School Form 1 (SF 1) School Register

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

School ID Region Division District

School Name School Year Grade Level Section

AGE as of 1st ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
BIRTH Friday of June IP
BIRTH
NAME Sex DATE MOTHER (Specify Contact Number
LRN PLACE RELIGION
(Last Name, First Name, Middle Name) (M/F) (mm/ TONGUE Ethnic (Parent /Guardian)
(nos. of years (Province) House # / Father (1st name only if
dd/yy) Group) Municipality/ Relationshi (Please refer to the legend on last
as per last Street/Sitio/ Barangay Province family name identical to Mother (Maiden) Name
City p page)
birthday) Purok learner)
 AGE as of 1st ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
BIRTH Friday of June IP
BIRTH
NAME Sex DATE MOTHER (Specify Contact Number
LRN PLACE RELIGION
(Last Name, First Name, Middle Name) (M/F) (mm/ TONGUE Ethnic (Parent /Guardian)
(nos. of years (Province) House # / Father (1st name only if
dd/yy) Group) Municipality/ Relationshi (Please refer to the legend on last
as per last Street/Sitio/ Barangay Province family name identical to Mother (Maiden) Name
City p page)
birthday) Purok learner)

List and code of Indicators under REMARK column

Prepared by: Certified Correct:
Indicator Code Required Information Indicator Code Required Information BoSY EoSY

Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity Date CCT Recipient CCT CCT Control/reference number & Effectivity Date MALE

(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Date Balik-Aral B/A Name of school last attended & Year FEMALE

Dropped DRP Reason and Effectivity Date Learner With Dissability LWD Specify TOTAL
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) Accelarated ACL Specify Level & Effectivity Data Date:___________________________________ Date:__________________________________________________