House #/

Street/ Sitio/
Purok
Relationship
M
Christiani
ty
M
Christiani
ty
M
Christiani
ty
M
Christiani
ty
M
Christiani
ty
M
Christiani
ty
M
Christiani
ty
M
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School ID 120637 Region VII Division Negros Oriental District Vallehermoso
School Name Pinucauan ES School Year 2014 - 2015 Grade Kinder Section 1
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
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
Name
(Please refer to
the legend on last
page)
120637140007.
ALBERIO, KEITH IVAN
LABRADOR
07-15-2009 4. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
ALBERIO,
AMBROCIO C
ARMINDA
LABRADOR
120637140008.
CATUBIG, CLEMARK
MAGTAGAD
03-26-2009 5. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
CATUBIG,
ROMAN B
MARILYN
EMINDO
MAGTAGAD
120637140009. GALAQUIT, JOCEL MISTERIO 12-12-2008 5. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
GALAQUIT,
JONATHAN
CAYOCYOC
MISTERIO,
BASILIA
DAULONG
120637140010.
MAGTAGAD, SERGIO
MONTAO JR
06-17-2009 4. Cebuano
MAGTAGAD,
SERGIO
EMINDO SR
MONTAO,
VERONICA
OBENZA
120637140016. MIRASOL, JOMMY ANOG 03-10-2009 5. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
MIRASOL,
DIONESIO C
ANOG,
CECELIA
BANSALAN
120637140014.
MISTERIO, GERALD STEPHEN
BRIONES
11-10-2008 5. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
MISTERIO,
GREGORIO
ZAMORA
BRIONES,
SUSANA DE
ASIS
120637140018. RECOMONO, ANGELO QUIMBO 05-14-2009 5. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
DAYON, HENRY
TANUCAN
RECOMONO,
TERESA
QUIMBO
120637140091. TANJAY, ALFIE BASCON 11-06-2008 5. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
TANJAY,
AMELITO C
BASCON,
PRIMITIVA
MORALES
8 <=== TOTAL MALE
120637140021. ABADANO, LORNA MAGTAGAD 11-04-2008 5. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
ABADANO,
ROLANDO
COGONON
MAGTAGAD,
ANABEL
EMENDO
120637140023. ARANCES, AIZA TRAYA 03-03-2009 5. Cebuano
ARANCES,
CICILIO
FACULTAD
TRAYA,
MARIBEL
EMENDO
120637140025. AVILA, MITCHIELYN DE ASIS 12-29-2008 5.
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
,
DE ASIS,
MARIA MAE
FACULTAD
120637140029.
CAPARIDA, MARY ANN
HINODIALA
12-16-2008 5. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
CAPARIDA,
LOPICIO
GEMINA
HINODIALA,
ESTRELIA
CANETE
120637140092.
CAUPAYAN, BEBIE JANE
BASCON
12-02-2008 5. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
CAUPAYAN,
BONIFACIO
BASCON,
JENELY
MORALES
120637140030.
DAGLE, BEBIE JANE
BACQUIANO
12-21-2008 5. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
DAGLE,
ERNESTO
MIJERES
BACQUIANO,
EVANGELINE
ENGLAGADA
120637140031.
ESGUERRA, JELLAN JOY DELA
CRUZ
02-07-2009 5. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
ESGUERRA,
ROGELIO
CONCEPCION
DELA CRUZ,
JANETH
POSIQUIT
120637140032. GEORPE, IRISH ARANCES 04-03-2009 5. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
GEORPE,
LEONCIO
DAULONG
ARANCES,
RITA
FACULTAD
120637140033.
LAWAS, ARIAN MAE
ESGUERRA
05-16-2009 5. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
LAWAS,
RICARDO
MAHILUM
ESGUERRA,
LIZA
CONCEPCION
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
Indicator Code BoSY
8.
14
22
120637140034. LEGASPI, JUNAIZA ARANCES 08-17-2009 4. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
LEGASPI,
FEDERICO
GEORPE
ARANCES,
RIZA
FACULTAD
120637140035. LORIEGA, CHESKA ABAO 09-22-2009 4. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
LORIEGA,
JEREMIAS
PEAFLOR
ABAO, JOAN
120637140036.
LORIEGA, HASMEN GAIL
REVILLA
12-27-2009 4. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
LORIEGA,
SYLVIO
BLANCA
REVILLA,
CHERILYN
RODRIQUEZ
120637140037.
PERATER, MEREDITH
ESCRIBANO
12-27-2008 5. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
PERATER,
EDWIN
MAQUILANG
ESCRIBANO,
MONICA TOPIA
120637140038. TRAYA, RIZA MAE PATAMBAG 10-04-2009 4. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
TRAYA,
CRISTITUTO
EMENDO
PATAMBAG,
CONCHITA
ENCABO
14 <=== TOTAL FEMALE
22 <=== COMBINED
List and Code of Indicators under REMARKS column
Code Required Information
Prepared by;
MARIA THERESA MARIANO ARRIETA
EoSY Date:
CCT Control/reference number & Effectivity Date
Name of school last attended & Year
Specify
Specify Level & Effectivity Data
MALE
BoSY Date:
Certified Correct:
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
EoSY Date:
Indicator Required Information REGISTERED EoSY
BoSY Date:
Generated on: Wednesday, August 13, 2014 5:32:34 PM
Revision 4
MARIA THERESA M. ARRIETA
FEMALE
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
TOTAL
Transfered Out
Transfered In
Dropped