School Form 1 (SF 1) School Register

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

School ID 500327 CARAGA Division Surigao del Sur

Grade Grade 9
School Name Rajah Cabungsuan Integrated Secondary School School Year 2019 - 2020 Section MAHOGANY IS
Level (Year
GUARDIAN
AGE ADDRESS PARENTS Contact REMARKS
(if Not Parent)
as of MOTHER Number

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

Cebuan
o/ BOTONA, T/I
Christia TAGPOPORA SURIGAO EBE,DIOSDAD
214516100005 BOTONA,REX, EBE M 08-20-2005 13 Sinugbu LINGIG RODELYN DATE:2018-
nity N DEL SUR A,BEÑAS,
anong LINGATONG SR 07-09
Binisay

Cebuan
o/ VIÑAS, T/I
Christia TAGPOPORA SURIGAO EBE,EVELYN,S
214516100007 EBE,JORGE, CERNA M 08-04-2005 13 Sinugbu LINGIG SALVADOR DATE:2018-
nity N DEL SUR ERNA,
anong EBE 06-04
Binisay

Cebuan
o/ VALLEZ, T/I
Christia TAGPOPORA SURIGAO MAGUNOT,AN
214516120003 VALLEZ,GERALD, MAGUNOT M 12-29-2002 16 Sinugbu LINGIG ANDRES SR DATE:2018-
nity N DEL SUR GELIA,UYID,
anong LAMILA 06-04
Binisay

Cebuan
o/ VALLEZ, T/I
Christia TAGPOPORA SURIGAO MAGUNOT,AN
214516100013 VALLEZ,GEROME, MAGUNOT M 12-29-2002 16 Sinugbu LINGIG ANDRES DATE:2018-
nity N DEL SUR GELIA,UYID,
anong LAMILA 06-04
Binisay

4 <=== TOTAL MALE

Cebuan
o/ ABAMONGA,H T/I
ALATSA,HONEYLYN, Christia TAGPOPORA SURIGAO ALATSA, JOHN
132016100020 F 04-20-2004 15 Sinugbu LINGIG ELEN,LLAMER DATE:2018-
ABAMONGA nity N DEL SUR REY ROM
anong A, 06-04
Binisay

SUAREZ, CLAIR ANN F

2 <=== TOTAL FEMALE

6 <=== 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 & GAUDIOSA LIMOCON ALKUINO
Effectivity Date Effectivity Date MALE 4
Balik Aral B/A MARY JILL SUMIGUIN CABER (Signature of School Head over Printed
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 LWD FEMALE 2
Disability Specify Name)
Dropped DRP Reason and Effectivity Date Accelerated ACL BoSY Date: EoSY Date:
Late LE Reason (Enrollment beyond 1st Friday of Specify Level & Effectivity Data TOTAL 6
Enrollment June) BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Friday, March 29, 2019