Sf1 2022 Kinder - Red
Sf1 2022 Kinder - Red
Sf1 2022 Kinder - Red
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School Name Natividad CS School Year 2022 - 2023 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)
ANDRINO,ELIZ
Christiani POBLACION
101837220001 ANDRINO,SEF DEO, - M 03-15-2017 5 Ilocano NATIVIDAD PANGASINAN ABETH,PINEDA
ty EAST
,
MARIANO,ROS
CALAOAGAN,JOHN CARLO, Christiani POBLACION CALAOAGAN,
101837220002 M 05-26-2017 5 Tagalog NATIVIDAD PANGASINAN ALIE,LADRING
MARIANO ty EAST RAUL RIVERA
AN,
DACUTAN, VALENZUELA,
DACUTAN,JOHN CARL, Christiani POBLACION
101837220003 M 11-15-2016 5 Ilocano NATIVIDAD PANGASINAN JUANITO MARY
VALENZUELA ty WEST
GABANE ANN,CEREZO,
DE GUZMAN,
DE GUZMAN,AKIRA KENJI, Christiani SAN NARCIDA,LHY
101837220004 M 07-13-2017 5 Tagalog NAGKAYSA PANGASINAN MARK BRYAN
NARCIDA ty NICOLAS KA JOY,ALCID,
MAG-APAN
DUGAY,ADELJ
Christiani POBLACION DILAN, JERRY
101837220006 DILAN,ZION AXEL, DUGAY M 10-22-2015 7 Tagalog NATIVIDAD PANGASINAN OREY,TUAZON
ty EAST LAMIGO
,
ESPIRITU, DELOS
ESPIRITU,ZYRUS JAY, DELOS Christiani POBLACION
101837220007 M 09-03-2017 5 Ilocano NATIVIDAD PANGASINAN JOSEPH SANTOS,DALIA
SANTOS ty EAST
ROLLUDA ,NELMIDA,
GAPASIN,
Christiani CACANDUN VILLARUZ,VIL
101837220008 GAPASIN,SUNDY, VILLARUZ M 09-29-2015 7 Ilocano NATIVIDAD PANGASINAN ALBANO
ty GAN MA,CASANDIG,
BRIONES
MORALES,MAR
Christiani POBLACION MOLINA, IA
101837220011 MOLINA,JEREMY, MORALES M 08-02-2017 5 Ilocano NATIVIDAD PANGASINAN
ty WEST JERRY OLIPAS CRISTINA,ESTI
MADA,
MONES,
MONES,EROUS GABRIEL, Christiani POBLACION MIRANDA,VIVI
101837220061 M 07-26-2013 9 Ilocano NATIVIDAD PANGASINAN EDILBERTO
MIRANDA ty WEST AN,LIGAYA,
CALAOAGAN
RED
REMARKS
Learning
Modality (Please refer to
the legend on last
page)
Blended
LWD
Blended
Face to Face
T/O
Face to Face DATE:2022/11/
02
Blended
Blended
Blended
Blended
Blended
Blended
Blended
Face to Face
Blended
Christiani CALAPUGA PARTORIZA,AI
101837220013 PARTORIZA,GIAN, - M 03-28-2016 6 Ilocano NATIVIDAD PANGASINAN
ty N LEEN,TADEJA,
PERALTA,
PERALTA,LEVI AELIZAR, Christiani CACANDUN MALATE,MON
101837220015 M 09-16-2017 5 Ilocano NATIVIDAD PANGASINAN EDGAR
MALATE ty GAN ALIZA,SISON,
BRIONES
RENTORIA,
RENTORIA,KYLE JEYRICK, Christiani POBLACION PAAS,JENNY,EJ
101837220016 M 08-17-2016 6 Tagalog NATIVIDAD PANGASINAN ERICKSON
PAAS ty EAST AR,
PINES
SIBLAS,ESMER
Christiani POBLACION
101837220017 SIBLAS,DANIEL JOSH, - M 10-26-2017 5 Ilocano NATIVIDAD PANGASINAN ALDA,DACPAN
ty EAST
O,
SIBLAS, DOMONDON,P
SIBLAS,JOHN CHRISTOPH, Christiani POBLACION
101837220018 M 02-23-2017 5 Ilocano NATIVIDAD PANGASINAN CHRISTIAN ENNY
DOMONDON ty EAST
DACPANO LUPE,CLAVE,
VALENZUELA,
Christiani POBLACION PADILLA,ROSE
101837220019 VALENZUELA,GIAN, PADILLA M 04-29-2016 6 Ilocano NATIVIDAD PANGASINAN GILBERT
ty WEST MARIE,OSTIL,
CEREZO
CALILONG,MA
Christiani BATCHELOR
101832220015 CALILONG,CRISTINE JOYCE, - F 07-08-2015 7 Iloko NATIVIDAD PANGASINAN RIBETH,ARNES
ty EAST
TO,
CEREZO, CEREZO,MA
Christiani
101837220021 CEREZO,MARY JOY, CEREZO F 09-17-2017 5 Ilocano RIZAL NATIVIDAD PANGASINAN RUFINO LUISA,MOYAN
ty
CASTRO JR O,
COLLADO,
COLLADO,CLARIZZA MAE, Christiani CACANDUN CLARENCE CENTENO,MEL
101837220022 F 10-08-2016 6 Ilocano NATIVIDAD PANGASINAN
CENTENO ty GAN TEMPLONUEV IZA,GARCIA,
O
ESPIQUE, MANACHO,MA
ESPIQUE,CHYRISE MAE, Christiani POBLACION
101837220023 F 01-04-2017 5 Tagalog NATIVIDAD PANGASINAN RODRIGO ILYN,REVAMO
MANACHO ty EAST
CUAGDAN NTE,
GUERZON,
GUERZON,MA. RAPHAELA Christiani POBLACION DUGUINAY,JES
101837220024 F 08-13-2017 5 Ilocano NATIVIDAD PANGASINAN RAFAEL
JESSICA, DUGUINAY ty WEST SICA,FLORES,
PATAGUE
LAZO, MUNAR,FE
Christiani POBLACION
101837220025 LAZO,GONZARRIE, MUNAR F 11-23-2016 5 Ilocano NATIVIDAD PANGASINAN GONZALO HARRIET,LUZA
ty EAST
SOTTO IV NO,
OBRA,
OBRA,PRINCESS SHEENAH, Christiani CACANDUN YAGIN,SAMIR
101837220027 F 01-28-2017 5 Ilocano NATIVIDAD PANGASINAN ROSENDO
YAGIN ty GAN A,GAPASIN,
EBALI JR
RAFAEL,
RAFAEL,CHARMAINE MAE, Christiani POBLACION QUIMO,CLAIRE
101837220030 F 07-21-2016 6 Ilocano NATIVIDAD PANGASINAN JOMARVIN DE
QUIMO ty EAST LYN,RODRIGO,
LEON
T/O
Face to Face DATE:2022/08/
31
Blended
Blended
Blended
Blended
Blended
Blended
Blended
T/I
Face to Face DATE:2022-
11-02
Blended
Blended
Blended
Blended
Blended
Blended
Blended
Blended
Blended
RAGUINDIN, DOMINGO,JOA
RAGUINDIN,JACKIELYN, Christiani POBLACION
101837220029 F 11-13-2016 5 Ilocano NATIVIDAD PANGASINAN FRANCISCO N,CALAOAGAN
DOMINGO ty WEST
BIADO ,
VELASCO,ZYR
SAMPAGA,
SAMPAGA,EUELLA VENISE, Christiani POBLACION ELLE
101837220031 F 04-25-2017 5 Ilocano NATIVIDAD PANGASINAN EMMANUEL
VELASCO ty EAST VENUS,CALILO
BUSTILLOS
NG,
VELASQUEZ, CEREZO,MERC
Christiani
101837220032 VELASQUEZ,SOFIA, CEREZO F 08-25-2017 5 Ilocano RIZAL NATIVIDAD PANGASINAN FELIPE EDES,CARABB
ty
IMATONG ACAN,
34 <=== COMBINED
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date NACIANCENA MAGAT GAPASIN
Date MALE 21
Balik Aral B/A Name of school last attended & Year MARILOU OLIPAS BIBAT (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 13
Disability
Dropped DRP Reason and Effectivity Date Accelerated ACL Specify Level & Effectivity Data
Late Enrollment LE Reason (Enrollment beyond 1st Friday of SY) BoSY Date: EoSY Date:
TOTAL 34
BoSY Date: EoSY Date:
Blended
Blended
MAGAT GAPASIN
EoSY Date:
d thru LIS