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 JOHN

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
10-07- Christian SAN ADRIAS, HELEN DOROTEO D RELATIV
300990110009 ADRIAS, JERRIMY GARCIA M 16 BAMBAN TARLAC
1997 ity VICENTE DOROTEO D GARCIA ADRIAS E
AGUILAR, SAMMY 10-03- Christian SAN MABALAC AGUILAR, JOSIE JOSIE R RELATIV
300990110013 M 15 PAMPANGA
BERNALDEZ 1998 ity JOAQUIN AT SAMSON A BERNALDEZ BERNALDEZ E
BALATBAT, JERALD JEM 07-29- Christian CONCEPCI BALATBAT, MARIBEL D MARIBEL M RELATIV
300990110051 M 15 ALFONSO TARLAC
MICLAT 1998 ity ON FERNANDO P MICLAT BALATBAT E
SAN
09-16- Christian BERBER, JERLY P JERLY Q RELATIV
300990110064 BERBER, JOVEN JAY QUIAP M 15 NICOLAS BAMBAN TARLAC
1998 ity ZANDRO B QUIAP BERBER E
(POB.)
BERNARDEZ, JOHN JAMES 09-27- Christian BERNARDEZ, JENNELYN A JOVEN A RELATIV
300990110066 M 15 ANUPUL BAMBAN TARLAC
DAVID 1998 ity JOVEN A DAVID BERNARDEZ E
VIRGEN
DE LOS
09-29- Christian ROWENA M RELATIV
300990110068 BIE, JONREV BALAGTAS M 15 REMEDIOS BAMBAN TARLAC , JOSE T BIE JOSE T BIE
1998 ity BALAGTAS E
(PACALCA
L)
AQUINO,
CALAGUAS, DENZEL 01-09- Christian MARILOU S MARILOU A RELATIV
300990110090 M 17 ANUPUL BAMBAN TARLAC SONNY
AQUINO 1997 ity AQUINO CALAGUAS E
ICBAN
CAMPO, RANDOLPH 05-25- Christian DELA , RAUL C MARILEN C RAUL C RELATIV
300990120207 M 15 BAMBAN TARLAC
LANSANGAN 1999 ity CRUZ CAMPO LANSANGAN CAMPO E
CASTILLO, MELVIN DELA 08-31- Christian CASTILLO, LUZ R DELA LUZ D RELATIV
300990110121 M 16 ANUPUL BAMBAN TARLAC
CRUZ 1997 ity EULALIO R CRUZ CASTILLO E
CASTRO,
CASTRO, CHRISTIAN JAY 05-18- Christian RUTH NATHANIEL RELATIV
300990110122 M 15 ANUPUL BAMBAN TARLAC NATHANIEL
GARCIA 1999 ity GARCIA S CASTRO E
S
DELA CRUZ,
DELA CRUZ, ROBERT 04-30- Christian MARLENE D MARLENE D RELATIV
300990110196 M 16 ANUPUL BAMBAN TARLAC ROBERTO M
PINEDA JR 1998 ity PINEDA DELA CRUZ E
J
SAN R
MACALINO,
DELA PEÑA, KIM ANGELLO 04-26- Christian FLORIDA FLORIDA S RELATIV
300990110310 M 15 NICOLAS BAMBAN TARLAC ROMEO
SANGCAP 1999 ity SANGCAP DELA PEÑA E
(POB.) DUEÑAS
SAN EVANGELIST
EVANGELISTA, MAJUWEL 10-18- Christian NORA D NORA RELATIV
300990110225 M 15 NICOLAS BAMBAN TARLAC A, NOEL
ROMANO 1998 ity ROMANO ROMANO E
(POB.) MANZANO
FELICIANO, LOLITA T
FELICIANO, REYNAN STO 06-08- Christian LOLITA S RELATIV
300990110226 M 17 LOURDES BAMBAN TARLAC LEOPOLDO STO
DOMINGO 1996 ity FELICIANO E
UDIONG DOMINGO
GALANG, HANSLEY 06-17- Christian GALANG, DANILA P DANILA M RELATIV
300990110230 M 15 ANUPUL BAMBAN TARLAC
MOSQUETE 1998 ity ARNEL P MOSQUETE GALANG E
SAN
GARDOCE, TIMOTHY 11-18- Christian GARDOCE, CECILIA R CECILIA M RELATIV
300990110245 M 15 NICOLAS BAMBAN TARLAC
MANALO 1998 ity EDWIN E MANALO GARDOCE E
(POB.)
 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
OCAMPO, JULIETA
11-21- Christian CUTCUT JULIETA D RELATIV
307015100070 OCAMPO, MARK DELA CRUZ M 16 CAPAS TARLAC ISAY AS MERCADO
1997 ity 1ST OCAMPO E
VIERNES JR DELA CRUZ
GLENDA B
OCAMPO, PATRICK JOHN 10-25- Christian OCAMPO, GLENDA A RELATIV
300990110444 M 15 ANUPUL BAMBAN TARLAC ANUNCIACI
ANUNCIACION 1998 ity ARNEL S OCAMPO E
ON
PANLICAN, IAN GABRIEL 09-16- Christian PANLICAN, MERLY MERLY D RELATIV
300990110455 M 17 ANUPUL BAMBAN TARLAC
DAVID 1996 ity RODEL DAVID PANLICAN E
ECLIPSE,
PATIO, CARL JON 12-10- Christian SAN CAROLINA CAROLINA RELATIV
300990120105 M 16 BAMBAN TARLAC JONATHAN
CALAGUAS 1997 ity VICENTE CALAGUAS C PATIO E
ABUNALEN
SAN
10-06- Christian PEREZ, JERRY MARIETTA S JERRY L RELATIV
300990110464 PEREZ, ANGELO MANIPON M 15 NICOLAS BAMBAN TARLAC
1998 ity LIM MANIPON PEREZ E
(POB.)
PUNSALANG, JANE
PUNSALANG, JARENEY 04-09- Christian JANE RELATIV
300990120056 M 17 ANUPUL BAMBAN TARLAC REY SALAZAR
ALIMURONG 1997 ity PUNSALANG E
MENDOZA ALIMURONG
PURCIA, DERWIN JOHN 12-02- Christian PURCIA, ERLINDA C ERLINDA O RELATIV
300990110489 M 16 LOURDES BAMBAN TARLAC
ORDIALES 1997 ity ALBERIANO P ORDIALES PURCIA E
QUIZON, MICHAEL JOSHUA 09-03- Christian QUIZON, RONIETA N RONIETA RELATIV
300990140011 M 15 LOURDES BAMBAN TARLAC
ANTENORIO 1998 ity MICHAEL C ANTENORIO ANTENORIO E
02-24- Christian RAMOS, ROLANDO RELATIV
300990120103 RAMOS, REYSTER LUNA M 15 ANUPUL BAMBAN TARLAC REYNA LUNA
1999 ity ROLANDO RAMOS E
05-20- Christian MABALAC RIVERA, CHONA M ROMMEL M RELATIV
300990110523 RIVERA, QUINCY LAVARIAS M 16 TABUN PAMPANGA
1998 ity AT ROMMEL L LAVARIAS RIVERA E
LE DATE:
11-29- Christian SAN SIBAL, LARRY LORNA S LARRY D RELATIV
300990090450 SIBAL, LARRY DAVID JR M 19 BAMBAN TARLAC 2014/06/0
1994 ity VICENTE D DAVID SIBAL E
9
12-25- Christian JANET N JANET TIQUI RELATIV
300990120236 TIQUI, CHRISTIAN LEE - M 15 ANUPUL BAMBAN TARLAC ,-
1998 ity TIQUE MAÑALAC E
SAN
TULABUT, JOMITO 04-28- Christian MABALAC TULABUT, NORMITA F NORMITA P RELATIV
300962110552 M 15 FRANCISC PAMPANGA
POLICARPIO 1999 ity AT RENATO T POLICARPIO TULABUT E
O
29 <=== TOTAL MALE
CONSOLACI CONSOLACI
02-02- Christian AMOLO, RELATIV
300990110026 AMOLO, JUNELLE OCAMPO F 16 ANUPUL BAMBAN TARLAC ON C ON O
1998 ity JULIO N E
OCAMPO AMOLO
VIRGEN
DE LOS BALATBAT, FERNANDO
BALATBAT, KATHERINE JOY 12-16- Christian MARLYN C RELATIV
300990110052 F 15 REMEDIOS BAMBAN TARLAC FERNANDO A
FRANCISCO 1998 ity FRANCISCO E
(PACALCA AGUILAR BALATBAT
L)
VIRGEN
DE LOS
06-06- Christian VIRGINIA M VIRGINIA V RELATIV
300990110067 BIE, GEMYLA VALDEZ F 16 REMEDIOS BAMBAN TARLAC BIE, JOEL T
1998 ity VALDEZ BIE E
(PACALCA
L)
CABRERA,
CABRERA, ARVEY CLAIRE 04-16- Christian SAN MABALAC CHICHI CHI CHI V RELATIV
300990110085 F 15 PAMPANGA ALICE DAVID
DAVID 1999 ity JOAQUIN AT VILLACENTIN CABRERA E
O
CABRERA, ELLA MAE 06-08- Christian SAN CABRERA, MARITES ROMULO B RELATIV
300990110087 F 14 BAMBAN TARLAC
MACARAEG 1999 ity NICOLAS ROMULO MACARAEG CABRERA 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
06-08- Christian MARITES ROMULO B RELATIV
F 14 (POB.) BAMBAN TARLAC BUSTOS
1999 ity MACARAEG CABRERA E
CONDE, LUZMINDA
03-02- Christian SAN LUZMINDA RELATIV
300990110141 CONDE, LIEZEL SAMBILE F 16 BAMBAN TARLAC WILFREDO MAGPAYO
1998 ity ROQUE M SAMBILE E
SUPAN SAMBILE
DEVERO, MAY
DE VERO, LARA MAE 09-05- Christian MAY P DE RELATIV
300990110182 F 15 ANUPUL BAMBAN TARLAC JESUS MACALE
PANGILINAN 1998 ity VERO E
FLORES JR PANGILINAN
SAN
DELA CRUZ, JACQUILINE 04-14- Christian DELA CRUZ, AILEEN S AILEEN L RELATIV
300990110191 F 16 NICOLAS BAMBAN TARLAC
LAGASO 1998 ity ROGER IBE LAGASO DELA CRUZ E
(POB.)
01-10- Buddhis SAN MABALAC DIZON, ELSA B RENATO C RELATIV
300990110209 DIZON, JASMIN AGUILAR F 15 PAMPANGA
1999 m JOAQUIN AT RENATO C AGUILAR DIZON E
DIZON,
12-18- Christian SALVE N JORREL G RELATIV
300962110153 DIZON, JEVERLYN ABUID F 15 LOURDES BAMBAN TARLAC JORRELL
1998 ity ABUID DIZON E
GREGORIO
DIZON,
DIZON, PATRICIA RAE 12-02- Christian FE P RELATIV
300990120165 F 15 ANUPUL BAMBAN TARLAC ROBERTO C FE M DIZON
MARISTELA 1998 ity MARISTELA E
J
10-26- Christian CUTCUT R
ESPINOSA, LIEZEL JOHMEL RELATIV
300231110035 ESPINOSA, JOMELYN LAZAM F 15 CAPAS TARLAC
1998 ity 1ST JOHMEL LAZAM ESPINOSA E
08-31- Christian GALDO, REYNA REYNA F RELATIV
300990110232 GALDO, LORENA FELICIANO F 14 ANUPUL BAMBAN TARLAC
1999 ity OSCAR FELICIANO GALDO E
GALVAN,
06-08- Christian CONCEPCI YOLANDA A YOLANDA RELATIV
300990110235 GALVAN, MIKEE BALATBAT F 14 ALFONSO TARLAC JIMMY
1999 ity ON BALATBAT GALVAN E
CANLAS
GRANADA, MARIA ISABEL 06-22- Christian GRANADA, GINA C GINA D RELATIV
300990110266 F 14 ANUPUL BAMBAN TARLAC
DELA CRUZ 1999 ity JOY E DELA CRUZ GRANADA E
10-11- Christian ANALISSA S RELATIV
300990110290 IBE, CHERRY PIE SALUNGA F 15 ANUPUL BAMBAN TARLAC BIE, OSCAR T OSCAR IBE
1998 ity SALUNGA E
LAXAMANA,
LAXAMANA, DANICA 08-21- Christian ELIZA P DANILO G RELATIV
300990110326 F 15 ANUPUL BAMBAN TARLAC DANILO
MIRANDA 1998 ity MIRANDA LAXAMANA E
GUTIERREZ
MANALO, ROSE ANN DE 08-14- Christian SANTO MABALAC MANALO, EVANGELINE ARIEL L RELATIV
300990110532 F 15 PAMPANGA
JESU 1998 ity ROSARIO AT ARIEL L S DE JESUS MANALO E
S ROSE MARIE
MANALOTO, JAMILLE 02-02- Christian CONCEPCI MANALO, ROSE MARIE RELATIV
300990110373 F 15 ALFONSO TARLAC A
AQUINO 1999 ity ON ANGELITO A G AQUINO E
MANALOTO
MARIA ELENA
05-23- Christian SAN ONIATE, RELATIV
306909100078 ONIATE, REGINE BORABO F 17 BAMBAN TARLAC ELENA L LUSUNG
1997 ity VICENTE REYNALDO S E
BORABO ONIATE
SAN PERICO, PACITA
03-01- Christian PACITA M RELATIV
300990110468 PERICO, KAYLA MIRANDA F 15 NICOLAS BAMBAN TARLAC RAMON RAMOS
1999 ity PERICO E
(POB.) VERGARA MIRANDA
SAN
10-28- Christian CALARA, ESPERANSA ESPERANZA RELATIV
300990100418 PONCE, ELOISA PARAS F 15 NICOLAS BAMBAN TARLAC
1998 ity WILSON S P PONCE PONCE E
(POB.)
SALAZAR, DIANA 05-21- Christian SALAZAR, LILIA LILIA M RELATIV
300990110542 F 16 ANUPUL BAMBAN TARLAC
MAMANGON 1998 ity DANTE MAMANGON SALAZAR E
SAN
SALUNGA, KIMBERLY 08-21- Christian SALUNGA, ROBILLYN P ROBELLYN C RELATIV
300990110551 F 14 NICOLAS BAMBAN TARLAC
CASTRO 1999 ity ALLAN O CASTRO SALUNGA E
(POB.)
VIRGEN NORA M
SIBAL, JOYCE ANN 07-07- Christian SIBAL, NORA C RELATIV
300990110594 F 15 DE LOS BAMBAN TARLAC CABILANGA
CABILANGAN 1998 ity RODRIGO R SIBAL E
REMEDIOS N
 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
NORA M
07-07- Christian (PACALCA SIBAL, NORA C RELATIV
F 15 BAMBAN TARLAC CABILANGA
1998 ity L) RODRIGO R SIBAL E
N
25 <=== TOTAL FEMALE

54 <=== 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 28
B/A RICHARD LUZANO GALAG 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 25 Name) Name)
Learner With Specify
DRP Reason and Effectivity Date Disability ACL 53
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 9:29:42 AM

Revision 4