House #/

Street/ Sitio/
Purok
Relationship
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
RELATIVE
M
Christian
ity
M
F
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
escorial, roque
apostol
DUMDUM
LYDIA
SEROTCHO
dingcong,
bernabe
mendres
BITONGGA
JOVELYN
MAGALLANO
120634140048.
ESCORIAL, ROCHELLE
DUMDUM
07-13-2009 4. Cebuano
120634140047.
DINGCONG, DESIREE
BITONGGA
10-08-2009 4. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
dela cerna, terso
lasia
CALAGO
CERILA
POLOYAPOY
CO, GERSAM
ligarto
TEMPERATUR
A MARCIANA
VILLARIN
120634140046.
DELA CERNA, ANGEL MAE
CALAGO
04-16-2009 5. Cebuano
120634140045.
CO, SHIELA MAE
TEMPERATURA
07-14-2009 4. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
CATUBIG, JOEL
OLOR
PABLITA
BERANGBERA
NG MANGYAO
N-A
CALAGO, NOEL
BIARAS
EMELY
MACION
MAQUE
N-A
120634140044. CATUBIG, JOAN MANGYAO 10-31-2009 4. Cebuano
120634140043. CALAGO, RACHEL MAQUE 04-05-2009 5. MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
STA ANA, REJIE
BUENAFLOR
CHERRY
ARCALA
CATUBAY
N-A
7 <=== TOTAL MALE
120634140042.
STA ANA, CHRISTIAN DAVE
CATUBAY
08-07-2009 4. MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
RICABLANCA,
ESTEBAN
VERGARA
ESTRELLA
TOPIA BARING
N-A
PATENIO,
MENDRICO
DINGCONG
FLORENDA
PLOTENIA
MILA PATENIO
120634140041.
RICABLANCA, REYMART
BARING
07-20-2009 4. Cebuano
120634140036. PLOTENIA, JOHN N-A 01-12-2009 5. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
PERATER,
HILARIO
ANDRAQUE
ROSEMARIE
MALABAGO
BELBESTRE
N-A
PERATER,
FERNANDO
BUHAY
ROD JEAN
FLORES
FACULTAD
N-A
120634140040. PERATER, REJIE BELBESTRE 07-30-2009 4. Cebuano
120634140039. PERATER, ARIEL FACULTAD 02-11-2009 5. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
CALARIANES,
JUANITO
ANDRAQUE
BERNARDA
HONGOY
CARACOTDAC
OT
N-A
N-A, N-A N-A
BERANGBERA
NG LORINA
PERATER
N-A
120634140034.
CALARIANES, ANGELO
CARACOTDACOT
10-29-2009 4. Cebuano
Name
120634140032.
BERANGBERANG, SHOWN
CLIFF N-A
03-01-2009 5. 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 GUAVA
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 Kinder
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
GUAVA
School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
Vallehermoso
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
Indicator Code BoSY
7.
11
18
EoSY Date:
Generated on: Wednesday, August 13, 2014 2:49:43 PM
Revision 4
Name Noname No
FEMALE
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
TOTAL
BoSY Date: EoSY Date: BoSY Date:
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;
SYMPER MANZANO BASILIOTE
List and Code of Indicators under REMARKS column
Code Required Information
18 <=== COMBINED
, RIZZA SULTAN
11 <=== TOTAL FEMALE
120634140054. SULTAN, JHERIZ N-A 07-31-2009 4. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
, JEAN MODIDO
MANOLONG,
ANANIAS
SEAGAN
BALASABAS
MANILYN MAG-
USARA
120634140053. MODIDO, KELJEAN N-A 07-24-2009 4. Cebuano
120634140051.
MANOLONG, AILEEN MAE
BALASABAS
06-10-2009 4. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
,
LIBRANDOR
MARICEL
PATEO
librandor,
jennifer
BELOCORA
ENGCOT
CANDIDA
ELUM
120634140050. LIBRANDOR, MARILYN PATEO 09-13-2009 4. Cebuano
120634140049.
LIBRANDOR, JERALYN
ENGCOT
10-12-2009 4. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
EoSY Date:
Generated on: Wednesday, August 13, 2014 2:49:43 PM
Name Noname No
(Signature of School Head over Printed Name)
Certified Correct: