School Form 1 (SF 1) School Register

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

School ID 115495 Region VI Division Capiz District Dumarao

School Name Heraclio M. Benjamin ES School Year 2019 - 2020 Grade Level Grade 5 Section A

GUARDIAN
AGE ADDRESS PARENTS REMARKS
(if Not Parent)
as of MOTHER Contact

Sex (M/F)
1st IP
NAME BIRTH DATE TONGUE RELIGIO Number of
LRN (Ethnic Mother's Maiden
(Last Name, First Name, Middle Name) (mm/dd/yyyy) Frida (Grade 1 N House #/ Father's Name (Last Parent or (Please refer to the
Group) Municipality/ Name (Last Name,
y to 3 Only) Street/ Sitio/ Barangay Province Name, First Name, Name Relationship Guardian legend on last
City First Name, Middle
June Purok Middle Name)
Name)
page)

BILLIONES,
Hiligayno Christiani TAMULALO DIAZ,ELIZABE
115495120023 BILLONES,DARWIN, DIAZ M 07-19-2007 11 DUMARAO CAPIZ JOSE EDWIN
n ty D TH,CASTOR,
BEBAT
GUILARAN,
GUILARAN,DANTE, JR Hiligayno Christiani TAMULALO MAJADUCON,C
115495140002 M 01-19-2009 10 DUMARAO CAPIZ DANTE PANES
MAJADUCON n ty D ONNIE,VALLE,
SR
BARRIENTOS,V
HINGUILLO,NARVIE, Hiligayno Christiani TAMULALO HINGUILLO, CCT
115495140020 M 07-25-2006 12 DUMARAO CAPIZ IVIAN,HALLAR
BARRIENTOS n ty D RONITO PIRAL
DA,
MONTAÑO,
Hiligayno Christiani TAMULALO MELICADO,JIN CCT
115495140003 MONTAÑO,CJ, MELICADO M 04-23-2009 10 DUMARAO CAPIZ JESSIE
n ty D KY,,
AREVALO
PALOMO,
Hiligayno Christiani TAMULALO PANES,MAY,C
115495140004 PALOMO,NIÑO JADE, PANES M 07-12-2009 9 DUMARAO CAPIZ MELBEN
n ty D ON EL,
GASPAR

5 <=== TOTAL MALE

ABALECIO,JES
ABALECIO,SYCHE BELLA, Hiligayno Christiani TAMULALO
115495140007 F 04-02-2009 10 DUMARAO CAPIZ SEVIL,VELASQ
VELASQUEZ n ty D
UEZ,
BALAYO,
Hiligayno Christiani TAMULALO BASBAÑO,REZ CCT
115495140008 BALAYO,FEBRALYN, BASBAÑO F 02-06-2009 10 DUMARAO CAPIZ JUNAR
n ty D EL,BIÑAS,
PIAMONTE

BENGAN, FERIL,MARY
Hiligayno Christiani TAMULALO
115675140147 BENGAN,WINDAY ANN, FERIL F 09-19-2008 10 DUMARAO CAPIZ ARNOLD ANN,HINGUILL
n ty D
PORTUGALITE O,

GALINO,
Hiligayno Christiani SAN PARREÑO,LARI T/I DATE:2019-
117605140094 GALINO,IRA JOY, LARIGA F 09-11-2008 10 MOTO ILOILO JEFFREY
n ty DIONISIO GA,IRENE, 06-03
PARREÑO
PAREDES, SUMAGAYSAY
PAREDES,RESHEL, Hiligayno Christiani TAMULALO
115495140011 F 09-02-2009 9 DUMARAO CAPIZ ELNIE ,DIESERY,MALI
SUMAGAYSAY n ty D
MONAHAN CUSIO,

Hiligayno Christiani TAMULALO PIRAL, NIXON HINGUILLO,RO CCT

115495140012 PIRAL,CIELO, HINGUILLO F 07-04-2009 9 DUMARAO CAPIZ
n ty D PAGAYON SALIA,VENUS,

SUMAGAYSAY,
SUMAGAYSAY,SHININ ROSE, Hiligayno Christiani TAMULALO DORDAS,JOSIE, CCT
115495140014 F 11-12-2008 10 DUMARAO CAPIZ JOSE RICKY
DORDAS n ty D BARCELONA,
MALICUSIO

ARCILLAS,MA
Hiligayno Christiani TAMULALO VENUS, TAN CCT
115495130037 VENUS,RESHYL, ARCILLAS F 10-04-2007 11 DUMARAO CAPIZ LOR,GUILARA
n ty D AREVALO
N,

8 <=== TOTAL FEMALE

13 <=== 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 Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date MA LELIBETH MACALIPAY MARCELO
Date MALE 5
Balik Aral B/A Name of school last attended & Year BENITO PRESENCULA DIEZ JR (Signature of School Head over Printed Name)
Transfered In T/I Name of Public (P) Private (PR) School & Effectivity
Date Learner With LWD Specify (Signature of Adviser over Printed Name)
FEMALE 8
Disability
Dropped DRP Reason and Effectivity Date Accelerated ACL Specify Level & Effectivity Data
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) BoSY Date: EoSY Date:
TOTAL 13
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Monday, June 1, 2020