This Replaces Form 1, Master List & STS Form 2-Family Background and Profile
This Replaces Form 1, Master List & STS Form 2-Family Background and Profile
This Replaces Form 1, Master List & STS Form 2-Family Background and Profile
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
as AGE as of
Number
Contact
(Parent
BIRTH PLACE
GUARDIAN (If
MOTHER TONGUE
Name ADDRESS NAME OF PARENTS REMARK/S
IP not Parent)
(Province)
Sex (M/F)
RELIGION
BIRTH
(Specif
Guardian)
DATE
Friday
Father's Mother's (Please refer
Municipality/
#/Street/Sitio/
Relationship
LRN y
(mm/
Barangay
Name (Last Maiden to the
Province
of yrs.
Ethnic
Name
House
/
dd/yy)
Purok
(First Name, Middle Name, First Name (Last legend on
City
Group)
Prepared
Certified Correct:
List and code of Indicators under REMARK column by:
Cod BoS Eo
Indicator Required Information Indicator Required Information
e Y SY
Transferred Name of Public (P) Private (PR) School CCT CCT Control/reference number
MALE 7 RYAN B. GAYAGAY EDWARD C. VICENTE
Out &Effectivity Date Recipient CCT &Effectivity Date
Transferred Name of Public (P) Private (PR) School Name of school last attended FEMAL (Signature of Adviser over (Signature of School Head over
25
IN &Effectivity Date Balik-Aral B/A & Year E Printed Name) Printed Name)
Learner
Dropped Reason and Effectivity Date w/ Specify
disability LWD TOTAL 32
Late Reason (Enrollment beyond 1st Friday of Accelerat
Specify Level &Effectivity Data Date: July 1, 2016 Date:
Enrollment June) ed ACL
Divisi
School ID 305275 CAR Baguio City
on
School Grade
School Name Mil-an National High School 2015 - 2016 Grade Section INTEGRITY
Year 7
Contact
AGE MOTH Number
GUARDIAN
as ER ADDRESS PARENTS of Parent REMARKS
(if Not Parent)
Sex (M/F)
149 ESPERAGOZA,
221503120 ESPERAGOZA, 2/10/200 Balanga Loakan NASOCWAO, 094811429
M 12 RC Kadaclan Baguio Benguet Angelo
083 Genel Nasocwao 4 o Apugan Nelia Fias-ilon 33
Village Macasaquit
GONZALES, CORDA,
221503090 Bicolan 23 Cuilan Loakan GONZALES, 091757930
Mandray Jhan M 4/9/2003 13 RC Baguio Benguet Larrylyn
030 o Compound Proper Steve Flores 23
Corda Relativo
107778090 HORTALEZA, M 9/4/2004 11 Batanga RC 85 Pias Camp 7 Baguio Benguet HORTALEZA, FAJARDO, Maria 094934886
Janzen Harvey s Jimmy Jr Bernas Concepcion 74
Fajardo Natundan
013
221503120 SIMANGON, Jerick 9/20/200 122 Loakan SIMANGON, DULAY, Marites 091037710
M 12 Kalinga RC Baguio Benguet
084 Dulay 3 Springhills Apugan Sabino Paccoy Nariola 86
HIPOL,
136413120 SUAREZ, Steven 9/18/200 Kankanae 60A SUAREZ, Allan 093083085
M 12 RC Loakan Baguio Benguet Donabelle
341 Dale Otanes 3 y Liwanag Caya-os 07
Otanes
Baguio Benguet
<=== TOTAL
7
MALE
Happy BALDONGAN,
221503090 BALDONGAN, 6/20/200 110 Purok ADDON, 092195068
F 11 Aplai Anglican Hallow Baguio Benguet Stephen
011 Stephany Addon 4 3 Caroline Allicoy 79
Ext Ngayodan
BAUTISTA, BOADO,
136413090 BAUTISTA, Mara 9/21/200 7 Purok Loakan 099990220
F 12 Iloko RC Baguio Benguet Mariano Jr. Luzviminda
027 Louise Boado 3 Sadjo Proper 80
Sabado Panergo
136406090 BIMMAWIG, Alma 11/29/20 359 Purok BIMMAWIG, SALDA-EN, Mary 091926532
F 12 Ifugao Born Again Camp 7 Baguio Benguet
020 Joy Salda-en 03 2 Allan Magastino Julian 73
102B
136401130 BOSLAYAN, Kate 11/12/20 Ongasan, BOSLAYAN, VILLANUEVA, 090811679
F 12 ibaloi Anglican Summer Baguio Benguet
003 Villanueva 03 Loakan Donald Dapli Joan Paciteng 91
Hill
BUDADDA,
481534150 4/18/200 63C Loakan BUDADDA, DESOT, Mary 092041334
Quiarah Azen F 12 ibaloi RC Baguio Benguet
021 4 Pidawan Proper Frederick Titiwa Ann Monang 88
Desot
19 CADLEY,
221503090 CADLEY, Raquel Loakan FLORES, Noemi
F 4/9/2004 12 Ibaloi Baptist Kadaclan Baguio Benguet Nasucion
022 Flores Apugan Lepi
Vill. Bosong
157
CALINGAYAN, Loakan CALINGAYAN, 091636089
F 7/1/2003 12 Ifugao Baptist Magsaysa Baguio Benguet
Lhyian Andrae Proper Ligaya Tuguinay 91
y
117 CHAWANGON,
136273090 CHAWANGON, 11/3/200 Balanga Born Loakan VERZOSA, Laila 093977059
F 12 Kadaclan Baguio Benguet Samson Salio-
014 Sharlamae 3 d Again Apugan Calaguim 50
Vill an
136413090 CLETO, Dorothy 10/4/200 005 Purok Loakan CLETO, Recarte TABION, Arlene 091592336
F 12 Tagalog RC Baguio Benguet
059 Faye Tabion 3 Sadjo Proper Jr. Uy Gerona 72
221503090 DELIM, Kristine 1/15/200 148 Loakan DELIM, Eric CHALMAS, 091295434
F 12 RC Baguio Benguet
027 Joy Chalmas 4 Springhills Apugan Helario Elizabeth Mateo 90
136413140 DOMINGUEZ, F 9/3/2004 12 Ibaloi RC 204 Loakan Baguio Benguet DOMINGUEZ, MARCIANO, MARCIANO, 091579876
002 Bernadine Liwanag Bernardo Genevere Caoile Francisca 17
Marciano Santos
136409090 DULDULAO, Rizza 1/12/200 Evangelic 15 Maxicar Loakan DULDULAO, ULATAN, 091830439
F 12 Ilocano Baguio Benguet
084 Mae Ulatan 4 al Vill Proper Michael Abenes Rowena Curiba 07
136413090 DURANTE, Angel Pangasi 246 DURANTE, Joey BARUT, Vanessa 094689612
F 2/7/2004 12 RC Loakan Baguio Benguet
074 Joyce Barut nese Liwanag Ordua Giron 04
PARROCHA,
136413090 GACULA, Razzel Purok GACULA, Rafael 091265551
F 9/3/2003 12 Tagalog Born Again Loakan Baguio Benguet Mary Jane
096 Jane Parrocha Sadjo Pidot 97
Arabang
MANANTAN,
REYES, Jhannie 12/8/200 18 Purok Loakan REYES, Gerwin 092283085
F 12 Iloco RC Baguio Benguet Jasmin Marie
Marie Manantan 3 Suyoc Proper Sabala 20
Galera
1
136413130 ROZUL, Ashlee 10/31/20 Loakan ROZUL, Jerome BRAGA, Elsein 091757057
F 12 Ilonggo RC Demonstr Baguio Benguet
060 Jade Braga 04 Proper Roman Chavez 78
ation Road
TIYAB,
136406130 TIYAB, Ivy Ann 11/22/20 21 Lower SOLANO, Axa 093938535
F 12 Ibaloi RC Camp 7 Baguio Benguet Christopher
010 Solano 03 Viewdeck Jane 31
Alfonso
<=== TOTAL
25
FEMALE
<===
32
COMBINED
List and Code of Indicators under REMARKS column
B Prepared by; Certified Correct:
Indicato Co Required Cod REGISTE o
Indicator Required Information EoSY
r de Information e RED S
Y
Transfe T/O Name of Public (P) CCT CCT CCT Control/reference number & MALE 7 RYAN BUGNOSEN GAYAGAY EDWARD CALLETONG VICENTE
red Out Private (PR) School Receipient Effectivity Date
& Effectivity Date B/A
T/I Balik Aral Name of school last attended & (Signature of Adviser over Printed (Signature of School Head over
Transfe Name of Public (P) LWD Year 2 Name) Printed Name)
FEMALE
red In Private (PR) School Learner 5
DR & Effectivity Date With ACL Specify
P Disability
Droppe LE Reason and Accelerate Specify Level & Effectivity Data
d Effectivity Date d 3
TOTAL
Reason (Enrollment 2
beyond 1st Friday
of BoSY Date: EoSY Date: BoSY Date: EoSY Date: