House #/

Street/ Sitio/
Purok
Relationship
M Christianity
M Christianity
M Christianity
M Christianity
M Christianity
M Christianity
M Christianity
M Hinduism
F Christianity
F Christianity
F Christianity
F Christianity
F Christianity
F Christianity
F Christianity
F
F Christianity
F Christianity
F Christianity
F Christianity
F Christianity
Indicator Code BoSY
8.
13
21
School Form 1 (SF 1) School Register
(This replaces Form1, Master List & STS Form2-Family Background and Profile)
School ID 120628 Region VII Division Negros Oriental District Vallehermoso
School Name Don Julian dela Vina Villegas Memorial ES School Year 2014 - 2015 Grade Kinder Section GREEN
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 Barangay Municipality/ City Province
Father's Name (Last Name, First
Name, Middle Name)
Mother's Maiden Name (Last Name, First
Name, Middle
120628140001. CADORNA, JAMES ROMANO 10-22-2009 4. Cebuano TABON VALLEHERMOSO NEGROS ORIENTAL
120628140002. GUARIN, RENAN ALITHIYO 02-08-2009 5. Cebuano
Name
QUIRABO, EDMUNDO M CADORNA GINA ROMANO
120628140003.
LEGASPI, MARK ANTHONY
JACULBE
03-28-2009 5. Cebuano TABON VALLEHERMOSO NEGROS ORIENTAL
TABON
120628140004. MAHINAY, DANILO QUIRABO JR 04-11-2009 5. Cebuano
VALLEHERMOSO NEGROS ORIENTAL GUARIN, ROBERT C ALITHIYO LETECIA L
, TEODORO E LEGASPI JACULBE MARIA T
120628140007. OMBRERO, JENIBOY SUHOT 10-26-2009 4. Cebuano TABON VALLEHERMOSO NEGROS ORIENTAL
TABON
120628140005. PARA, IAN BAYOT 10-26-2009 4. Cebuano
VALLEHERMOSO NEGROS ORIENTAL , DANILO C MAHINAY QUIRABO CHAREN C
MAYAGMA, BIENVENIDO T OMBRERO LILIA S
120628140006. RECOMO, JERALD LAYAN 04-07-2009 5. Cebuano TABON VALLEHERMOSO NEGROS ORIENTAL
TABON
120628140008. SUHOT, JOSHUA OMBRERO 04-07-2009 5. Cebuano
VALLEHERMOSO NEGROS ORIENTAL PARA, SUSIMO P BAYOT JEANE P
RECOMO, RAYMUND T LAYAN JUANDA M
8 <=== TOTAL MALE
TABON
120628140009. BENIGAY, JENELYN GUAREN 03-04-2009 5. Cebuano
VALLEHERMOSO NEGROS ORIENTAL SUMAMPONG, JOHN M SUHOT JOCELYN Q
120628140011. CAMBIO, CHRISELMAE ZAMORA 10-16-2009 4. Cebuano TABON VALLEHERMOSO NEGROS ORIENTAL
TABON
120628140012. CO, SHIELA MAE TABOTABO 07-14-2009 4. Cebuano
VALLEHERMOSO NEGROS ORIENTAL BENIGAY, EDITO S GUAREN ROSALIA D
PERATER, RODEL D CAMBIO CHRISTYMAE Z
120628140013. ELUM, RHIA CATALOGO 09-11-2009 4. Cebuano TABON VALLEHERMOSO NEGROS ORIENTAL
120628140014. ESCRIBANO, MA MAE SUHOT 01-11-2009 5. Cebuano
CO, ANTONIO D TABOTABO MARCIANA P
ELUM, RENATO E CATALOGO ROVELYN D
120628140015. GABILAN, CHERRY ANN ELARTE 06-25-2009 4. Cebuano MOLOBOLO VALLEHERMOSO NEGROS ORIENTAL
TABON
120628140016. MENIERVA, VANISSA GANE 05-01-2009 5. Cebuano
VALLEHERMOSO NEGROS ORIENTAL ESCRIBANO, JERRY M SUHOT MALETE HINO
MALOLOY-ON, MARIO T GABILAN JOMALYN E
120628140017.
RONDUBIO, ROSE JANE
BLANCA
09-04-2009 4. TABON VALLEHERMOSO NEGROS ORIENTAL
120628140024.
SUHOT, GRETCHELLA
TABULONG
06-23-2009 4. Cebuano
SATURNINO, SATURNINO C GANE VILMA P
RONDUBIO, ROBERT M BLANCA MARINA M
120628140023. SULTAN, JHENIZ LEGASPI 03-03-2009 5. Cebuano TABON VALLEHERMOSO NEGROS ORIENTAL
TABON
120628140022. TABULONG, JAY-AN OMBRERO 03-07-2009 5. Cebuano
VALLEHERMOSO NEGROS ORIENTAL SUHOT, SATURNINO C TABULONG LOLITA Q
SULTAN, GINE M LEGASPI NISA M
120628140020. VAILOCES, MA LINIELY LAYAN 03-12-2009 5. Cebuano
TABON
120628140019. ZAMORA, MIRABEL DANONG 02-11-2009 5. Cebuano
VALLEHERMOSO NEGROS ORIENTAL TABULONG, ROQUE Q OMBRERO ROSINE S
VAILOCES, EDGAR L LAYAN MA CHERYL M
13 <=== TOTAL FEMALE
TABON
21 <=== COMBINED
VALLEHERMOSO NEGROS ORIENTAL ZAMORA, MANNY C DANONG RUFINA P
List and Code of Indicators under REMARKS column
Code Required Information Indicator Required Information REGISTERED
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
TOTAL
EoSY Prepared by; Certified Correct:
JACQUELINE YEE TRIBUCIO LEONILA M. YEE
FEMALE
(Signature of Adviser over Printed Name) (Signature of School Head over Printed
Name)
Revision 4
BoSY Date: EoSY Date: BoSY Date: EoSY Date:
Generated on: Monday, July 28, 2014 10:31:19 PM
CCT Control/reference number & Effectivity Date
Name of school last attended & Year
Specify
Specify Level & Effectivity Data
MALE
School Form 1 (SF 1) School Register
(This replaces Form1, Master List & STS Form2-Family Background and Profile)
Vallehermoso
GREEN
REMARKS
(Please refer to
the legend on last
page)
Certified Correct:
LEONILA M. YEE
(Signature of School Head over Printed
Name)
EoSY Date:
Generated on: Monday, July 28, 2014 10:31:19 PM