School Form 1 (SF 1) School Register

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

School ID 300241 Region I Division Pangasinan I, Lingayen

Grade Grade 7
School Name POLONG NATIONAL HIGH SCHOOL School Year 2019 - 2020 Section 7-MJQ
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 House
Father's
Mother's
of
LRN (Last Name, First Name, Middle (Grade (Ethnic Name (Last Parent (Please refer
(mm/dd/yyyy) Frida N #/ Maiden Name Relat
Name) 1 to 3 Group) Municipalit Name, First or to the
y Only) Street/ Barangay
y/ City
Province
Name,
(Last Name, Name ionsh Guardia legend on
June Sitio/ First Name, ip n
Middle last page)
Purok Middle Name)
Name)

Pangasi Christia LINGAYEN ANISCO, ARANDIA,MAR

101503110003 ANISCO,REY MARK, ARANDIA M 02-18-2006 13 BALOCOC PANGASINAN Pending TI
nan nity (Capital) RENANTE L IETA,CERDA,

AQUINO, T/I
Pangasi Christia PETROLA,EDN
101379120008 AQUINO,JOMAR, PETROLA M 03-21-2007 12 POLONG BUGALLON PANGASINAN ARNEL DATE:2019-
nan nity A,PETROLA,
DUMAGUIT 06-03
BALAJADIA, T/I
Pangasi Christia SORIANO,GILD
101379120043 BALAJADIA,HIRO, SORIANO M 08-26-2007 11 BACABAC BUGALLON PANGASINAN ROMMEL DATE:2019-
nan nity A,MANGUIAM,
NALLANO 06-03
T/I
BARDE,JAMES LESTER, Pangasi Christia BARDE, CANCINO,LELI
101379120063 M 11-25-2006 12 POLONG BUGALLON PANGASINAN DATE:2019-
CANCINO nan nity MICHAEL V N,M,
06-03
CANTOR, T/I
Pangasi Christia FERNANDEZ,I
101376120003 BASA,JOHN PAUL, - M 12-21-2006 12 GUESET BUGALLON PANGASINAN ARGEEN DATE:2019-
nan nity RENE,,
SALAZAR 06-03

Pangasi Christia MAGTAKIN BOLAÑOS,ERL

101378120042 BOLAÑOS,ERROL, - M 02-06-2007 12 BUGALLON PANGASINAN Pending TI
nan nity G Y,PALMA,

CATACUTAN, T/I
Pangasi Christia AUDITOR,THE
101379120066 CATACUTAN,JOJO, AUDITOR M 01-29-2007 12 ASINAN BUGALLON PANGASINAN BENJAMIN DATE:2019-
nan nity LMA,A,
OMBAC 06-03
DELA
CATAHAN,
Pangasi Christia CRUZ,REYMAL
101377110006 CATAHAN,ADRIAN, DELA CRUZ M 09-18-2006 12 PANTAL BUGALLON PANGASINAN ALFREDIE Pending TI
nan nity INE,FERNAND
DELA CRUZ
EZ,
DAANG,
Christia TANDOC,VIRGI
135655130101 DAANG,LLOYD, MANAOAT M 03-23-2007 12 Iloko BUENLAG BUGALLON PANGASINAN LEON Pending TI
nity NIA,MANAOAT,
CORRO
DELA CRUZ,
DELA CRUZ,ANDREW, Pangasi Christia MAGTAKIN CALICDAN,ME
101378120005 M 08-05-2007 11 BUGALLON PANGASINAN PERFECTO Pending TI
CALICDAN nan nity G NCY,ENRIQUE,
SANTOS
DELA CRUZ, T/I
Pangasi Christia MARARAC,ELI
101376120010 DELA CRUZ,JERVIN, MARARAC M 12-08-2006 12 GUESET BUGALLON PANGASINAN JERRY DATE:2019-
nan nity ZABETH,,
RAVANCHO 06-03
DELA T/I
FERNANDEZ,RODEL, DELA Pangasi Christia FERNANDEZ
101376120012 M 06-04-2007 12 GUESET BUGALLON PANGASINAN CRUZ,GRICEL DATE:2019-
CRUZ nan nity , RONALD
DA,, 06-03
GALLARDO, T/I
GALLARDO,JUSTINE VENCENT, Pangasi Christia ACOSTA,MYRN
101376120014 M 12-08-2006 12 GUESET BUGALLON PANGASINAN REDEN DATE:2019-
ACOSTA nan nity A,,
ABAD 06-03
SAN
MAGBITANG,CRIS JULIAN, Christia CITY OF MAGBITANG, GARCIA,RODE
109320130743 M 07-08-2005 13 Tagalog ISIDRO RIZAL Pending TI
MAGBITANG nity ANTIPOLO MARLON - LYN,-,
(POB.)
 MANECLAN
Pangasi Christia G, JOSE AGBIST,MARIB
101377110020 MANECLANG,JOMARI, AGBISIT M 09-05-2005 13 PANTAL BUGALLON PANGASINAN Pending TI
nan nity FERNANDEZ EL,ABARABAR,
JR
NASAYAO,
Christia GAUFO,MARIC
136878120371 NASAYAO,BENSON, JR GAUFO M 01-08-2005 14 Tagalog BACABAC BUGALLON PANGASINAN BENSON Pending TI
nity EL,,
NASAYAO
OCILLOS,
Pangasi Christia OPERAÑA,GRA
101373100027 OCSILLOS,ALDRIN, OPERAÑA M 11-30-2004 14 BACABAC BUGALLON PANGASINAN ARNEL
nan nity CE,CASTILLO,
PRIMEVIRA
PALMA, TEGUERERO,J
Pangasi Christia
101379130003 PALMA,JHAY CEE, TEGERERO M 03-29-2007 12 POLONG BUGALLON PANGASINAN CORLETO OSIELIN,ACOPI Pending TI
nan nity
BALOTO O,
PEDROZO,
PEDROZO,JUSTINE LEE, Pangasi Christia SUPREMIDO,JE
101372120012 M 04-10-2007 12 ASINAN BUGALLON PANGASINAN RUFINO Pending TI
SUPREMIDO nan nity LLY,EDAM,
DADACAY
GARDE,MARY
Pangasi Christia PEREZ,
101374120048 PEREZ,HAROLD, GARDE M 12-16-2005 13 BUENLAG BUGALLON PANGASINAN LUNA,FAJARILL
nan nity HADJI M
O,
BALINGIT,RAQ
PETROLA,MARK JASPHER, Pangasi Christia
101379120027 M 09-14-2006 12 POLONG BUGALLON PANGASINAN UEL,MALICDE Pending TI
BALINGIT nan nity
M,
MALICDEM,JO
Pangasi Christia
101379120071 PRADO,ALJUR, MALICDEM M 10-02-2007 11 POLONG BUGALLON PANGASINAN SEPHINE,NAVA Pending TI
nan nity
RRO,
MANILA, RAGA, T/I
Christia BARANGAY SANTA LEGASPI,TERE
136485130062 RAGA,ERICK LOUISE, LEGASPI M 01-07-2006 13 Tagalog NCR, FIRST RICARDO DATE:2019-
nity 793 ANA SITA,TIAUSAS,
DISTRICT PANLILIO 06-03
SALAYSAY,
Christia MAGTAKIN ALVARO,JOY,D
101378120075 SALAYSAY,JOSEPH, ALVARO M 09-08-2007 11 Tagalog BUGALLON PANGASINAN JOVANI Pending TI
nity G ELA CRUZ,
ORDUÑA
SORIANO,
Pangasi Christia MAGTAKIN LAGUISMA,LA
101378100129 SORIANO,JUSTINE, LAGUISMA M 03-28-2005 14 BUGALLON PANGASINAN ROMEO Pending TI
nan nity G NIE,ESTRADA,
PANELO
SORIANO, T/I
SORIANO,YLBER JANCE, Pangasi Christia LOMIBAO,MAR
101376120026 M 09-19-2007 11 GUESET BUGALLON PANGASINAN JACKY DATE:2019-
LOMIBAO nan nity EGIL,,
TANDOC 06-03
URBANO, GARCIA,EMYL
Pangasi Christia
101377120013 URBANO,JOEL, JR GARCIA M 08-28-2007 11 PANTAL BUGALLON PANGASINAN JOEL CRUZ ORD,SORIANO Pending TI
nan nity
SR ,

27 <=== TOTAL MALE

ABALOS,
ABALOS,TRISHIA ANN, Pangasi AQUINO,AURO
101381120014 F 07-11-2007 11 Others SAMAT BUGALLON PANGASINAN TEODORICO Pending TI
AQUINO nan RA,D,
MAYANDOC
ALONZO, T/I
ALONZO,MA ANGELICA, Pangasi Christia LINGAYEN BASILIO,MARY
101491130030 F 10-29-2007 11 BAAY PANGASINAN WILFREDO DATE:2019-
BASILIO nan nity (Capital) ANN,TAPARAN,
TAMES 06-03
CARABACA,
CARABACA,MIKEE JULIANA, Pangasi Christia MAGTAKIN ESCAÑO,AMAL
101378120079 F 07-15-2007 11 BUGALLON PANGASINAN MICHAEL Pending TI
ESCAÑO nan nity G IA,SORIANO,
GARCIA
CASTRO, T/I
CASTRO,MARY ANTONETTE, Pangasi Christia MALICDEM,AM
101376130005 F 02-02-2006 13 GUESET BUGALLON PANGASINAN ANTHONY DATE:2019-
MALICDEM nan nity OR,,
NASALIA 06-03
DELA CRUZ,
DELA CRUZ,ELLA MAE, Pangasi Christia ABALOS,LANIE
101377120018 F 09-11-2007 11 PANTAL BUGALLON PANGASINAN ERNESTO Pending TI
ABALOS nan nity ,CAYABYAB,
OMBAC
 DELA CRUZ,
Pangasi Christia AGATON,VIOL
101377120019 DELA CRUZ,KHAYE, AGATON F 09-19-2006 12 PANTAL BUGALLON PANGASINAN LECERIO Pending TI
nan nity ETA,,
BIAG
SAN DELFIN, VICTORIO,COR T/I
Pangasi Christia
101382110011 DELFIN,NICOLE, VICTORIO F 01-25-2007 12 FRANCISC BUGALLON PANGASINAN AMANTE AZON,CANUEL DATE:2019-
nan nity
O BONIFACIO , 06-03
SAN DELFIN, VICTORIO,COR T/I
Pangasi Christia
101382110012 DELFIN,NIKKA, VICTORIO F 01-25-2007 12 FRANCISC BUGALLON PANGASINAN AMANTE AZON,CANUEL DATE:2019-
nan nity
O BONIFACIO , 06-03
FERNANDEZ
FERNANDEZ,MARIEL, Pangasi Christia MAGTAKIN ARAGONA,MA
101378110048 F 04-17-2006 13 BUGALLON PANGASINAN , ROMEO Pending TI
ARAGONA nan nity G RITES,ELAS,
ESTRADA
Pangasi Christia GARBO, SERRANO,PRI
101372120042 GARBO,MELISA, SERRANO F 05-10-2007 12 ASINAN BUGALLON PANGASINAN Pending TI
nan nity RICHARD E SCILA,,
SAN MACAM, T/I
Pangasi Christia PASTOR,JOSEP
101392120185 MACAM,GEMMA, PASTOR F 02-11-2005 14 FRANCISC BUGALLON PANGASINAN ARMANDO DATE:2019-
nan nity HINE,-,
O VIDAL 06-03
MERCADO,
MERCADO,ASHLEY NICOLE, Pangasi Christia OCSAN,RINALY
101379120040 F 10-01-2007 11 POLONG BUGALLON PANGASINAN ISIDRO Pending TI
OCSAN nan nity N,GARCIA,
JUNIO
OCAMPO,
Pangasi Christia MAGTAKIN QUIROS,LOLIT
101372120049 OCAMPO,LEILA, QUIROS F 10-01-2006 12 BUGALLON PANGASINAN BENITO Pending TI
nan nity G A,VALDEZ,
DELA CRUZ
ONZA, T/I
Pangasi Christia SINGUEO,CRIS
101376120047 ONZA,MARIA ANGEL, SINGUEO F 12-20-2006 12 GUESET BUGALLON PANGASINAN JOHNNY DATE:2019-
nan nity TINA,,
MAMARIL 06-03
PETROLA,
Pangasi Christia ANCHETA,FELY
101379120081 PETROLA,KAREN, ANCHETA F 06-28-2007 11 POLONG BUGALLON PANGASINAN MANUEL Pending TI
nan nity ,GALLARDO,
MALICDEM
SANTILLAN,HANNAH LOUISE, Christia CALAMIONG,H
101671130242 F 01-05-2007 12 Tagalog SAMAT BUGALLON PANGASINAN Pending TI
CALAMIONG nity ONEY,,
Pangasi Christia SISON, BOY MACARAEG,RI
101374120030 SISON,RHEA, MACARAEG F 04-14-2007 12 BUENLAG BUGALLON PANGASINAN Pending TI
nan nity G SA,B,

17 <=== TOTAL FEMALE

44 <=== COMBINED

List and Code of Indicators under REMARKS column

Co Cod REGISTERE Prepared by; Certified Correct:
Indicator Required Information Indicator Required Information BoSY EoSY
de e D
Transfered Out T/ Name of Public (P) Private (PR) School & CCT Receipient CCT CCT Control/reference number & ELSIE ABARABAR CUNANAN
O Effectivity Date Effectivity Date MALE 27
Balik Aral B/A MARY JOY ALMAZAN QUIBUAL (Signature of School Head over
Transfered In Name of Public (P) Private (PR) School & Name of school last attended & Year Printed Name)
(Signature of Adviser over
T/I Effectivity Date Learner With LWD FEMALE 17 Printed Name)
Disability Specify
Dropped Reason and Effectivity Date Accelerated ACL BoSY Date: EoSY Date:
Late DR Reason (Enrollment beyond 1st Friday of Specify Level & Effectivity Data TOTAL 44
Enrollment P June) BoSY Date: EoSY Date:
LE

Generated thru LIS

Generated on: Thursday, July 4, 2019