School Form 1 School Register for Senior High School (S

School Name Alicia Integrated School School ID 500115 District Aglipay Division Qu

Semester Second Semester School Year 2018 - 2019 Grade Level Grade 11 Track and Strand

Section RUBY Course (for TVL only)

AGE COMPLETE ADDRESS PARENTS

as of

Sex (M/F)
NAME BIRTH DATE 1st Mother's Ma
LRN Religious Affilication
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy) Frida Father's Name (Last Name (La
House #/ Street/ Sitio/ Municipality/
y Purok
Barangay
City
Province Name, First Name, Name, Fir
June Middle Name) Name, Mid
Name)

BAY-AN, MANGANAW
104225060008 BAY-AN,JERICO MANGANAWE M 11/01/2000 17 Christianity ALICIA AGLIPAY QUIRINO
MARCELINO MULAG ICE,MODEST

DUMIWAL,M
BUTIC, FIDEL
104255120296 BUTIC,KENNY JAMES DUMIWAL M 08/17/2002 15 Christianity ALICIA AGLIPAY QUIRINO RIE,NUMBAL
DULNUAN
,
DULNUAN,M
104225060014 DUMALILI,RAMCESS JULES DULNUAN M 03/28/2001 17 Christianity ALICIA AGLIPAY QUIRINO DUMALILI, JULIO
CEL,,

500115180004 TAYABAN,MAR JUN CARO M 11/28/1998 19 Christianity ALICIA AGLIPAY QUIRINO TAYABAN, JULIUS CARO,MARIA

VIERNES,
AMUNGAO,A
104225070028 VIERNES,JACKSON AMUNGAO M 11/17/2001 16 Christianity ALICIA AGLIPAY QUIRINO BERNARDO
ITA,DULNUA
DELEON

VILORIA, ROLANDO IGNACIO,ELI

104225060033 VILORIA,RUEL IGNACIO M 12/04/2000 17 Christianity ALICIA AGLIPAY QUIRINO
TIPAY ETH,GALASI

6 <=== TOTAL MALE

BAY-
BAY-AN,
306321140009 BAY-AN,JESICA MANGANAWE F 12/14/2001 16 Christianity ALICIA AGLIPAY QUIRINO AN,ALICE,MA
MARCELINO
ANAWE,
BONDAME,
PANIT,ROSA
104225070012 BONDAME,RONALYN PANIT F 04/13/2000 18 Christianity ALICIA AGLIPAY QUIRINO ABELARDO
MALATI,
PERALTA

TUGUINAY,E
104225070021 GALLANGI,ANGIE ROSE TUGUINAY F 11/06/2001 16 Others ALICIA AGLIPAY QUIRINO
NDA,BIDANG

RAMBAN, JUAN GUMANGAN

104225120090 RAMBAN,JIRAH GUMANGAN F 03/16/2001 17 Christianity ALICIA AGLIPAY QUIRINO
DELACRUZ NOR,CABLIN

4 <=== TOTAL FEMALE

10 <=== COMBINED

Legend: List and Code of Indicators under REMARKS column

Prepared by;
Beginning of the End of the
Indicator Code Required Information Indicator Code Required Information REGISTERED
Semester Semester
ol (SF1-SHS)

Quirino Region Region II

Academic Track -General Academic Strand

GUARDIAN
TS (if learner is not Living with REMARKS
Parent) Contact
Number
Mother's Maiden of Parent
Name
Name (Last or (Please refer to
(Last Name, First
Name, First Relationship Guardian the legend on last
Name, Name
Name, Middle page)
Extension, Middle
Name)

MANGANAWE,AL
PARENT
CE,MODESTO,

DUMIWAL,MARJO
RIE,NUMBALGAN

DULNUAN,MARI
PARENT
CEL,,

CARO,MARIA,,

AMUNGAO,AGAP
PARENT
TA,DULNUAN,

GNACIO,ELIZAB
PARENT
ETH,GALASI,

BAY-
AN,ALICE,MANG
ANAWE,
PANIT,ROSARIO,
MALATI,

TUGUINAY,ERMI
RELATIVE
NDA,BIDANG,

GUMANGAN,LEO
NOR,CABLINAN,

DOLORES ANTONIO TUGUINAY

Transfered Out T/O CCT Receipient CCT CCT Control/reference number &
Effectivity Date MALE 6
Name of School, Date of 1st Attendance and Balik Aral B/A Name of school last attended & Year (Signat
Date of Last Attendance if Transferred Out
Transfered In T/I Learner With LWE Specify Exceptionality of the Learner FEMALE 4
Exceptionality Beginning of the Semester
Accelerated ACL Specify Level & Effectivity Date Date:

TOTAL 10
2018-10-29

Generated on: Monday, March 25, 2019

 DOLORES ANTONIO TUGUINAY

(Signature of Adviser over Printed Name)

ter End of the Semester Date:

2019-03-31