School Form 1 (SF 1) School Register

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

School ID

111921

School Name

Region V
San Antonio ES

Sex (M/F)

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

NAME
(Last Name, First Name, Middle
Name)

111921130002

ALARCIO, RENZ PEDIMONTE

06-17-2003

11

Bikol

111921110003

ARTIAGA, JEBOY REBATI

10-03-2006

111921110006

BAROTILLA, EDDIE BOY

REPEROGA

09-28-2005

111921100017

CRUZ, JOEY MONTERO

111921110014

DELA PUNTA, ZOREN

OBISPADO

111921110018

LRN

Division
School Year

Albay
2015 - 2016

Grade

Grade 4

ADDRESS
IP
(Ethnic
Group)

RELIGIO
N

Christia
nity

House #/
Street/
Sitio/
Purok

Barangay

Municipality
/ City

District

Oas North

Section

RUBY

PARENTS

Province

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

GUARDIAN
(if Not Parent)

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

Name

Relationsh
ip

SAN
ANTONIO

OAS

ALBAY

PEDIMONTE,P
URIFICATION,,

ALARCIO,PURI
FICATION,,

Bikol

SAN
ANTONIO

OAS

ALBAY

REBATI,WELD
A,,

ARTIAGA,JUDY
,,

Bikol

SAN
ANTONIO

OAS

ALBAY

REPEROGA,LO BAROTILLA,E
RNA,,
DGAR,,

05-18-2004

11

Bikol

Christia
nity

SAN
ANTONIO

OAS

ALBAY

MONTERO,MIL
CRUZ,MILA,,
A,,

11-18-2005

Bikol

Christia
nity

SAN
ANTONIO

OAS

ALBAY

OBISPADO,GR
ACE,,

LEONISA, JAMY BOY OCERA

04-10-2006

Bikol

Christia
nity

SAN
ANTONIO

OAS

ALBAY

OCERA,AMMIE, LEONISA,JUDY
,
,,

136907120271

MENDOZA, ALBERT PEDIDO

08-12-2006

Tagalog

Christia
nity

TUNASAN

CITY OF
NCR
MUNTINLUP FOURTH
A
DISTRICT

MENDOZA,
ALBERTO
ACOSTA

PEDIDO,BEVE
RLY,,

PEDIDO,ALBE
RELATIVE
RT,,

111921110024

NIEPE, JUAN MIGUEL JUSTO

02-09-2006

Bikol

Christia
nity

SAN
ANTONIO

OAS

ALBAY

NIEPE,DELIA,,

NIEPE,DELLA,,

111921100033

OLICIA, JOMAI ARTIAGA

12-30-2004

10

Bikol

Christia
nity

SAN
ANTONIO

OAS

ALBAY

ARTIAGA,MAR
GIE,,

OLICIA,DAVID,
,

111921100037

PEDIDO, JOHN CARLO

LUSTISTICA

05-07-2004

11

Bikol

Christia
nity

SAN
ANTONIO

OAS

ALBAY

LUSTISTICA,M
ARY,JANE,

JR,AGUSTIN,P
EDIDO,

111921110037

RAYTANA, MARK CHRISTIAN

OLICIA

12-14-2005

Bikol

Christia
nity

SAN
ANTONIO

OAS

ALBAY

PEDIDO,MARL
YN,,

RAYTANA,MAR
LYN,,

111921110038

REBATI, BRYAN WARDE

11-13-2006

Bikol

Christia
nity

SAN
ANTONIO

OAS

ALBAY

WARDE,SALVA REBATI,BERN
CION,,
ARDO,,

111921110040

RELORCASA, NOEL
PEDRAGOSA

05-08-2006

Bikol

Christia
nity

SAN
ANTONIO

OAS

ALBAY

PEDRAGOSA,E RELORCASA,N
LMA,,
OLI,,

111921120004

ROQUIO, JERRAL MARTINEZ

04-28-2005

10

Bikol

Christia
nity

SAN
ANTONIO

OAS

ALBAY

MARTINEZ,MY
RNA,,

JR,PIO,ROQUI
O,

ALTAJARA,AM
ANDA,,

PUNTA,JIMMY,
DELA,

14 <=== TOTAL MALE

111921130004

ALTAJARA, ELLA MAE

FRANCISCO

09-29-2003

11

Bikol

Christia
nity

SAN
ANTONIO

OAS

ALBAY

FRANCISCO,A
MANDA,,

111921100001

ANAS, ANGIE ARTIAGA

07-11-2004

10

Bikol

Christia
nity

SAN
ANTONIO

OAS

ALBAY

ARTIAGA,ANA,, ANAS,ANA,,

111921110001

ARTIAGA, ICY PATANAO

06-05-2006

Bikol

Christia
nity

SAN
ANTONIO

OAS

ALBAY

PATANAO,EVA,,

ARTIAGA,REY
MUNDO,,

Contact
Number
of
Parent
or
Guardia
n

REMARKS

(Please refer
to the legend
on last page)

111921100004

ARTIAGA, JESSABEL BUERE

02-13-2005

10

Bikol

Christia
nity

SAN
ANTONIO

OAS

ALBAY

BUERE,VERGIE ARTIAGA,VIRG
,,
IE,,

111921100011

BRONDO, PINKY ARTIAGA

09-10-2003

11

Bikol

Christia
nity

SAN
ANTONIO

OAS

ALBAY

ARTIAGA,JOSE
PHINE,,

BRONDO,NOL
I,,

136907120217

MENDOZA, BERNADETH
PEDIDO

06-05-2005

10

Tagalog

Christia
nity

TUNASAN

CITY OF
NCR
MUNTINLUP FOURTH
A
DISTRICT

MENDOZA,
LARRY
CRISTOBAL

PEDIDO,BEVE
RLY,,

MENDOZA,BE
VERLY,,

111921100028

OBISPADO, ERICA PALMA

02-20-2002

13

Bikol

Christia
nity

SAN
ANTONIO

OAS

ALBAY

PALMA,MANMI OBISPADO,OLI
LYN,,
MPIO,,

111925100092

PALMA, JOY VALLADOLID

11-08-2004

10

Bikol

Christia
nity

NAGAS

OAS

ALBAY

PALMA,
DANILO RACE

VALLADOLID,S
PALMA,DANIL
ALVACION,REC
O,RACE,
TIN,

111921110028

PEDIDO, DANICA OCAMPO

09-07-2006

Bikol

Christia
nity

SAN
ANTONIO

OAS

ALBAY

OCAMPO,MARI JR,MARIANO,P
VIC,,
EDIDO,

111921110029

PEDIDO, JERRY MAE MANATA

09-10-2005

Bikol

Christia
nity

SAN
ANTONIO

OAS

ALBAY

MANATA,MARL PEDIDO,JERRY
YN,,
,,

111921110032

PEDIDO, RUDYLEN ABO

06-16-2006

Bikol

Christia
nity

SAN
ANTONIO

OAS

ALBAY

ABO,LORNA,,

PEDIDO,FELIP
E,,

111921110041

RELORCASA, NORILYN CRUZ

06-28-2006

Bikol

Christia
nity

SAN
ANTONIO

OAS

ALBAY

CRUZ,BABY,JA
NE,

RELORCASA,N
ORLY,,

111921110046

REPOBERBIO, JESSICA
BAROTILLA

10-07-2006

Bikol

Christia
nity

SAN
ANTONIO

OAS

ALBAY

BAROTILLA,LIL REPOBERBIO,
IBETH,,
ZALDY,,

111921110049

ROARING, FLORY MAE

BAROTILLA

08-26-2006

Bikol

Christia
nity

SAN
ANTONIO

OAS

ALBAY

BAROTILLA,ED ROARING,ANT
EN,,
ONIO,,

111921110051

TALAVERA, REJANE PALMA

05-25-2006

Bikol

Christia
nity

SAN
ANTONIO

OAS

ALBAY

PALMA,BABY,J
ANE,

TALAVERA,RA
NDY,,

15 <=== TOTAL FEMALE

29 <=== COMBINED

List and Code of Indicators under REMARKS column

Indicator
Transfered Out
Transfered In
Dropped

Cod
Required Information
e
T/O Name of Public (P) Private (PR) School &
Effectivity Date
T/I

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

Effectivity Date

DRP Reason and Effectivity Date

LE Reason (Enrollment beyond 1st Friday of

Generated on: Saturday, August 15, 2015

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
Accelerated
ACL Specify Level & Effectivity Data

REGISTERED

BoSY

MALE

14

FEMALE

14

TOTAL

28

EoSY

Prepared by;

Certified Correct:

JIMMY DELA RAMA MARJALINO

(Signature of Adviser over Printed
Name)

BoSY Date:

EoSY Date:

NORMAN SANTIANO JARLEGO

(Signature of School Head over Prin

Name)

BoSY Date:

EoSY Date:

T/I
DATE:____/__/_
_

IANO JARLEGO

l Head over Printed

me)

EoSY Date: