GRADE1 CONSO SP Resolution No. 143 Birth Records

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Attachment to Division Memorandum No. ____, s.

2022

Republic of the Philippines

Department of Education
REGION IX, ZAMBOANGA PENINSULA
SCHOOLS DIVISION OF ZAMBOANGA CITY

School Name: Boalan Elementary School District: Putik District

COMPLETE NAME OF THE CHILD DATE OF BIRTH


No. PLACE OF BIRTH FATHER
(eg. January 12, 2016)
FAMILY NAME FIRST NAME MIDDLE NAME FAMILY NAME FIRST NAME
1 LAWAS DAVE ANGELO CANSILLER July 28, 2016 ZAMBOANGA CITY LAWAS ERWIN
2 OROS R-JAY LACSON September 15, 2016 ZAMBOANGA CITY OROS BERNABE
3 EBOL NATHALIE JOY DALES July 23, 2016 ZAMBOANGA CITY EBOL EROL
4 FRANCISCO VALERIE ANN MANUEL February 8, 2015 ZAMBOANGA CITY FRANCISCO ISABELITO
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Prepared by: Noted by:

Registrar/ADAS Administrative Officer II Public Schools District Supervisor/Principal


NAME OF PARENTS

MOTHER (Maiden Name)


MIDDLE NAME FAMILY NAME FIRST NAME MIDDLE NAME
MENDOZA CANSILLER MARICEL DELGADO
SUMALKA LACSON CRISTINA GALVEZ
LAGO DALES JENALYN RENTOSA
MACASO MANUEL CORAZON LACASTESANTOS

sor/Principal In-charge of the District

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