1201-20-2006Enclosure to No. 2 to DepEd Order No.4 s.

2012
FORM 1
DEPARTMENT OF EDUCATION
EARLY REGISTRATION FORM

School ID : 131589 Region : CARAGA XIII

School Name : Santa Ana Elementary school Division: Agusan del Norte
School District: Tubay District II

GRADE VI LAPU - LAPU

S.Y 2018 – 2019

Category of C/Y
with Disabilities **
Name Sex Age Birth-date Address (for children and Remarks
youth with
disabilities only)
1. ALARAN, PATRICK BIGCAS M 12 5-15-2007 SANTA ANA,TUBAY
2. AÑORA, DANIEL JR. ASCAREZ M 12 08-20-2007 SANTA ANA,TUBAY
3. ECARMA, ANTONIO IV PALER M 12 06-22-2007 SANTA ANA,TUBAY
4. ENOSO, PRINCE LUI JOHN BIOL M 13 12-25-2006 SANTA ANA,TUBAY
5. GULTIANO, JHUNREX ATIS M 12 06-06-2007 SANTA ANA,TUBAY
6. KINANAHAN, STEVENASH RESULLAR M 13 08-09-2006 SANTA ANA,TUBAY
7 LEOP, THIRDIE MORE M 12 03-29-2007 SANTA ANA,TUBAY
8 LOBETE, ALEXANDER AMIGO M 12 10-03-2007 SANTA ANA,TUBAY
9. MICARANDAYO, JOHN PAUL A M 13 12-26-2006 SANTA ANA,TUBAY
10. NICART, REYNALDO III MASACOTE M 14 06-10-2005 SANTA ANA,TUBAY
11 PADILLON, LORENZ MURILLO M 12 06-28-2007 SANTA ANA,TUBAY
12. PAGARAN, JAMES KHENNITH BIGCAS M 12 03-01-2007 SANTA ANA,TUBAY
13. PEREJAN, JIAN PAUL PALER M 12 01-04-2007 SANTA ANA,TUBAY
14. PRIMACIO, JHON CLINT SAMOYA M 13 03-13-2006 SANTA ANA,TUBAY
15. SAJULGA, JAYCEL ALFARO M 13 12-15-2006 SANTA ANA,TUBAY
16. TUBAY, BHONG ROBERT PEGARES M 13 07-05-2006 SANTA ANA,TUBAY
17. VILLAMOR, DARYLL KING DELOS REYES M 11 12-24-2005 SANTA ANA,TUBAY
18. ARQUION, MARLY MAE ARCIBAL F 12 03-09-2007 SANTA ANA,TUBAY
19. CAGADAS, MERLIE BIGCAS F 13 10-29-2006 SANTA ANA,TUBAY
20. ELLE, SHERLYN MAE PAIRA F 12 09-30-2007 SANTA ANA,TUBAY
21. GALGO, AGNES RETIQUEZ F 13 08-08-2006 SANTA ANA,TUBAY
22. JAVIER, RHEA MAE VILLAMOR F 12 03-31-2007 SANTA ANA,TUBAY
23. LIBOT, SHIELA MAE SACAY F 12 02-17-2007 SANTA ANA,TUBAY
24. MORTA, CHARISSA CEPEDA F 12 10-20-2007 SANTA ANA,TUBAY
25. ORTEZA, CHARMEL MANGA F 12 01-18-2007 SANTA ANA,TUBAY
26. PARACUELLES, ERIKA PALER F 12 04-18-2007 SANTA ANA,TUBAY
27. PATANAO, ANGELICA SACAY F 13 12-12-2006 SANTA ANA,TUBAY
28. ROBLES, KRIZA CARLETT ASCAREZ F 13 11-10-2006 SANTA ANA,TUBAY
29. VERTUDAZO, IVY CLAIRE MORDENO F 12 01-02-2007 SANTA ANA,TUBAY
30. VILLAMOR, MAE ANN RABE F 12 04-04-2007 SANTA ANA,TUBAY
Remarks*:
1.For Grade I Registrants: Has attended / not attended Kindergarten class.
2.For ALS: Information whether the child/ youth prefers to learn through the ADM= Alternative Delivery Mode (MISOSA, e-IMPACT, DORP)
or ALS= alternative learning system
Category of C/Y with Disability**: Visual Impairment, Hearing Impairment, Intellectual Disability, Learning Disability, Speech/Language Impairment,
Serious Emotional Disturbance, Autism, Orthopedic Impairment, Special Health Problem, Multiple Disabilities.