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Name of Barangay: P-3B, Manila Group Municipality: Wao

Division: Lanao del Sur I Region: Bangsamoro Autonomous Region in Muslim Mindanao
DISABILI
DEMOGRAPHIC INFORMATION RESIDENCE EDUCATIONAL STATUS FUTURE ENROLLMENT
NAME TY
If If NO,
Numb studyi Plann state
Is Ha If If NO,
er of ng ing to reason
With resid sa YES, Curre state If YES,
Years Educati throu study for not
Birth ence dis specif ntly reaso specify the
Gen Present in onal If YES, specify gh next planni
Last First Middle Age Date of Birth Certifi perm abil y type studyi n for name of
der Address prese Attainm name of school ADM, schoo ng to
cate anent ity? of ng? not prospective
nt ent specif l study
(Y/N) ? (Y/ disabi (Y/N) studyi school
addre y type year? next
(Y/N) N) lity ng
ss of (Y/N) school
ADM year
Masirica
P-3B, Masiricam
mpo
ABAYA JEA TIMOTEO F 16 01/15/2007 Y MANILA 16 Y N S9 Y po Abantas Y
Abantas
GROUP MNHS
MNHS
Masiricam Masirica
P-3B,
HELEN po Abantas mpo
ATOY BARING F 16 02/07/2007 Y MANILA 16 Y N S8 Y Y
JANE MNHS Abantas
GROUP
MNHS
Masiricam Masirica
P-3B,
NICHOLE po Abantas mpo
BALONDRO ROSALES F 15 04/09/2007 Y MANILA 15 Y N S8 Y Y
KIM MNHS Abantas
GROUP
MNHS
Masiricam Masirica
P-3B,
po Abantas mpo
BARING JAKE TIMOTEO M 14 09/06/2008 Y MANILA 14 Y N C6 Y Y
MNHS Abantas
GROUP
MNHS
Masiricam Masirica
P-3B,
po Abantas mpo
BRIGOLE JESSRYL DULEFER M 14 06/16/2009 Y MANILA 14 Y N C6 Y Y
MNHS Abantas
GROUP
MNHS
Masiricam Masirica
P-3B,
JHON po Abantas mpo
DAYAO GOBE M 13 12/22/2010 Y MANILA 13 Y N C6 Y Y
RAVEN MNHS Abantas
GROUP
MNHS
Masiricam Masirica
P-3B,
po Abantas mpo
DELA CRUZ AIVAN FABILLAR M 15 08/08/2007 Y MANILA 15 Y N C6 Y Y
MNHS Abantas
GROUP
MNHS
Masiricam Masirica
P-3B,
po Abantas mpo
DELA CRUZ GLEN PABILLAR M 14 03/02/2009 Y MANILA 14 Y N C6 Y Y
MNHS Abantas
GROUP
MNHS
Masiricam Masirica
P-3B,
po Abantas mpo
DELA CRUZ LAICA PABILLAR F 13 05/29/2009 Y MANILA 13 Y N S7 Y Y
MNHS Abantas
GROUP
MNHS
Masiricam Masirica
P-3B,
MARK po Abantas mpo
DELA CRUZ PABILLAR M 16 09/07/2006 Y MANILA 16 Y N S9 Y Y
ANTHONY MNHS Abantas
GROUP
MNHS
Masiricam Masirica
P-3B,
po Abantas mpo
DELANA LEE ANN TABAMO F 17 11/30/2006 Y MANILA 16 Y N S9 Y Y
MNHS Abantas
GROUP
MNHS
Masiricam Masirica
P-3B,
po Abantas mpo
DIMACUTAC JASON PAYLA M 14 05/08/2008 Y MANILA 14 Y N S8 Y Y
MNHS Abantas
GROUP
MNHS
¹ ASK: “Is the child a permanent resident?” (YES/NO) If YES, follow up “do the residents plan on moving out?”
² TYPES OF DISABILITIES: (see DepEd Order No. 2, s 2014 for detailed descriptions)

1-Visual Impairment 6-Serious emotional disturbance


2-Hearing Impairment 7-Autism
3-Intellectual Disability 8-Orthopedic impairment
4-Learning Disability 9-Special health problems MISS NORAISA L. MACABA-AS
5-Speech/language impairment 10-Mutiple disabilities
INTERVIEW NAME AND SIGNATURE
³ EDUCATIONAL ATTAINMENT:
CK-Completed Kindergarten C7-Completed Grade 7 SK-Some Kindergarten S7-Some Grade 7
C1-Completed Grade 1 C8-Completed Grade 8 S1-Some Grade 1 S8-Some Grade 8 MARCH 16, 2023
C2-Completed Grade 2 C9-Completed Grade 9 S2-Some Grade 2 S9-Some Grade 9
DATE OF INTERVIEW
C3-Completed Grade 3 C10-Completed Grade 10 S3-Some Grade 3 S10-Some Grade 10
C4-Completed Grade 4 C11-Completed Grade 11 S4-Some Grade 4 S11-Some Grade 11
C5-Completed Grade 5 C12-Completed Grade 12 S5-Some Grade 5 S12-Some Grade 12
C6-Completed Grade 6 S6-Some Grade 6

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