This document is a checklist from Sta. Maria National High School in Binalonan, Pangasinan for their Grade 12-GAS section for the 2021-2022 school year. It includes the names of 14 male and 14 female students and checks whether they have submitted required documents like a birth certificate, junior high school completion certificate, and SHS forms for the first and second semesters. It provides a list of the documents needed to monitor students' records and progress through their senior high school education.

1. Republic of the Philippines
Department of Education
REGION I
SCHOOLS DIVISION OF PANGASINAN II
STA. MARIA NATIONAL HIGH SCHOOL
STA. MARIA NORTE, BINALONAN, PANGASINAN
SCHOOL: STA. MARIA NATIONAL HIGH SCHOOL MUNICIPALITY: BINALONAN
SCHOOL ID: 300358 SCHOOL HEAD: SUSAN N. MANGROBANG
GRADE & SECTION: GRADE 12- GAS
ADVISER: JAPETH D. PURISIMA
DCC CHECKLIST
S.Y. 2021-2022
Name
Live Birth or
Baptismal
Certificate
F137/SF10
(For Moved-
in/Transferred
in)
F 137
JHS/Completion
Certificate
(for Grade 11)
Certificate of
Rating
(ALS
Graduates)
SHS
SF 10
SHS
SF 9
SHS
Diploma
(Grade 12 )
Boys
ANCHETA,RODNEIL DESAMITO
AQUINDE,ERNEST TACLA
AQUINDE,REGIENALD SABIANO
AYTIN,GERALD ROMBAOA
BALURAN,ARGIE MISOLAS
BIRCO, MARK CLINT BRIAN
CAIDO,ALEXANDER CASIL
DRES,RUSSELL OMAR ANTIG
ESPOSO, CARL JOSHUA
LAWINGCO,FHRANKIE JOHN
POLVOROZA
MENDIORO,TRISTAN JAY RIVERA
ROMERO,CARL STEVEN DAQUIGAN
RUAR,JOMAR SORIANO
SERMONIA,JAN SHEMUEL
MACABUDBUD

2. OTHER SHS SCHOOL FORMS
1ST
SEMESTER S.Y. 2021-2022 2ND
SEMESTER S.Y. 2021-2022
School Forms 1 School Forms 1
School Forms 4 School Forms 4
School Forms 5 A School Forms 5 A
School Forms 5 B ( Grade 12 only)
Chairman: DR. CORNELIO R. AQUINO Vice Chairman: DR. ROSALINO T. AGPALO Vice Chairman: DR. MARITES M. TABUGA
Chief Education Supervisor, CID Chief Education Supervisor, SGOD EPS- Incharge
Members:
MARIA CRISTINA V. DALIGNON MARIVIC V. LAOAGAN MR. HILARIO M. OLIVO
Senior Education Program Specialist ( Planning and Research) Planning Offficer III Program Development Officer III
Name
Live Birth or
Baptismal
Certificate
F137/SF10
(For Moved-
in/Transferred
in)
F 137
JHS/Completion
Certificate
(for Grade 11)
Certificate
of Rating
(ALS
Graduates)
SHS
SF 10
SHS
SF 9
SHS
Diploma
Girls
ANCHETA, ALYSSA D.
AQUINO,ERICKA MONIQUE
BRIONES,KATHLEEN JARAMIL
DEFUNTORUM,SHAYNE LADAGA
DELA CRUZ,IVY GAIL DRES
DOMAOAL,JANA ALEXIS CALLA
IGNACIO, RICA JOY U.
LADINES, JODINE KAY E
SEBASTIAN, GINA
SIADOR,ELOISA BLANCO
SIBAYAN,JESICA ELIZAGA
TAGUIAM,MICA C.
VINLUAN,GEMALYN GALLIGUEZ
VINLUAN,JENITZ GACOSCOS