School Form 1 School Register for Senior High School (S

School Name Gen. Santos Academy School ID 405673 District Polomolok East Division South

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

Section DIANITE Course (for TVL only) Bread and Pastry Production (NC II)

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)

SOUTH ALCAZAR, EDDIE ALCAZAR,ER

405673150042 ALCAZAR,EDWIN MANGUNLAY M 01/13/2002 16 Christianity SULIT POLOMOLOK
COTABATO SR ,

POLONULIN SOUTH AVENTURADO, HUBAG,MER

130907050005 AVENTURADO,AUJAY MARK HUBAG M 08/12/1999 18 Christianity TUPI
G COTABATO ALFREDO YOLIN GREGORI,

SOUTH BAYAN, RHODEL ARNAIZ,MA

405676150021 BAYAN,CARLOS MOSES ARNAIZ M 02/18/2002 16 Christianity POBLACION POLOMOLOK
COTABATO DIGNADISE MYLIN,TANAT

SOUTH DALIKI, DANTE SALMORIN,D

130796080008 DALIKI,DANTE II SALMORIN M 06/05/2002 16 Christianity AFLEK T'BOLI
COTABATO KATIL RA,FALLORIN

CROSSING SOUTH ESTORQUE,B

405673160002 ESTORQUE,DENMARK ANDREE M 09/22/1991 26 Christianity POLOMOLOK
PALKAN COTABATO Y,,

ZAMBOANGA GAJO, CESAR MORAS,MON

124828080014 GAJO,GREG MORAS M 05/25/2001 17 Christianity S. CABRAL SIOCON
DEL NORTE MAGBANUA ROLANA,

SOUTH PIANG,MONA
405673150054 KUTA,FRANKIE BOY PIANG M 02/03/2002 16 Christianity MALUGONG T'BOLI KUTA, FALIN
COTABATO ,
SOUTH
405673150057 MAN,RYAN CABALO M 07/28/2002 15 Christianity MAGSAYSAY POLOMOLOK MAN, CARLOS C MAN,VIRGIN
COTABATO
NCR
BARANGAY SALAGUINTO, VILLARIASA,
136596120864 SALAGUINTO,MICHAEL ALLAN VILLARIASA M 12/01/2000 17 Christianity PASAY CITY FOURTH
183 MICHAEL GASMEN A,TELERON,
DISTRICT
SOUTH VALENCIA,CI
405673150287 VALENCIA,JESSEREL LUCHANG M 11/28/1999 18 Christianity LUMAKIL POLOMOLOK VALENCIA, AVILINO
COTABATO ,,

10 <=== TOTAL MALE

SOUTH RENDON,MA
130745070373 MANGHARAL,JAINEE MAE RENDON F 03/10/2000 18 Christianity POBLACION POLOMOLOK
COTABATO OU,ANILLO,

CRUZ
SOUTH PANTONIAL, REY
130736080111 PANTONIAL,RHEA RIZZA AMARANTE F 12/13/2001 16 Christianity SULIT POLOMOLOK DELA,ELSIE,
COTABATO EDWARD
ARIN,
CRUZ
SOUTH PELOBELLO,
128895080027 PELOBELLO,JESA CRUZ DELA F 04/02/1999 19 Christianity SULIT POLOMOLOK DELA,ELSIE,
COTABATO SALVADOR ORQUIO
ARIN,
ol (SF1-SHS)

South Cotabato Region Region XII

Technical-Vocational-Livelihood Track

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)

ALCAZAR,ERLYN,

HUBAG,MERLYN,
Pending TI
GREGORI,

ARNAIZ,MA
Pending TI
MYLIN,TANATI,

SALMORIN,DEVO
Pending TI
RA,FALLORIN,

ESTORQUE,BETT
Y,,

MORAS,MONICA,
ROLANA,

PIANG,MONAIRA,

MAN,VIRGINA,C,

VILLARIASA,ANIT
PARENT
A,TELERON,

VALENCIA,CIVILA
,

RENDON,MARIL T/I DATE:2019-06-

PARENT
OU,ANILLO, 24

CRUZ
DELA,ELSIE,ASP Pending TI
ARIN,
CRUZ
DELA,ELSIE,ASP Pending TI
ARIN,
 DELA
SOUTH PELOBELLO,
128895120071 PELOBELLO,LENSY DELA CRUZ F 01/11/2001 17 Christianity SULIT POLOMOLOK CRUZ,ELSIE,
COTABATO SALVADOR ORQUIO
ARIN,

4 <=== TOTAL FEMALE

14 <=== 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 10
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 14
2019-06-24

Generated on: Wednesday, July 31, 2019

DELA
CRUZ,ELSIE,ASP Pending TI
ARIN,

GENERAL SANTOS ACADEMY

(Signature of Adviser over Printed Name)

ter End of the Semester Date:

2019-11-08