School Form 1 (SF 1) School Register

(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)

School ID

300325

School Name

Region I

Division

Manaoag NHS

2014 - 2015

Grade

Grade 8

ADDRESS

Section

PARENTS

ACACIA
GUARDIAN
(if Not Parent)

NAME
(Last Name, First Name, Middle
Name)

Sex (M/F)

AGE MOTHE
as of
R
BIRTH DATE
1st TONGUE
(mm/dd/yyyy) Frida (Grade
y
1 to 3
June
Only)

School Year

Pangasinan II, Binalonan

101802060006

ALMOITE, JOHN ARIEL

MENDOZA

12-10-2000

13

Pangasi
nense

Christia
nity

TEBUEL

MANAOAG

PANGASINAN

ALMOITE,
DARIEL R

MENDOZA,
LAILANI B

ALMOITE,
DARIEL R

RELATIVE

101804060005

AUSTRIA, JAYSON SANTOS

03-29-2001

13

Pangasi
nense

Christia
nity

PAO

MANAOAG

PANGASINAN

AUSTRIA,
ROBERT C

SANTOS,
DIVINA

AUSTRIA,
ROBERT C

RELATIVE

300325130068

BALLESTEROS, DAN AEVANNE

GANAGANA

01-06-2001

13

Iloko

Christia
nity

BOTIQUE

LAOAC

PANGASINAN

GANAGANA,
BALLESTEROS,
JEANYCRIS
DANNY PAA
NACES

101800060025

BAUTISTA, JOHN BERNILLE

SORIANO

06-11-2001

12

Tagalog

Christia
nity

PUGARO

MANAOAG

PANGASINAN ,

107716060015

BORILLO, ERROL JONATHAN

ATIENZA

07-13-2000

13

Tagalog

Christia
nity

POBLACION MANAOAG

PANGASINAN

101785060008

CASTILLO, EDUARDO
SEBASTIAN

11-23-2000

13

Iloko

Christia
nity

TALOGTOG

LAOAC

PANGASINAN ,

101800060050

CERALDE, ARDIEVEN ESTACIO

10-06-1999

14

Iloko

Christia
nity

PUGARO

MANAOAG

PANGASINAN

LRN

IP
(Ethnic
Group)

RELIGIO
N

House #/
Street/
Sitio/
Purok

Barangay

Municipality
/ City

Province

Father's Name
(Last Name,
First Name,
Middle Name)

Mother's
Maiden Name
(Last Name,
First Name,
Middle

Name

Relationsh
ip

BALLESTEROS
, JEANYCRIS
RELATIVE
GANAGANA

BAUTISTA,
LILIAN MARIA
SORIANO

BAUTISTA,
LILIAN MARIA
SORIANO

RELATIVE

ATIENZA,
JOCELYN
GARCIA

BORILLO,
JOCELYN
ATIENZA

RELATIVE

CASTILLO,
MERLA
SEBASTIAN

BIAG,
EDUARDO O

RELATIVE

CERALDE,
ARIEL R

ESTACIO,
SORAIDA E

CERALDE,
SORAIDA E

RELATIVE

COLUMBINO,
RODOLFO M

BUBAN, MA
JOSEFA
TRENANES

COLUMBINO,
RODOLFO M

RELATIVE

DE GUZMAN,
MILO, MYLENE
WELSON
ALAGADAN
BERCELES

RELATIVE

BORILLO,
RUEL L

101785060011

COLUMBINO, ASH MELAN

BUBAN

05-28-2000

14

Iloko

Christia
nity

INMANDUYA
LAOAC
N

PANGASINAN

101795060026

DE GUZMAN, KHYLE BRYAN

MILO

08-28-2000

13

Iloko

Christia
nity

CABANBAN
AN

DE GUZMAN,
PANGASINAN WELSON
BERCELES

300325130186

DE VERA, ANGELO PRANGAN

05-30-2001

13

Pangasi
nense

Christia
nity

POBLACION MANAOAG

PANGASINAN

DE VERA,
FERDINAND

PRANGAN,
CRISTINA
VALDEZ

DE VERA,
FERDINAND

RELATIVE

101800060081

ENRIQUEZ, RAYJAN PADILLA

03-29-2000

14

Pangasi
nense

Christia
nity

BABASIT

MANAOAG

PANGASINAN

ENRIQUEZ,
PEPITO Z

PADILLA,
CATHERINE P

ENRIQUEZ,
PEPITO Z

RELATIVE

300325130110

FABILLON, ERICKSON
TAMONDONG

07-12-2000

13

Pangasi
nense

Christia
nity

NALSIAN

MANAOAG

FABILLON,
PANGASINAN RODERICK
GODOY

TAMONDONG, FABILLON,
REMELYN
REMELYN
DANAO
TAMONDONG

RELATIVE

101800060097

FERNANDEZ, ROBERT JOSHUA

CORTEZ

05-17-2000

14

Tagalog

Christia
nity

BARITAO

MANAOAG

PANGASINAN ,

CORTEZ,
EVELYN

FERNANDEZ,
ROBERTO I

RELATIVE

300325130111

LARROBIS, ERL JOHN

SERRANO

10-02-1999

14

Tagalog

Christia
nity

BABASIT

MANAOAG

PANGASINAN

SERRANO,
EMMANUELA
LLAMIDO

LARROBIS,
EMMANUELA
SERRANO

RELATIVE

MANAOAG

LARROBIS,
ROMAN P

Contact
Number
of
Parent
or
Guardia
n

REMARKS

(Please refer
to the legend
on last page)

101793060054

MENDOZA, KENJIE ALFRED

MOSADA

01-21-2001

13

Pangasi
nense

Christia
nity

BARITAO

MANAOAG

MENDOZA,
PANGASINAN ALFREDO
MANGSAT

101804060040

MIRAN, JOMARI HAVERYA

09-17-2000

13

Pangasi
nense

Christia
nity

PAO

MANAOAG

PANGASINAN

MIRAN,
RICARDO M

MOSADA,
DONNA BIALA

MENDOZA,
ALFREDO
MANGSAT

RELATIVE

HAVERIA,
JOCELYN H

MIRAN,
RICARDO M

RELATIVE

NOVILLOS,
REYSA
MACARAEG

PATARAY,
SIMPLICIO
TABANGIN

RELATIVE

101780060047

PATARAY, GLENN NOVILLOS

10-18-2000

13

Iloko

Christia
nity

CABILAOAN
LAOAC
WEST

PATARAY,
PANGASINAN SIMPLICIO
TABANGIN

300325130112

PUNAY, JAYSON TUBERA

12-07-1998

15

Pangasi
nense

Christia
nity

BABASIT

MANAOAG

PANGASINAN

PUNAY, JIMMY
SOLOMON

TUBERA,
ESMA
FERNANDEZ

PUNAY, ESMA
TUBERA

RELATIVE

108622060116

QUIDEM, ALDREN JAMES

CARBONEL

09-15-2001

12

Tagalog

Christia
nity

PUGARO

MANAOAG

PANGASINAN

QUIDEM, JUDY
L

CARBONEL,
MARITES
ALVAREZ

QUIDEM,
MARITES
CARBONEL

RELATIVE

101805060049

REBOTOC, FRANKLIN VALDEZ

11-28-2000

13

Iloko

Christia
nity

PUGARO

MANAOAG

PANGASINAN

REBOTOC,
FLORENCIO E

VALDEZ,
FRANCISCA
ASPIRAS

REBOTOC,
FLORENCIO E

RELATIVE

101800060204

ROJA, VINCE IVANN JEREMY

EUBLERA

10-26-2000

13

Tagalog

Christia
nity

PANTAL

MANAOAG

ROJA,
PANGASINAN GERARDO
RAMOS

EUBLERA,
ERMA MAY
MACALANDIA

ROJA,
GERARDO
RAMOS

RELATIVE

101799060074

SABINIANO, LORENZO
TAMBALO JR

07-11-2001

12

Iloko

Christia
nity

BARITAO

MANAOAG

SABINIANO,
PANGASINAN LORENZO
TAMBALO SR

TAMBALO,
CHARITO
AUSTRIA

CHARITO
TAMBALO
SABINIANO

101802060081

SORIANO, JESLI FABILLON

02-19-2001

13

Tagalog

Christia
nity

NALSIAN

MANAOAG

SORIANO,
PANGASINAN JOHN
BAUTISTA

FABILLON,
MARY ANN
GODOY

SORIANO,
MARY ANN
FABILLON

101793060067

SORIANO, JONALD
MONTEVERDE

11-21-1999

14

Tagalog

Christia
nity

BARITAO

MANAOAG

SORIANO,
PANGASINAN CEFERINO
QUIMSON

MONTEVERDE, SORIANO,
NELIA
CEFERINO
SANTOALIA
QUIMSON JR

RELATIVE

RELATIVE

24 <=== TOTAL MALE

101800060005

AMASOL, HALIMA DEVI

BARROZO

01-16-2001

13

Tagalog

Christia
nity

BARITAO

MANAOAG

PANGASINAN

AMASOL, DEO
ALONSABE

BARROZO,
VIRGINIA
MENESES

AMASOL, DEO
RELATIVE
ALONSABE

101799060013

AQUINO, JASMINE KAYE

PALARUAN

11-09-2000

13

Pangasi
nense

Christia
nity

LIPIT NORTE MANAOAG

PANGASINAN

AQUINO,
FERDINAND E

PALARUAN,
JOSEPHINE V

AQUINO,
RELATIVE
FERDINAND E

101800060047

CASER, KHIM HEINZ SAGUN

11-15-2001

12

Tagalog

Christia
nity

PUGARO

MANAOAG

PANGASINAN

CASER, JESUS
DELA PENA

SAGUN,
JANETH
RAMOS

CASER, JESUS
RELATIVE
DELA PENA

101793060015

CASTILLO, BEA AYSON

11-07-2000

13

Iloko

Christia
nity

BARITAO

MANAOAG

CASTILLO,
PANGASINAN ROBERTO
TABADERO

AYSON,
CYNTHIA
TABADERO

CASTILLO,
ROBERTO
TABADERO

101800060084

ESPEJO, MARIA REGINA

CABALQUINTO

01-18-1999

15

Pangasi
nense

Christia
nity

NALSIAN

MANAOAG

PANGASINAN

ESPEJO,
AUGUSTUS B

CABALQUINTO ESPEJO,
, ESMELITA Z
AUGUSTUS B

RELATIVE

101800060094

FERNANDEZ, LENIE
MONTEMAYOR

06-20-2000

13

Pangasi
nense

Christia
nity

PAO

MANAOAG

PANGASINAN

FERNANDEZ,
FELECIANO V

MONTEMAYOR FERNANDEZ,
, ERLINDA S
FELICIANO V

RELATIVE

101803060022

FREJAS, BLESSY ANN HABON

07-10-2001

12

Iloko

Christia
nity

ORAAN
WEST

MANAOAG

FREJAS,
PANGASINAN BERNALDO
MORALES

HABON,
SALVACION
NAZARENO

FREJAS,
BERNALDO
MORALES

RELATIVE

101803060023

FREJAS, BLESSY JOY HABON

07-10-2001

12

Iloko

Christia
nity

ORAAN
WEST

MANAOAG

FREJAS,
PANGASINAN BERNALDO
MORALES

HABON,
SALVACION
NAZARENO

FREJAS,
BERNALDO
MORALES

RELATIVE

101805060026

GALLIGUEZ, MA CLARISSA
DIANNE TABULA

08-30-2001

12

Pangasi
nense

Christia
nity

PUGARO

MANAOAG

PANGASINAN

TABULA,
LUZVIMINDA
TAMONDONG

GALLIGUEZ,
WILSON T

RELATIVE

GALLIGUEZ,
WILSON T

RELATIVE

GARCIA,
TEOFILO Q
,JR

101793060035

GARCIA, KATHRINA ALARCIO

08-20-1999

14

Pangasi
nense

Christia
nity

BARITAO

MANAOAG

PANGASINAN

GARCIA,
TEOFILO Q JR

ALARCIO,
JOSEPHINE C

101798060030

GUTTIEREZ, MARIA CRISTINA

SALVADOR

12-22-2001

12

Pangasi
nense

Christia
nity

LELEMAAN

MANAOAG

PANGASINAN

GUTTIEREZ,
MARIO M

SALVADOR,JOS GUTTIEREZ,
EPHINE V
MARIO M

RELATIVE

101802060045

IBASAN, ANGEL JOYCE

MANUEL

10-03-2000

13

Tagalog

Christia
nity

NALSIAN

MANAOAG

PANGASINAN ,

SHEIRYL
MANUEL

MANUEL,
ELMER

RELATIVE

CARAMAT,
LINA
BAUTISTA

LACAMBRA,
LINA
CARAMAT

RELATIVE

RELATIVE

101800120776

LACAMBRA, KIM DEBORAH

CARAMAT

03-02-2001

13

Pangasi
nense

Christia
nity

BARITAO

MANAOAG

LACAMBRA,
PANGASINAN DONATO
PARENNAS

101802060047

LACASTE, JUDY ANN MORALES

05-22-2000

14

Pangasi
nense

Christia
nity

TEBUEL

MANAOAG

PANGASINAN

LACASTE,
MANUEL M

MORALES,
BELEN C

LACASTA,
MANUEL M

RELATIVE

101794060030

MACABALES, JOLAMAE BIALA

09-28-2000

13

Pangasi
nense

Christia
nity

BISAL

MANAOAG

PANGASINAN

MACABALES,
JOEL B

BIALA, MARY
JOY C

MACABALES,
JOEL B

RELATIVE

101804060042

MONES, REMELYN COLUMBINO

02-15-2000

14

Iloko

Christia
nity

INMANDUYA
LAOAC
N

MONES,
PANGASINAN REMEL
PAULINO

COLUMBINO,
ALICIA,
MAMARIL

MONES,
REMEL
PAULINO

RELATIVE

300325140172

MORILLO, FATIMA GRACE

OAING

12-24-2000

13

Tagalog

Christia
nity

CABANBAN
AN

MANAOAG

PANGASINAN ,

OAING, DIANA OAING, DIANA RELATIVE

101803060038

NERIDA, CHRISTINA DELOS

SANTOS

02-17-2001

13

Iloko

Christia
nity

ORAAN
WEST

MANAOAG

PANGASINAN

109540060356

ROQUE, RAVIN MONTANO

12-14-2000

13

Tagalog

Christia
nity

SAPANG

MANAOAG

101800120790

SALCEDO, ALYSSA JOY

EUROPA

12-15-2000

13

Tagalog

Christia
nity

BABASIT

MANAOAG

300325130196

SALINAS, LAI KAIE PONCIANO

05-16-2001

13

Tagalog

Christia
nity

101852060052

SOLIS, MAURINE VIADO

07-19-2001

12

Iloko

101800060236

SORIANO, JESSA MAE

TERRADO

07-10-2000

13

101806060051

TEOSO, RENELYN CERCADO

12-25-1999

101803060051

URBANO, MAY LANIE RAFANAN

101799060089

VALDEZ, JULIENNE FINULIAR

300325130183

YANTE, JAHMAICA HAZEL

LAURETA

DELOS
SANTOS,
MILAGROS

NERIDA,
MANUEL G

RELATIVE

PANGASINAN ,

MONTANO,
EVELYN
PADRID

ROQUE,
EVELYN
MONTANO

RELATIVE

SALCEDO,
PANGASINAN ERNESTO
CATANGOGAN

SALCEDO,
EUROPA,
ERNESTO
RELATIVE
MARIFE ADAM
CATANGOGAN

POBLACION MANAOAG

PANGASINAN ,

SALINAS,
CONSUELO
PONCIANO

Christia
nity

LIPIT NORTE MANAOAG

PANGASINAN

Pangasi
nense

Christia
nity

POBLACION MANAOAG

SORIANO,
PANGASINAN TEOFILO
TIGNO

14

Pangasi
nense

Christia
nity

MERMER

MANAOAG

09-27-2000

13

Iloko

Christia
nity

ORAAN
WEST

MANAOAG

09-21-2000

13

Tagalog

Christia
nity

POBLACION MANAOAG

PANGASINAN

06-15-2000

13

Tagalog

Christia
nity

POBLACION MANAOAG

YANTE,
PANGASINAN ERNESTO
MAGNO JR

NERIDA,
MANUEL G

SALINAS,
CONSUELO
PONCIANO

RELATIVE

SOLIS,
ROMEO G

RELATIVE

TERRADO,
MARISSA
RAMIREZ

SORIANO,
TEOFILO
TIGNO

RELATIVE

TEOSO,
PANGASINAN RENATO
PATONGAN

CERCADO,
ELISA
COLLADO

TEOSO,
ELISA
CERCADO

RELATIVE

URBANO,
PANGASINAN NESTOR
VERGARA

RAFANAN,
MILDRED
OMOLIDA

URBANO,
NESTOR
VERGARA

RELATIVE

FINULIAR,
ARLENE
CARINO

VALDEZ, JUNE
RELATIVE
SERNADILLA

LAURETA,
MARITES DE
GUZMAN

YANTE,
ERNESTO
MAGNO, JR

SOLIS, ROMEO VIADO,

G
GERALDINE G

VALDEZ, JUNE
SERNADILLA

RELATIVE

27 <=== TOTAL FEMALE

51 <=== COMBINED

List and Code of Indicators under REMARKS column

Indicator

Cod
Required Information
e

Transfered Out

T/O Name of Public (P) Private (PR) School &

Effectivity Date

Transfered In

T/I

Name of Public (P) Private (PR) School &

Effectivity Date

Indicator

Cod
Required Information
e

CCT Receipient CCT CCT Control/reference number &

Effectivity Date
Balik Aral
B/A
Name of school last attended & Year
Learner With
LW
Disability
D Specify

REGISTERED

BoSY

MALE

24

EoSY

Prepared by;

MERLE ROSARIO PUGAL GUICO

FEMALE

(Signature of Adviser over Printed

Name)

Certified Correct:

REBECCA ENRIQUEZ CANSINO

(Signature of School Head over Prin

Name)

QUEZ CANSINO

l Head over Printed

me)

Transfered Out

T/O Name of Public (P) Private (PR) School &

Effectivity Date

Transfered In

T/I

Dropped

Name of Public (P) Private (PR) School &

Effectivity Date

DRP Reason and Effectivity Date

LE Reason (Enrollment beyond 1st Friday of

CCT Receipient CCT CCT Control/reference number &

Effectivity Date
Balik Aral
B/A
Name of school last attended & Year
Learner With
LW
Disability
D Specify
Accelerated
ACL Specify Level & Effectivity Data

FEMALE

27

TOTAL

51

(Signature of Adviser over Printed

Name)

BoSY Date:

Generated on: Saturday, April 4, 2015

EoSY Date:

(Signature of School Head over Prin

Name)

BoSY Date:

EoSY Date:

EoSY Date: