LRN RELIGION

ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S

Barangay Municipality/ City Province Name Relationship

1AGBUNAG, MITS JAY AR ESMELO M 7/11/99 Occ.Mdo. Tagalog Roman Catholic Marilao New Dagupan Calintaan Occ. Mdo. Salvador Arsenia Ocumen Esmelo

2M 8/9/98 Cavite Tagalog Roman Catholic Purok 4 Magsikap Rizal Occ. Mdo. Danilo Mary Ann Tolentino Estoya

3M 3/12/98 Occ.Mdo. Tagalog Roman Catholic Mangat San Pedro Rizal Occ. Mdo. Rolly Sr. Marites Cadahing Casas

4M 12/26/99 Occ.Mdo. Tagalog Roman Catholic Purok 5 Magsikap Rizal Occ. Mdo. Haide Iquiron Cabangon 09205168015

5M 1/18/99 Occ.Mdo. Tagalog Roman Catholic Purok 4 Magsikap Rizal Occ. Mdo. Reynold Regina Cabangon Casidsid 09461127598

6M 5/9/99 Occ.Mdo. Tagalog Roman Catholic Bagong Sikat San Jose Occ. Mdo. Lorenzo Natividad Montemayor Ancinso 09296230718

7M 12/24/99 Cam.Sur Tagalog Pentecostal Purok 5 Magsikap Rizal Occ. Mdo. Jongie Jesusa De Leon Sarmiento Jonathan Lustina Uncle 09207004782

8M 5/1/00 Occ.Mdo. Tagalog Roman Catholic Mangat San Pedro Rizal Occ. Mdo. Zenaida Balin Gonzales 09465327347

9M 7/4/99 Occ.Mdo. Tagalog Roman Catholic Purok 5 Magsikap Rizal Occ. Mdo. Noel Gerlie Domingo Ambulo 09422412526

10M 11/27/99 Occ.Mdo. Tagalog Roman Catholic Saligsig Magsikap Rizal Occ. Mdo. Charito Josefa Macahilig Cahilig 09093042183

11M 9/13/99 Neg. Occ. Bisaya JMC Malawaan Rizal occ. Mdo. Eusebio Jovelyn Agustino Oderio 09108731317

12M 2/4/00 Occ.Mdo. Tagalog Pentecostal Purok 2 Magsikap Rizal Occ. Mdo. Arnulfo Remelyn Ramirez Jimena 09499130354

13M 6/16/00 Occ.Mdo. Tagalog Roman Catholic Malatikwang New Dagupan Calintaan Occ. Mdo. Tirso Elizabeth Nodo Almonte

14M 11/6/97 Pasig City Tagalog SDA Purok 4 Magsikap Rizal Occ. Mdo. Reynaldo Merlita Verzon Gelacio Daisy Tacderan Aunt 09109352742

15M 5/20/00 Occ.Mdo. Tagalog Roman Catholic Malatikwang New Dagupan Calintaan Occ. Mdo. William Juvy Sioco Gallos 09106636453

16M 2/18/00 Occ.Mdo. Tagalog Roman Catholic Bagong Sikat San Jose Occ. Mdo. George Cecilia Espiritu Lapuz 09106680915

17M. 3/29/99 Occ.Mdo. Tagalog Roman Catholic Caniwal Magsikap Rizal Occ. Mdo. Jerry Sr. Rowena Valdez Marinas

18M 3/20/99 Occ.Mdo. Tagalog Roman Catholic Purok 2 Magsikap Rizal Occ. Mdo. Elmer Rosalina Panginin Solinap 09108655511

19M 9/17/98 Occ.Mdo. Tagalog Roman Catholic Saligsig Magsikap Rizal Occ. Mdo. Emeliano Helen Alonsabe Catague 09482580836

20110078050036 VALENA, GERALD RITO M 5/11/99

16Occ.Mdo. Tagalog Roman Catholic Marilao New Dagupan Calintaan Occ. Mdo. George Remedios Soriano Rito 09108708115

21110078050037 VALEÑA, MARVIN MASLOG M 3/14/97

18Occ.Mdo. Tagalog ROman Catholic Marilao New Dagupan Calintaan Occ. Mdo. Nido Boberlita Mameng Maslog

22110200050073 VELASCO, JESTONI CARIDA M 8/25/96

18Occ.Mdo. Tagalog Catholic Purok 2 Magsikap Rizal Occ. Mdo. Antonio Melinda Egaña Carida 09295422920

23110198050039 VELENSO,CERLITO JR.,ESBIETO M 12/27/99

15Occ.Mdo. Tagalog Roman Catholic Mangat San Pedro Rizal Occ. Mdo. Cerlito Sr. Merie Francisco Esbieto

24110200050074 VIAÑA, JONATHAN BAWAYAN M 12/11/99

15Occ.Mdo. Tagalog Roman Catholic Purok 3 Magsikap Rizal Occ. Mdo. Renato Josephine Manongdo Bawayan 09089693422

25110078050041 ZAGUIRRE, IAN CHRISTOPER CAPAGUE M 4/10/98

17Occ.Mdo. Tagalog Roman Catholic Malatikwang New Dagupan Calintaan Occ. Mdo. Henry Joeselin Apolonio Capague 09078044425

LRN RELIGION

ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S

Barangay Province Name

26110196050005 ALMONIA, GRASYA ILAVA F ###

15 Antique Tagalog Roman Catholic Purok 4 Magsikap Rizal Occ. Mdo Eduardo Marifi Maat Ilava 09468752447

27110198050001 ALMONIA, SHAIDY DELA CRF ###

15 Occ. Mdo. Tagalog INC. Payompon Magsikap Rizal Occ. Mdo Eddie Shirley Carman Dela Cruz

28110198050005 BACENCE, JOVELYN SUALOGF ###

15 Occ. Mdo. Tagalog Roman Catholic Mangat San Pedro Rizal Occ. Mdo Lorenzo Salvacion Alvaro Sualog 09127252881

29110200050012 CALLE LOVELY ROSE AMBUF ###

15 Occ. Mdo. Tagalog Roman Catholic Purok 1 Magsikap Rizal Occ. Mdo Eduardo Elsie Dagohoy Ambulo 09076359638

30110200050013 CASIMERO, AIRA JANE BATIF 8/5/99

15 Occ. Mdo. Tagalog Roman Catholic Purok 1 Magsikap Rizal Occ. Mdo Ernesto Erma Ambulo Batitia 09099733746

31110200050015 DAVID, JHOVELYN TAPALESF ###

16 Occ. Mdo. Tagalog Roman Catholic Purok 5 Magsikap Rizal Occ. Mdo Felix Jr. Maribel Solinap Tapales 09096643529

32301591140027 EGUIRON, HONEY JOY BRA F 2/1/99

16 Occ. Mdo. Tagalog Roman Catholic Caniwal Magsikap Rizal Occ. Mdo Villardo Myrna Flores Bravante Jasmin Ento Aunt 09096195042

33169511050008 EVANGELIO, MARIA MAY F ###

16 Occ. Mdo. Tagalog Roman Catholic Mendigorin Malawaan Rizal Occ. Mdo Efren Jr. Mary grace Artocilla Urbina 09203921481

34110078050009 FERNANDO, DIANNE KAYE F ###

15 Sablayan Ilokano Roman Catholic Marilao New Dagupan Calintaan Occ. Mdo Vicente Rochel Magsipoc Martinez 09214850032

35110200050025 GUANTIA, AIRA JADE AGBU F ###

16 Occ. Mdo. Tagalog Roman Catholic Purok 5 Magsikap Rizal Occ. Mdo Victor Alicia Guevarra Agbunag

110078050018 MABITAZAN, MYCEL MAGBAF ###15 Occ. Mdo. Tagalog Methodist MalatikwangNew Dagupan Calintaan Occ. Mdo Sonny Marry Ann Apolinario Magbanua

110200050034 MATIAS, MIJIA LEE MANLA F ###15 Occ. Mdo. Tagalog Roman Catholic Saligsig Magsikap Rizal Occ. Mdo Ariel Analiza Dampitan Manlabao 09469707516

110198050025 NOMAT, MAVEL MAGBUDHIF ###15 Occ. Mdo. Tagalog Roman Catholic Mangat San Pedro Rizal Occ. Mdo Florentino Merlie Roldan Magbudhi Arnelia V. Mayo none 09289707879

110078050022 NOVELOZO, MARY GRACE BF ###16 Val. City Tagalog Roman Catholic Malatikwang New Dagupan Calintaan Occ. Mdo Rodrigo Marilyn Morico Begino 09102372791

301591120009 NUDO, RICHELLE FLORENDF 9/6/9816 Occ. Mdo. Tagalog Roman Catholic Matabiaga Malawaan Rizal Occ. Mdo Ronaldo Vilma Castro Florendo 09397688999

110200050043 PANAGSAGAN, AIRA AMBU F 7/1/9816 Occ. Mdo. Tagalog Roman Catholic Purok 5 Magsikap Rizal Occ. Mdo Robert Teresita Domingo Ambulo 09107568137

169511050019 PATRICIO, ABEGEL QUILANF ###17 Occ. Mdo. Tagalog Roman Catholic Mendigorin Malawaan Rizal Occ. Mdo Hernani Rosalinda Casilagan Quilantang 09308057361

110200050046 PERIDO, JAMAICA MATIAS F ###15 Occ. Mdo. Tagalog Roman Catholic Payompon Magsikap Rizal Occ. Mdo Reyno Jelyn Valdez Matias 09465227532

110198050027 PINUELA, AIRA MAE SANTIF ###15 Occ. Mdo. Tagalog Roman Catholic Mangat San Pedro Rizal Occ. Mdo Alberto Emma Tamboong Santiago 091224948476

110198050029 PUDAN, ERICA PRADO F ###16 Occ. Mdo. Tagalog Roman Catholic Mangat San Pedro Rizal Occ. Mdo Edito Elialyn De los Santos Prado

110200050054 RICA, RUBY JOY ESPARTERF ###15 Occ. Mdo. Tagalog Roman Catholic Payompon Magsikap Rizal Occ. Mdo Roberto Maribel Baton Espartero 09463247141

110200050060 ROMUALDO, EDILYN SOLINF ###16 Occ. Mdo. Tagalog Roman Catholic Purok 5 Magsikap Rizal Occ. Mdo Eddie Evelyn Baton Solinap 09305696476

110200050061 ROSETE, KATRINA CHAVEZ F ###17 Occ. Mdo. Tagalog Roman Catholic Purok 5 Magsikap Rizal Occ. Mdo Nicanor Josielita Francisco Chavez 09128815676

110200050066 SANTIAGO , ROSE SABUSAP F ###15 Occ. Mdo. Tagalog Roman Catholic Purok 3 Magsikap Rizal Occ. Mdo Rolando Melinda Menerales Sabusap 09107566862

110200050067 SARONA, REMELYN ESTRABF ###15 Occ. Mdo. Tagalog Roman Catholic Saligsig Magsikap Rizal Occ. Mdo Constancio Erlinda Bandiola Estrabela 09283456328

110200050069 SUALOG, ELENA VENTURE F ###16 Occ. Mdo. Tagalog Roman Catholic Purok 1 Magsikap Rizal Occ. Mdo Eleno Percelita Maceda Venturero 09336126924

110198050038 TAMBOONG, JEZZA MAY GRF ###15 Occ. Mdo. Tagalog Roman Catholic Mangat San Pedro Rizal Occ. Mdo Jenaldo Emily Cabico Gregorio 09478981232

110078050034 TORMA , ARJANE ROSE MA F ###15 Occ. Mdo. Tagalog Roman Catholic Red Hills New Dagupan Calintaan Occ. Mdo Arnel Julie Ann Almonte Manay 09282859001

110200050075 VICTORIANO, VANESSA SOLF 4/4/0015 Occ. Mdo. Tagalog Roman Catholic Purok 4 Magsikap Rizal Occ. Mdo Richard Erma Tacderan Solano 09463026041

List and code of Indicators under REMARK column

Prepared by: Certified Correct:

Indicator Code Required Information Indicator Code Required Information BoSY EoSY

Transferred Out T/O Name of Public (P) Private (PR) SchoolCCT Recipient CCT CCT Control/reference number & Effectivity Date MALE 24MARICAR BERAYO-DAGOHOY GRACE D. OSANO

Transferred IN T/I Name of Public (P) Private (PR) SchoolBalik-Aral B/A Name of school last attended & Year FEMALE 29 (Signature of Adviser over Printed Name) Principal I

Dropped DRP Reason and Effectivity Date Learner With Dissabi LWD SpecifyTOTAL 54

Late Enrollment LE Reason (Enrollment beyond 1st FridayAccelarated ACL Specify Level & Effectivity Data BoSY Date: EoSYDate: BoSY Date: EoSYDate:

NAME(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE (mm/ dd/yy)

AGE as of 1st Friday of June

BIRTH PLACE (Province)

MOTHER TONGUE

IP (Specify Ethnic

Group)

Contact Number (Parent /Guardian)

(nos. of years as per last birthday)

House # / Street/Sitio/Purok

Father (1st name only if family name identical to learner)

Mother (Maiden: 1st Name, Middle & Last Name)

(Please refer to the legend on last page)

NAME(Last Name, First Name,

Middle Name)

Sex (M/F)

BIRTH DATE (mm/

dd/yy)

AGE as of 1st Friday

of June BIRTH PLACE

(Province)

MOTHER TONGUE

IP (Specify Ethnic Group)

Contact Number (Parent

/Guardian)(nos. of

years as per last

birthday)

House # / Street/Sitio/

Purok

Municipality/ City

Father (1st name only if family name

identical to learner)

Mother (Maiden: 1st Name, Middle & Last Name)

Relationship

(Please refer to the legend on last page)