House #/

Street/ Sitio/
Purok
Relationship
M
Christian
ity
RELATIVE
M
Christian
ity
RELATIVE
M
Christian
ity
RELATIVE
M
Christian
ity
RELATIVE
M
Christian
ity
RELATIVE
M
Christian
ity
RELATIVE
M
Christian
ity
RELATIVE
M
Christian
ity
RELATIVE
M
Christian
ity
RELATIVE
M
Christian
ity
RELATIVE
M
Christian
ity
RELATIVE
M
Christian
ity
RELATIVE
M
Christian
ity
RELATIVE
M
Christian
ity
RELATIVE
M
Christian
ity
RELATIVE
MENDRES,
JOSE
DINGCONG
ANALYN DELA
CRUZ
NEMENZO
JOSE D
MENDRES
120634090038. MENDRES, JASSON NEMENZO 12-13-2004 9. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MANGYAO,
BARESTO G
ERLINDA ELUM
ROMANO
BARESTO G
MANGYAO
INODEO,
PONCIANO M
MERLITA
SAYLANON
GADOR
PONCIANO M
INODEO
120634100028. MANGYAO, ERLITO ROMANO 02-09-2004 10. Cebuano
120634090027. INODEO, JOMAR GADOR 12-06-2003 10. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
INODEO,
CARLITO N-A
RUFINA
ESCURA
CARLITO
INODEO
GINOO,
ENARCISO A
DIONESIA
OLOR
CATUBIG
ENARCISO
120634130016. INODEO, IAN ISIDORE ESCURA 05-15-1994 20. Cebuano
120634100021. GINOO, ERNANE CATUBIG 04-21-2003 11. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
FLORES,
APOLINARIO
ESOC
CRISTINA
MAQUE
CALAGO
APOLINARIO E
FLORES
EGONIA,
POTAMIO P
MARIA
MANOLONG
SULTAN
MARIA S
EGONIA
120634100020. FLORES, JAMES CALAGO 06-18-2005 8. Cebuano
120634090015. EGONIA, MARIO SULTAN 03-01-2001 13. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
DINGCONG,
DONATO M
LUCIA
CABALIDA
FEROLINO
DONATO M
DINGCONG
DANONG,
VICTORIANO P
VERGILIA
BAYNO YAP
VICTORIANO P
DANONG
120634090020.
DINGCONG, DOMINICK
FEROLINO
08-05-2001 12. Cebuano
120634100016. DANONG, RAMIL YAP 01-22-2004 10. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
CARACOTDAC
OT, DIONESIO
OGABANG
MELINDA
ANDRAQUE
SAYLANON
DIONESIO O
CARACOTDAC
OT
CALARIANES,
DOMINGO A
IMELDA T
GIMARANGAN
DOMINGO A
CALARIANES
120634100012.
CARACOTDACOT, DEOBERT
SAYLANON
01-11-2005 9. Cebuano
120634090010.
CALARIANES, ELMER
GIMARANGAN
09-14-2002 11. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
CABALIDA,
RICO ANION
ELSIE
MONTEMAYOR
BALASABAS
RICO
BLANCA,
SAMUEL YAP
GREGORIA
TAOTJO
TARNATE
SAMUEL YAP
BLANCA
120642080033.
CABALIDA, MICHAEL
BALASABAS
12-21-2002 11. Cebuano
120634100008.
BLANCA, RYAN JAMES
TARNATE
01-20-2005 9. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
BALASABAS,
MARCOS M
LUNITA MAG-
USARA
MARCOS M
BALASABAS
ANDRAQUE,
LUCIANO
ESCRIBANO
N-A
LUCIANO E
ANDRAQUE
120634090004.
BALASABAS, JEFFREY MAG-
USARA
05-11-2002 12. Cebuano
Name
120634100002. ANDRAQUE, JUNIL BAYNO 12-28-2003 10. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
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 GRAPES
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 Malangsa ES School Year 2014 - 2015 Grade Grade 4
School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School ID 120634 Region VII Division Negros Oriental District Vallehermoso
(Please refer to
the legend on last
page)
REMARKS
GRAPES
School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
Vallehermoso
M
Christian
ity
RELATIVE
M
Christian
ity
RELATIVE
M
Christian
ity
RELATIVE
M
Christian
ity
RELATIVE
M
Christian
ity
RELATIVE
M
Christian
ity
RELATIVE
M
Christian
ity
RELATIVE
M
Christian
ity
RELATIVE
M
Christian
ity
RELATIVE
M
Christian
ity
RELATIVE
M
Christian
ity
M
Christian
ity
RELATIVE
F
Christian
ity
RELATIVE
F
Christian
ity
RELATIVE
F
Christian
ity
RELATIVE
F
Christian
ity
RELATIVE
F
Christian
ity
RELATIVE
F
Christian
ity
RELATIVE
F
Christian
ity
RELATIVE
F
Christian
ity
RELATIVE MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
N-A, N-A N-A NA
DOLORES
ESCORIAL
DUPIO,
RODRIGO
PEAFLOR
NILLAMA
NAAGAS
NILLARMA
RODRIGO
DUPIO
120634100018. ESCORIAL, JUDY ANN NA 10-17-2004 9. Cebuano
120634100017. DUPIO, ANNIKA NILLAMA 05-03-2005 9. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
CATUBIG,
URBANO P
MARILYN
TEJOK
JACOLBE
URBANO P
CATUBIG
CATUBIG,
BONIFACIO P
ROSALIA
MEOSA
BONIFACIO P
CATUBIG
120634100015. CATUBIG, VINAH MAE JACULBE 07-20-2004 9. Cebuano
120634100014. CATUBIG, JEA CAMEL MEOSA 07-16-2004 9. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
CARACOTDAC
OT, SERGIO
TOLOMIA
PATRICIA
MANOLONG
SULTAN
SERGIO T
CARACOTDAC
OT
CAMINGAO,
SATURNINO
PITULAN
VIVIANA
PERATER
BERANGBERA
NG
SATURNINO P
CAMINGAO
120634100013.
CARACOTDACOT, NOVIELYN
SULTAN
11-11-2004 9. Cebuano
120634100011.
CAMINGAO, RIZZA
BERANGBERANG
04-06-2005 9. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
CALARIANES,
JUANITO
ANDRAQUE
BERNARDA
HONGOY
CARACOTDAC
OT
JUANITO A
CALARIANES
CALAGO,
CEASAR N-A
EVELYN
REVILLA
PERATER
CEASAR C
CALAGO
120634100010.
CALARIANES, MARITES
CARACOTDACOT
04-26-2005 9. Cebuano
120634100009. CALAGO, CHONA PERATER 05-12-2004 10. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
VILLAJOS,
LEONARDO
MANOLONG
LORNAFE
TANO
ESPANOSA
LEONARDO M
VILLAJOS
27 <=== TOTAL MALE
120634100056. VILLAJOS, LIMUEL ESPAOSA 09-18-2005 8. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
N-A, N-A N-A
VIRGINIA
AUDITOR
TEJAMO
N-A
SALVADOR,
ZACARIAS B
MERCED
PASINABO
TEMPERATUR
A
ZACARIAS
SALVADOR
117764100078. TEJAMO, JOMAR AUDITOR 04-23-2004 10. Cebuano
120634100046.
SALVADOR, FERMIN
TEMPERATURA
09-16-2004 9. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
RICABLANCA,
ERNESTO
VERGARA
MARTINA
ANDRAQUE
CALARIANES
ERNESTO V
RICABLANCA
POGOY, LUIS
BONGHANOY
ELEGIA
BERANGBERA
NG YAP
LUIS B
POGOY
120634100045.
RICABLANCA, REYNALDO
CALARIANES
12-03-2003 10. Cebuano
120634100041. POGOY, JEGGER YAP 01-08-2005 9. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
PERATER,
PABLO
ABONDIENTE
PERLA DE
GUZMAN
PABLO A
PERATER
PATAC,
MACARIO N-A
FERNANDA
MANOLONG
VILLAJOS
MACARIO
PATAC
120634090044. PERATER, CARLO DE GUZMAN 09-17-2002 11. Cebuano
120634100040. PATAC, ROMMEL VILLAJOS 02-23-2005 9. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MONTECILLO,
RODULFO N-A
DINA ESPANIA
RODULFO
MONTECILLO
SR
MONDIDO,
EDGAR
UDTOHAN
VIGINIA
MACION
ESPAOSA
EDGAR
MONDIDO
120634100035.
MONTECILLO, RODULFO
CASTILLANO JR
08-28-2004 9. Cebuano
120634100034. MONDIDO, JOEMAR ESPAOSA 03-08-2005 9. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MIRASOL,
MARCIAL C
JUANA
PATENO
MONTECINO
MARCIAL C
MIRASOL
MIRASOL,
MARCIAL C
JUANA P
MONTECINO
MARCIAL C
MIRASOL
120634090040.
MIRASOL, HARVEY
MONTECINO
01-04-2003 11. Cebuano
120634080052. MIRASOL, GARRY MONTECINO 05-26-2000 14. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MEOZA,
PONCIANO
MAQUE
MARY GRACE
MALABO
PONCIANO M
MENOZA
120634100031. MEOZA, JORIEDEN MALABO 06-12-2005 8. Cebuano
F
Christian
ity
RELATIVE
F
Christian
ity
RELATIVE
F
Christian
ity
RELATIVE
F
Christian
ity
RELATIVE
F
Christian
ity
RELATIVE
F
Christian
ity
RELATIVE
F
Christian
ity
RELATIVE
F
Christian
ity
RELATIVE
F RELATIVE
F
Christian
ity
RELATIVE
F
Christian
ity
RELATIVE
F
Christian
ity
RELATIVE
F
Christian
ity
RELATIVE
F
Christian
ity
RELATIVE
F
Christian
ity
RELATIVE
Indicator Code BoSY
27.
23
Name Noname No
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 Required Information REGISTERED EoSY
Prepared by;
ESTRELLITA TORRES BUAGAS
List and Code of Indicators under REMARKS column
Code Required Information
50 <=== COMBINED
YAP, DOMINGO
B
MARITES
EWICAN ELUM
DOMINGO B
YAP
23 <=== TOTAL FEMALE
120634100057. YAP, ALMIRA EWICAN 06-14-2004 9. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
VILLAJOS,
VICTORINO
CAETE
ELIZABETH
CANETE
BALASABAS
VICTORINO M
VILLAJOS
VILLAJOS,
VICTORIANO
MANOLONG
ELIZABETH
CANETE
BALASABAS
VICTORIANO
M VILLAJOS
120634100055.
VILLAJOS, JELLYBETH
BALASABAS
01-28-2006 8. Cebuano
120634100054.
VILLAJOS, JEFRELLE
BALASABAS
10-28-2006 7. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
VILLAJOS,
LUCIANO
MANOLONG
MARY
VILLAJOS
MAHUSAY
LUCIANO M
VILLAJOS
N-A, N-A N-A
MAGDALINA
VERGARA
VILLAJOS
MAGDALINA V
SOLLETA
120634100053. VILLAJOS, ALJEANE MAHUSAY 11-09-2004 9. Cebuano
120634100049. SOLLETA, MARIBEL VILLAJOS 11-21-2003 10. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
SENENA, LUIS
N-A
LUCRESIA
SAYLANON
OGDAMIN
LUCRESIA O
SENENA
RICABLANCA,
LEODIGARIO V
MARINA
CATUBIG
LEODIGARIO V
RICABLANCA
120634100048. SENENA, ANGELIE OGDAMEN 11-01-2004 9. Cebuano
120634100044.
RICABLANCA, NERAMIE
CATUBIG
09-07-2004 9. MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
RECOMO,
ARMAND
PERATER
ROSITA TANO
ESPAOSA
ARMAND P
RECOMO
PANSO,
RONNIE
LARGADO
TERESITA
BALASABAS
MACION
RONIE PANSO
120634100042. RECOMO, REGINE ESPAOSA 03-10-2005 9. Cebuano
120634100039. PANSO, NOEME MACION 05-18-2005 9. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
OBRERO,
DIONESIO
GEORPE
LEONILA
GREGORIO
INODEO
DIONESIO
INODEO
MANOLONG,
FELECISIMO
FLORES
SUSANA
RECESIO
RICAPOR
FELECISIMO F
MANOLONG
120634100036. OBRERO, JELLY MAE INODEO 07-02-2005 8. Cebuano
120642100085.
MANOLONG, SHERYN MAE
RECAPOR
09-04-2005 8. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MANOLONG,
FAUSTINO P
ORESENCIANA
LIBRANDOR
SENIAGAN
FAUSTINO
MANOLONG
MALLOSA,
GRACIANO
CALAGO
ADELAIDA UY
PASIGNASIGN
A
GRACIANO C
MALLOSA
120634100030.
MANOLONG, GENALENE
SENIAGAN
07-23-2005 8. Cebuano
120634100027.
MALLOSA, EVANGELENE
PASIGNASIGNA
10-24-2005 8. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MAHUSAY,
JESUS INODEO
MA VICTORIA
BERANGBERA
NG
JESUS
MAHUSAY
GINO-O,
NARCISO
ANDRAQUE
DIONESIA
OLOR
CATUBIG
DIONESIA C
GINOO
120634100025.
MAHUSAY, JILLIAN MAE
BERANGBERANG
03-20-2006 8. Cebuano
120634100022.
GINO-O, JECEL LYN
CALARIANES
05-19-2005 9. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
Name Noname No
(Signature of School Head over Printed Name)
Certified Correct:
50
EoSY Date:
Generated on: Wednesday, August 13, 2014 2:55:17 PM
Revision 4
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 2:55:17 PM