House #/

Street/
Sitio/
Purok
Relationshi
p
M Christianity
M Christianity
M Christianity
M Christianity
M Christianity
M Christianity
F Christianity
F Christianity
F Christianity
F Christianity
F Christianity
F Christianity
F Christianity
F Christianity
F Christianity
F Christianity
F Christianity
F Christianity
F Christianity
F Christianity
F Christianity
F Christianity
F Christianity
Indicator Code BoSY
6.
17
23
School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School ID 120640 Region VII Division Negros Oriental District Vallehermoso
School Name Tolotolo ES School Year 2014 - 2015 Grade Grade 2 Section MULTIGRADE 1-2
LRN
NAME
(Last Name, First Name,
Middle Name)
S
e
x
(M
/F
)
BIRTH DATE
(mm/dd/yyyy
)
AGE
as of
1st
Frida
y
June
MOTHER
TONGUE
(Grade 1
to 3 Only)
IP
(Ethnic
Group)
RELIGION
ADDRESS PARENTS
GUARDIAN
(if Not Parent)
Contact Number
of Parent or
Guardian
REMARKS
Barangay Municipality/ City Province
Father's Name
(Last Name,
First Name,
Middle Name)
Mother's Maiden
Name (Last Name,
First Name, Middle
(Please refer to the legend
on last page)
120640110002. ARELLANO, JOSE YARES 09-21-2006 7. Cebuano ULAY VALLEHERMOSO
NEGROS
ORIENTAL
120640120001.
LOQUELOQUE, VINCE
MARJOE LABROSO
11-22-2006 7. Cebuano
Name
ARELLANO,
ISAIAS
PARADERO
MARIA MANCAO
YARES
120640130021.
LOQUINARIO, ALFIE
MOSQUIDA
01-20-2007 7. Cebuano ULAY VALLEHERMOSO
NEGROS
ORIENTAL
ULAY
120640120002. MASABA, ROMEO OBRERO 10-05-2007 6. Cebuano
VALLEHERMOSO
NEGROS
ORIENTAL
LOQUELOQUE,
JOEL NAYON
MARITESS
POLOGON
LABROSO
LOQUINARIO,
ARVIE RETALLA
MARCIANA
ARQUILOS
MOSQUIDA
120640120003.
RODRIGUEZ, LORENZO
PEREZ
10-17-2007 6. Cebuano ULAY VALLEHERMOSO
NEGROS
ORIENTAL
ULAY
120640120005. SANIBAN, RUEL SANCHEZ 10-26-2007 6. Cebuano
VALLEHERMOSO
NEGROS
ORIENTAL
MASABA,
MILLARD
FERNANDEZ
MARICEL PORRAS
OBRERO
RODRIGUEZ,
ALVIN DOMINGO
LORENA TAYAG
PEREZ
6 <=== TOTAL MALE
ULAY
120640110001. ARELLANO, EFIGENIA YARES 09-21-2006 7. Cebuano
VALLEHERMOSO
NEGROS
ORIENTAL
SANIBAN,
MARIO
SONSONA
CYNTHIA VILLAMOR
SANCHEZ
120640120006.
ATACA, FATIMA ZEN
BANCOG
10-08-2007 6. Cebuano ULAY VALLEHERMOSO
NEGROS
ORIENTAL
ULAY
120639120008.
BAGUIO, CATHERINE
SANDOT
10-11-2007 6. Cebuano
VALLEHERMOSO
NEGROS
ORIENTAL
ARELLANO,
ISAIAS
PARADERO
MARIA MANCAO
YARES
ATACA, ZEZZIER
ACERON
TEODORA
MENDOZA BANCOG
120640120008. CABALLERO, AIZA NAYON 09-11-2007 6. Cebuano ULAY VALLEHERMOSO
NEGROS
ORIENTAL
TAGBINO
120640130022.
CAMBALCAMBAL,
FLORDELIZE ENARCISO
05-13-2005 9. Cebuano
VALLEHERMOSO
NEGROS
ORIENTAL
BAGUIO,
MELCHOR
JUDITHA B SANDOT
CABALLERO,
RODULFO
BABOR
MARISSA PAT
NAYON
120640130023.
CANAYAN, JACKIELYN
VILLEDA
09-12-2006 7. Cebuano TAGBINO VALLEHERMOSO
NEGROS
ORIENTAL
TAGBINO
120640120009.
DIONSON, DIVINE GRACE
MARA
10-17-2007 6. Cebuano
VALLEHERMOSO
NEGROS
ORIENTAL
CAMBALCAMBAL
, JULIO
LEONCIA
FERNANDEZ
NARCISO
CANAYAN, JOSE
VERGARA
LUCY AMORES
VILLEDA
120640120010.
FERNANDEZ, SUSAN
CATUBIG
10-21-2007 6. Cebuano ULAY VALLEHERMOSO
NEGROS
ORIENTAL
ULAY
120640120011.
NAYON, SHELLA
PAGAYANAN
08-13-2007 6. Cebuano
VALLEHERMOSO
NEGROS
ORIENTAL
DIONSON,
GEORGE
DIVINAGRACIA
CRISTINE CAJOBE
MARA
FERNANDEZ,
FERNANDO
MANOLONG
MARILYN PACHECO
CATUBIG
120640120012.
ORTIZ, QUEEN DYRIL
DAMALERIO
06-05-2007 7. Cebuano ULAY VALLEHERMOSO
NEGROS
ORIENTAL
ULAY
120640120014. PARAGOSO, RINA ANTONIO 09-25-2007 6. Cebuano
VALLEHERMOSO
NEGROS
ORIENTAL
NAYON,
FERNANDO
PANO
ANITA PABILANDO
PAGAYANAN
BERBO, ROGER
HERALDA
DAMALERIO ORTIZ
120640120015. PASINABO, LOLITA TORRES 10-15-2007 6. Cebuano ULAY VALLEHERMOSO
NEGROS
ORIENTAL
ULAY
120639120064.
RETALLA, GENEVIEVE
POLOGON
06-22-2007 6. Cebuano
VALLEHERMOSO
NEGROS
ORIENTAL
PARAGOSO,
RONINO
SUMILAO
NERISA EMPINADO
ANTONIO
DEMETRIO
MAHILUM
RETALLA
PASINABO,
EDUARD
SIALONGO
MARICRIS SETERA
TORRES
120640120016. RIVAS, AIDA TELERON 09-18-2007 6. Cebuano ULAY VALLEHERMOSO
NEGROS
ORIENTAL
ULAY
120639120082.
SANDOT, ANGELYN
AGRAVIADOR
11-29-2006 7. Cebuano
VALLEHERMOSO
NEGROS
ORIENTAL
RETALLA,
DEMETRIO
MAHILUM
JOCELYN LACUMBA
POLOGON
DIONESIO
SANDOT
RIVAS,
RODULFO
CORDOVA
ANA MOLENA
TELERON
120639120085. TORTOR, ROSE ANN PAMOR 07-24-2007 6. Cebuano TAGBINO VALLEHERMOSO
NEGROS
ORIENTAL
TAGBINO
120640130024.
VELLACENCIO, DIANA ROSE
HIMONGALA
04-19-2006 8. Cebuano
VALLEHERMOSO
NEGROS
ORIENTAL
SANDOT,
DIONESIO
DELIA C
AGRAVIADOR
TORTOR,
ERENIO
ENARCISA
MAGALSO PAMOR
17 <=== TOTAL FEMALE
ULAY
23 <=== COMBINED
VALLEHERMOSO
NEGROS
ORIENTAL
VELLACENCIO,
RUBEN
SOCAYRE
GINEPHERE
CABALLERO
HIMONGALA
List and Code of Indicators under REMARKS column
Code Required Information Indicator Required Information REGISTERED
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 TOTAL
EoSY Prepared by; Certified Correct:
REYNOLD POLOGON LABROSO MARISSA LEON EMPERADO
FEMALE
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
BoSY Date: EoSY Date: BoSY Date: EoSY Date:
Generated on: Wednesday, August 13, 2014 1:09:45 PM
CCT Control/reference number & Effectivity Date
Name of school last attended & Year
Specify
Specify Level & Effectivity Data
MALE
Revision 4