School Form 1 (SF 1) School Register

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

School ID 132410 CARAGA Division Surigao del Norte District Gigaquit

Grade
School Name Nagubat ES School Year 2018 - 2019 Kinder Section A
Level
GUARDIAN
AGE MOTHE ADDRESS PARENTS Contact
(if Not Parent) Number
as of

Sex (M/F)
R
NAME IP of
BIRTH DATE 1st TONGUE RELIGIO Father's Name Mother's
LRN (Last Name, First Name, Middle (Ethnic House #/ Parent
(mm/dd/yyyy) Frid (Grade N (Last Name, Maiden Name
Name) Group) Street/ Municipality Relationsh or
ay 1 to 3 Barangay Province First Name, (Last Name, Name
Sitio/ / City ip Guardia
June Only) Purok
Middle Name) First Name, n
Middle Name)

BECERRO,
Sinurig Christia ALAMBIQUE SURIGAO LIBAY,CAREEN
132410180001 BECERRO,FELDAN JAY, LIBAY M 11-04-2013 4 GIGAQUIT JONATHAN
aonon nity (POB.) DEL NORTE FE,PAGARAN,
ALBASIN

1 <=== TOTAL MALE

CALAYCAY,LOVELY JEAN, Sinurig Christia ALAMBIQUE SURIGAO CALAYCAY, HINAUTAN,AIL

132410180002 F 11-23-2012 5 GIGAQUIT
HINAUTAN aonon nity (POB.) DEL NORTE ERIC CATULMO ET,BUKIRON,

1 <=== TOTAL FEMALE

2 <=== COMBINED

List and Code of Indicators under REMARKS column

Cod Cod Prepared by; Certified Correct:
Indicator Required Information Indicator Required Information REGISTERED BoSY EoSY
e e
Transfered Out T/O Name of Public (P) Private (PR) School & CCT Receipient CCT CCT Control/reference number & RANULFO JABAY CANDA
Effectivity Date Effectivity Date MALE 1
Balik Aral B/A GLENNA CRYSTALINE BONITA PINGAL (Signature of School Head over Prin
Transfered In T/I Name of Public (P) Private (PR) School & Name of school last attended & Year Name)
(Signature of Adviser over Printed
Effectivity Date Learner With LW FEMALE 1 Name)
Disability D Specify
Dropped DRP Reason and Effectivity Date Accelerated BoSY Date: EoSY Date:
Late LE Reason (Enrollment beyond 1st Friday of ACL Specify Level & Effectivity Data TOTAL 2
Enrollment June) BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Wednesday, March 6, 2019

 REMARKS

(Please refer
to the legend
on last page)

BAY CANDA

l Head over Printed

me)

EoSY Date:

d thru LIS