House #/

Street/ Sitio/
Purok
Relationship
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
RELATIVE
M
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
RELATIVE
Indicator Code BoSY
5.
School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School ID 189527 Region VII Division Negros Oriental District Vallehermoso
Section MULTIGRADE K-2
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 Bairan Primary School School Year 2014 - 2015 Grade Grade 2
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
Name
189527120001.
DESOYO, LAWRENCE
MONTOYA
02-10-2007 7. Cebuano BAIRAN
VALLEHERM
OSO
NEGROS
ORIENTAL
DESOYO,
NARCISO JR
MONTUYA,MA
RIA CHONA
189527120002.
GUTANG, FRANCISCO TARITAS
JR
01-29-2007 7. Cebuano
189527120004.
ORATA, HENRICH KING
MONTOYA
05-22-2007 7. Cebuano BAIRAN
VALLEHERM
OSO
NEGROS
ORIENTAL
BAIRAN
VALLEHERM
OSO
NEGROS
ORIENTAL
GUTANG,
FRANCISCO SR
TARITAS,ANAS
TACIA
ORATA, HENRY
ANZO JR
MONTUYA,JON
NA
189527120005. PATALANDO, KYLE PARDILLO 05-23-2007 7. Cebuano
189527120007. VILLEGAS, BRYAN INDINO 10-05-2007 6. Cebuano BAIRAN
VALLEHERM
OSO
NEGROS
ORIENTAL
BAIRAN
VALLEHERM
OSO
NEGROS
ORIENTAL
,
PATALANDO,J
ENELYN
DELIA
PATALANDO
VILLEGAS,
JUANITO
INDINO,FELISA
5 <=== TOTAL MALE
189527120008. CABUGWAS, JECIL PATIGA 03-05-2007 7. Cebuano BAIRAN
VALLEHERM
OSO
NEGROS
ORIENTAL
CABUGWAS,
CIRILO
PATIGA,MARIT
ES
189527120009. DA-AROL, CHERRY ORBIGOSO 06-11-2007 6. Cebuano
189527120010. DESOYO, LOREINE MONTOYA 02-10-2007 7. Cebuano BAIRAN
VALLEHERM
OSO
NEGROS
ORIENTAL
BAIRAN
VALLEHERM
OSO
NEGROS
ORIENTAL
DA-AROL, JOEL
ORBIGOSO,CR
ISPY
MASICAMPO
DESOYO,
NARCISO JR
MONTUYA,MA
RIA CHONA
189527120012. PATIGA, ANGEL MAY LICANDA 12-05-2006 7. Cebuano
117786130042. TORRES, GEMMA VILLARIN 04-28-2007 7. Cebuano BAIRAN
VALLEHERM
OSO
NEGROS
ORIENTAL
BAIRAN
VALLEHERM
OSO
NEGROS
ORIENTAL
PATIGA, MARIO
LICANDA,DAIS
Y ENCLONAR
MAHINAY,
DOMINGO
CAMPAA
TORRES,EDLIN
A VILLARIN
189527120015. YGAY, HANNAH BAUYA 06-23-2007 6. Cebuano
189527120016.
YGAY, SARAH JANE
BUSTAMANTE
08-28-2007 6. Cebuano BAIRAN
VALLEHERM
OSO
NEGROS
ORIENTAL
BAIRAN
VALLEHERM
OSO
NEGROS
ORIENTAL
YGAY,
DIONISIO
BAUYA,NANCY
ESCOLTOR
YGAY,
AGAPITO
BUSTAMANTE,
JENNILYN
VICTORIA
ALEGRE
7 <=== TOTAL FEMALE
List and Code of Indicators under REMARKS column
Code Required Information
12 <=== COMBINED
Required Information REGISTERED EoSY
Prepared by;
HYACINTH MYVON ENGARCIAL CALAGO JENEFFER LAYAN SALADO
FEMALE
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
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
CCT Control/reference number & Effectivity Date
Name of school last attended & Year
Specify
Specify Level & Effectivity Data
MALE
Indicator
School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
Vallehermoso
MULTIGRADE K-2
REMARKS
(Please refer to
the legend on last
page)
JENEFFER LAYAN SALADO
(Signature of School Head over Printed Name)
Certified Correct:
7
12
EoSY Date:
Generated on: Wednesday, August 13, 2014 8:49:17 AM
Revision 4
FEMALE
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
TOTAL
BoSY Date: EoSY Date: BoSY Date:
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
CCT Control/reference number & Effectivity Date
Name of school last attended & Year
Specify
Specify Level & Effectivity Data
EoSY Date:
Generated on: Wednesday, August 13, 2014 8:49:17 AM
(Signature of School Head over Printed Name)