F.
6. Dumaquita,Kathrina Paula V
7. Fernandez, Irish Nicole C.
8. Gallardo, Jenny Lyn D.
9. Gorospe, Roselyn D.
10. Granil, Bea Angel P.
11. Hipolito, Anna Nicole M.
12. Tabago, Mary Rose R.
F
F
F
F
F
F
F
F
F
F
F
F
9
9
9
9
9
9
9
9
10
9
9
9
3-23-2005
11-15-2004
7-4-2005
3-8-2005
11-30-2004
9-17-2005
9-3-2005
7-6-2005
9-21-2004
6-22-2005
10-28-2004
12-27-2004

Remarks*
1.
2.
CATEGORY
OF C/Y WITH
DISABILITY
REMARKS
Currently enrolled in Grade


Prepared by:
JOSEPH EMMANUEL C. PAZZIBUGAN
Teacher
Noted:
CHARITTE M. PARAZO
ESP - I
Form 1
School ID:
106558
District:
PANIQUI WEST
Grade/Year Level: THREE
Region:
III
NAME
SEX
AGE
BIRTH
DATE
ADDRESS
1. Aquino, Eugene M.
2. Aquino, Jomel P.
3. Baldovino, Regie F.
4. Bernardo, Ronbert J.
5. Calosing, Matthew Rafael F.
6. Dela Cruz Jr., Jody T.
7. Fernandez, Glen Vher R.
8. Gabriel, Junnel H.
9. Garcia, Manny A.
10. Gervacio, Aldrin L.
11. Grande, Jhemwell L.
12. Gorospe, John Rainer P.
13. Gorospe Jr., Rommel S.
14. Letran, Adrian G.
15. Montalla, John Marvin C.
16. Neri, John Rafael
17. Ramos, Jaybe G.
18. Tamayo, Joemar G.
19. Yanga Jr., Ramil P.
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
8
8
7
7
7
8
8
7
7
7
8
9
7
7
7
7
8
8
10
9-19-2006
6-1-2006
4-6-2007
5-20-2006
8-15-2007
1-4-2007
12-9-2006
6-3-2007
5-22-2007
7-18-2007
10-2-2006
1-19-2005
10-7-2007
2-15-2007
5-26-2007
4-21-2007
11-16-2006
12-25-2006
5-9-2004

Remarks*
1.
2.
CATEGORY
OF C/Y WITH
DISABILITY
REMARKS
Currently enrolled in Gra


Prepared by:
ANNA RUTH G.SALVADOR
Teacher
Noted:
CHARITTE M. PARAZO
ESP - I
Form 1
School ID:
106558
District:
PANIQUI WEST
Grade/Year Level: THREE
Region:
III
NAME
SEX
AGE
BIRTH
DATE
1. Aquino, Cathleen Rose D.

2. Caerlang, Lindsay A.
3. Cleofas, Erica Joy G.
4. Cobangbang, Jasmin P.
5. Dizon, Chloue D.
6. Dizon, Realyn
7. Fernandez, Andrea Nicole V.
8. Fernandez, Genalyn Rose D.
9. Garcia, Angel S.
10. Gorospe, Ruchelle P.
11. Granil, Kris Yael P.
12. Ignacio, Frieda Krisanta Jane T.
13. Lardizabal, Nicole N.
14. Masbate, Jane Marie D.
15. Montalla, Mary Joy T.
16. Neri, Jennylyn V.
17. Pastor, Angelita P.
18. Pedro, Jenalyn M.
19. Quilpa, Sharmel Angel C.
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
9
7
8
8
7
9
8
8
7
9
7
7
7
7
8
7
7
8
7
5-20-2005
5-2-2007
12-16-2006
12-30-2006
6-8-2007
11-22-2005
12-26-2006
12-23-2006
10-4-2007
10-16-2005
4-8-2007
4-6-2007
9-29-2007
4-4-2007
11-20-2006
5-18-2007
8-31-2007
11-18-2006
9-4-2007
Remarks*
1.
2.
ADDRESS
CATEGORY
OF C/Y
WITH
DISABILITY
REMARKS


Prepared by:
ANNA RUTH G.SALVADOR
Teacher
Noted:
CHARITTE M. PARAZO
ESP - I
Form 1
School ID:
106558
District:
PANIQUI WEST
Grade/Year Level: TWO
Region:
III
NAME
SEX
AGE
BIRTH
DATE
ADDRESS
1. Aquino, Lemuel P.
2. Aquino, Prince Jade M.
3. Bagalay, Mac Kendrick Y.
4. Batocabe, John Michael P.
5. Bautista, Christian T.
6. Caerlang, Benedick B.
7. Candelario, Janwin Simon G.
8. Del Rosario, Terence C.
9. Dumaquita, Kenneth H.
10. Gualberto, Jed-EJ T.
11. Gualberto, Reymund A.
12. Licuan, Aljure S.
13. Manglicmot, Marklein F.
14. Neri, Gian Carlo C.
15. Pedro Jr., Jose M.
16. Ragsac, John Rey D.
17. Valdez, Eduardo C.
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
6
6
7
6
7
7
7
7
7
6
7
7
6
6
6
6
5
4-3-2008
5-14-2008
11-1-2007
3-22-2008
12-29-2007
11-14-2007
12-9-2007
11-29-2007
12-10-2007
3-10-2008
12-27-2007
11-24-2007
6-30-2008
11-22-2008
9-9-2008
4-18-2008
6-18-2008

CATEGORY
OF C/Y
WITH
DISABILIT
Y
REMARKS

Remarks*
1.
2.

Prepared by:
PERLITA V.MACARAEG
Teacher
Noted:
CHARITTE M. PARAZO
ESP - I
Form 1
School ID:
106558
District:
PANIQUI WEST
Grade/Year Level: TWO
Region:
III
NAME
SEX
AGE
BIRTH
DATE
1. Aquino,Christine Ria D.
2. Balbino, Micahela Joy T.
3. Cobangbang, Angel D.
4. Casco, Bernadette F.
5. Corla, Heizhel Charm T.
6. Dela Cruz, Carmena D.
7. Fernandez, Angel V.
8. Fernandez, Cathleya B.
9. Fernandez, Eliza May J.
10. Fernandez, Michelle C.
11. Fernandez, Novelyn D.
12. Gonzales, Khristine Mae Nicole T.
13. Gorospe, Rosemarie D.
14. Imbat, Rojane B.
15. Labonite, Jinky E.
16. Manipon, Ariana Jan C.
17. Raqueo, Kristine Joy F.
18. Saguban, Lindsay Chloe G.
19. Teodoro, Czarinah Nicole F.
20. Teodoro, Jelliane P.
21. Valenzuela, Julliene Mae N.
22. Viejo, Michaella M.
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
M
6
6
6
6
6
7
6
6
6
6
7
6
6
7
6
7
6
6
6
6
6
6
9-24-2008
3-8-2008
3-3-2008
2-15-2008
3-2-2008
1-4-2008
8-28-2008
2-1-2008
10-19-2008
2-27-2008
11-26-2007
7-14-2008
3-21-2008
1-23-2008
2-24-2008
1-27-2008
6-4-2008
9-24-2008
7-6-2008
5-14-2008
7-7-2008
9-27-2008
Remarks*
1.
2.
ADDRESS
CATEGORY
OF C/Y
WITH
DISABILITY
REMARKS


Prepared by:
PERLITA V. MACARAEG
Teacher
Noted:
CHARITTE M. PARAZO
ESP - I
Form 1
School ID:
106558
District:
PANIQUI WEST
Grade/Year Level: FOUR
Region:
III
NAME
SEX
AGE
BIRTH
DATE
ADDRESS
1. Agustin,Warren M.
2. Ando, Reniel R.
3. Bacarro, Jomarie G.
4. Bumatay, Jhon Lester L.
5. Castillo,Tristan V.
6. De Guzman, Dariel G.
7. Garcia,Jemar S.
8. Gualberto, Jaymart M
9. Licuan, Jericho S.
10. Ragsac, John Racel E.
11.Santo,Amiel Jilian E
12. Teodoro, Caesar King M.
13.Teodoro, Vincent S.
14. Valeroso, Christian
M
M
M
M
M
M
M
M
M
M
M
M
M
M
10
8
8
8
9
8
8
8
8
8
14
8
8
8
1-14-2005
8-18-2006
9-25-2005
6-16-2006
1-22-2006
5-21-2006
9-26-2006
8-9-2005
9-9-2006
6-21-2006
10-19- 2000
10-29-2006
11-24-2005
10-28-2005

CATEGORY OF
C/Y WITH
DISABILITY
REMARKS
Currently enrolled in Grad

Remarks*
1.
2.

Prepared by:
MYLETTE Y. ARCE
Teacher
Noted:
CHARITTE M. PARAZO
ESP - I
Form 1
School ID:
106558
District:
PANIQUI WEST
Region:
III
NAME
SEX
AGE
BIRTH
DATE
ADDRESS
1. Aquino, Angel P.
2. Balacaoc, Nicole N.
3. Bayno, Angel Chastille M.
4. Berja, Reizy Ann A.
5. Caerlang, Rashae Mae B.
6. Caranel, Princess Jamaica T.
7. Cobangbang, Maricar T.
8. Edralin, Jamila C.
9. Fernandez, Daniella V.
10. Fernandez, Marjorie Joyce D.
11. Galang, Jian Ashlee T.
12. Grande, Airene Rose C.
13. Hilario,Abegail
14. Lopez, Lyka Grace V.
15. Montalla, Lorraine C.
16. Pastor, Gian May G.
17. Prejules, Lovely S.
18. Requentel, Maradel T.
19. Sotelo, Angela B.
20. Sotelo, Jean Rose G.
21. Tabago, Merry Angel S.
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
8
8
8
9
8
8
8
8
9
9
8
9
9
8
9
8
9
8
9
9
9
5-31-2006
3-10-2006
4-22-2006
1-22-2006
8-1-2006
5-18-2006
5-28-2006
8-17-2006
11-6-2005
12-12-2005
3-1-2006
12-28-2005
11-8-2005
10-6-2006
12-1-2005
2-13-2006
11-7-2005
2-22-2006
12-20-2005
10-16-2005
12-23-2005

Remarks*
1.
2.
CATEGORY OF
C/Y WITH
DISABILITY
REMARKS


Prepared by:
MYLETTE Y. ARCE
Teacher
Noted:
CHARITTE M. PARAZO
ESP - I
Form 1
School ID:
106558
District:
PANIQUI WEST
Grade/Year Level: ONE
Region:
III
NAME
SEX
AGE
BIRTH
DATE
ADDRESS
1. Agustin, John Paul M.

2. Bayno, Raine Cedrick M.
3. Bumatay, Christian Jay
4. Fernandez, Danny B.
5. Fernandez, Darwin B.
6.Fernandez, Richmond D.
7. Gabriel, Jordan Y.
8. Grande, Aiverson Ford C.
9. Ignacio, Jared T.
10. Lucero, Cedric Jan M.
11. Neri, Jeff V.
12. Ragsac Jr., Wilfredo P.
13. Simborios, Jasper F.
14. Sotelo Jr., Virgilio P.
15. Sudaria, John Lloyd G.
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
5
5
5
5
5
5
5
5
6
5
5
5
6
5
5
11-22-2009
5-14-2009
8-15-2009
3-16-2009
7-11-2009
10-22-2009
3-14-2009
5-28-2009
1-14-2009
4-17-2009
8-16-2009
3-15-2009
1-16-2009
2-24-2009
5-16-2009

Remarks*
1.
2.
CATEGORY OF
C/Y WITH
DISABILITY
REMARKS
Currently enrolled in Kin


Prepared by:
VIOLA C. PABLO
Teacher
Noted:
CHARITTE M. PARAZO
ESP - I
Form 1
School ID:
106558
District:
PANIQUI WEST
Region:
III
NAME
SEX
AGE
1. Alfonso, Lovely Joy E.

2. Bumatay, Alyssa Nicole S.
3. Cleofas, Mary Grace
4. Gabriel, Joana Mae F.
5. Neri, Erich May N.
6. Nicolas, Janine C.
7. Gallardo, Glaiza D.
8. Caonaso, Ashley M.
9. Reganit, Jasmine P.
10. Tabago, Ashley Nathalie
11.Tamayo, Queenber May Y.
F
F
F
F
F
F
F
F
F
F
F
5
5
6
5
5
5
5
5
5
5
Remarks*
1.
2.
BIRTH
DATE
ADDRESS
5-18-2009
4-17-2009
11-24-2009
1-12-2009
3-27-2009
2-19-2009
9-27-2009
10-8-2009
2-14-2009
6-9-2009
8-19-2009

CATEGORY OF
C/Y WITH
DISABILITY
REMARKS


Prepared by:
VIOLA C. PABLO
Teacher
Noted:
CHARITTE M. PARAZO
ESP - I

Early Registration Form

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Enclosure No.2 to DepEd Order No. 4, s.

1. Abellera, Jhon Melchor T.

For Grade I Registrants: Has attended/not attended Kindergarten class.

Enclosure No.2 to DepEd Order No. 4, s.2012

Currently enrolled in Grade V

For Grade I Registrants: Has attended/not attended Kindergarten class.

Enclosure No.2 to DepEd Order No. 4, s.2012

Currently enrolled in Grade IV

For Grade I Registrants: Has attended/not attended Kindergarten class.

Enclosure No.2 to DepEd Order No. 4, s.2012

Aduas Paniqui, Tarlac

Currently enrolled in Grade

For Grade I Registrants: Has attended/not attended Kindergarten class.

Enclosure No.2 to DepEd Order No. 4, s.2012

Aduas Paniqui, Tarlac

Currently enrolled in Gra

For Grade I Registrants: Has attended/not attended Kindergarten class.

Enclosure No.2 to DepEd Order No. 4, s.2012

1. Aquino, Cathleen Rose D.

Currently enrolled in Gra

For Grade I Registrants: Has attended/not attended Kindergarten class.

Enclosure No.2 to DepEd Order No. 4, s.2012

Aduas Paniqui, Tarlac

Currently enrolled in Grade

For Grade I Registrants: Has attended/not attended Kindergarten class.

Enclosure No.2 to DepEd Order No. 4, s.2012

Currently enrolled in Gra

For Grade I Registrants: Has attended/not attended Kindergarten class.

Enclosure No.2 to DepEd Order No. 4, s.2012

Aduas Paniqui, Tarlac

Currently enrolled in Grad

For Grade I Registrants: Has attended/not attended Kindergarten class.

Enclosure No.2 to DepEd Order No. 4, s.2012

Aduas Paniqui, Tarlac

Currently enrolled in Gra

For Grade I Registrants: Has attended/not attended Kindergarten class.

Enclosure No.2 to DepEd Order No. 4, s.2012

1. Agustin, John Paul M.

Aduas Paniqui, Tarlac

Currently enrolled in Kin

For Grade I Registrants: Has attended/not attended Kindergarten class.

Enclosure No.2 to DepEd Order No. 4, s.2012

1. Alfonso, Lovely Joy E.

Aduas Paniqui, Tarlac

Currently enrolled in Kin

For Grade I Registrants: Has attended/not attended Kindergarten class.

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