School Form 1 School Register for Senior High School (S

School Name St. Joseph School of Baliuag Inc. School ID 418549 District Baliuag South Division Bu

Semester First Semester School Year 2019 - 2020 Grade Level Grade 12 Track and Strand

Section JADE 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)

104737070071 DIÑO,JEAN LUISE RUBIO M 11/19/2001 16 Christianity POBLACION BALIUAG BULACAN DINO, GERRY RUBIO,RUTH

GONZALES, DANIEL CELORICO,M

104742070020 GONZALES,DANIEL JR CELORICO M 10/03/2001 16 Christianity HINUKAY BALIUAG BULACAN
VERGARA ELA,RAMIRE

SANTA TIQUIA, RICARDO CRUZ,LESLIE

104757070187 TIQUIA,RAINHARD CRUZ M 04/16/2002 16 Christianity BALIUAG BULACAN
BARBARA MANALAYSAY ANN,MATIC,

3 <=== TOTAL MALE

SANTA ADRIANO, JAIMY BAUTISTA,M

300753140013 ADRIANO,JASMINE BAUTISTA F 09/13/2002 15 Christianity BALIUAG BULACAN
BARBARA CORTEZ ROS,MANIEG

AJENTO, ROLAN BARCIA,SUS

104741070005 AJENTO,HAZEL BARCIA F 03/20/2002 16 Christianity POBLACION BALIUAG BULACAN
ABIADA OLIMA,

CRUZ, PAQUITO VALDEZ,CEL

104737070045 CRUZ,CATHERINE VALDEZ F 10/21/2002 15 Christianity POBLACION BALIUAG BULACAN
QUILANG NA,SANCHE

CRUZ, PAQUITO VALDEZ,CEL

104737070049 CRUZ,JONNALYN VALDEZ F 10/10/2001 16 Christianity POBLACION BALIUAG BULACAN
QUILANG NA,SANCHE

GUZMAN, PABLITO DANAO,CAR

105019070055 GUZMAN,CRYSTEL LHET DANAO F 04/08/2002 16 Christianity LONGOS PULILAN BULACAN
TEEL A,PLANA,

LUCAPA, CAPRIANO GO,NIDA,LO

122572060011 LUCAPA,AIDA GO F 02/05/1998 20 Christianity POBLACION BALIUAG BULACAN
MERGADER TAD,

VIRGEN SAN JOSE, DE

104752070059 SAN JOSE,ABIGAIL MAE DE JESUS F 05/21/2000 18 Christianity DELAS BALIUAG BULACAN HERMINIGILDO JESUS,JOSEP
FLORES VILLAFUERTE E,TUVILLA,
MAKINABAN BALOTE,MAR
104753070072 SANTOS,APRIL BALOTE F 04/19/2002 16 Christianity BALIUAG BULACAN SANTOS, RODEL
G L,,

8 <=== TOTAL FEMALE

11 <=== COMBINED

Legend: List and Code of Indicators under REMARKS column

ol (SF1-SHS)

Bulacan Region Region III

Academic Track -Accountancy, Business, and Management

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)

RUBIO,RUTH,, PARENT

CELORICO,MARC
ELA,RAMIREZ,

CRUZ,LESLIE
PARENT
ANN,MATIC,

BAUTISTA,MILAG
PARENT
ROS,MANIEGO,

BARCIA,SUSAN,B
OLIMA,

VALDEZ,CELESTI
PARENT
NA,SANCHEZ,

VALDEZ,CELESTI
PARENT
NA,SANCHEZ,

DANAO,CAROLIN
PARENT
A,PLANA,

GO,NIDA,LOMUN
PARENT
TAD,

DE
ESUS,JOSEPHIN PARENT
E,TUVILLA,
BALOTE,MARIBE
L,,
 Prepared by;
Beginning of the End of the
Indicator Code Required Information Indicator Code Required Information REGISTERED
Semester Semester

Transfered Out T/O CCT Receipient CCT CCT Control/reference number &
Effectivity Date MALE 3
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 8
Exceptionality Beginning of the Semester
Accelerated ACL Specify Level & Effectivity Date Date:

TOTAL 11
2019-06-17

Generated on: Tuesday, September 3, 2019

 REARMA DE BELEN RAMOS

(Signature of Adviser over Printed Name)

ter End of the Semester Date:

2019-10-25