Humss 11 Mangium School Form 1 (SF 1)
Humss 11 Mangium School Form 1 (SF 1)
Humss 11 Mangium School Form 1 (SF 1)
School Name Talakag NHS School ID 303987 District Talakag I Division Buki
Semester Second Semester School Year 2021 - 2022 Grade Level Grade 11 Track and Strand
Sex (M/F)
NAME BIRTH DATE as of
LRN Religious Affilication Mother's Maid
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy) Octob Father's Name (Last
er 31st Name (Last Nam
House #/ Street/ Sitio/ Purok Barangay Municipality/ City Province Name, First Name, Middle
First Name, Mid
Name)
Name)
MONDILLA,RA
126794100013 MONDILLA,AJ - M 11/29/2004 16 Christianity SAN ISIDRO TALAKAG BUKIDNON
EL,LAGANSON
SUMBALAN, PAYONDA,CR
126819100051 SUMBALAN,JAYMARK PAYONDA M 08/22/2004 17 Christianity SALUCOT TALAKAG BUKIDNON
ALBERT BAYA-ON TA,DADAO,
LABA-
SUMINANG, RAUL
126806060030 SUMINANG,RANDY LABA-ON M 10/17/1998 23 Christianity LANTUD TALAKAG BUKIDNON ON,YOLANDA
DIMDIM
ONGAN,
CAGAYAN DE
MISAMIS YACAPIN, DABATIAN,LE
126808090044 YACAPIN,KIERS DABATIAN M 03/20/2003 18 Christianity BULUA ORO CITY
ORIENTAL FLORINDO LAKE,
(Capital)
MACAD,AIDA
ABELLO, ARIISTON
126797100004 ABELLO,IRISH MACAD F 03/16/2005 16 Christianity CACAON TALAKAG BUKIDNON LIZA,NACALA
LAMBAYON
N,
TAYAOTAO,M
126795100009 AMPU-AN,ALUNA TAYAOTAO F 07/05/2003 18 Christianity BASAK TALAKAG BUKIDNON AMPOAN, ROQUE
LYN,GALLO,
F1-SHS)
GUARDIAN
TS REMARKS
(if learner is not Living with Parent)
Contact
Number of Learning
Mother's Maiden Parent or Modality
Name
Name (Last Name, Guardian (Please refer to the
(Last Name, First Name, Relationship
First Name, Middle legend on last page)
Name Extension, Middle
Name)
LAKE,PACITA,TU
PARENT Modular (print)
LAW,
TIGBABAO,EVAN
PARENT Modular (print)
GELINE,DURANA,
TUTO,ANALYN,L
PARENT Modular (print)
ABAHAN,
MONDILLA,RACH
PARENT Modular (print)
EL,LAGANSON,
GERVACIO,LIEZE
PARENT Modular (print)
L,AGUILAR,
PEHAYNON,ERLI
PARENT Modular (print)
NDA,LINSANAY,
PAYONDA,CRISTI
PARENT Modular (print)
TA,DADAO,
LABA-
ON,YOLANDA,DO PARENT Modular (print)
ONGAN,
DABATIAN,LEAH,
PARENT Modular (print)
LAKE,
MACAD,AIDA
LIZA,NACALABA Modular (print)
N,
SAYATAO,CRISTI
PARENT Modular (print)
NE,JARAMILLO,
TAYAOTAO,MARI
PARENT Modular (print)
LYN,GALLO,
BUNDOLAN, HUSTOHAN,G
126799090010 BUNDOLAN,PSYCHE GRACE HUSTOHAN F 02/06/2003 18 Christianity COSINA TALAKAG BUKIDNON
EDGARDO ANAMPA NA,PITONGAN
DALUMPAY, BALANSI,MILA
126795090022 DALUMPAY,MENE ROSE BALANSI F 03/31/2003 18 Christianity BASAK TALAKAG BUKIDNON
NESTOR CANO AMPALAY,
DAGUNDAL DAYANAN, ASILAN,ELER
126800100037 DAYANAN,NIDA ASILAN F 05/18/2004 17 Christianity TALAKAG BUKIDNON
AHON VIRGILIO LAKE LUMINDA,,
SANTO
NINO HICOLE, GAMANIEL EGAR,JULIETA
126825100057 HICOLE,RETCHELL JEAN EGAR F 05/04/2005 16 Christianity TALAKAG BUKIDNON
(LUMBAYA TAGUPA ALANSI,
WA)
SAN JAVENIAO, RONIO CAMPUS,ANA
126820100054 JAVENIAO,ERICH CAMPUS F 06/07/2005 16 Others TALAKAG BUKIDNON
ANTONIO PINAHAN U,-,
SANTO
NINO LOAYON, PATERNO ACOP,RHODA
126825070030 LOAYON,CHERRYL ACOP F 12/10/2000 20 Christianity TALAKAG BUKIDNON
(LUMBAYA NAMOCATCAT GUPA,
WA)
PEREZ TRECE
MEJICA, ARCHIE OGLIMEN,ROV
126821100133 MEJICA,DIANE ARCHIELYN OGUMEN F 08/17/2004 17 Christianity (LUCBANAN MARTIRES CAVITE
TABOCLA-ON YN,DAYANO,
) CITY (Capital)
CAGAYAN DE
TIGNAPOLO MISAMIS ONLAO, ESTELLO DAMIT,DAHLI
126821100151 ONLAO,BETTY MAE DAMIT F 04/15/2003 18 Christianity ORO CITY
AN ORIENTAL YPIL ACALABAN,
(Capital)
CAGAYAN DE
TIGNAPOLO MISAMIS
126821090122 ONLAO,CHERRY MAE DAMIT F 04/15/2004 17 Christianity ORO CITY ONLAO, ESTELIO DAMIT,EDITH
AN ORIENTAL
(Capital)
SUCLATAN,M
BARANGAY
126826100256 SUCLATAN,MARIA FE SAGANAHAY F 02/09/2004 17 Christianity TALAKAG BUKIDNON ELLE,SAGANA
5 (POB.)
Y,
TABID,TESSIE
126794100016 TABID,ANICA - F 10/16/2004 17 Christianity SAN ISIDRO TALAKAG BUKIDNON
MPOS,
TUMALA, ROBERT EBON,JESSICA
126794100018 TUMALA,ROCHELLE EBON F 11/04/2004 16 Christianity SAN ISIDRO TALAKAG BUKIDNON
CAHIG AVAJA,
HUSTOHAN,GAVI
PARENT Modular (print)
NA,PITONGAN,
WAGA,GEMMA,B
Modular (print) T/I DATE:2022-02-07
USTILLO,
BALANSI,MILA,S
Modular (print)
AMPALAY,
ASILAN,ELERIA
Modular (print)
LUMINDA,,
LAMBAYON,ALB
RELATIVE Modular (print)
ERTA,SUMINA,
MAGNO,GERALDI
PARENT Modular (print)
NE,LINSAHAN,
LOPECIO,ROBEL
PARENT Modular (print)
YN,ANDO,
EGAR,JULIETA,B
Modular (print)
ALANSI,
CAMPUS,ANALO
Modular (print)
U,-,
ANINGGA,JOY,BA
PARENT Modular (print)
RCE,
ACOP,RHODA,TA
PARENT Modular (print)
GUPA,
CAPITAN,DORSE
PARENT Modular (print)
NIA,PARENTE,
GUATAN,ROSALI
PARENT Modular (print)
E,HUSTUHAN,
OGLIMEN,ROVIL
RELATIVE Modular (print)
YN,DAYANO,
DAMIT,DAHLIA,N
Modular (print)
ACALABAN,
BORIJON,MARIBE
PARENT Modular (print)
L,BUNA,
SUCLATAN,MICH
ELLE,SAGANAHA RELATIVE Modular (print)
Y,
TABID,TESSIE,CA
Modular (print)
MPOS,
EBON,JESSICA,N
Modular (print)
AVAJA,
DELMUNDO,N
UNGON, ARNEL
126826100287 UNGON,MARINELLE JANE DELMUNDO F 02/26/2005 16 Christianity SAN ISIDRO TALAKAG BUKIDNON OGIE,DALUMP
TUYOR
ES,
33 <=== COMBINED
Transfered Out T/O CCT Receipient CCT CCT Control/reference number &
Effectivity Date MALE 9
Name of School, Date of 1st Attendance and Balik Aral B/A Name of school last attended & Year
Date of Last Attendance if Transferred Out
Transfered In T/I Learner With LWE Specify Exceptionality of the Learner
FEMALE 24
Exceptionality Beginning of the Semeste
Accelerated ACL Specify Level & Effectivity Date
TOTAL 33
2/7/22 12:00 AM
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