House #/

Street/ Sitio/
Purok
Relationship
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
ALBUERA LEYTE , POLIQUIT
PAMFILA C
BLANZA
, CAINDOC
NORMALITA C
BLANZA
120995080007. CADIONG, JESSA POLIQUIT 11-17-2000 13. Cebuano
120995080006. BLANZA, REYSHELLE CAINDOC 09-02-2003 10. Cebuano ALBUERA LEYTE
ALBUERA LEYTE , DINALGO
JOSE GERRY T
BITOON
, RUIZ
CARLITO T
BITO-ON
120995080003. BITOON, LIZA DINALGO 02-10-2003 11. Cebuano
120995080004. BITO-ON, MARICAR RUIZ 03-19-2003 11. Cebuano ALBUERA LEYTE
ALBUERA LEYTE , DE LA PENA
JIMMY G
BESTIL
120995120042. BESTIL, RUBYLJEN DELA PENA 08-17-2003 10. Cebuano
14 <=== TOTAL MALE
ALBUERA LEYTE , GALANO MELY G TAYO
, ESPERA
ALDO D
TAMBIS
120995080029. TAYO, NIO GALANO 01-14-2003 11. Cebuano
120995080028. TAMBIS, ALVIN ESPERA 09-13-2002 11. Cebuano ALBUERA LEYTE
, WENCESLAO
VILMA
WENCESLAO
, ALKUINO
ARNEL G
ONTING
120996080077.
POLIQUIT, REYNALDO
WENCESLAO JR
03-26-2002 12. Cebuano
120995080024. ONTING, JAKE ARNEL ALKUINO 09-14-2003 10. Cebuano ALBUERA LEYTE
, PERNITO
ERIC O
NIVERA SR
, GUBANG
DANTE D
MANAGBANAG
120998080082. NIVERA, ERIC PERNITO JR 09-05-2002 11.
120995120041.
MANAGBANAG, BUENA VINCE
GUBANG
09-27-2002 11. Cebuano ALBUERA LEYTE
ALBUERA LEYTE , ESPINA
MARY JANE E
ISRAEL
, CRESTINES
AILENE
GALANO
120995080020. ISRAEL, MELTHON JAY ESPINA 05-03-2003 11. Cebuano
120995080016. GALANO, RENIE CRESTINES 06-27-1999 14. Cebuano ALBUERA LEYTE
ALBUERA LEYTE , BOHOLST
CECILIA B
GALANO
, CAINDOC
JULITO A
DALMACIO
120995080015. GALANO, CHRISTIAN BOHOLST 05-13-2002 12. Cebuano
120995080012. DALMACIO, MARVIN CAINDOC 01-05-2003 11. Cebuano ALBUERA LEYTE
ALBUERA LEYTE , DADIOS
DARIO S
DADIOS
, MALABAT
REYNALDO R
CADIONG
120995080011. DADIOS, DARREL BELARMINO 03-10-2003 11. Cebuano
120995080008. CADIONG, REYGIE MALABAT 12-12-2002 11. Cebuano ALBUERA LEYTE
ALBUERA LEYTE , DALIDA
JULIE ANN D
BIOC
, CAYETANO
DENNIS C
ALKUINO
120995080002. BIOC, CARLO DALIDA 11-30-2002 11. Cebuano
Name
120995080001. ALKUINO, DAVE CAYETANO 12-05-2002 11. Cebuano ALBUERA LEYTE
ADDRESS PARENTS
GUARDIAN
(if Not Parent)
Contact
Number of
Parent or
Guardian Barangay
Municipality/
City
Province
Father's Name
(Last Name, First
Name, Middle
Name)
Mother's Maiden
Name (Last Name,
First Name,
Middle
Section A
LRN
NAME
(Last Name, First Name, Middle Name)
S
e
x

(
M
/
F
)
BIRTH DATE
(mm/dd/yyyy)
AGE as
of 1st
Friday
June
MOTHER
TONGUE
(Grade 1
to 3 Only)
IP
(Ethnic
Group)
RELIGION
School Name Antipolo Elementary School School Year 2014 - 2015 Grade Grade 6
School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School ID 120995 Region VIII Division Leyte District Albuera South
(Please refer to
the legend on last
page)
REMARKS
A
School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
Albuera South
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
Indicator Code BoSY
14.
17
31
BoSY Date: EoSY Date: BoSY Date: EoSY Date:
Generated on: Thursday, July 10, 2014
CCT Control/reference number & Effectivity Date
Name of school last attended & Year
Specify
Specify Level & Effectivity Data
MALE
PAULMAN MANATAD PAULO FELIPA ARQUILLANO ARIAS
FEMALE
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
TOTAL
EoSY
Prepared by; Certified Correct:
Transfered Out
Transfered In
Dropped
T/O
T/I
DRP
LE
Name of Public (P) Private (PR) School &
Effectivity Date
Name of Public (P) Private (PR) School &
Effectivity Date
Reason and Effectivity Date
Reason (Enrollment beyond 1st Friday of
CCT Receipient
Balik Aral
Learner With
Disability
Accelerated
CCT
B/A
LWD
ACL
List and Code of Indicators under REMARKS column
Code Required Information Indicator Required Information REGISTERED
31 <=== COMBINED
17 <=== TOTAL FEMALE
ALBUERA LEYTE , CALVARIO
RAMMEL M
SAJONIA
, GALANO
DOMINGO A
POGATA
120995080027.
SAJONIA, JAMAICA NICOLE
CALVARIO
07-30-2003 10. Cebuano
120995080025. POGATA, ERICA GALANO 07-06-2003 10. Cebuano ALBUERA LEYTE
ALBUERA LEYTE , DALIDA
CARLITO J
MOLERO JR
, MURING
ENRICO C
MERCEDES
120995080023.
MOLERO, HANNAH MAE
DALIDA
06-23-2003 10. Cebuano
124198080060. MERCEDES, ERICA MURING 01-03-2002 12. Cebuano ALBUERA LEYTE
ALBUERA LEYTE , ALKUINO
RONNEL L
JUANILLO
, CANETE
AURELIO A
ISRAEL
120995080022.
JUANILLO, LOVE NELIE
ALKUINO
03-15-2003 11. Cebuano
120995080019. ISRAEL, REGINE CAETE 08-30-2002 11. Cebuano ALBUERA LEYTE
ALBUERA LEYTE , GALANO
PAULINO B
ISRAEL
, WENCESLAO
RAMIL B
ISRAEL
120995080018. ISRAEL, JUMALIN GALANO 05-18-2002 12. Cebuano
120995080017. ISRAEL, ERHA WENCESLAO 03-18-2003 11. Cebuano ALBUERA LEYTE
ALBUERA LEYTE , NOVERO
GIRLIE N
HUBILLA
, CAPAROS
DEMETRIO R
HUERTA
114533080042.
HUBILLA, MARY ANGEL
NOVERO
05-21-2003 11. Cebuano
120995080014. FORTUNATO, ELVIE CAPAROS 12-12-2001 12. Cebuano ALBUERA LEYTE
ALBUERA LEYTE , CARBON
EVELINDA C
CAINDOC
, GALANO
BENJAMIN S
CAINDOC
120995080010. CAINDOC, MELYN CARBON 08-03-2003 10. Cebuano
120995080009.
CAINDOC, CHERRY VIE
GALANO
11-20-2003 10. Cebuano ALBUERA LEYTE
EoSY Date:
Generated on: Thursday, July 10, 2014
FELIPA ARQUILLANO ARIAS
(Signature of School Head over Printed Name)
Certified Correct: