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 del Sur Region CARAGA

Semester First Semester School Year 2018 - 2019 Grade Level Grade 11 Track and Strand Academic Track -General Academic Strand

Section NEWTON Course (for TVL only)

GUARDIAN
AGE COMPLETE ADDRESS PARENTS
(if learner is not Living with Parent)
REMARKS
as of Contact

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

SAN SURIGAO APELLANES, FELIX TINONGA,ROWE

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

AZARCON,
SANTA SURIGAO HAYAGAN,GLEN
132679060001 AZARCON,CARL JOSEPH HAYAGAN M 05/04/2001 16 Christianity CARMEN ROGELIO TALISIK
CRUZ DEL SUR DA,,
JR
CEBU CITY
119881060019 BERCEDE,JERRY BOY KINDICA M 04/08/2001 16 Christianity KALUNASAN CEBU KINDICA,ROSA,, PARENT
(Capital)
BAGONG CITY OF
SURIGAO CONSULTADO,V T/I DATE:2018-06-
132978060030 CONSULTADO,JOHN VINCENT RAZ M 06/17/2000 17 Christianity LUNGSOD TANDAG
DEL SUR ENUS,RAZ, 04
(POB.) (Capital)
KINDICA,
CARMEN SURIGAO LIBUSADA,JIMAB
304875140015 KINDICA,ROGER TOM LIBUSADA M 11/05/2001 15 Christianity CARMEN FRETEXTATO PARENT
(POB.) DEL SUR EL,SIGNUKAN,
CUBERO
BANJO
LAUREL CITY OF MAGLINTE, LITO IGNALIG,AMELIT
107752070018 MAGLINTE,APOLLO IGNALIG M 03/09/2002 15 Christianity BATANGAS PARENT
(BANJO TANAUAN LIKIT A,CARESOSA,
WEST)

SAN SURIGAO MALAQUE, LIPAO,BEVERLY

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

DOLOROSA, CABUAY,MARICE T/I DATE:2018-06-

101375060091 MALAQUE,RICHARD ARELLANES M 08/17/2000 17 Christianity HACIENDA BUGALLON PANGASINAN PARENT
RODOLFO FERRER L,ARELLANES, 04

SANTA SURIGAO MOLLANEDA,GIN

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

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

SURIGAO YANSON, VICENTE SUMAOY,EVANG

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

12 <=== TOTAL MALE

CEBU CITY BERCEDE, AGUSTIN KINDICA,ROSA,TI

119881070019 BERCEDE,ANNIE ROSE KINDICA F 03/23/2002 15 Christianity KALUNASAN CEBU PARENT
(Capital) BANDOJO MKANG,

COSMIANO,
CARMEN SURIGAO TARE,WENDILIN
132682070012 COSMIANO,LAARNI TARE F 04/27/2000 17 Christianity CARMEN LEONARDO PARENT
(POB.) DEL SUR A,LUPAS,
ARREZA

CARMEN SURIGAO DATOY, JUANITO DAGAANG,AMEI

132682050012 DATOY,JHONNA MAE DAGA-ANG F 02/08/2000 17 Christianity CARMEN
(POB.) DEL SUR TORAJA FE,FALCON,

CARMEN SURIGAO ELLANA, JUAN LUPAS,ROSALIN T/I DATE:2018-06-

119964070094 ELLANA,COCKTAIL LUPAS F 12/03/2001 15 Christianity CARMEN PARENT
(POB.) DEL SUR BUTIAL DA,PETEROS, 04

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

CARMEN SURIGAO PELIGRO, RIZARE,IMELDA, T/I DATE:2018-06-

132682070039 PELIGRO,MELY MAE RIZARE F 10/02/2000 16 Christianity CARMEN PARENT
(POB.) DEL SUR DOMINADOR LOPIO RAZ, 04

SURIGAO OGNIT,JOSEPHIN T/I DATE:2018-06-

132679070016 PLAZA,EDEN ESTRADA F 09/24/2000 16 Christianity ANTAO CARMEN PARENT
DEL SUR E,ARIENZA, 04

CARMEN SURIGAO POLINAR, JUANITO ENGOTAN,LUCY, T/I DATE:2018-06-

132682070040 POLINAR,JENELYN ENGOTAN F 02/28/2001 16 Christianity CARMEN PARENT
(POB.) DEL SUR PALMA RAMOS, 04
 CARMEN SURIGAO BATIANSILA,
132682120040 TORAJA,XYRYLL - F 08/21/2000 17 Christianity CARMEN TERING,GELYN,-, RELATIVE
(POB.) DEL SUR LEMUEL ALIS
CARMEN SURIGAO CURAY, RAINER URBIZTONDO,AN
132682070015 URBIZTONDO,RANILYN - F 11/05/2001 15 Christianity CARMEN
(POB.) DEL SUR OPIO NIE,FLOAR,

SURIGAO VALDEZ, BILLY DUENA,JENNIFE

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

CARMEN SURIGAO YRIARTE, MARTEL,ROSALI

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

13 <=== TOTAL FEMALE

25 <=== 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
REY MICHEAL JOSEPH LAGURA
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 (Signature of Adviser over Printed Name)
Date of Last Attendance if Transferred Out
Transfered In T/I Learner With LWE Specify Exceptionality of the Learner FEMALE 13
Exceptionality Beginning of the Semester Date: End of the Semester Date:
Accelerated ACL Specify Level & Effectivity Date
TOTAL 25
2018-06-04 2018-10-30

Generated on: Tuesday, February 19, 2019