School Form 1 (SF 1) School Register

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

School ID 300990 Region III Division Tarlac

School Name San Roque NHS School Year 2014 - 2015 Grade Grade 10 Section ST PETER

GUARDIAN
ADDRESS PARENTS REMARKS
MOTHER (if Not Parent) Contact

Sex (M/F)
AGE as
NAME BIRTH DATE TONGUE IP Number
of 1st
LRN (Last Name, First Name, Middle (mm/dd/yy (Grade 1 (Ethnic RELIGION Father's Name Mother's Maiden of Parent
Friday House #/ (Please refer to
Name) yy) to 3 Group) Municipality/ (Last Name, First Name (Last Relationshi or
June Street/ Barangay Province Name the legend on
Only) City Name, Middle Name, First p Guardian
Sitio/ Purok last page)
Name) Name, Middle
ANUNCIACI
SAN Anunciacion, RIVERA
ANUNCIACION, SHERWIN 05-16- Christian ON RELATIV
300990110036 M 18 NICOLAS BAMBAN TARLAC Oscar CONCHITA
RIVERA 1996 ity CONCHITA E
(POB.) Cadiang PANLAQUI
RIVERA
ATENCIO, ACEBAR ATENCIO
08-06- Christian RELATIV
300990110044 ATENCIO, EDMAR ACEBAR M 15 ANUPUL BAMBAN TARLAC EDWIN LOIDA EDWIN
1998 ity E
CERDA MACALDO CERDA
BALUBAYAN, ELVON 06-04- Christian BALUBAYAN, JANET BALUBAYAN RELATIV
300990110059 M 15 ANUPUL BAMBAN TARLAC
VILLAPAÑA 1999 ity LEVY M VILLAPANA JANET V E
SAN BAUTISTA CALMA, LE DATE:
07-30- Christian CALMA, RELATIV
300990100081 CALMA, ALJON BAUTISTA M 16 NICOLAS BAMBAN TARLAC ALMA ALMA 2014/06/0
1997 ity ALEJANDRO E
(POB.) CAPINPIN BAUTISTA 9
SAN CELESTINO, MARY JANE MARY JANE
CELESTINO, RODRIGO 10-12- Christian RELATIV
300990120210 M 15 NICOLAS BAMBAN TARLAC RODRIGO MALLARI MALLARI
MALLARI JR 1998 ity E
(POB.) VALDEZ BENZON BENZON
BALUYUT
09-02- Christian CESAR, JENIFER ARMANDO RELATIV
300990130018 CESAR, ALBERT BALUYUT M 19 LOURDES BAMBAN TARLAC
1994 ity ARMANDO M ANUNCIACI CESAR M E
ON
DE VERA
09-16- Christian SANTO DAVID, DAVID RELATIV
300990120104 DAVID, THEODORE DE VERA M 18 BAMBAN TARLAC ROSIE
1995 ity NINO TEODULO B TEODULO B E
PUNZALAN
DELA CRUZ,
DELA CRUZ, RONALD 09-05- Christian MARITES GERALD RELATIV
300990120002 M 18 ANUPUL BAMBAN TARLAC GERALD
GARCIA 1995 ity GARCIA DELA CRUZ E
NAVARRO
DINGLE, JONATHAN 06-08- Christian SAN DINGLE, JOVENCIA DINGLE RELATIV
300990110205 M 17 BAMBAN TARLAC
PANTOSA 1996 ity ROQUE JOSEPH BIE PARTOSA JOSEPH BIE E
BALUYO, GENETA GENETA
01-05- Christian ATLU- MABALAC RELATIV
300990110249 GENETA, MARK DENVER - M 15 PAMPANGA FREDDIE CLARENCE CLARENCE
1999 ity BOLA AT E
DORIGO PERUCHO PERUCHO
GUEVARRA, GOMEZ GUEVARRA
GUEVARRA, ARNOLD 05-25- Christian RELATIV
300990110272 M 17 ANUPUL BAMBAN TARLAC BONIFACIO DOLORES DOLORES
GOMEZ 1997 ity E
CLIMACO RAMOS GOMEZ
CESAR
09-06- Christian GUEVARRA, GUEVARRA RELATIV
300990110273 GUEVARRA, BRYAN CESAR M 16 LOURDES BAMBAN TARLAC ROSALINDA
1997 ity PETER B PETER B E
MATCHADO
GUTIERREZ, ADSUARA, GUTIERREZ,
12-31- Christian RELATIV
300990110283 GUTIRREZ, ALVIN ACLURA M 17 ANUPUL BAMBAN TARLAC JOSE ELENA ELENA
1996 ity E
BALAGTAS PADAMA ADSUARA
SAN JOSE, ANGELES ANGELES LE DATE:
05-26- Christian RELATIV
300990110471 JOSE, PHILIP ANTHONY A M 15 NICOLAS BAMBAN TARLAC ANTONIO GLENDA GLENDA 2014/06/0
1999 ity E
(POB.) ANGELES REYES REYES 8
LISCANO, ALBERT 05-16- Christian LISCANO, CABULLOS LISCANO RELATIV
300990110337 M 16 ANUPUL BAMBAN TARLAC
CABULLOS 1998 ity LIBRADO B EDNA B LIBRADO V E
 GUARDIAN
ADDRESS PARENTS REMARKS
MOTHER (if Not Parent) Contact

Sex (M/F)
AGE as
NAME BIRTH DATE TONGUE IP Number
of 1st
LRN (Last Name, First Name, Middle (mm/dd/yy (Grade 1 (Ethnic RELIGION Father's Name Mother's Maiden of Parent
Friday House #/ (Please refer to
Name) yy) to 3 Group) Municipality/ (Last Name, First Name (Last Relationshi or
June Street/ Barangay Province Name the legend on
Only) City Name, Middle Name, First p Guardian
Sitio/ Purok last page)
Name) Name, Middle
SAMPANG MAGBITANG
MAGBITANG, RENATO JR 04-10- Christian MAGBITANG, RELATIV
300990120148 M 17 LOURDES BAMBAN TARLAC ROSITA RENATO
SAMPANG 1997 ity RENATO S E
CAPATI SEBERO
MANGUAN
MIRANDA,
MIRANDA, GEORGE 09-20- Christian MINA TERESITA G RELATIV
300990110422 M 14 ANUPUL BAMBAN TARLAC GENER
EDWARD MANGUAN 1999 ity CONCEPCIO MIRANDA E
GARCIA
N
MUÑOZ MA
10-20- Christian CUTCUT ANGELINA RELATIV
300990120263 MUNOZ, BRANDON DAVID M 14 CAPAS TARLAC -, - - VICTORIA
1999 ity 1ST MUÑOZ E
OCAMPO
MUNOZ, MUNOZ
11-03- Christian MICLAT RELATIV
300990110428 MUÑOZ, SHERWIN MICLAT M 15 ANUPUL BAMBAN TARLAC WILLIAM CRISANTA
1998 ity CRISANTA C E
PINEDA MICLAT
SAN PARAS, SENO NELIA
06-20- Christian PARAS RELATIV
300990100396 PARAS, REYNALDO S M 17 NICOLAS BAMBAN TARLAC RICARDO CONCEPCIO
1996 ity NELIA SENO E
(POB.) LUGINA N
VIRGEN
DE LOS SIBAL, CAPULONG SIBAL
07-20- Christian RELATIV
300990110593 SIBAL, JEFFREY CAPULONG M 16 REMEDIOS BAMBAN TARLAC ANGELITO SUSAN SUSAN
1997 ity E
(PACALCA DELOS REYES GUZMAN CAPULONG
L)
SIBAL, MULDONG SIBAL
01-17- Christian DELA RELATIV
300990110595 SIBAL, NIKKO MULDONG M 15 BAMBAN TARLAC NOMER IMELDA NOMER
1999 ity CRUZ E
DESCANZO GUZMAN DESCANZO
SIBAL
01-27- Christian DELA SIBAL, LAPUZ RELATIV
300990110596 SIBAL, ROMMEL LAPUZ M 17 BAMBAN TARLAC REYNALDO
1997 ity CRUZ REYNALDO G MARILOU S E
G
TOLENTINO, VITAL TOLENTINO
01-12- Christian RELATIV
300990110631 TOLENTINO, ARPHIE VITAL M 15 ANUPUL BAMBAN TARLAC ALLAN MELISSA ALLAN
1999 ity E
GOMEZ GUZMAN GOMEZ
SAN TUAZON, VILLANUEVA TUAZON
TUAZON, LORENCE 08-15- Christian RELATIV
300990110647 M 15 NICOLAS BAMBAN TARLAC LARRY BODA LARRY
VILLANUEVA 1998 ity E
(POB.) GOMEZ GUEVARRA GOMEZ
02-25- Christian CUTCUT VELOSO, BABERA VELOSO RELATIV
300990140009 VELOSO, RICO IAN B M 16 CAPAS TARLAC
1998 ity 1ST ROMMEL M REBECCA L ROMMEL M E
VICTORIA, ANTONIO VICTORIA
VICTORIA, ALEXANDER 10-15- Christian RELATIV
300990110656 M 14 BANABA BAMBAN TARLAC PERFECTO EVELYN EVELYN
ANTONIO 1999 ity E
ANTONIO RAMOS ANTONIO
VILLANUEVA,
VILLANUEVA, JUSTINE 07-17- Christian CUTCUT CONDES CONDES RELATIV
301115110353 M 17 CAPAS TARLAC SEGUNDO
CONDES 1996 ity 2ND GLORIA R GLORIA R E
VISCO
28 <=== TOTAL MALE
SAN ALIANZA
12-18- Christian ALIANZA, SORIANO RELATIV
300990120232 ALIANZA, KYLSE SORIANO F 17 NICOLAS BAMBAN TARLAC ROWENA
1996 ity FELIPE A ROWENA S E
(POB.) SORIANO
MANIAGO
MANIO, MANIO LE DATE:
ANGELICA, MANIO 01-24- Christian VIRGINIA RELATIV
300990110029 F 16 ANUPUL BAMBAN TARLAC EDISON VIRGINIA 2014/09/0
MANIAGO 1998 ity PANGANIBA E
SIBAL MANIAGO 8
N
BONGAR, TABAT BONGAR
BONGAR, ELLA JOYCE 01-26- Christian RELATIV
300990110218 F 15 ANUPUL BAMBAN TARLAC ELMER PRESILDA PRESILDA
TABAT 1999 ity E
RAYRAY CABELIZA TABAT
02-12- Christian CACAP, ENRI RIVERA LIZA CACAP ENRI RELATIV
300990120108 CACAP, ROSE MARIE RIVERA F 16 ANUPUL BAMBAN TARLAC
1998 ity C REYES C E
 GUARDIAN
ADDRESS PARENTS REMARKS
MOTHER (if Not Parent) Contact

Sex (M/F)
AGE as
NAME BIRTH DATE TONGUE IP Number
of 1st
LRN (Last Name, First Name, Middle (mm/dd/yy (Grade 1 (Ethnic RELIGION Father's Name Mother's Maiden of Parent
Friday House #/ (Please refer to
Name) yy) to 3 Group) Municipality/ (Last Name, First Name (Last Relationshi or
June Street/ Barangay Province Name the legend on
Only) City Name, Middle Name, First p Guardian
Sitio/ Purok last page)
Name) Name, Middle
09-21- Christian CUNANAN CUNANAN RELATIV
300990120280 CUNANAN, MA CLARISSA - F 15 ANUPUL BAMBAN TARLAC ,--
1998 ity FRIDA FRIDA E
SAN DE VERO
DE VERO, ALEINALYNN 01-13- Christian DEVERO, SIBAL RELATIV
300990110179 F 15 NICOLAS BAMBAN TARLAC MARILYN
SIBAL 1999 ity ENER C MARILYN S E
(POB.) SIBAL
DE VERO, NAVARETE DEVERO
DE VERO, JEHIEL ANN 05-28- Christian RELATIV
300990110181 F 15 LOURDES BAMBAN TARLAC ARIEL CHONA CHONA
NAVARETE 1999 ity E
BALATBAT SANTOS NAVARETE
DE VERO
DE VERO, MADERA
DE VERO, MARY GRACE 12-09- Christian EDGAR RELATIV
300990110183 F 15 ANUPUL BAMBAN TARLAC EDGAR CELIA
MADERA 1998 ity BARRIENTO E
BARRIENTOS SANTOS
S
ESCABAS, FLORES ESCABAS
02-27- Christian SANTO RELATIV
302842110029 ESCABAS, JENELYN FLORES F 15 CAPAS TARLAC JONIEL MYRNA JONIEL
1999 ity ROSARIO E
BINGAS TORREGOSA BINGAS
FERRER
EVANGELIST
EVANGELISTA, KARLA MARIE 06-16- Christian DELA MARY LAPUZ RELATIV
301040120217 F 15 BAMBAN TARLAC A, JOEL
FERRER 1998 ity CRUZ GRACE NANCY E
MANZANO
GANIA
MACALINO
GOMEZ, ROSELLE 07-01- Christian GOMEZ, REY GOMEZ REY RELATIV
300990110533 F 15 ANUPUL BAMBAN TARLAC ZENAIDA
MACALINO 1998 ity IBE IBE E
GARCIA
GONZALES, ARONCE GONZALES
GONZALES, KAYE ANN 09-24- Christian RELATIV
300990110263 F 15 ANUPUL BAMBAN TARLAC NOELITO ELVIRA ELVIRA
ARONCE 1998 ity E
CAYANAN LAYUG ARONCE
MALONZO, MALLARI MALONZO
MALONZO, ANNALIE 04-02- Christian RELATIV
300990110361 F 16 ANUPUL BAMBAN TARLAC RUBEN ELVIRA ELVIRA
MALLARI 1998 ity E
MENDIOLA VICTORIA MALLARI
VIRGEN
DE LOS MAMANGON MENDOZA MAMANGO
MAMANGON, KRIZIA ANN 10-13- Christian RELATIV
300990110363 F 15 REMEDIOS BAMBAN TARLAC , MARIO MYLENE N MYLENE
MENDOZA 1998 ity E
(PACALCA MANALO AGUILAR MENDOZA
L)
VIRGEN
DE LOS MAMARIL, SAMBILE MAMARIL
02-18- Christian RELATIV
300990110366 MAMARIL, AIZA SAMBILE F 15 REMEDIOS BAMBAN TARLAC SONNY GLORIA SONNY
1999 ity E
(PACALCA CAPULONG MAGPAYO CAPULONG
L)
MANIO, ANGELICA 01-24- Christian Manio, MANIAGO MANIO RELATIV
300990140010 F 16 ANUPUL BAMBAN TARLAC
MANIAGO 1998 ity Edison Sibal VIRGINIA P VIRGINIA M E
MENDOZA, MANABAT MENDOZA
MENDOZA, MICHELLE 09-29- Christian SANTO RELATIV
300990110417 F 15 BAMBAN TARLAC FERNANDO NORADY NORADY
MANABAT 1998 ity NINO E
SAMPANG DIMALANTA MANABAT
OCAMPO, DELA CRUZ OCAMPO
OCAMPO, AIZELLE DELA 12-12- Christian RELATIV
300990110441 F 15 ANUPUL BAMBAN TARLAC ROBERTO ROSITA ROSITA
CRUZ 1998 ity E
DAVID JUANTA DELA CRUZ
POLICARPIO, T/O DATE:
POLICARPIO, LESLIAN 11-21- Kapamp Christian CELESTE CELESTE G RELATIV
300990110483 F 15 ANUPUL BAMBAN TARLAC REDEN 2014/08/2
GOMEZ 1998 angan ity GOMEZ POLICARPIO E
AUSTERO 8
EDILBERTO, NAVARRO PONCE
10-22- Christian SANTO RELATIV
300990110485 PONCE, MONICA NAVARRO F 15 BAMBAN TARLAC PONCE MARY ANN EDILBERTO
1998 ity NINO E
FLORES BALIMIDINA FLORES
SAN SALVADOR
SALVADOR, SHENA MARIE 10-04- Christian SALVADOR, PEREZ JEANA RELATIV
300990110585 F 15 NICOLAS BAMBAN TARLAC JEANA
PEREZ 1998 ity NELSON LIM UGABAN E
(POB.) PEREZ
 GUARDIAN
ADDRESS PARENTS REMARKS
MOTHER (if Not Parent) Contact

Sex (M/F)
AGE as
NAME BIRTH DATE TONGUE IP Number
of 1st
LRN (Last Name, First Name, Middle (mm/dd/yy (Grade 1 (Ethnic RELIGION Father's Name Mother's Maiden of Parent
Friday House #/ (Please refer to
Name) yy) to 3 Group) Municipality/ (Last Name, First Name (Last Relationshi or
June Street/ Barangay Province Name the legend on
Only) City Name, Middle Name, First p Guardian
Sitio/ Purok last page)
Name) Name, Middle
SANCHEZ, SANCHEZ
10-19- Christian SANTO GALANG RELATIV
300990110557 SANCHEZ, JUDITH GALANG F 18 BAMBAN TARLAC CHARLIE LAILA
1995 ity NINO LAILA G E
MARQUEZ GALANG
SAN SINGH, TORRENTE SINGH
SINGH, WINNIECA 06-17- Christian RELATIV
300990110602 F 14 NICOLAS BAMBAN TARLAC WILFREDO CAROLINA CAROLINA
TORRENTE 1999 ity E
(POB.) ULANDAY SANTOS TORRENTE
VILLAREAL, ROMERO VILLAREAL
VILLAREAL, ADA BEA 09-25- Christian RELATIV
300990110661 F 15 ANUPUL BAMBAN TARLAC SAMUEL ERLYN ERLYN
ROMERO 1998 ity E
BAñAS CRUZAT ROMERO
SAN YTURALDE, QUINTOS YTURALDE
YTURALDE, KIMBERLY KATE 08-04- Christian MABALAC RELATIV
300990120279 F 15 FRANCISC PAMPANGA RYAN MAY RYAN
Q 1998 ity AT E
O TUNDAYAG CADUNGOG TUNDAYAG
25 <=== TOTAL FEMALE

53 <=== COMBINED

List and Code of Indicators under REMARKS column

Indicator Code Required Information Indicator Code Required Information REGISTERED BoSY EoSY Prepared by; Certified Correct:

Transfered T/O Name of Public (P) Private (PR) School & CCT CCT CCT Control/reference number &
Out Effectivity Date Receipient Effectivity Date MALE 26
B/A ANGELITA AGUILAR MEDINA JESUS CORTEZ MERCADO
T/I Name of Public (P) Private (PR) School & Balik Aral Name of school last attended & Year (Signature of Adviser over Printed (Signature of School Head over Printed
Transfered In Effectivity Date LWD FEMALE 24 Name) Name)
Learner With Specify
DRP Reason and Effectivity Date Disability ACL 50
TOTAL
Dropped LE Reason (Enrollment beyond 1st Friday of Accelerated Specify Level & Effectivity Data BoSY Date: EoSY Date: BoSY Date: EoSY Date:

Generated on: Wednesday, September 10, 2014 9:34:16 AM

Revision 4