SF1 - 2021 - Kinder - RED
SF1 - 2021 - Kinder - RED
SF1 - 2021 - Kinder - RED
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School ID 104564 Region III Division Balanga City District Balanga City East
School Name Our Lady Of Lourdes Elementary School School Year 2021 - 2022 Grade Level Kinder Section RED
GUARDIAN
ADDRESS PARENTS
(if Not Parent)
Age MOTHER Contact
Sex (M/F)
IP
LRN
NAME BIRTH DATE as of TONGUE (Ethnic
RELIGIO Number of
(Last Name, First Name, Middle Name) (mm/dd/yyyy) Octob (Grade 1 N Father's Name Mother's Maiden Parent or
Group) House #/
er 31 to 3 Only) Municipality/ (Last Name, First Name (Last Name, Guardian
Street/ Sitio/ Barangay Province Name Relationship
City Name, Middle First Name, Middle
Purok
Name) Name)
BARRAGA,MA
MUNTING CITY OF
Christiani UKNOWN, LEA
104564210061 BARRAGA,DANE DYLAN, N/A M 10-19-2015 6 Tagalog BATANGAS BALANGA BATAAN
ty UKNOWN GLORIA,SALV
(CADRE) (Capital)
ADOR,
MUNTING CITY OF
LINTAG,ZHAM JAIDEN, Christiani LINTAG, JOVER ALIBASA,SHEV
104564210028 M 06-17-2016 5 Tagalog BATANGAS BALANGA BATAAN
ALIBASA ty CLAVEL ANIE,HUSSIN,
(CADRE) (Capital)
MUNTING CITY OF
Christiani LUNA, ROGER PRADO,MARIT
104564210020 LUNA,KYLE ADRIANE, PRADO M 06-16-2016 5 Tagalog BATANGAS BALANGA BATAAN
ty MEJOS ES,ESCAÑO,
(CADRE) (Capital)
MUNTING CITY OF MAGTANONG,
Christiani UKNOWN,
104564210021 MAGTANONG,EDSON, N/A M 12-25-2015 5 Tagalog BATANGAS BALANGA BATAAN ADELIA,ESGUE
ty UKNOWN
(CADRE) (Capital) RRA,
MUNTING CITY OF MALONZO,
MALONZO,CHRISTOPHER, Christiani GELLA,BABYL
104564210066 M 08-11-2014 7 Tagalog BATANGAS BALANGA BATAAN ROBERTO
GELLA ty YN,MENDOZA,
(CADRE) (Capital) BARREDO
MUNTING CITY OF RODRIGO,JOLI
Christiani MINA, DANILO
104564210065 MINA,DANILO, III RODRIGO M 04-26-2015 6 Tagalog BATANGAS BALANGA BATAAN NA
ty ABELLAR JR
(CADRE) (Capital) JOY,ROSALES,
RED
REMARKS
Learning
Modality (Please refer to
the legend on last
page)
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Digital
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MUNTING CITY OF SANTILLAN,
Christiani RUEDA,CRISTA
104564210019 SANTILLAN,IÑIGO, RUEDA M 07-01-2016 5 Tagalog BATANGAS BALANGA BATAAN RAMEL
ty L,TUASON,
(CADRE) (Capital) MATUDIO
MUNTING CITY OF SOLERO,
Christiani CATINA,MARC
104564210072 SOLERO,MARVIC, CATINA M 01-15-2016 5 Tagalog BATANGAS BALANGA BATAAN VICENTE
ty ELA,DAGTA,
(CADRE) (Capital) AYCARDO
MUNTING CITY OF TEJEDOR, AQUINO,MARI
Christiani
104564210062 TEJEDOR,ALDREN, AQUINO M 04-09-2016 5 Tagalog BATANGAS BALANGA BATAAN ANDREY LYN,BERNARD
ty
(CADRE) (Capital) TIMTIM O,
MUNTING CITY OF
Christiani UROT, BRYAN RIVERA,SHIEN
104564210023 UROT,KEVIN CEDRIC, RIVERA M 10-13-2015 6 Tagalog BATANGAS BALANGA BATAAN
ty RUIZ NA,ROBERTO,
(CADRE) (Capital)
MUNTING CITY OF VALDEZ,
VALDEZ,JOSEPH MIGZ ARVIN, Christiani GAYON,JOAREI
104564210076 M 01-15-2016 5 Tagalog BATANGAS BALANGA BATAAN MARVIC
GAYON ty N,WAMIMAL,
(CADRE) (Capital) SUELA
PALAD,SHAMA
VALERO,
VALERO,BRINCE CRAWFORD, Christiani RIE
104564210056 M 12-08-2015 5 Tagalog SAN ISIDRO BAGGAO CAGAYAN FREDDIE
PALAD ty MAE,DUMAYA
MANANQUIL
G,
DELOS
MUNTING CITY OF VERDE,
VERDE,JHIAN ANDREW, DELOS Christiani SANTOS,SHEE
104564210048 M 09-06-2016 5 Tagalog BATANGAS BALANGA BATAAN MENANDRO
SANTOS ty NA
(CADRE) (Capital) VADILLO
ROSE,ALVERO,
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T/O
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DATE:2021/09/
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25
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MUNTING CITY OF PEGORACION, RICAFRENTE,M
PEGORACION,MARIEL JANE, Christiani
104564210029 F 11-30-2015 5 Tagalog BATANGAS BALANGA BATAAN ARNIEL ELODINA,RAM
RICAFRENTE ty
(CADRE) (Capital) ESPINOSA OS,
MUNTING CITY OF MAGLENTE,DO
RAYA,PRECIOUS GHAYDEN, Christiani RAYA, ALDIN
104564210046 F 09-23-2016 5 Tagalog BATANGAS BALANGA BATAAN MINGA,CAÑET
MAGLENTE ty DULAY
(CADRE) (Capital) A,
MUNTING CITY OF SALANGUIT,
SALANGUIT,LARYN FAYE, Christiani IMPERIAL,AÑO
104564210044 F 03-31-2016 5 Tagalog BATANGAS BALANGA BATAAN RYAN PAUL
IMPERIAL ty NUEVO,MYRA,
(CADRE) (Capital) FERNANDEZ
MUNTING CITY OF
SIGNO,JESSICA MAINE, Christiani SIGNO, JAYPEE CAMPOSANO,
104564210063 F 11-22-2015 5 Tagalog BATANGAS BALANGA BATAAN
CAMPOSANO ty MENDOZA MERRY,TOME,
(CADRE) (Capital)
MUNTING CITY OF TEODORO,
TEODORO,JEAN NATHALIE, Christiani ICBAN,ERICA,
104564210071 F 02-04-2016 5 Tagalog BATANGAS BALANGA BATAAN EMILINO JR
ICBAN ty ARANAS,
(CADRE) (Capital) TEODORO
MUNTING CITY OF TOLENTINO, ASTORGA,NIC
TOLENTINO,MARIA Christiani
104564210024 F 09-08-2016 5 Tagalog BATANGAS BALANGA BATAAN RONILO HEL,TABUYAN
CLAUDETTE, ASTORGA ty
(CADRE) (Capital) ANDRES JR ,
MUNTING CITY OF VENTURA, MANIAGO,PRE
VENTURA,MARIA CRIS Christiani
104564210057 F 08-19-2016 5 Tagalog BATANGAS BALANGA BATAAN CRISTOPHER SLIE,MANIAGO
AMBEREEN, MANIAGO ty
(CADRE) (Capital) BELTRAN ,
37 <=== COMBINED
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date NORMA BLANCO RICO
Date MALE 20
Balik Aral B/A Name of school last attended & Year RUTH GARDUNO CABANIZAS (Signature of School Head over Printed Nam
Transfered In T/I Name of Public (P) Private (PR) School & Effectivity
Date Learner With LWD Specify (Signature of Adviser over Printed Name)
FEMALE 17
Disability
Dropped DRP Reason and Effectivity Date Accelerated ACL Specify Level & Effectivity Data
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) BoSY Date: EoSY Date:
TOTAL 37
BoSY Date: EoSY Date:
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ANCO RICO
EoSY Date:
d thru LIS