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School Form 1 (SF 1)
School Form 1 (SF 1)
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
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
Friday Father's Name (Last
Name (Last Nam
House #/ Street/ Sitio/ Purok Barangay Municipality/ City Province Name, First Name, Middle
June Name)
First Name, Mid
Name)
DOLOROSA, CABUAY,MAR
101375060091 MALAQUE,RICHARD ARELLANES M 08/17/2000 17 Christianity HACIENDA BUGALLON PANGASINAN
RODOLFO FERRER L,ARELLANES
SARMIENTO, LUPAS,JOSELI
132682070047 SARMIENTO,JUDE ANDRIE LUPAS M 08/26/2001 16 Christianity NIUGAN CABUYAO LAGUNA
WILLIAM CHUA VALLEJO,
CITY OF
PASONG APIQUE, EMILIO TINONGA,ROS
132687070003 TINONGA,ROMEL - M 03/15/2002 15 Christianity GENERAL CAVITE
KAWAYAN I CUARTERO ARIE,ORGENE
TRIAS
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,
TINONGA,ROSEM
RELATIVE
ARIE,ORGENES,
SUMAOY,EVANG
ELINE,LOUDY,
CARMEN SURIGAO COSMIANO, TARE,WENDIL
132682070012 COSMIANO,LAARNI TARE F 04/27/2000 17 Christianity CARMEN
(POB.) DEL SUR LEONARDO ARREZA A,LUPAS,
CABALTERA,R
SURIGAO FRIAS, ZOSIMO
132760070011 FRIAS,RICHELLE ANN CABALTERA F 08/28/2001 16 Christianity BUNGA LANUZA ENDA,ESCALE
DEL SUR PENECITOS
,
SAQUILLO,MA
CARMEN SURIGAO MALIGSA, MARIO
304875140023 MALIGSA,RIEZEL JOY SAGUILLO F 09/21/2000 16 Christianity CARMEN THERESA,CAB
(POB.) DEL SUR PALMA
LERO,
SURIGAO OGNIT,JOSEPH
132679070016 PLAZA,EDEN ESTRADA F 09/24/2000 16 Christianity ANTAO CARMEN
DEL SUR E,ARIENZA,
22 <=== COMBINED
Transfered Out T/O CCT Receipient CCT CCT Control/reference number &
Effectivity Date MALE 12
Name of School, Date of 1st Attendance and Balik Aral B/A Name of school last attended & Year (Sign
Date of Last Attendance if Transferred Out
Transfered In T/I Learner With LWE Specify Exceptionality of the Learner
FEMALE 10
Exceptionality Beginning of the Semester Date:
Accelerated ACL Specify Level & Effectivity Date
TOTAL 22
2018-10-29
SABAYTON,ROSE
LA,PAYPA,
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,
2019-03-31