School Form 1 School Register for Senior High School (S

School Name Milibili NHS School ID 302760 District Roxas City District II Division Roxa

Semester First Semester School Year 2019 - 2020 Grade Level Grade 11 Track and Strand

Section Moissanite 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)

ROXAS CITY ALAVA, ALLAN ANOT,SAND

117669080010 ALAVA,JOHN MICHAEL ANOT M 08/24/2002 15 Christianity MILIBILI CAPIZ
(Capital) DURON ,CERNAL,

ROXAS CITY ALEJAGA,MA

311707130016 ALEJAGA,KENJIE - M 05/28/2001 17 Christianity MILIBILI CAPIZ APA-AP, REGIE -
(Capital) ODRIGUEZ,

PUNSALAN,M
ROXAS CITY
117666080047 BACOMO,PETERSON BERMUDO M 02/20/2002 16 Christianity BANICA CAPIZ ILAGROSA,B
(Capital)
UDO

ROXAS CITY EVANGELIST

117672080029 BANJAO,ERWIN EVANGELISTA M 05/06/2002 16 Christianity MILIBILI CAPIZ BANJAO, VICENTE
(Capital) MY,BUNDA,
ROXAS CITY MAGALONG,
117669080049 BORREROS,MARC RUDOLPH MAGALONG M 05/28/2002 16 Christianity MILIBILI CAPIZ BORREROS, ROLLY
(Capital) H,,
ROXAS CITY JIMENEZ, BRIO BORRES,MA
117669080050 BORRES,FRANKS - M 01/04/2002 16 Christianity MILIBILI CAPIZ
(Capital) MARABE GRACE,LABA
ROXAS CITY CALANOGAN, BILLANO,HE
117669080053 CALANOGAN,ERLICH BILLANO M 08/20/2000 17 Christianity BATO CAPIZ
(Capital) ISIDRO ,
ROXAS CITY TORRE,CHAR
114635080016 DELA TORRE,KEITH - M 11/14/2002 15 Christianity MILIBILI CAPIZ
(Capital) ,-,

DELATINA,G
119988070066 DELATINA,MACKO BORNALES M 04/30/2002 16 Christianity SALGAN MA-AYON CAPIZ
BORNALES,

ROXAS CITY MAGASPAR,R

117669080076 DEVELA,JOHN MICHAEL MAGASPAR M 04/07/2003 15 Christianity MILIBILI CAPIZ
(Capital) UEL,,

ROXAS CITY DAYANG,SHE

302391110781 DEVICENTE,PHILIP JAY DAYANG M 09/02/1997 20 Christianity MONGPONG CAPIZ
(Capital) L,CLARITO,

ROXAS CITY GRIÑO, FELIPE DEVELA,RAY

117669080089 GRIÑO,FREDINEL DEVELA M 12/27/2002 15 Christianity MILIBILI CAPIZ
(Capital) LAGONILLA NDA,C,

ROXAS CITY SAMPIOR,EV

117672050153 REONICO,KIM SAMPIOR M 03/02/1999 19 Christianity MILIBILI CAPIZ REONICO, ROLLY -
(Capital) N,ALTONINO

ROXAS CITY VEGA, RANDY ANOCHE,VIL

117672080129 VEGA,RANIE BOY ANOCHE M 02/14/2003 15 Christianity MILIBILI CAPIZ
(Capital) RABINO ADIVAS,
ol (SF1-SHS)

Roxas City Region Region VI

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)

ANOT,SANDRITA
PARENT
CERNAL,

ALEJAGA,MAE,R
PARENT
ODRIGUEZ,

PUNSALAN,MA,M
LAGROSA,BERM PARENT
UDO

EVANGELISTA,E
PARENT
MY,BUNDA,
MAGALONG,LEA
H,,
BORRES,MARY
PARENT
GRACE,LABA,
BILLANO,HELEN,
PARENT

TORRE,CHARLYN
PARENT
-,

DELATINA,GINA,
PARENT Pending TI
BORNALES,

MAGASPAR,RAQ
PARENT
UEL,,

DAYANG,SHERIL T/I DATE:2019-06-

PARENT
L,CLARITO, 03

DEVELA,RAYMU
PARENT
NDA,C,

SAMPIOR,EVELY
N,ALTONINO,

ANOCHE,VILLA,D
PARENT
ADIVAS,
 ROXAS CITY VILLASIS, GOMEZ,MAR
117669080113 VILLASIS,ALLAN GOMEZ M 09/11/2002 15 Christianity MILIBILI CAPIZ
(Capital) NORBERTO JOCSON ,TOMOTOP,

15 <=== TOTAL MALE

ROXAS CITY ALBARAN, JOERGE

117669080013 ALBARAN,JESSICA BESANA F 05/22/2003 15 Christianity MILIBILI CAPIZ BESANA,DAL
(Capital) BAYHON

ANDRADA, REX ESTACION,LI

117669080015 ANDRADA,ALIAH AISLIN ESTACION F 09/07/2002 15 Christianity BATO PANAY CAPIZ
ORTEGA BELL,TABAN

ROXAS CITY TANELON,EL

117852080019 BANTILLO,JEAN TANELON F 11/18/1998 19 Christianity LIBAS CAPIZ BANTILLO, EDDIE
(Capital) BETH,,

ROXAS CITY BOHOL, ROGER BILLONES,RO

117669080045 BILLONES,ANNA ROSE - F 03/03/2003 15 Christianity MILIBILI CAPIZ
(Capital) ALCABASA LIE,LEONOR

ROXAS CITY ACEPCION,IM

117669080054 CALDEA,ROMILYN ACEPCION F 06/27/2002 15 Christianity MILIBILI CAPIZ CALDEA, RODELIO
(Capital) DA,,

302143100074 DALINOG,RUBY - F 11/21/1997 20 Christianity MALUBI AROROY MASBATE DALINOG,AV

DELLOTA,
PUNTA ROXAS CITY ANDRADA,G
302391130258 DELLOTA,GLYDEL ANDRADA F 10/24/1999 18 Christianity CAPIZ EDMUNDO DELA
TABUC (Capital) ENE,BENGAN
CRUZ
ROXAS CITY GEVERO, ARNEL
117669120184 GEVERO,JENIFER MESA F 07/15/2002 15 Christianity MILIBILI CAPIZ MESA,MARIC
(Capital) GAYAGAYA
ROXAS CITY HUERGOLA,S
117669080096 LUGTU,GLAIZA HUERGOLA F 12/16/2001 16 Christianity MILIBILI CAPIZ LUGTU, GLEN
(Capital) RON,,
CELMAR,MA
MEJORADA, PEDRO
118656080058 MEJORADA,MERRIE GRACE CELMAR F 02/15/2003 15 Christianity POBLACION SAN MIGUEL BOHOL LIANA,LOGR
TUBAL JR
,
ROXAS CITY MARTINEZ,M
117669080098 MISA,MA. ABIGAIL MARTINEZ F 11/20/2002 15 Christianity MILIBILI CAPIZ MISA, MANUEL
(Capital) TES,,
ALMODIENTE
ROXAS CITY
117685080123 ROBIS,MARRY ANN GUILLERMO F 08/23/2001 16 Christianity LAWA-AN CAPIZ ROBIS, MABINI FATIMA,,GUI
(Capital)
MO

12 <=== TOTAL FEMALE

27 <=== 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

Transfered Out T/O CCT Receipient CCT CCT Control/reference number &
Effectivity Date MALE 15
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 12
Exceptionality Beginning of the Semester
Accelerated ACL Specify Level & Effectivity Date Date:

TOTAL 27
2019-06-03

Generated on: Tuesday, July 16, 2019

GOMEZ,MARILYN
PARENT
TOMOTOP,

BESANA,DALIA,-, PARENT Pending TI

ESTACION,LILY
PARENT
BELL,TABANO,

TANELON,ELIZA
PARENT
BETH,,

BILLONES,ROSA
PARENT
LIE,LEONOR,

ACEPCION,IMEL
PARENT
DA,,

DALINOG,AVE,, PARENT

ANDRADA,GINAL
ENE,BENGAN,

MESA,MARICEL,, PARENT

HUERGOLA,SHA
RELATIVE
RON,,
CELMAR,MAXIMI
LIANA,LOGRONO

MARTINEZ,MARI
PARENT
TES,,
ALMODIENTE,MA
FATIMA,,GUILLER PARENT
MO

MARIA LUISA NAIN LAGANA

(Signature of Adviser over Printed Name)

ter End of the Semester Date:

2019-10-31