SF1 - 2019 - Grade 10 (Year IV) - DIAMOND
SF1 - 2019 - Grade 10 (Year IV) - DIAMOND
SF1 - 2019 - Grade 10 (Year IV) - DIAMOND
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School Name Dupax del Sur NHS School Year 2019 - 2020 Grade Level Grade 10 Section DIAMOND
GUARDIAN
AGE ADDRESS PARENTS
(if Not Parent)
as of MOTHER Contact
Sex (M/F)
IP
LRN
NAME BIRTH DATE 1st TONGUE
(Ethnic
RELIGIO Number of
(Last Name, First Name, Middle Name) (mm/dd/yyyy) Frida (Grade 1 N Father's Name Mother's Maiden Parent or
Group) House #/
y to 3 Only) Municipality/ (Last Name, First Name (Last Name, Guardian
Street/ Sitio/ Barangay Province Name Relationship
City Name, Middle First Name, Middle
June Purok
Name) Name)
ABALOS,
Christiani SANTA DUPAX DEL NUEVA ABALOS,JOSIE,
104062090001 ABALOS,ROMULO, ABAT M 05-09-2003 16 Iloko Ilocano ROMULO
ty MARIA SUR VIZCAYA ABAT,
PARAWEG SR
PREGILLANA,P
Christiani MANGAYAN DUPAX DEL NUEVA ALEJO, RANDY
300628160001 ALEJO JR,RANDY, PREGILLANA M 10-13-2003 15 Iloko ATRICIA,CALA
ty G SUR VIZCAYA SR LEDESMA
CALA,
Christiani MANGAYAN DUPAX DEL NUEVA QUIZANO,RITZ
104062080005 BAUTISTA,JOMARI, GALANG M 07-27-2001 17 Ilocano
ty G SUR VIZCAYA EL,G,
BERNARDINO, QUIAPE,ERLIN
BERNARDINO,ROGELIO, JR Christiani MANGAYAN DUPAX DEL NUEVA
104069090005 M 01-15-2001 18 Iloko ROGELIO SR DA,SALINASA
QUIAPE ty G SUR VIZCAYA
VILLEGAS N,
BOMBONGAN, ECLIPSE,MARI
BOMBONGAN,ARNOLD, Christiani DUPAX DEL NUEVA
104066090007 M 12-22-2003 15 Ilocano DOPAJ ARNULFO LYN,ANDRADA
ECLIPSE ty SUR VIZCAYA
DINU ,
DE GUZMAN,
DE GUZMAN,RHEVON CHRIS, Christiani DUPAX DEL NUEVA SEBBEY,REWIL
104062090018 M 01-21-2000 19 Isinai Isinai DOMANG VERNON
SEBBEY ty SUR VIZCAYA YN,SIGNABEN,
CAMPO
DELA CRUZ,
DELA CRUZ,MARK ANGELO, Christiani SANTA DUPAX DEL NUEVA GREGORIO,TRE
104062090021 M 08-28-2004 14 Tagalog Ilocano MARLON
GREGORIO ty MARIA SUR VIZCAYA CY,ADENA,
BOMBONGAN
DUNGAYA,
Christiani CAPINTALA CARRANGL
104068090002 DUNGAYA,JOEFULAI, JR SATUR M 11-04-2003 15 Iloko Ibaloy NUEVA ECIJA JOEFULAI SATUR,LITA,-,
ty N AN
GINAMAY SR
GUTIERREZ,
GUTIERREZ,DIETHER, Christiani SALVADOR,NI
300628150005 M 09-08-2002 16 Tagalog MOCAG BAGGAO CAGAYAN DANTE
SALVADOR ty DA,BAUTISTA,
LOZARES
Christiani PALABOTA DUPAX DEL NUEVA MANINGAS,
104070090008 MANINGAS,FRANZ, RAZA M 09-08-2003 15 Iloko RAZA,ANNIE,,
ty N SUR VIZCAYA SERVANDO
MENDONEZ,M
MENDONES,MARK JERICO, Christiani MANGAYAN DUPAX DEL NUEVA
136461140338 M 07-31-2004 14 Iloko ARCELA,AMBR
AMBROSE ty G SUR VIZCAYA
OSE,
T/O
DATE:2019/12/0
2
T/I DATE:2019-
06-03
T/I DATE:2019-
06-03
T/I DATE:2019-
06-03
RAGUINDIN,
RAGUINDIN,SHEROLL, Christiani BAGUMBAY DUPAX DEL NUEVA SALIRUNGAN,
104066090033 M 04-10-2003 16 Isinai Isinai ROLLY
SALIRUNGAN ty AN SUR VIZCAYA AMALIA,,
DAWANA
Other
Christiani DUPAX DEL NUEVA RODRIGUEZ, CAMILO,NERIS
104057140014 RODRIGUEZ,JOEVER, BATO M 04-02-2004 15 Filipino Isinai BANILA
ty SUR VIZCAYA VERGILIO SR SA,BATO,
Language
Other
Christiani BINNUANG DUPAX DEL NUEVA DAYAO,ROSIN
104043090018 LUMA-ANG,VIVERLYN, DAYAO F 06-12-2002 16 Filipino LUMA, JOHN
ty AN NORTE VIZCAYA G,BALUDOK,
Language
T/I DATE:2019-
06-03
T/I DATE:2019-
06-03
Christiani DUPAX DEL NUEVA LUNA, JOE AGSAN,JUDITH
104057140010 LUNA,GLYDEL, AGNAS F 09-02-2004 14 Ilocano Ibaloy BANILA
ty SUR VIZCAYA PATI ,SATUD,
BAUTISTA,BRE
Christiani MANGAYAN DUPAX DEL NUEVA TRINIDAD,
104069090029 TRINIDAD,LIEZEL, BAUTISTA F 09-29-2004 14 Tagalog NDA,DEL
ty G SUR VIZCAYA DANILO ORTIZ
ROSARIO,
43 <=== COMBINED
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date ALBINO DAYOTAO TALLASE
Date MALE 23
Balik Aral B/A Name of school last attended & Year WINNIE ANN QUIDAY GURAT (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 19
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 42
BoSY Date: EoSY Date:
TAO TALLASE
EoSY Date:
d thru LIS