School Form 1 (SF 1) School Register

(This replaced Form 1, Master List & STS Form 2-Family Background and Profile)

School ID School Name

Region

Division School Year

District
Grade Level

Section
NAME OF PARENTS GUARDIAN (If not Parent) Contact Number (Parent /Guardian) Name Relationship REMARK/S

LRN

NAME (Last Name, First Name, Middle Name)

BIRTH Sex DATE (mm/ (M/F) dd/yy)

AGE as of 1st Friday of June (nos. of years as per last birthday)

ADDRESS BIRTH PLACE (Province) MOTHER TONGUE IP (Specify Ethnic Group) RELIGION House # / Street/Sitio/ Purok Barangay Municipality/ City Province

Father (1st name only if family name identical to learner)

Mother (Maiden: 1st Name, Middle & Last Name)

(Please refer to the legend on last page)

LRN

NAME (Last Name, First Name, Middle Name)

BIRTH Sex DATE (mm/ (M/F) dd/yy)

AGE as of 1st Friday of June (nos. of years as per last birthday)

ADDRESS BIRTH PLACE (Province) MOTHER TONGUE IP (Specify Ethnic Group) RELIGION House # / Street/Sitio/ Purok Barangay Municipality/ City Province

NAME OF PARENTS

GUARDIAN (If not Parent) Contact Number (Parent /Guardian) Name Relationship

REMARK/S

Father (1st name only if family name identical to learner)

Mother (Maiden: 1st Name, Middle & Last Name)

(Please refer to the legend on last page)

List and code of Indicators under REMARK column

Indicator Code Required Information Indicator Code
CCT B/A LWD ACL

Required Information
CCT Control/reference number & Effectivity Date Name of school last attended & Year Specify Specify Level & Effectivity Data
MALE FEMALE TOTAL

BoSY

EoSY

Prepared by:

Certified Correct:

Transferred Out T/O Transferred IN T/I Dropped DRP Late Enrollment LE

Name of Public (P) Private (PR) School & Effectivity Date CCT Recipient Name of Public (P) Private (PR) School & Effectivity Date Balik-Aral Reason and Effectivity Date Learner With Dissability Reason (Enrollment beyond 1st Friday of June) Accelarated

(Signature of Adviser over Printed Name)

(Signature of School Head over Printed Name)

BoSY Date:

EoSYDate:

BoSY Date:

EoSYDate: