11 Humss
11 Humss
School Name St. Francis de Assisi Montessori School (Plaridel, School ID 400898 District Plaridel Division Bu
Semester First Semester School Year 2023 - 2024 Grade Level Grade 11 Track and Strand
Sex (M/F)
as of
NAME BIRTH DATE
LRN
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy) 1st Religious Affilication Mother's Mai
Friday Father's Name (Last
Name (Last Na
House #/ Street/ Sitio/ Purok Barangay Municipality/ City Province Name, First Name, Middle
June Name)
First Name, Mi
Name)
CONSTANTIN
105014120078 CONSTANTINO,MARK JHEREMY - M 05/09/2007 16 Christianity TABANG PLARIDEL BULACAN MMARUTH,A
NDRAS,
CALALANG,C
104728120176 CALALANG,MA CHENIE ROSE - F 11/15/2006 16 Christianity SAN JOSE PLARIDEL BULACAN
RITO,RAMOS
DE COSTA, CALARA,MAR
105000120401 DE COSTA,GHIENEL CALARA F 03/18/2007 16 Christianity BANGA II PLARIDEL BULACAN
NELFRED BALSOMO ,DELA CRUZ,
LUMANG RAUT,JOSEPH
105007130110 RAUT,FRITZIE MAE - F 02/28/2007 16 Christianity PLARIDEL BULACAN
BAYAN ,FELISILDA,
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)
CONSTANTINO,E
MMARUTH,ALME PARENT Face to Face
NDRAS,
OPEÑA,MARITES,
RELATIVE Face to Face
,
GARCIA,MAYETT
PARENT Face to Face
E,ARQUERO,
MONAY,EMILYN,
PARENT Face to Face
HERNANDEZ,
ALEJANDRO,EDN
PARENT Face to Face T/I DATE:2023-08-14
A,CALDERON,
CALALANG,CHA
PARENT Face to Face T/I DATE:2023-08-14
RITO,RAMOS,
CALARA,MARGIE
Face to Face T/I DATE:2023-08-14
DELA CRUZ,
MANJAC,FLOREF
Face to Face Pending TI
ES,FUENTES,
EVANGELISTA,L
PARENT Face to Face
EA,MANEJE,
ADRIANO,MARIT
Face to Face T/I DATE:2023-08-14
ES,CAUZON,
RAUT,JOSEPHINE
PARENT Face to Face T/I DATE:2023-08-14
FELISILDA,
CUIZON,FLERIDA
PARENT Face to Face
DELA YSLA,
SANTIAGO,A
105009130045 SANTIAGO,ASHLEY VLIZZ DIZON F 10/06/2006 16 Christianity BINTOG PLARIDEL BULACAN
AIL,DIZON,
13 <=== COMBINED
Transfered Out T/O CCT Receipient CCT CCT Control/reference number &
Effectivity Date MALE 4
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 9
Exceptionality Beginning of the Semest
Accelerated ACL Specify Level & Effectivity Date
TOTAL 13
8/14/23 12:00 AM
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