House #/

Street/ Sitio/
Purok
Relationship
M
Christiani
ty
M
Christiani
ty
RELATIVE
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
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 Grade 6 Section PINEAPPLE
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)
120637120032. BARIAN, RICKY MAQUIPOTEN 02-15-1997 17. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
BARIAN,
VIRGILIO LIGO
MAQUIPOTEN
,LEONA
PASINABO
120637080030.
DESPABELADERO, MARCEL
TEMPERATURA
10-04-2002 11. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
DESPABELADE
RO, ERNESTO
CABATUAN
TEMPERATUR
A, REMEDIOS
BENDANILLO
MARIA
TEMPERATUR
A
120637080047.
LAOJAN, JOFFREY
PASAGDAN
02-05-2003 11. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
LAOJAN,
JULIUS
FELLAREN
PASAGDAN,
NELIA
BARCENAL
120637080071. OMOLON, MARVIN JIMENEZ 08-24-2002 11. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
OMOLON,
MARINO
CABESAN
JIMENEZ,
MELISSA
OLINDAO
120637080091. REMEDIOS, JUNEREI PITOS 06-13-2002 11. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
REMEDIOS,
RICHARD
ELLADORA
PITOS, EVELYN
MONTECINO
120637080093. RICALDO, MICHO PLACER 07-23-2003 10. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
RICALDO,
ROLDAN
ALINGASA JR
PLACER,
DIONESIA
CAPARIDA
120637080106. TUMACMOL, RICHARD NA 08-24-2003 10. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
TEMPERATURA
, RAMON
SAYSON
TUMACMOL,
MARCELINA
CALAGO
120637070087. ZAMORA, ANTHONY ABARICO 07-27-2000 13. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
ZAMORA, FELIX
SAROMINES
ABARICO,
ANNABELLE
ABANO
8 <=== TOTAL MALE
120637080001.
ABADANO, LARABELLE
MAGTAGAD
11-18-2002 11. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
ABADANO,
ROLANDO
COGONON
MAGTAGAD,
ANNABELLE
EMENDO
120637080015. BARIAN, MARYJANE ESTIMAR 08-28-2002 11. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
BARIAN, JUAN
LIGO
ESTIMAR,
FELICIANA
GIMARANGAN
120637080019.
BUSTAMANTE, MARIEL
VARGAS
01-21-2002 12. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
BUSTAMANTE,
DIONESIO
PARADILLA
VARGAS,
GLORIA DELA
CRUZ
120637080025. CAPARIDA, MYLENE MARTINEZ 05-09-2002 12. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
CAPARIDA,
DIEGO LOPEZ
MARTINEZ,
DELIA ALPAR
120636080032. DAMIN, FELMARE QUIRABO 01-09-2002 12. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
DAMIN, FELIX
MORALES
QUIRABO,
MARTINA
HENERALAO
120637080031. DUCA, MARVICEL PLOTEA 06-24-2003 10. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
DUCA,
MARCIANO
ALBINDO
PLOTEA,
ROBERTA
LIBATON
120637080033. ENOJADA, JOAN ENCABO 12-15-2002 11. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
ENOJADA,
JULIUS
ALBERIO
ENCABO,
CONCHITA
PATAMBAG
117109080027. FLONASCA, TIA BETH TOPIA 04-12-2003 11. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
FLONASCA,
ALFIE JOHN
MESOLIM
TOPIA,
MARILYN
PITULAN
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
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
120637080040. GIMENA, MIRAFLOR N-A 08-20-2002 11. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
ESGUERRA,
FLORENCIO
CONCEPCION
GIMENA,
DOMINGA
JIMENEZ
120637080042. HERNANE, JULIET PAARES 07-16-2003 10. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
HERNANE,
CRESENCIANO
SANDOT
PAARES,
ESIDRA STA
ANA
120642080074. INODEO, JESSA MAE ABADANO 02-17-2002 12. Cebuano POBLACION
VALLEHERM
OSO
NEGROS
ORIENTAL
INODEO,
SILVERIO
GREGORIO
ABADANO,
EPIFANIA
TANIESA
120637080044. JIMENEZ, MARYJANE STA ANA 09-08-2002 11. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
JIMENEZ,
MARCOS
TRAYA
STA ANA,
AGAPITA
VILLAHERMOS
A
120637080051. LASPOA, MARITES BAYA 05-12-2002 12. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
LASPOA,
CERILO
ABADANO
BAYA, MARIA
RANELINA
120637080052. LASPONIA, RENA AMANCIA 09-18-1999 14. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
LASPONIA,
JEMLO
ABADANO
AMANCIA,
ELVIRA BABOR
120637080053. LEGASPI, RIZA JANE ARANCES 07-14-2003 10. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
LEGASPI,
FEDERICO
GEORPE JR
ARANCES,
RIZA
FACULTAD
120637080054.
LEGASPI, VERNI ANGELI
SABANDO
08-23-2002 11. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
LEGASPI,
RICHARD
GEORPE
SABANDO,
VENUS
TELERON
120637080057.
MAQUIPOTEN, ANALYN
CABALUNA
11-23-1999 14. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
MAQUIPOTEN,
JAIME FAT
CABALUNA,
JULIA
ARQUILITA
120637080059.
MARTINEZ, FLORDELUNA
MALINAO
05-24-2003 11. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
MARTINEZ,
VICTOR
NAVALES
BERNADITHA
PANSOY
MALINAO
120637080061.
MORALES, BEVERLY
GIMARANGAN
03-10-2001 13. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
MORALES,
MODESTO
MAHILOM
GIMARANGAN,
BENITA
ALBINDO
120637080066. NAVALES, ANGELIE PLACER 08-03-2000 13. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
CANOY,
AMANCIO
DIACOSA
NAVALES,
NERI PLACER
120637080067. NAVALES, ICA PATAC 10-09-2002 11. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
NAVALES,
FRANCISCO
CAPARIDA SR
PATAC,
CORNELIA
LARINIO
120637080074. PANSOY, GRETCHEN ALBIA 08-02-1998 15. Cebuano ULAY
VALLEHERM
OSO
NEGROS
ORIENTAL
PANSOY,
ROMULO
BANTOY
ALBIA,
ROSALINDA
BELTRAN
120637080080.
PERATER, MARY
TEMPERATURA
03-19-2003 11. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
PERATER,
EDWIN
MAQUILANG
TEMPERATUR
A, FIDELA
MAQUIPOTEN
120637080082. PITOS, CRISTY MONTECINO 02-25-2001 13. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
PITOS,
CELESTINO
ELECTION SR
MONTECINO,
SATURNINA
PATEO
120637080084. PITULAN, MARY ANN REDUCTO 08-12-2000 13. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
PITULAN,
PEDRO
MAYONILA
REDUCTO,
SUSANA
ABELLANA
120637080087.
RABANES, IRISH
TEMPERATURA
09-12-1999 14. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
RABANES,
VICENTE
GARGAR
TEMPERATUR
A, FELISA
MAQUIPOTEN
120637080088. RECOMO, MARYCRIS BARIAN 07-02-2002 11. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
RECOMO,
GEOVANNI
DAVIS
BARIAN, MA
LOURDES
LIGO
120637120033.
SAINGGA, JURIE ANN
CONCEPCION
11-12-2002 11. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
SAINGGA,
JOVENIANO
BAYNOSA
CONCEPCION,
FLORENDA
LOPEZ
120637080098. SULTAN, CHERLYN ARCALA 08-11-2002 11. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
SULTAN,
GREGORIO
MANOLONG
ARCALA,
TEOFANES
CAPARIDA
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
Indicator Code BoSY
8.
32
40
120637080101. TAO, MAE FLOR MAGALSO 04-13-2003 11. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
TAO,
TERESITO
DAYANAN
MAGALSO,
JOSEPHINE
ELARCOSA
120637080102.
TEMPERATURA, ANICETA
GIMARANGAN
04-14-2002 12. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
TEMPERATURA
, TIBURCIO
PASINABO
GIMARANGAN,
JULIA
LAYASAN
120637080107.
VILLABETO, SHARAME
MALABAGO
07-28-2003 10. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
VILLABETO,
RODULFO
DURAN
MALABAGO,
ALEJANDRA
MIRASOL
32 <=== TOTAL FEMALE
40 <=== COMBINED
List and Code of Indicators under REMARKS column
Code Required Information
Prepared by;
ROTISSA COMERIS PARADERO
CCT Control/reference number & Effectivity Date
Name of school last attended & Year
Specify
Specify Level & Effectivity Data
MALE
Indicator Required Information REGISTERED EoSY
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
EoSY Date:
Generated on: Wednesday, August 13, 2014 1:40:23 PM
Revision 4
MARIA THERESA M. ARRIETA
FEMALE
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
TOTAL