School Form 1 School Register for Senior High School (SF1-SHS

School Name Carmen National Agricultural High School School ID 304875 District Carmen Division Surigao

Semester Second Semester School Year 2018 - 2019 Grade Level Grade 11 Track and Strand

Section Newton Course (for TVL only)

COMPLETE ADDRESS PARENTS

AGE

Sex (M/F)
as of
NAME BIRTH DATE
LRN
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy) 1st Religious Affilication Mother's Maid
Frida Father's Name (Last
Name (Last Na
House #/ Street/ Sitio/ Purok Barangay Municipality/ City Province Name, First Name, Middle
y June Name)
First Name, Mi
Name)

SAN SURIGAO DEL APELLANES, FELIX TINONGA,RO

132687070002 APELLANES,JEFFREY TINONGA M 06/10/2000 17 Christianity CARMEN
VICENTE SUR MALAQUE NA,ORGENES

SANTA SURIGAO DEL AZARCON, ROGELIO HAYAGAN,GL

132679060001 AZARCON,CARL JOSEPH HAYAGAN M 05/04/2001 16 Christianity CARMEN
CRUZ SUR TALISIK JR DA,,

KALUNASA CEBU CITY

119881060019 BERCEDE,JERRY BOY KINDICA M 04/08/2001 16 Christianity CEBU KINDICA,ROS
N (Capital)
KINDICA,
CARMEN SURIGAO DEL LIBUSADA,JIM
304875140015 KINDICA,ROGER TOM LIBUSADA M 11/05/2001 15 Christianity CARMEN FRETEXTATO
(POB.) SUR EL,SIGNUKAN
CUBERO
BANJO
LAUREL CITY OF MAGLINTE, LITO IGNALIG,AME
107752070018 MAGLINTE,APOLLO IGNALIG M 03/09/2002 15 Christianity BATANGAS
(BANJO TANAUAN LIKIT A,CARESOSA
WEST)

SAN SURIGAO DEL MALAQUE, CRISPEN LIPAO,BEVER

132687070011 MALAQUE,CRISPEN JR. LEPAO M 01/30/2002 15 Christianity CARMEN
VICENTE SUR OHAO SR N,-,

DOLOROSA, CABUAY,MAR
101375060091 MALAQUE,RICHARD ARELLANES M 08/17/2000 17 Christianity HACIENDA BUGALLON PANGASINAN
RODOLFO FERRER L,ARELLANES

SANTA SURIGAO DEL MOLLANEDA

132679070017 PLAZA,PHILIP JOY MOLLANEDA M 05/12/2002 15 Christianity CARMEN
CRUZ SUR A,,
CARMEN SURIGAO DEL RIZARI, DANILO REPOLYO,AN
132682070044 RIZARI,ARNIEL MARK REPULYO M 03/06/2002 15 Christianity CARMEN
(POB.) SUR RAZ A,,

SARMIENTO, LUPAS,JOSEL
132682070047 SARMIENTO,JUDE ANDRIE LUPAS M 08/26/2001 16 Christianity NIUGAN CABUYAO LAGUNA
WILLIAM CHUA VALLEJO,

SURIGAO DEL YANSON, VICENTE SUMAOY,EVA

132683070049 YANSON,JOLLIBOY SUMAOY M 07/19/2001 16 Christianity PUYAT CARMEN
SUR SORONIO ELINE,LOUDY

11 <=== TOTAL MALE

CARMEN SURIGAO DEL COSMIANO, TARE,WENDIL

132682070012 COSMIANO,LAARNI TARE F 04/27/2000 17 Christianity CARMEN
(POB.) SUR LEONARDO ARREZA A,LUPAS,
-SHS)

Surigao del Sur Region CARAGA

Academic Track -General Academic Strand

GUARDIAN
TS REMARKS
(if learner is not Living with Parent)
Contact
Number of
Mother's Maiden Parent or
Name
Name (Last Name, Guardian (Please refer to the
(Last Name, First Name, Relationship
First Name, Middle legend on last page)
Name Extension, Middle
Name)

TINONGA,ROWE
PARENT
NA,ORGENES,

HAYAGAN,GLEN
DA,,

KINDICA,ROSA,, PARENT

LIBUSADA,JIMAB
PARENT
EL,SIGNUKAN,

GNALIG,AMELIT
PARENT
A,CARESOSA,

LIPAO,BEVERLY
N,-,

CABUAY,MARICE
PARENT
L,ARELLANES,

MOLLANEDA,GIN
PARENT
A,,
REPOLYO,ANNIT
A,,

LUPAS,JOSELITA,
VALLEJO,

SUMAOY,EVANG
ELINE,LOUDY,

TARE,WENDILIN
PARENT
A,LUPAS,
 CABALTERA,
SURIGAO DEL FRIAS, ZOSIMO
132760070011 FRIAS,RICHELLE ANN CABALTERA F 08/28/2001 16 Christianity BUNGA LANUZA ENDA,ESCAL
SUR PENECITOS
,
SAQUILLO,MA
CARMEN SURIGAO DEL MALIGSA, MARIO
304875140023 MALIGSA,RIEZEL JOY SAGUILLO F 09/21/2000 16 Christianity CARMEN THERESA,CAB
(POB.) SUR PALMA
LERO,

CARMEN SURIGAO DEL PELIGRO, RIZARE,IMEL

132682070039 PELIGRO,MELY MAE RIZARE F 10/02/2000 16 Christianity CARMEN
(POB.) SUR DOMINADOR LOPIO RAZ,

SURIGAO DEL OGNIT,JOSEPH

132679070016 PLAZA,EDEN ESTRADA F 09/24/2000 16 Christianity ANTAO CARMEN
SUR E,ARIENZA,

CARMEN SURIGAO DEL POLINAR, JUANITO ENGOTAN,LU

132682070040 POLINAR,JENELYN ENGOTAN F 02/28/2001 16 Christianity CARMEN
(POB.) SUR PALMA RAMOS,
CARMEN SURIGAO DEL BATIANSILA,
132682120040 TORAJA,XYRYLL - F 08/21/2000 17 Christianity CARMEN TERING,GELY
(POB.) SUR LEMUEL ALIS

SURIGAO DEL VALDEZ, BILLY DUENA,JENN

132657070023 VALDEZ,JUZHTIENE BELLE DUENA F 09/04/2001 15 Christianity BUNTALID CANTILAN
SUR JANE ARREZA ,FLORES,

CARMEN SURIGAO DEL YRIARTE, MARTEL,ROS

132682070058 YRIARTE,JANE MARTEL F 06/25/2001 16 Christianity CARMEN
(POB.) SUR JONATHAN LAGURA E,ALICAWAY

9 <=== TOTAL FEMALE

20 <=== 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 11
Name of School, Date of 1st Attendance and Balik Aral B/A Name of school last attended & Year (Sig
Date of Last Attendance if Transferred Out
Transfered In T/I Learner With LWE Specify Exceptionality of the Learner
FEMALE 9
Exceptionality Beginning of the Semester Date:
Accelerated ACL Specify Level & Effectivity Date

TOTAL 20
2018-10-29

Generated on: Wednesday, February 20, 2019

CABALTERA,ROS
ENDA,ESCALERA PARENT

SAQUILLO,MA
THERESA,CABAL
LERO,

RIZARE,IMELDA,
PARENT
RAZ,

OGNIT,JOSEPHIN
PARENT
E,ARIENZA,

ENGOTAN,LUCY,
PARENT
RAMOS,

TERING,GELYN,-, RELATIVE

DUENA,JENNIFER
PARENT
FLORES,

MARTEL,ROSALI
PARENT
E,ALICAWAY,

LEVI MAR HAYAGAN PAZO

(Signature of Adviser over Printed Name)

: End of the Semester Date:

2019-03-31