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School ID 113337 Region V Division

School Name CALATAGAN ELEMENTARY SCHOOL

AGE as of
1st Friday of
June
BIRTH IP
NAME Sex BIRTH DATE MOTHER
LRN PLACE (Specify
(Last Name, First Name, Middle Name) (M/F) (mm/ dd/yy) TONGUE
(nos. of ( Province) Ethnic Group)
years as per
last birthday)

Not a member of any

113337150044 CAÑETE, JUSTIN SUAREZ M 7/26/10 7 Catanduanes Bikol ethnic group
1
Not a member of any
113337150004 CULING, JAKE IVAN M 10/18/10 7 Catanduanes Bikol ethnic group
2
Not a member of any
11333750030 GIANAN, JUSTINE CLARENCE LAZADO M 4/30/10 8 Catanduanes Bikol ethnic group
3
 AGE as of
1st Friday of
June
BIRTH IP
NAME Sex BIRTH DATE MOTHER
LRN PLACE (Specify
(Last Name, First Name, Middle Name) (M/F) (mm/ dd/yy) TONGUE
(nos. of ( Province) Ethnic Group)
years as per
last birthday)

Not a member of any

11333750046 GIANAN, MATTHEW CONRADO M 12/3/09 8 Catanduanes Bikol ethnic group
4
Not a member of any
113191150016 LIM, XIAN DENCEE RODRIGUEZ M 12/20/09 8 Catanduanes Bikol ethnic group
5
Not a member of any
11333750049 MAGDARAOG, ALDRIN JR SORREDA M 1/1/10 8 Catanduanes Bikol ethnic group
6
Not a member of any
434024150006 OSIDO, SEBASTIAN JOSE CLAVANO M 2/5/10 8 Catanduanes Bikol ethnic group
7
Not a member of any
113337150033 RIVERA, MANNY JAMERO M 11/15/09 8 Muntinlupa Bikol ethnic group
8
Not a member of any
113337150035 SOLMERANO, RHYAN JR. TOMAGAN M 3/31/10 8 Catanduanes Bikol ethnic group
9
Not a member of any
113337160058 TABUZO, ISRAEL TABLIGAN M 6/29/07 10 Catanduanes Bikol ethnic group
10
Not a member of any
113337150054 TARIMAN, MARK JOY FRANCIS UBALDE M 6/15/10 7 Catanduanes Bikol ethnic group
11
 AGE as of
1st Friday of
June
BIRTH IP
NAME Sex BIRTH DATE MOTHER
LRN PLACE (Specify
(Last Name, First Name, Middle Name) (M/F) (mm/ dd/yy) TONGUE
(nos. of ( Province) Ethnic Group)
years as per
last birthday)

Not a member of any

113346150022 TAYSON, KENT ZHAKEIR M 9/11/10 7 Catanduanes Bikol ethnic group
12
Not a member of any
113352150148 VARGAS, ROHANN JOSON M 4/13/10 8 Catanduanes Bikol ethnic group
13
Not a member of any
113337150015 CAMBONGA, DIMPLE MARQUEZ F 7/7/10 7 Catanduanes Bikol ethnic group
14
Not a member of any
GONZALES, PRISHA VON REYES F 7/8/10 7 Catanduanes Bikol ethnic group
15 113337150061
Not a member of any
434025150021 LACADIN, CHRISTELA RAINE UBALDE F 12/10/09 8 Catanduanes Bikol ethnic group
16
Not a member of any
113337150021 MARQUEZ, NAHIA SUAREZ F 6/28/10 7 Catanduanes Bikol ethnic group
17
Not a member of any
107217150039 MARQUEZ, RHEINN ANGELA ISUGA F 6/24/10 7 Catanduanes Bikol ethnic group
18
Not a member of any
113337140109 MATIENZO, PRINCESS KAYE CAMACHO F 3/19/10 8 Catanduanes Bikol ethnic group
19
 AGE as of
1st Friday of
June
BIRTH IP
NAME Sex BIRTH DATE MOTHER
LRN PLACE (Specify
(Last Name, First Name, Middle Name) (M/F) (mm/ dd/yy) TONGUE
(nos. of ( Province) Ethnic Group)
years as per
last birthday)

Not a member of any

113337150041 OBO, DIVINE GRACE TIMBANG F 9/24/10 7 Catanduanes Bikol ethnic group
20
Not a member of any
113337160057 OCRAY, NIKKA LOUISSE LICUP F 7/9/10 7 Catanduanes Bikol ethnic group
21
Not a member of any
113337150022 RODRIGUEZ, TREXCY CAYABYAB F 1/29/10 8 Catanduanes Bikol ethnic group
22
Not a member of any
113352160011 SARMIENTO DANNAH WEYN ROMERO F 11/24/09 8 Catanduanes Bikol ethnic group
23
Not a member of any
113337150024 TAYOTO, JOZELLE ANNE TARRAGO F 10/6/10 7 Catanduanes Bikol ethnic group
24
Not a member of any
113337150025 TAYSON, DAPHNE ARADOR F 12/3/09 8 Catanduanes Bikol ethnic group
25
Not a member of any
113337150026 TORILLOS, LHORIE JEANNE OLESCO F 3/7/10 8 Catanduanes Bikol ethnic group
26
Not a member of any
113345150091 TUBORO, YZA IYA PALEAN F 1/25/10 8 Catanduanes Bikol ethnic group
27
 AGE as of
1st Friday of
June
BIRTH IP
NAME Sex BIRTH DATE MOTHER
LRN PLACE (Specify
(Last Name, First Name, Middle Name) (M/F) (mm/ dd/yy) TONGUE
(nos. of ( Province) Ethnic Group)
years as per
last birthday)

Not a member of any

113337150070 VARGAS, MA. DENISE ABRASALDO F 1/31/10 8 Catanduanes Bikol ethnic group
28
 AGE as of
1st Friday of
June
BIRTH IP
NAME Sex BIRTH DATE MOTHER
LRN PLACE (Specify
(Last Name, First Name, Middle Name) (M/F) (mm/ dd/yy) TONGUE
(nos. of ( Province) Ethnic Group)
years as per
last birthday)
 AGE as of
1st Friday of
June
BIRTH IP
NAME Sex BIRTH DATE MOTHER
LRN PLACE (Specify
(Last Name, First Name, Middle Name) (M/F) (mm/ dd/yy) TONGUE
(nos. of ( Province) Ethnic Group)
years as per
last birthday)

List and code of Indicators under REMARK column

Indicator Code Required Information Indicator Code

Transferred Ou T/O Name of Public (P) Private (PR) School & EffectivityCCT Recipient CCT

Transferred IN T/I Name of Public (P) Private (PR) School & EffectivityBalik-Aral B/A
Dropped DRP Reason and Effectivity Date Learner With Dissabilit LWD
 AGE as of
1st Friday of
June
BIRTH IP
NAME Sex BIRTH DATE MOTHER
LRN PLACE (Specify
(Last Name, First Name, Middle Name) (M/F) (mm/ dd/yy) TONGUE
(nos. of ( Province) Ethnic Group)
years as per
last birthday)

Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) Accelarated ACL
 School Form 1 (SF 1) School Register
(This replaced Form 1, Master List & STS Form 2-Family Background and Profile)

CATANDUANES District Virac North

School Year 2018-2019 Grade Level III Section

ADDRESS NAME OF PARENTS

RELIGION
House # / Father (1st name only if
Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Municipality/ City Province family name identical to
Middle & Last Name)
Purok learner)

Christian - Calatagan
Virac Catanduanes Reynaldo Adelfa Suarez
Catholic Tibang
Christian - Calatagan
Virac Catanduanes Jeffry Marquez Vanessa Culing
Catholic Proper
Christian -
Valecia Virac Catanduanes Marvin Resley Lazado
Catholic
 ADDRESS NAME OF PARENTS

RELIGION
House # / Father (1st name only if
Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Municipality/ City Province family name identical to
Middle & Last Name)
Purok learner)

Christian - Calatagan
Virac Catanduanes Mark Romel Catherine Conrado
Catholic Tibang
Christian - Calatagan
006 Real St. Virac Catanduanes Lawrence Marife Rodriguez
Catholic Tibang
Christian - Calatagan
150 Mabini St. Virac Catanduanes Aldrin Rowena Sorreda
Catholic Tibang
Christian - Calatagan
Virac Catanduanes Anniver Jodita Clavano
Catholic Proper
Christian - Calatagan
Virac Catanduanes Maricar Jamero
Catholic Proper
Christian - Calatagan
Sto. Cristo St. Virac Catanduanes Rhyan Chona Tomagan
Catholic Tibang
Christian - Calatagan
Sto. Cristo St. Virac Catanduanes Israel Teresa Tabligan
Catholic Proper
Christian - Calatagan
P. Panti St. Virac Catanduanes Francis Joy
Catholic Tibang
 ADDRESS NAME OF PARENTS

RELIGION
House # / Father (1st name only if
Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Municipality/ City Province family name identical to
Middle & Last Name)
Purok learner)

Christian - Calatagan
Virac Catanduanes Edwardo Francisco Zenith Ann Tayson
Catholic Proper
Christian - Calatagan
Asuncion St. Virac Catanduanes Ronald Johna Mae Joson
Catholic Proper
Christian - Calatagan
Sto. Cristo St. Virac Catanduanes Rodel Sheryl Cambonga
Catholic Proper
Christian -
Calatagan
Orthodox 42 Real St. Virac Catanduanes Larry Sally Reyes
Proper
Church
Christian - Calatagan
Sto. Cristo St. Virac Catanduanes Christopher Maristela Ubalde
Catholic Tibang
Christian - Calatagan
03 Real St. Virac Catanduanes Nino Rey Maricel Sorrera
Catholic Tibang
Christian - Calatagan
Virac Catanduanes Denny Lane Gloria Isuga
Catholic Tibang
Christian - Calatagan
Virac Catanduanes Norbert Mary Rose Camacho
Catholic Tibang
 ADDRESS NAME OF PARENTS

RELIGION
House # / Father (1st name only if
Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Municipality/ City Province family name identical to
Middle & Last Name)
Purok learner)

Christian -
Cavinitan Virac Catanduanes Vicente Cristina Timbang
Catholic
Christian - Calatagan
Virac Catanduanes Nicomedes Luscel Licup
Catholic Tibang
Christian - Calatagan
Virac Catanduanes Warren Rosalie Rodriguez
Catholic Proper
Christian - Calatagan
Burgos St. Virac Catanduanes Donny Wennie Romero
Catholic Proper
Christian - Calatagan
J. Luna St. Virac Catanduanes Jose Jr. Marie Gazelle Tarrago
Catholic Proper
Christian - Calatagan
070 Real St. Virac Catanduanes Jovit Manilyn Arador
Catholic Proper
Christian - Calatagan
Virac Catanduanes Delfin Magtangob Myra T. Magtangob
Catholic Proper
Christian - Calatagan
St. John Village Virac Catanduanes Eugene Earl Menchie
Catholic Tibang
 ADDRESS NAME OF PARENTS

RELIGION
House # / Father (1st name only if
Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Municipality/ City Province family name identical to
Middle & Last Name)
Purok learner)

Christian - Calatagan
Virac Catanduanes Nestor Shiela
Catholic Proper
 ADDRESS NAME OF PARENTS

RELIGION
House # / Father (1st name only if
Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Municipality/ City Province family name identical to
Middle & Last Name)
Purok learner)
 ADDRESS NAME OF PARENTS

RELIGION
House # / Father (1st name only if
Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Municipality/ City Province family name identical to
Middle & Last Name)
Purok learner)

mn
Prepared by:
Required Information BoSY EoSY

CCT Control/reference number & Effectivity Date MALE 13

RACHEL P. GUALBERTO
(Signature of Adviser over Printed
Name of school last attended & Year FEMALE 15

Specify
TOTAL 28
 ADDRESS NAME OF PARENTS

RELIGION
House # / Father (1st name only if
Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Municipality/ City Province family name identical to
Middle & Last Name)
Purok learner)
TOTAL 28
Specify Level & Effectivity Data BoSY Date: EoSYDa
h

Modesty

GUARDIAN (If not Parent) REMARK/S

Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)

CCT

CCT

9092276837
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)

grandfather 9468695686 CCT

9085603872

9501257264

9129265791

9093337663

9077899752

9108031158

9468413171
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)

9507913191

9078526234

9120576614

9998765222

9294890155

9090875108

9100776286

9082001312
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)

99832993552

9486544861

9183235029

9305428599

9467457387

9506197879

9486319945

9095448279
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)

9098146283
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)
 GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)

Certified Correct:

GUALBERTO OPERO A. TURADO

er over Printed Name) (Signature of School Head over Printed Name)
 GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)

EoSYDate: BoSY Date: EoSYDate: