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
M
Christiani
ty
M
Christiani
ty
M
Christiani
ty
M
Christiani
ty
M
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
,
DAGLE,
MARICEL
BAKIANO
VALLEHERM
OSO
NEGROS
ORIENTAL
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
120637140026. DAGLE, ANNALIZA N-A 04-21-2008 6. Cebuano
PINOCAWA
N
CABISAN,
PANTALION
PARADERO
ABADANO,
VICKY
LEGASPI
CABISAN,
PANTALION
PARADERO
ABADANO,
VICKY
LEGASPI
VALLEHERM
OSO
NEGROS
ORIENTAL
PINOCAWA
N
120637140024. CABISAN, RIZA ABADANO 05-18-2005 9. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
120637140022. CABISAN, RICA ABADANO 06-12-2007 6. Cebuano
PINOCAWA
N
ABELLANA,
EULITO ABELLA
DAYON, ARITA
ANDALES
ANOG,
ABONDIO
GENON
PITULAN,
TRINIDAD
PAURILLO
VALLEHERM
OSO
NEGROS
ORIENTAL
120637130080. ANOG, NIA PITULAN 01-30-2008 6. Cebuano
120637130079. ABELLANA, KESHA DAYON 02-27-2008 6. Cebuano
PINOCAWA
N
ZAMORA,
JERRY
LIBRANDO
PITULAN,
SANTA
PAURILLO
VALLEHERM
OSO
NEGROS
ORIENTAL
PINOCAWA
N
13 <=== TOTAL MALE
VALLEHERM
OSO
NEGROS
ORIENTAL
120637130078. ZAMORA, JHONREY PAURILLO 10-16-2008 5. Cebuano
PINOCAWA
N
SABELLANO,
ALEJANDRO
LADA
SANTA ANA,
CATALINA
NAVARRO
SARONA,
ROBERTO
PABLIGAN
ZABALA, IRISH
CADANO
VALLEHERM
OSO
NEGROS
ORIENTAL
PINOCAWA
N
120637140020. SARONA, JERICHO ZABALA 09-04-2008 5. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
120637130097. SABELLANO, ALEX STA ANA 04-26-2008 6. Cebuano
PINOCAWA
N
RECOMONO,
APOLINARIO
QUIMBO
ENQUE,
TERESITA
DAGLE
GEMINA,
JONATHAN
PANSOY
RECOMONO,
LUISA
CABATUAN
VALLEHERM
OSO
NEGROS
ORIENTAL
PINOCAWA
N
120637130074. RECOMONO, NIO N-A 02-09-2008 6. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
120637140019. RECOMONO, JAY R ENQUE 02-10-2008 6. Cebuano
PINOCAWA
N
PERATER,
MARIO
EMINDO,
NEBALYN
CAUBA,
ERLINDO
TAPACIA
QUIZAN,
CRISTY
DAULONG
VALLEHERM
OSO
NEGROS
ORIENTAL
PINOCAWA
N
120637140017. QUIZAN, CRIS ERL N-A 04-12-2008 6. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
120637130091. PERATER, CHRISTIAN EMINDO 12-13-2007 6. Cebuano
PINOCAWA
N
SAYSON,
MOISES
CALAGO
EPOGON,
JULIETA
ESTONANTO
NAVALES,
RONDELO
CAPARIDA
SOTERIO, LILIA
TARITAS
120641130046. NAVALES, RAMEL SOTERIO 06-23-2007 6. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
DAYON, FELIX
ANDALES
ENCABO,
MARETHES
PATAMBAG
120637130090. EPOGON, MJ MARC N-A 04-10-2008 6. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
VALLEHERM
OSO
NEGROS
ORIENTAL
ABONDIENTE,
JAYMAR
LEGASPI
GEORPE,
MARYDETH
VILLAZAN
CABALUNA,
DOMINADOR
ARQUILITA
MAQUIPOTEN,
MA ROSE
AMANTILLO
PINOCAWA
N
120637130068. DAYON, CLARENCE ENCABO 11-16-2007 6. Cebuano
PINOCAWA
N
120637140015.
CABALUNA, DOMINIC
MAQUIPOTEN
08-01-2008 5. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
120637130036.
ABONDIENTE, ALDWIN
GEORPE
10-15-2008 5. Cebuano
Name
ABONDIENTE,
JAYMAR
LEGASPI
GEORPE,
MARYDETH
VILLAZAN
(Please refer to
the legend on last
page)
120637130035. ABONDIENTE, ADRIAN GEORPE 10-15-2008 5. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
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
Section PINK
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 Pinucauan ES School Year 2014 - 2015 Grade Grade 1
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
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
Indicator Code BoSY
13.
16
29
EoSY Date:
Generated on: Wednesday, August 13, 2014 1:34:17 PM
CCT Control/reference number & Effectivity Date
Name of school last attended & Year
Specify
Specify Level & Effectivity Data
MALE
MARIA THERESA M. ARRIETA
FEMALE
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
Revision 4
BoSY Date: EoSY Date: BoSY Date:
TOTAL
EoSY
Prepared by;
FEROS LEA GEORPE LEGASPI
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
List and Code of Indicators under REMARKS column
Code Required Information Indicator Required Information REGISTERED
Certified Correct:
PINOCAWA
N
29 <=== COMBINED
VALLEHERM
OSO
NEGROS
ORIENTAL
16 <=== TOTAL FEMALE
SOLLANO,
RENATO ITANG
PATAMBAG,
TEODORA
PIALAGO
UBALDO,
BALTAZAR
CATI-AN,
MARICEL
LAOJAN
VALLEHERM
OSO
NEGROS
ORIENTAL
PINOCAWA
N
120637130089.
UBALDO, JHAY-M BHALMARIE
CATI-AN
03-03-2008 6. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
120637130057. SOLLANO, DORIE PATAMBAG 02-10-2008 6. Cebuano
PINOCAWA
N
PITULAN,
PEDRO
MAYONILA
REDUCTO,
SUSANA
ABELLANA
REDUCTO,
JESUS
ONDONG
DORIMON,
MARIAN
ESTRADA
VALLEHERM
OSO
NEGROS
ORIENTAL
PINOCAWA
N
120637130087.
REDUCTO, CATHERINE
DORIMON
06-16-2008 5. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
120637130054. PITULAN, MARIA LUZ REDUCTO 06-22-2008 5. Cebuano
PINOCAWA
N
NAVALES,
ROGELIO
CAPARIDA
SOTERIO,
ADORACION
TARITAS
NAVALES,
REYNALDO
MALINAO,
TERESITA
PANSOY
VALLEHERM
OSO
NEGROS
ORIENTAL
PINOCAWA
N
120641130016.
NAVALES, STEPHANIE
MALINAO
03-26-2008 6. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
120641130015. NAVALES, REGINA SOTERIO 09-25-2008 5. Cebuano
PINOCAWA
N
MAQUIPOTEN,
DANILO PAT
TANJAY,
MERLINDA
PITA
MIRASOL,
DIONESIO
ALBINDO
ANOG, BASILIA
GENON
VALLEHERM
OSO
NEGROS
ORIENTAL
PINOCAWA
N
120637130086. MIRASOL, JONALEN ANOG 11-27-2007 6. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
120637140028. MAQUIPOTEN, MARY JOY N-A 10-09-2007 6. Cebuano
PINOCAWA
N
FLORES,
RICARDO
FAT, VIRGINIA
LASPONIA,
DEMLO
ABADANO
AMANCIA,
ELVIRA BABOR
VALLEHERM
OSO
NEGROS
ORIENTAL
PINOCAWA
N
120637130111. LASPONIA, JERALIN AMANCIA 12-02-2007 6. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
120637130051. FLORES, JHEA FAT 06-09-2008 5. Cebuano
PINOCAWA
N
EBARLE,
RIEZEL
FAT, VIMADITA
PILA
120637140027. EBARLE, RICHIEL FAT 02-10-2007 7. Cebuano