School Form 1 (SF 1) School Register

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

School ID 122405 Region VIII Division Borongan City District Borongan South
Grade
School Name Pinanag-an ES School Year 2019 - 2020 Grade 1 Section MG 1 AND 2
Level
GUARDIAN
AGE MOTHE ADDRESS PARENTS Contact
(if Not Parent) Number
as of

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

CITY OF
Christia PINANAG- EASTERN ANDIA, EDITO PACAYRA,MON
122405180001 ANDIA,EDMON JAY, PACAYRA M 03-23-2013 6 Waray BORONGAN
nity AN SAMAR DELMONTE JR ALISA,GUIRA,
(Capital)

CITY OF
Christia PINANAG- EASTERN ANDIA, RAFFY ANDIA,GEMMA
122405180002 BASILGA,RAFFY, JR ANDIA M 04-21-2013 6 Waray BORONGAN
nity AN SAMAR HERMO SR ,CAPADA,
(Capital)
CITY OF
Christia PINANAG- EASTERN BUSA, ROGER CATUBAY,LOR
122405180003 BUSA,PEDERICO, CATUBAY M 02-07-2012 7 Waray BORONGAN
nity AN SAMAR CONTADO ENA,CANALES,
(Capital)
CITY OF CASIMO,
Christia PINANAG- EASTERN CAPADA,ARLE
122405180004 CASIMO,JOHN KENT, ANDIA M 07-21-2013 5 Waray BORONGAN JONIDO
nity AN SAMAR NE,ANDIA,
(Capital) BEJAAN
CITY OF
Christia PINANAG- EASTERN PALCE, ABNER CASPE,SALLY,
122405180006 PALCE,JHON PAULO, CASPE M 07-05-2013 5 Waray BORONGAN
nity AN SAMAR BUSA RAPALES,
(Capital)

5 <=== TOTAL MALE

CITY OF
Christia PINANAG- EASTERN ANDIA, JAYPEE LATO,AMALYN,
122405180009 ANDIA,CLAIRE, LATO F 02-14-2013 6 Waray BORONGAN
nity AN SAMAR HERMO TRECEÑO,
(Capital)
CITY OF BAJASAN, CORTADO,RAC
BAJASAN,HONNEY SHANE, Christia PINANAG- EASTERN
122405180012 F 04-29-2014 5 Waray BORONGAN DANDY HEL,DELMONT
CORTADO nity AN SAMAR
(Capital) LAVADO E,
CITY OF
Christia PINANAG- EASTERN BEJAAN, MALATE,GINA,
122405180007 BEJAAN,JANESSA, MALATE F 09-02-2012 6 Waray BORONGAN
nity AN SAMAR EFREN BUENO CONTADO,
(Capital)
CITY OF
CORTADO,ARIAN JEAN, Christia PINANAG- EASTERN CORTADO, CAPONES,IRE
122405180008 F 01-23-2013 6 Waray BORONGAN
CAPONES nity AN SAMAR JERRY HERMO NE,PADOC,
(Capital)
CITY OF TORREBEO,
TORREBEO,JOHANNAH Christia PINANAG- EASTERN CORTADO,JEN
122405180010 F 09-11-2012 6 Waray BORONGAN NICOLAS
NICOLE, CORTADO nity AN SAMAR NA,HERMO,
(Capital) BAGUE

5 <=== TOTAL FEMALE

10 <=== 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 & ANTONIO BATULA CARVAJAL
Effectivity Date Effectivity Date MALE 5
Balik Aral B/A MARIA CECILIA FACILO GAPUD (Signature of School Head over Prin
Transfered In T/I Name of Public (P) Private (PR) School & Name of school last attended & Year Name)
Effectivity Date Learner With LW
uth

REMARKS

(Please refer
to the legend
on last page)

ULA CARVAJAL

l Head over Printed

me)
Transfered Out T/O Name of Public (P) Private (PR) School & CCT Receipient CCT CCT Control/reference number &
Effectivity Date Effectivity Date
Balik Aral B/A (Signature of School Head over Prin
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 LW FEMALE 5 Name)
Disability D Specify
Dropped DRP Reason and Effectivity Date Accelerated BoSY Date: EoSY Date:
Late LE Reason (Enrollment beyond 1st Friday of ACL Specify Level & Effectivity Data TOTAL 10
Enrollment June) BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Sunday, October 20, 2019

EoSY Date:

d thru LIS