Region: _________________________

Division: _________________________
As of: ___________________________________

Name of Evacuation CenterSchool ID

No. Region Division City/ Municipality
(School/ LGU/ Home-based)
(if applicable)
Iruhin East IV-A
Iruhin West
Iruhin Central
Sungay West
Dapdap East
Dapdap West
Sungay East
Tolentino West
Tolentino East
Francisco
Kalabuso
TSAC
San Jose
lang Crossing East

Note: Name of Evacuation Center can be specific name of School, LGU Evacuation Center or Home-Based. If it is home-based, p
 Number of Learn

K 1 2 3 4 5
0 0 1 0 3 1
1 2 1 1 1 3
1 2 3 3 1 4
2 1 5 2 1 2
0 0 0 0 0 0
0 0 0 0 0 0
2 2 1 1 0 4
0 3 1 1 4 0
2 2 4 3 2 3
7 1 5 6 4 5
0 2 1 0 0 0
7 11 14 7 8 2
0 1 0 1 1 0
1 0 1 3 0 0
23 27 37 28 25 24
ome-Based. If it is home-based, please indicate the phrase "Home-based" including the Barangay.
 Learner
Number of Learner-Evacuees

6 7 8 9 10 11
1 0 5 0 6 3
2 4 1 1 0 0
4 7 6 3 4 3
0 1 2 0 3 0
0 0 0 0 0 0
0 0 0 0 0 0
2 1 2 0 1 2
3 3 0 1 1 4
4 2 2 3 2 1
9 6 6 5 7 7
0 0 0 0 0 0
11 3 15 9 3 1
3 0 0 0 0 0
0 1 1 1 1 0
39 28 40 23 28 21
 School Classification
Sex (Number of Learner)

12 TOTAL No. of Male No. of Female

No. of Learners with DisabilityPublic
1 21 11 10 21
0 17 9 8
6 47 20 27
1 20 8 12
0 0 0 0
0 0 0 0
1 19 9 10
2 23 14 9
1 31 15 16 30
8 76 43 33
0 3 2 1
8 99 46 53 0 97
0 7 3 4 18
0 9 4 5 9
28 372 184 188
School Classification De
(Number of Learner) From where are Remarks No. of Personnel
the learners?
(Barangay & Teaching
SUC/ Private Municipality) Total ES JHS
0 5 5 0

2
0
0
 DepEd Personnel
f Personnel Sex
eaching Non-Teaching From where are the personnel?
SHS Total Male Total Female
No. of Personnel with
(Barangay
Disability& Municipality)
0 `1 4 0 Talisay Batangas
Remarks
Annex A.1: Detailed Learner and Personnel Tracking Template for Evacuation Centers and Home-based

Region: ________________________
Division: ____________________

As of: _____________________________

Evacuation
Center (LGU /
School / School ID
No. Home-based) (If applicable) First Name Middle Name Last Name
1 Home based 107741 Nica Ella Tolentino Blanco
2 Home based 107741 Jeanette Mariel Capiz
3 Home based 107741 Anthony Capiz
4 Home based 107741 Maricris Del Monte Capiz
5 Home based 107741 Dafhnie Blanco Malabanan
6 Home based 107741 Jhed Penarabia Almendras
7 Home based 107741 Mc Lian Dave Bascon
8
9
10
11
12
13
14
15
Note: Name of Evacuation Center can be specific name of School, LGU Evacuation Center or Home-Based. If it is home-based, p
 and Home-based

Sex
(Please put "x")
Disability
Learner (Please Complete
Reference Birth Date specify, if Name of
Number (LRN) Age (MM/DD/YY) M F any) Guardian
Glenda E.
107741150021 9 06/09/2010 / Tolentino
9 04/24/2010 / Pelita C. Capiz
107741180002 6 / Pelita C. Capiz
10771130033 12 12/28/2007 / Marlyn Del Monte
11 09/05/2008 / Lita Blanco
11 09/21/2008 / Marvin C. almend
9 10/01/2009 / Deborah Bascon

ome-Based. If it is home-based, please indicate the phrase "Home-based" including the Barangay.
 Learner Grade Level for SY 2019-2020
(Please put "x") ALS

Relationship to
Guardian K 1 2 3 4 5 6 7 8 9 10 11 12 BLP
Mother 1
Mother 1
Mother 1
Mother 1
Mother 1
Father 1
Mother 1
 Complete
Complete School Address
ALS School Name of Previous
A&E
of Previous School
School ID of School (Brgy.,
Previous Jeorge (No
B. Vargas Municipality,
Memorial
Jeorge B. Vargas
ELEM SEC SPED School Abbreviations)
elementary and Province)
Sampaloc,
Memorial
Jeorge B. Vargas
School
elementary Talisay Batangas
Sampaloc,
Memorial
Jeorge B. Vargas
School
elementary Talisay Batangas
Sampaloc,
Memorial
Jeorge B. Vargas
School
elementary Talisay Batangas
Sampaloc,
Memorial
Jeorge B. Vargas
School
elementary Talisay Batangas
Sampaloc,
Memorial
Jeorge B. Vargas
School
elementary Talisay Batangas
Sampaloc,
Memorial
School
elementary Talisay Batangas
Sampaloc,
School Talisay Batangas
 Classification Previous Home
of Previous Address Evacuation
School (Public, (Street, Brgy., Center (LGU /
Private, or Municipality, School / School ID (If Employee
SUC) and Province)
Sampaloc, Home-based) applicable) Number
Public Talisay Batangas
Sampaloc,
Public Talisay Batangas
Sampaloc,
Public Talisay Batangas
Sampaloc,
Public Talisay Batangas
Sampaloc,
Public Talisay Batangas
Sampaloc,
Public Talisay Batangas
Sampaloc,
Public Talisay Batangas
 DepEd Personnel
Previous School A

First Name Middle Name Last Name Position School ID Name of School
DepEd Personnel
Previous School Assignement Sex
Designation (Please mark "x") (Put "x")
Teaching Female
Non-Teaching ES JHS SHS Male
 Previous Home
Address
Disability (Street, Brgy.,
(Please Municipality,
specify, if any) and Province) Remarks
Annex A.1: Detailed Learner and Personnel Tracking Template for Evacuation Centers and Home-based

Region: ________________________
Division: ____________________

As of: _____________________________

Evacuation
Center (LGU /
School / School ID
No. Home-based) (If applicable) First Name Middle Name Last Name
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Note: Name of Evacuation Center can be specific name of School, LGU Evacuation Center or Home-Based. If it is home-based, p
 and Home-based

Sex
(Please put "x")
Learner Disability Complete
Reference Birth Date (Please Name of
Number (LRN) Age (MM/DD/YY) M F specify, if any) Guardian

ome-Based. If it is home-based, please indicate the phrase "Home-based" including the Barangay.
 Learner Grade Level for SY 2019-2020
(Please put "x") ALS

Relationship to
Guardian K 1 2 3 4 5 6 7 8 9 10 11 12 BLP
 Complete
Complete School Address
ALS School Name of Previous
A&E
of Previous School
School ID of School (Brgy.,
Previous (No Municipality,
ELEM SEC SPED School Abbreviations) and Province)
 Classification Previous Home
of Previous Address Evacuation
School (Public, (Street, Brgy., Center (LGU /
Private, or Municipality, School / School ID (If Employee
SUC) and Province) Home-based) applicable) Number
 DepEd Personnel
Previous School A

First Name Middle Name Last Name Position School ID Name of School
DepEd Personnel
Previous School Assignement Sex
Designation (Please mark "x") (Put "x")
Teaching Female
Non-Teaching ES JHS SHS Male
 Previous Home
Address
Disability (Street, Brgy.,
(Please Municipality,
specify, if any) and Province) Remarks
Annex A.1: Detailed Learner and Personnel Tracking Template for Evacuation Centers and Home-based

Region: ________________________
Division: ____________________

As of: _____________________________

Evacuation
Center (LGU /
School / School ID
No. Home-based) (If applicable) First Name Middle Name Last Name
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Note: Name of Evacuation Center can be specific name of School, LGU Evacuation Center or Home-Based. If it is home-based, p
 and Home-based

Sex
(Please put "x")
Learner Disability Complete
Reference Birth Date (Please Name of
Number (LRN) Age (MM/DD/YY) M F specify, if any) Guardian

ome-Based. If it is home-based, please indicate the phrase "Home-based" including the Barangay.
 Learner Grade Level for SY 2019-2020
(Please put "x") ALS

Relationship to
Guardian K 1 2 3 4 5 6 7 8 9 10 11 12 BLP
1
1
1
 Complete
Complete School Address
ALS School Name of Previous
A&E
of Previous School
School ID of School (Brgy.,
Previous (No Municipality,
ELEM SEC SPED School Abbreviations) and Province)
 Classification Previous Home
of Previous Address Evacuation
School (Public, (Street, Brgy., Center (LGU /
Private, or Municipality, School / School ID (If Employee
SUC) and Province) Home-based) applicable) Number
 DepEd Personnel
Previous School A

First Name Middle Name Last Name Position School ID Name of School
DepEd Personnel
Previous School Assignement Sex
Designation (Please mark "x") (Put "x")
Teaching Female
Non-Teaching ES JHS SHS Male
 Previous Home
Address
Disability (Street, Brgy.,
(Please Municipality,
specify, if any) and Province) Remarks
Annex A.1: Detailed Learner and Personnel Tracking Template for Evacuation Centers and Home-based

Region: ________________________
Division: ____________________

As of: _____________________________

Evacuation
Center (LGU /
School / School ID
No. Home-based) (If applicable) First Name Middle Name Last Name
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Note: Name of Evacuation Center can be specific name of School, LGU Evacuation Center or Home-Based. If it is home-based, p
 and Home-based

Sex
(Please put "x")
Learner Disability Complete
Reference Birth Date (Please Name of
Number (LRN) Age (MM/DD/YY) M F specify, if any) Guardian

ome-Based. If it is home-based, please indicate the phrase "Home-based" including the Barangay.
 Learner Grade Level for SY 2019-2020
(Please put "x") ALS

Relationship to
Guardian K 1 2 3 4 5 6 7 8 9 10 11 12 BLP
1
1
1
 Complete
Complete School Address
ALS School Name of Previous
A&E
of Previous School
School ID of School (Brgy.,
Previous (No Municipality,
ELEM SEC SPED School Abbreviations) and Province)
 Classification Previous Home
of Previous Address Evacuation
School (Public, (Street, Brgy., Center (LGU /
Private, or Municipality, School / School ID (If Employee
SUC) and Province) Home-based) applicable) Number
 DepEd Personnel
Previous School A

First Name Middle Name Last Name Position School ID Name of School
DepEd Personnel
Previous School Assignement Sex
Designation (Please mark "x") (Put "x")
Teaching Female
Non-Teaching ES JHS SHS Male
 Previous Home
Address
Disability (Street, Brgy.,
(Please Municipality,
specify, if any) and Province) Remarks
Annex A.1: Detailed Learner and Personnel Tracking Template for Evacuation Centers and Home-based

Region: ________________________
Division: ____________________

As of: _____________________________

Evacuation
Center (LGU /
School / School ID
No. Home-based) (If applicable) First Name Middle Name Last Name
1 Cedrick Malaga Saboriendo
2 Angel Ann Lopez Galacite
3 Ronalyn Ortlla Enriquez
4
5
6
7
8
9
10
11
12
13
14
15
Note: Name of Evacuation Center can be specific name of School, LGU Evacuation Center or Home-Based. If it is home-based, p
 and Home-based

Sex
(Please put "x")
Learner Disability Complete
Reference Birth Date (Please Name of
Number (LRN) Age (MM/DD/YY) M F specify, if any) Guardian
11 06/21/2008 X Mary Joy Saborie
11 03/14/2008 X Marichel galacite
12 01/13/08 x Susana Enriquez

ome-Based. If it is home-based, please indicate the phrase "Home-based" including the Barangay.
 Learner Grade Level for SY 2019-2020
(Please put "x") ALS

Relationship to
Guardian K 1 2 3 4 5 6 7 8 9 10 11 12 BLP
Mother 1
Mother 1
Mother 1
 Complete
Complete School Address
ALS School Name of Previous
A&E
of Previous School
School (Brgy.,
School ID of (No Municipality,
ELEM SEC SPED Previous School Abbreviations) and Province)
Banga ElementaryBanga, Talisay Ba
Banga ElementaryBanga, Talisay Ba
Vanancio Trenidad Sr., Memorial Sc
 Classification Previous Home
of Previous Address Evacuation
School (Public, (Street, Brgy., Center (LGU /
Private, or Municipality, School / School ID (If Employee
SUC) and Province) Home-based) applicable) Number
Public
Public
Public
 DepEd Personnel
Previous School A

First Name Middle Name Last Name Position School ID Name of School
DepEd Personnel
Previous School Assignement Sex
Designation (Please mark "x") (Put "x")
Teaching Female
Non-Teaching ES JHS SHS Male
 Previous Home
Address
Disability (Street, Brgy.,
(Please Municipality,
specify, if any) and Province) Remarks
Annex A.1: Detailed Learner and Personnel Tracking Template for Evacuation Centers and Home-based

Region: ________________________
Division: ____________________

As of: _____________________________

Evacuation
Center (LGU /
School / School ID
No. Home-based) (If applicable) First Name Middle Name Last Name
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Note: Name of Evacuation Center can be specific name of School, LGU Evacuation Center or Home-Based. If it is home-based, p
 and Home-based

Sex
(Please put "x")
Learner Disability Complete
Reference Birth Date (Please Name of
Number (LRN) Age (MM/DD/YY) M F specify, if any) Guardian

ome-Based. If it is home-based, please indicate the phrase "Home-based" including the Barangay.
 Learner Grade Level for SY 2019-2020
(Please put "x") ALS

Relationship to
Guardian K 1 2 3 4 5 6 7 8 9 10 11 12 BLP
 Complete
Complete School Address
ALS School Name of Previous
A&E
of Previous School
School ID of School (Brgy.,
Previous (No Municipality,
ELEM SEC SPED School Abbreviations) and Province)
 Classification Previous Home
of Previous Address Evacuation
School (Public, (Street, Brgy., Center (LGU /
Private, or Municipality, School / School ID (If Employee
SUC) and Province) Home-based) applicable) Number
 DepEd Personnel
Previous School A

First Name Middle Name Last Name Position School ID Name of School
DepEd Personnel
Previous School Assignement Sex
Designation (Please mark "x") (Put "x")
Teaching Female
Non-Teaching ES JHS SHS Male
 Previous Home
Address
Disability (Street, Brgy.,
(Please Municipality,
specify, if any) and Province) Remarks
Annex A.1: Detailed Learner and Personnel Tracking Template for Evacuation Centers and Home-based

Region: ________________________
Division: ____________________

As of: _____________________________

Evacuation
Center (LGU /
School / School ID
No. Home-based) (If applicable) First Name Middle Name Last Name
1 Rhae Anne Calimbahin Almendras
2 Rhian Aira Calimbahin Almendras
3 Kristel Airish MariCansino Encarnacion
4 Aljur Enriquez Maramot
5 Ashley Jane Enriquez Maramot
6 Angel Mae Enriquez Maramot
7 Jilean Villanueva Natanuan
8 Home- Based 163508 Leanna Gail Encarnacion Caveiro
9 Home- Based 163508 Naigell Amurao De Grano
10 Home- Based 163508 Nhoelyn Amurao De Grano

11 Home- Based 163508 Jann Iree Almendras Balmes

12 Home- Based 163508 Prince Andy Bataller Pantila

13 Home- Based 163508 Rich Mattew Caigoy Salazar
14 Home- Based 163508 Greselyn Luha Comia

16 Home- Based 163508 Czyrone Kenjie Comia Malabanan

17 Home- Based 163508 Christine Joy Cosme De Castro
18 Home- Based 163508 Sef Ezikyel Almendras Balmos
19 Home- Based 163508 Kate Ashley Louise Almendras Casalla
20 Home- Based 163508 Princess Andrea Bataller Pantila
21 Home- Based 163508 CJ Misamen Comia
22 Home- Based 163508 Casey Misamen Comia
23 Home- Based 163508 Crisha Mae Misamen Comia
24 Home- Based 163508 Rhea Mae Magas Almendras
25 Home-Based 107740 Alexie Tamboong Mendoza
26 Home-Baased 107213 Arianna Almanzor De Leon
27 Home- Based 107738 Princess Aliah Marasigan Encarnacion
Note: Name of Evacuation Center can be specific name of School, LGU Evacuation Center or Home-Based. If it is home-based, p
and Home-based

Sex
(Please put "x")
Learner Disability Complete
Reference Birth Date (Please Name of
Number (LRN) Age (MM/DD/YY) M F specify, if any) Guardian
8 10/09/2011 X Ailyn Almendras
11 03/31/2008 X Ailyn Almendras
11 04/22/08 x Cristina Cansino
7 10/18/12 X Lory Maramot
11 11/11/08 X Lory Maramot
12 11/01/07 X Lory Maramot
10 04/05/09 X Lea Natanuan
1635080004 7 11/29/2012 x Ronalyn De
163508160004 8 4/2/2011 x Granode
Ronalyn
163508180017 6 9/1/2013 x Grano

163508170001 8 1/9/2012 x Ireen Balmes

163508180011 7 11/9/2012 x Melody Pantilla

163508190012 5 7/16/2014 x
163508180003 6 3/16/2013 x Mary Ann Comia

163508190005 6 11/10/2013 x
163508150010 10 12/23/2009 x Mercedes De Castro
163508190001 6 9/3/2013 x
63508190006 5 5/10/2014 x
163508150013 9 4/4/2010 x Andy Pantilla
163508190009 6 9/11/20143 x Lino Comia
163508140029 11 12/22/2008 x Lino Comia
163508160011 8 4/8/2011 x Lino Comia
107741160053 8 4/28/2011 x
107740150053 10 8/2/2009 x
107213140035 11 12/29/2008 x
107736170121 8 7/20/2011 x Edward Encarnacion
ome-Based. If it is home-based, please indicate the phrase "Home-based" including the Barangay.
 Learner Grade Level for SY 2019-2020
(Please put "x") ALS

Relationship to
Guardian K 1 2 3 4 5 6 7 8 9 10 11 12 BLP
Mother 1
Mother 1
Mother 1
Grandmother
Grandmother
Grandmother
Mother
x
Mother x
Mother x

Mother x

Mother x
x
Mother x

x
Mother x
x
x
Father x
Father x
Father x
Father x
x
x
x
Father x
 Complete
Complete School Address
ALS School Name of Previous
A&E
of Previous School
School ID of School (Brgy.,
Previous (No Municipality,
ELEM SEC SPED School Abbreviations) and Province)
San Guillermo EleSan Guillermo, Tal
San Guillermo EleSan Guillermo, Tal
San Guillermo, TalSan Guillermo, Tal
Laurel Central El Laurel Batangas
Laurel Central El Laurel Batangas
Laurel Central El Laurel Batangas
San Guillermo
Balakilong Integr Laurel, Batangas
Elementary
San Guillermo
x School
Elementary Talisay, Batangas
San Guillermo
School
Elementary Talisay, Batangas
x School Talisay, Batangas

San Guillermo
Elementary
School Talisay, Batangas

San Guillermo
Elementary
x School Talisay, Batangas
x
x San Guillermo ElementaryTalisay,
School Batangas

x San Guillermo ElementaryTalisay,

School Batangas
x San Guillermo ElementaryTalisay,
School Batangas
x San Guillermo ElementaryTalisay,
School Batangas
x San Guillermo ElementaryTalisay,
School Batangas
x San Guillermo ElementaryTalisay,
School Batangas
x San Guillermo ElementaryTalisay,
School Batangas
x San Guillermo ElementaryTalisay,
School Batangas
x San Guillermo ElementaryTalisay,
School Batangas
x Jorge B. Vargas Elementary
Sampaloc,
School
Talisay Batangas
x Doňa Maria Laurel Latron Memorial
Talisay,
School
Batangas
x Subic, Elementary
Subic
School
Ibaba, Agoncillo Batangas
x Banga Elementary School
Talisay, Batangas
 Classification Previous Home
of Previous Address Evacuation
School (Public, (Street, Brgy., Center (LGU /
Private, or Municipality, School / School ID (If Employee
SUC) and Province) Home-based) applicable) Number
Public
Public
Public
Public
Public
Public
Public
Public Talisay, Batangas
Public Talisay, Batangas
Public Talisay, Batangas

Public Talisay, Batangas

Public Talisay, Batangas

Public Talisay, Batangas

Public Talisay, Batangas

Public Talisay, Batangas
Public Talisay, Batangas
Public Talisay, Batangas
Public Talisay, Batangas
Public Talisay, Batangas
Public Talisay, Batangas
Public Talisay, Batangas
Public Sampaloc, Talisay Batangas
Public Talisay, Batangas
Public Agoncillo, Batangas
Public Talisay, Batangas
 DepEd Personnel
Previous School A

First Name Middle Name Last Name Position School ID Name of School
DepEd Personnel
Previous School Assignement Sex
Designation (Please mark "x") (Put "x")
Teaching Female
Non-Teaching ES JHS SHS Male
 Previous Home
Address
Disability (Street, Brgy.,
(Please Municipality,
specify, if any) and Province) Remarks
Annex A.1: Detailed Learner and Personnel Tracking Template for Evacuation Centers and Home-based

Region: ________________________
Division: ____________________

As of: _____________________________

Evacuation
Center (LGU /
School / School ID
No. Home-based) (If applicable) First Name Middle Name Last Name
1 Aleena Angela Manalo Hular
2 Marl Lemuel Almendras Lizardo
3 Janiel Tenorio
4 jOHN eRIC Tenorio
5 jOHN RICK Manalo
6 Aeronnald Manalo
7 Roselyn Manalo
8 Aaron Eleazar
9 Ken Lord Biron
10 Alina Manalo
11 MJ Mangubat
12 KC Manalo
13 Christian Manalo
14 Hermihilda Manalo
15 Mclean Dave Manalo
16 Jeanette Mariel Capis
17 Anthony Yehoshua Capis
18 Jefferson Tubay
19 Maricris Capis
20 Princess Melody Rodriquez Laurel
21 Doy Laurio Laurel
22 Mark Joseph Rodriquez Laurel
23 Michelle Rodriquez Laurel
Note: Name of Evacuation Center can be specific name of School, LGU Evacuation Center or Home-Based. If it is home-based, p
 and Home-based

Sex
(Please put "x")
Learner Disability Complete
Reference Birth Date (Please Name of
Number (LRN) Age (MM/DD/YY) M F specify, if any) Guardian
426030150038 11 02/24/2008 X Zeny Manalo
12 12/22/07 X Jocelyn Almendra
15 04/05/2003 X
17 02/22/2002 X
10 12/21/2009 x
107741060049 18 09/14/2001 x
16 07/21/2003 x
8 12/13/2011 x
13 12/05/2006 x
12 02/28/2008 x
107741110062 15 10/24/2006 x
17 12/19/2002 x
12 04/08/2007 x
10 04/13/2009 x
9 10/01/2010 x
9 04/24/2010 x
6 09/15/2013 x
15 10/01/2004 x
107741130033 12 12/28/2007 x
6 05/22/2013 x
8 07/08/2011 x
107738080038 16 04/27/2003 x
107738070041 20 04/23/1999 x
ome-Based. If it is home-based, please indicate the phrase "Home-based" including the Barangay.
 Learner Grade Level for SY 2019-2020
(Please put "x") ALS

Relationship to
Guardian K 1 2 3 4 5 6 7 8 9 10 11 12 BLP
Grandmother x
Mother x
x x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
 Complete
Complete School Address
ALS School Name of Previous
A&E
of Previous School
School ID of School (Brgy.,
Previous (No Municipality,
ELEM SEC SPED School Abbreviations) and Province)
Mcrew EducationalSampaloc, Batang
Jeorge B. Vargas Sampaloc, Batang

Bangan Elem Bangan, Talisay

Bangan Elem Bangan, Talisay
Talisay SHS Talisay
Talisay SHS Talisay
 Classification Previous Home
of Previous Address Evacuation
School (Public, (Street, Brgy., Center (LGU /
Private, or Municipality, School / School ID (If Employee
SUC) and Province) Home-based) applicable) Number
Private
Public

Public
Public
Public
Public
 DepEd Personnel
Previous School A

First Name Middle Name Last Name Position School ID Name of School
DepEd Personnel
Previous School Assignement Sex
Designation (Please mark "x") (Put "x")
Teaching Female
Non-Teaching ES JHS SHS Male
 Previous Home
Address
Disability (Street, Brgy.,
(Please Municipality,
specify, if any) and Province) Remarks
Annex A.1: Detailed Learner and Personnel Tracking Template for Evacuation Centers and Home-based

Region: ________________________
Division: ____________________

As of: _January 27, 2020____________________________

Evacuation
Center (LGU /
School / School ID
No. Home-based) (If applicable) First Name Middle Name Last Name
1 Home-Based Maria Kayslee An Mendova Drio
2 Home-Based Maria Katlean Mendova Drio
3 Home-Based Maria Criselda Mendova Drio
4 Home-Based Maria Catherine Mendova Drio
5 Home- Based 163508 Stephen Yuan De Ocampo Comia
6 Home- Based 163508 Geo Vidal Comia
7 Home-Based King David Comia
8 Home-Based Harley Sebastian Comia
9 Home-Based Harold Palicpic Sarito
10 Home-Based Harry Palicpic Sarito
11 Home-Based Kate Palicpic Sarito
12 Home-Based Kaycee Palicpic Sarito
13 Home-Based John Jeush Sarito Mendoza
14 Home-Based John Blaire Sarito Mendoza
15 Home-Based Gian Carlo Abegonia
16 Home-Based Mary Rose Ann Abegonia
17 Home-Based Aria Maises Manalo Agulto
18 Home-Based Analiza Manalo Hernandez
19 Home-Based Abigail Manalo Hernandez
20 Home-Based Alexis Manalo Hernandez
21 Home-Based Rachel Ann Abariento Almendraz
22 Home-Based Princess ShanaineAbariento Almendraz
23 Home-Based Rondel Jake Abariento Almendraz
24 Home-Based Danica Asuncion Mayor
25 Home-Based Razen Dave Asuncion Mayor
26 Home-Based Catherine Garcia Capacia
27 Home-Based Princess Elizha Mae Listana
28 Home-Based Hannah Chloie Listana
29 Home-Based Charles Leo Renz Listana
30 Home-Based Gabriel Braza Garcia
31 Homed-Based Raphael Gagundatu
and Home-based

Sex
(Please put "x")
Learner Disability Complete
Reference Birth Date (Please Name of
Number (LRN) Age (MM/DD/YY) M F specify, if any) Maricris
Guardian
10 05/22/2009 X Mendova
6 04/06/2013 X Maricirs Mendova
16 04/14/2003 X
14 06/03/2006 X
163508140002 11 4/6/2006 x Joy Comia
163058160001 8 5/5/2011 x Mary Ann Comia
6 10/27/2013 x
4 02/03/2015 x
14 x
12 x
10 x
8 x
10 x
18 x
10 x
8 x
o 6 x
107738130047 11 x
107738120037 13 x
107738110020 14 x
15 x
9 x
7 x
11 x
9 x
15 x
12 x
8 x
5 x
16 x
16 x
 Learner Grade Level for SY 2019-2020
(Please put "x") ALS

Relationship to
Guardian K 1 2 3 4 5 6 7 8 9 10 11 12 BLP
Mother X
Mother X
X
X
x
Mother x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
 Complete
Complete School Address
ALS School Name of Previous
A&E
of Previous School
School ID of School (Brgy.,
Previous (No Municipality,
ELEM SEC SPED School Abbreviations) and Province)
Banga ElementaryBanga, Talisay Ba
Banga ElementaryBanga, Talisay Ba
Talisay Senior Hig Banga, Talisay Ba
San Guillermo
Balas Buco NationBanga, Talisay Ba
Elementary
San Guillermo
School
Elementary Talisay, Batangas
San Guillermo
School
Elementary Talisay, Batangas
San Guillermo
School
Elementary Talisay, Batangas
School Talisay, Batangas
Agoncillo NationaAgoncillo, Batang
Agoncillo NationaAgoncillo, Batang
Subic Elementary Agoncillo, Batang
Subic Elementary Agoncillo, Batang
Subic Elementary Agoncillo, Batang
Agoncillo College Agoncillo, Batang
Balas Elementary Balas, Talisay
Balas Elementary Balas, Talisay
Banga, Elementary School Banga, Talisay
Banga, Elementary School Banga, Talisay
Talisay High SchooBanga, Talisay
Balas Buco NationBanga, Talisay Ba
Balas Buco NationBanga, Talisay Ba
Vargas ElementaryTalisay Batangas
Vargas ElementaryTalisay Batangas
Central Elem. Sch Poblacion, Talisay
Central Elem. Sch Poblacion, Talisay
Talisay Sch. of AgrTalisay, Batangas
Balas Elem. Sch Balas, Talisay
Balas Elem. Sch Balas, Talisay
Balas Elem. Sch Balas, Talisay
Talisay HS Talisay
Balasbuco NHS Balas, Talisay
 Classification Previous Home
of Previous Address Evacuation
School (Public, (Street, Brgy., Center (LGU /
Private, or Municipality, School / School ID (If Employee
SUC) and Province) Home-based) applicable) Number
Public
Public
Public
Public
Public Talisay, Batangas
Public Talisay, Batangas
Public Talisay, Batangas
Public Talisay, Batangas
Public Subic Ilaya, Agoncillo
Public Subic Ilaya, Agoncillo
Public Subic Ilaya, Agoncillo
Public Subic Ilaya, Agoncillo
Public Subic Ilaya, Agoncillo
Private Subic Ilaya, Agoncillo
Public Balas, Talisay
Public Balas, Talisay
Public Banga, Talisay
Public Banga, Talisay
Public Banga, Talisay
Public Banga, Talisay
Public Sampaloc, Talisay
Public Sampaloc, Talisay
Public Sampaloc, Talisay
Public Poblacion, Talisay
Public Poblacion, Talisay
Public Miranda, Talisay
Public Balas, Talisay
Public Balas, Talisay
Public Balas, Talisay
Public Latag, Talisay
Public Balas, Talisay
 DepEd Personnel
Previous School A

First Name Middle Name Last Name Position School ID Name of School
DepEd Personnel
Previous School Assignement Sex
Designation (Please mark "x") (Put "x")
Teaching Female
Non-Teaching ES JHS SHS Male
 Previous Home
Address
Disability (Street, Brgy.,
(Please Municipality,
specify, if any) and Province) Remarks
Annex A.1: Detailed Learner and Personnel Tracking Template for Evacuation Centers and Home-based

Region: ________________________
Division: ____________________

As of: _____________________________

Evacuation
Center (LGU /
School / School ID
No. Home-based) (If applicable) First Name Middle Name Last Name
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Note: Name of Evacuation Center can be specific name of School, LGU Evacuation Center or Home-Based. If it is home-based, p
 and Home-based

Sex
(Please put "x")
Learner Disability Complete
Reference Birth Date (Please Name of
Number (LRN) Age (MM/DD/YY) M F specify, if any) Guardian

ome-Based. If it is home-based, please indicate the phrase "Home-based" including the Barangay.
 Learner Grade Level for SY 2019-2020
(Please put "x") ALS

Relationship to
Guardian K 1 2 3 4 5 6 7 8 9 10 11 12 BLP
1
1
1
 Complete
Complete School Address
ALS School Name of Previous
A&E
of Previous School
School ID of School (Brgy.,
Previous (No Municipality,
ELEM SEC SPED School Abbreviations) and Province)
 Classification Previous Home
of Previous Address Evacuation
School (Public, (Street, Brgy., Center (LGU /
Private, or Municipality, School / School ID (If Employee
SUC) and Province) Home-based) applicable) Number
 DepEd Personnel
Previous School A

First Name Middle Name Last Name Position School ID Name of School
DepEd Personnel
Previous School Assignement Sex
Designation (Please mark "x") (Put "x")
Teaching Female
Non-Teaching ES JHS SHS Male
 Previous Home
Address
Disability (Street, Brgy.,
(Please Municipality,
specify, if any) and Province) Remarks
Annex A.1: Detailed Learner and Personnel Tracking Template for Evacuation Centers and Home-based

Region: ________________________
Division: ____________________

As of: _____________________________

Evacuation
Center (LGU /
School / School ID
No. Home-based) (If applicable) First Name Middle Name Last Name
1 LGU 163508 Joylyn Galolo Patoc
2 LGU 165308 Jayvee Cabrera Cabato
3 LGU 107727 Marvin Rosero Enocencio
4 LGU 107738 Evown Bermejo Inumerable
5 LGU 107738 John Rick Malaga Saboriendo
6 LGU 107738 Aicel Lopez Galacite
7 LGU 107737 Angelo Inocencio Repique
8 LGU 107736 Jhoann Lopena Garcia
9 LGU 107738 Hannah Inumerable Tenorio
10
11
12
13
14
15
Note: Name of Evacuation Center can be specific name of School, LGU Evacuation Center or Home-Based. If it is home-based, p
 and Home-based

Sex
(Please put "x")
Learner Disability Complete
Reference Birth Date (Please Name of
Number (LRN) Age (MM/DD/YY) M F specify, if any) Guardian
7 9/28/2012 x
163508180023 6 7/21/2013 x
107737160004 8 3/5/2011 x
107738170027 8 12/20/2011 x
8 7/16/2011 x Joy Saboriendo
107738180050 7 10/2/2012 x
107737190013 5 6/6/2014 x
107736170066 8 9/27/2011 x
107738170062 8 10/16/2011 x

ome-Based. If it is home-based, please indicate the phrase "Home-based" including the Barangay.
 Learner Grade Level for SY 2019-2020
(Please put "x") ALS

Relationship to
Guardian K 1 2 3 4 5 6 7 8 9 10 11 12 BLP
x
x
x
x
x
x
x
x
x
 Complete
Complete School Address
ALS School Name of Previous
A&E
of Previous School
School ID of School (Brgy.,
Previous (No Municipality,
ELEM SEC SPED School Abbreviations) and Province)
x San Guillermo ElementaryTalisay,
School Batangas
x San Guillermo ElementaryTalisay,
School Batangas
x Balas Elementary Balas
School
Buco, Talisay Batangas
x Banga Elementary School Talisay, Batangas
x Banga Elementary School Talisay, Batangas
x Banga Elementary School Talisay, Batangas
x Balas Elementary Balas
School
Buco, Talisay Batangas
x Talisay,
Vinancio Trinidad Senior Memorial Batangas
School
x Banga Elementary School Talisay, Batangas
 Classification Previous Home
of Previous Address Evacuation
School (Public, (Street, Brgy., Center (LGU /
Private, or Municipality, School / School ID (If Employee
SUC) and Province) Home-based) applicable) Number
Public Talisay, Batangas
Public Talisay, Batangas
Public Talisay, Batangas
Public Talisay, Batangas
Public Talisay, Batangas
Public Talisay, Batangas
Public Talisay, Batangas
Public Talisay, Batangas
Public Talisay, Batangas
 DepEd Personnel
Previous School A

First Name Middle Name Last Name Position School ID Name of School
DepEd Personnel
Previous School Assignement Sex
Designation (Please mark "x") (Put "x")
Teaching Female
Non-Teaching ES JHS SHS Male
 Previous Home
Address
Disability (Street, Brgy.,
(Please Municipality,
specify, if any) and Province) Remarks
Annex A.1: Detailed Learner and Personnel Tracking Template for Evacuation Centers and Home-based

Region: ________________________
Division: ____________________

As of: _____________________________

Evacuation
Center (LGU /
School / School ID
No. Home-based) (If applicable) First Name Middle Name Last Name
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Note: Name of Evacuation Center can be specific name of School, LGU Evacuation Center or Home-Based. If it is home-based, p
 and Home-based

Sex
(Please put "x")
Learner Disability Complete
Reference Birth Date (Please Name of
Number (LRN) Age (MM/DD/YY) M F specify, if any) Guardian

ome-Based. If it is home-based, please indicate the phrase "Home-based" including the Barangay.
 Learner Grade Level for SY 2019-2020
(Please put "x") ALS

Relationship to
Guardian K 1 2 3 4 5 6 7 8 9 10 11 12 BLP
1
1
1
 Complete
Complete School Address
ALS School Name of Previous
A&E
of Previous School
School ID of School (Brgy.,
Previous (No Municipality,
ELEM SEC SPED School Abbreviations) and Province)
 Classification Previous Home
of Previous Address Evacuation
School (Public, (Street, Brgy., Center (LGU /
Private, or Municipality, School / School ID (If Employee
SUC) and Province) Home-based) applicable) Number
 DepEd Personnel
Previous School A

First Name Middle Name Last Name Position School ID Name of School
DepEd Personnel
Previous School Assignement Sex
Designation (Please mark "x") (Put "x")
Teaching Female
Non-Teaching ES JHS SHS Male
 Previous Home
Address
Disability (Street, Brgy.,
(Please Municipality,
specify, if any) and Province) Remarks