School Form 1 (SF 1) School Register

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

School ID 401226 Region III Division Tarlac District Gerona

School Name Holy Child School of Gerona Inc. School Year 2015-2016 Grade Level Grade 8 Section ALEXANDRITE

AGE as
GUARDIAN
of 1st ADDRESS NAME OF PARENTS (If not REMARK/S
Friday of
June Parent)
IP
BIRT (Spe
Sex BIRTH H cify Hou Contact Number
LRN NAME (M/ DATE PLAC MOTHER se
(Last Name, First Name, Middle Name) (mm/ (nos. of TONGUE Ethn RELIGION
#/
Father (1st (Parent
F) years as E ic name only if Mother (Maiden: 1st Relati /Guardian)
dd/yy) Stre Municipal Province family name (Please refer to the legend on
per last (Prov Gro Barangay Name, Middle & Last Name onshi
birthday ince) up) et/Si ity/ City identical to Name) p last page)
tio/
) Puro learner)
k

BOYS
401226150058 BALANZA,JHON ANTHONY, GRANADOZIN M 11/5/05 LUZ SALMASAN
13 TAGALOG BORN AGAIN APSAYAN GERONA TARLAC ANTONIO GRANADOZIN 09194608980
106450100026 CUNANAN, RUSSEL JAMES, DAILEG M 4/25/04 13 TAGALOG CATHOLIC CABUGAO GERONA TARLAC JEFFREY ROSE ANN FACUN DAILEG
ST.POB.3
106452140027 DE LEON,AZL ZEUS KEITH , ABANDO GLORIA ARMI LAPITAN
M ### 13 TAGALOG CATHOLIC MAGASPAC GERONA TARLAC ROMULO
ABANDO
401226150060 MANGUNE,KYLE SEBASTIAN , CORTEZ M ### 13 TAGALOG CATHOLIC MORAYTA GERONA TARLAC JERWIN MARIEL LAGADE CORTEZ
POB.3
106451100100 TALAVERA,KYLE RAVEN , BACANI M 7/3/04 14 TAGALOG CATHOLIC MORAYTA GERONA TARLAC GILBERT JUVY CAABAY BACANI
POB.3
GIRLS
106450130198 ANCHETA,RICA JAMAICAH ,FACUN F 5/18/06 13 TAGALOG CATHOLIC SALAPUNGAN GERONA TARLAC RIC ROWENA TANGONAN 09309953381
FACUN
401226150061 AYUYAO,FATIMA ,MENDOZA F 8/5/06 12 TAGALOG CATHOLIC BULARIT GERONA TARLAC RENATO WINNIE MAÑALAC 09153653762
MENDOZA
105415100064 FERMIN,HAZZEL ,MUÑOZ F ### 14 TAGALOG IGLESIA POB.1 GERONA TARLAC HAROLD CECILLIE MANDI MUÑOZ 09167532393
401226150062 MEKELL,MAR STEPHANIE ,PARAZO F 2/14/06 13 TAGALOG CATHOLIC MAGASPAC GERONA TARLAC MARTE JENNIFER PACIA PARAZO 09106 237524
106481120058 PASCUA,KURINA , CERENIO F 7/24/05 13 TAGALOG IGLESIA SAN ANTONIO GERONA TARLAC ROGELIO ELLAVINA SALAZAR
CERENIO
List and code of Indicators under REMARK column
Prepared by: Certified Correct:
Code Required Information Indicator Code Required Information BoSY EoSY
CCT Control/reference number & Effectivity
T/O Name of Public (P) Private (PR) School & Effectivity Date CCT Recipient CCT MALE 5 Ellen C. Sumaoang Beatriz A. Mekell
Date

T/I Name of Public (P) Private (PR) School & Effectivity Date Balik-Aral B/A Name of school last attended & Year FEMALE 5 (Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)

DRP Reason and Effectivity Date Learner With Dissability LWD Specify
TOTAL 10
 TOTAL 10
LE Reason (Enrollment beyond 1st Friday of June) Accelarated ACL Specify Level & Effectivity Data BoSY Date: Eo BoSY Date: EoSYDate: