School Form 1 (SF 1) School Register

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

School ID 500563 Region I Division La Union

School Name San Julian Integrated School School Year 2019 - 2020 Grade Level Grade 7 (Year Section SAPPHIRE

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

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

SAN ALBAY,
Christianit MILAN,ALICIA, T/I DATE:2019-
100816130061 ALBAY,GLENN, MILAN M 07-26-2004 14 Iloko NICOLAS AGOO LA UNION WILFREDO
y CASIPI, 06-03
WEST PAGATPATAN

BOADO,
Christianit BILOG,ROSALIE
100814120052 BOADO,JOHN VINCENT, BILOG M 10-04-2007 11 Iloko SAN JUAN AGOO LA UNION QUINTIN
y ,BALLESIL,
FANGONILO
CABANATAN,
Christianit FERRER,JUDITH
101121120036 CABANATAN,MJ, FERRER M 09-08-2007 11 Iloko SAN JUAN AGOO LA UNION MELCHOR
y ,LOPEZ,
ASUNCION

Christianit SAN JULIAN CORTEZ, FORTES,MARIC

100814120008 CORTEZ,ALLEN, FORTES M 05-25-2007 12 Iloko AGOO LA UNION
y WEST BARRY VIDUYA AR,CARRERA,

CORTEZ, ROQUILLO,MA
Christianit SAN JULIAN
100814120003 CORTEZ,RANDY, RONQUILLO M 06-26-2005 13 Iloko AGOO LA UNION EDMUND RIBETH,ESLAV
y WEST
GALISTE A,
ESTACIO,
ESTACIO,MARK AIVERSON, Christianit BOADO,MAE,C T/I DATE:2019-
100810120038 M 10-23-2007 11 Iloko BALAWARTE AGOO LA UNION ALDRINE
BOADO y ARRERA, 06-03
ESTACIO
MAMUYAC,
MAMUYAC,MARK RYAN, Christianit AGTANI,IMELD T/I DATE:2019-
100816120141 M 02-18-2007 12 Iloko SAN ISIDRO AGOO LA UNION MARIO
AGTANI y A,ALEGRE, 06-03
DACANAY
MIANA,
Christianit RAMIREZ,GEM T/I DATE:2019-
100810130075 MIANA,EDMON, RAMIREZ M 10-23-2007 11 Iloko BALAWARTE AGOO LA UNION EDWARD
y MA,HUGO, 06-03
MIRANDA
MILANES,
Christianit TAVAS,FE T/I DATE:2019-
100816110078 MILANES,ALFRED, TAVAS M 11-11-2005 13 Iloko SAN ISIDRO AGOO LA UNION ALEXIS
y AMOR,OFIANA, 06-03
DOMONDON
NASTOR,
NASTOR,RENZ JOHN, Christianit GUTIERREZ,MA
100814120017 M 06-04-2007 12 Iloko SAN JUAN AGOO LA UNION RAYMUS
GUTIERREZ y RIZZA,ROBLES,
BOADO

Christianit SAN JULIAN OFILADA, RENE CORTEZ,LORNA

100814120065 OFILADA,LANCE RYAN, CORTEZ M 08-23-2007 11 Iloko AGOO LA UNION
y WEST ESPIRITU ,GALISTE,

LARON,DANAB
Christianit ORIBELLO, T/I DATE:2019-
100816130071 ORIBELLO,SPENCER, LARON M 01-25-2007 12 Iloko SAN ISIDRO AGOO LA UNION ELLE,GONZALE
y RAMIL TAVAS 06-03
S,
 RIVERA, NLS
Christianit SAN JULIAN CABALLES,ELS
100814120069 RIVERA,JOMAR, CABALLES M 07-13-2007 11 Iloko AGOO LA UNION GILBERT DATE:2019/08/0
y NORTE A,ESTACIO,
ESTACIO 1
SAN JOSE,
Christianit SAN JULIAN MIRAL,CARINA,
100814120023 SAN JOSE,RENZ CARL, MIRAL M 07-21-2007 11 Iloko AGOO LA UNION LAWRENCE
y WEST FORTES,
CARRERA
VELASCO, CALDERON,BE
VELASCO,KEITH LAWRENCE, Christianit SAN JULIAN
100814120090 M 12-08-2006 12 Iloko AGOO LA UNION MELCHOR ATRIZ,MAMUY
CALDERON y CENTRAL
LOPEZ AC,

15 <=== TOTAL MALE

AGCAOILI, BASALLO,MARI
Christianit
102610130002 AGCAOILI,ANGELA, BASALLO F 02-06-2007 12 Iloko PUROK AGOO LA UNION ROLLY LOU,MAMUYA
y
LAGUNDINO C,

SAN ALBAY,
Christianit MILAN,ALICIA, T/I DATE:2019-
100816130116 ALBAY,GLENDA, MILAN F 08-14-2007 11 Iloko NICOLAS AGOO LA UNION WILFREDO
y CASIPI, 06-03
WEST PAGATPATAN

SAN BANASTAO,
Christianit ARENA,JOSEPHI
118957120003 BANASTAO,FELY, AHEGA F 10-25-2005 13 Tagalog NICOLAS AGOO LA UNION GREGORIO
y NE,,
WEST DIZON
BANAYAT JR,
Christianit SAN JULIAN ESCOBIOS,NEL T/I DATE:2019-
151002120040 BANAYAT,JHUNHEL, ESPIRITO F 08-23-2006 12 Iloko AGOO LA UNION MELYBERTO
y WEST Y,ESPIRITU, 08-01
PADRE

BARTOLAY, PANEDA,JENNY
Christianit SAN JULIAN
100814120071 BARTOLAY,JEE ANN, PANEDA F 06-24-2007 11 Iloko AGOO LA UNION ANGELO LYN,PAGADUA
y WEST
RIGONDIQUE N,

BARTOLOME, DELA
BARTOLOME,DIANA MAE, DELA Christianit T/I DATE:2019-
102958120046 F 02-06-2007 12 Ilocano Ilocano BICOK TUAO CAGAYAN DALMACIO CRUZ,MAYULY
CRUZ y 06-03
JAPSON N,TRINIDAD,

BOADO,CHARLY MANE, Christianit BOADO,ARLEN T/I DATE:2019-

100810120057 F 05-17-2007 12 Iloko BALAWARTE AGOO LA UNION
VELASCO y E,VELASCO, 06-03

CARRERA,DANICA ANN, Christianit SAN JULIAN CARRERA, CABURIAN,JOA

100810120061 F 03-28-2007 12 Iloko AGOO LA UNION
CABURIAN y WEST LARRY VIDUYA NA,CARRERA,

ESPIRITU,
Christianit SAN JULIAN AGUB,LORETA,
136096120060 ESPIRITU,JASMIN, AGUB F 10-12-2006 12 Iloko AGOO LA UNION VICTOR
y WEST CARRERA,
VIDUYA
CARRERA,
ESPIRITU,NICOLE JHNAE, Christianit SAN JULIAN ESPIRITU,NELY, T/I DATE:2019-
100814120040 F 10-20-2007 11 Iloko AGOO LA UNION HERCULES
DUMAGUIN y WEST DUMAGUIN, 08-01
ESTACIO
FONTANILLA,
FONTANILLA,SHEENA MAY, Christianit SAN JULIAN CARRERA,CAR
100810120071 F 05-14-2007 12 Iloko AGOO LA UNION RAYMOND
CARRERA y WEST MINA,,
CARRERA
NLS
MILANES,MARY ROSE, Christianit SAN JULIAN MILANES, CALONGE,MAU
100814110045 F 11-05-2005 13 Iloko AGOO LA UNION DATE:2019/09/2
CALONGE y WEST MARVIN M REEN B,,
1
PAGAR,
Christianit SAN JULIAN REA,RELYN,AG
100814120043 PAGAR,JORIE MAY, REA F 05-20-2007 12 Iloko AGOO LA UNION ORLANDO
y NORTE UIMBAG,
CARRERA
 BERGANIO,KAT
PAGAR,KRISHA MAY, Christianit SAN JULIAN PAGAR, ROGEL
100814120044 F 05-24-2007 12 Iloko AGOO LA UNION HERIN
BERGANIO y NORTE CARRERA
MAY,ANGCON,

PANEDA,
PANEDA,LYKA DENISSE, Christianit PASAGOY,CYN
100814120082 F 10-08-2007 11 Iloko SAN JUAN AGOO LA UNION OSCARLITO
PASAGOY y THIA,BOADO,
SINTING

DE
PIALAGO,EMIE ROSE, DE Christianit PIALAGO,
136545130297 F 05-12-2007 12 Tagalog SAN JUAN AGOO LA UNION GUZMAN,MARI
GUZMAN y EMETERIO
TA,SILE,

QUERO,PRINCESS LYSETTE, Christianit SAN JULIAN QUERO,ALELY

100814110051 F 10-29-2005 13 Ilocano AGOO LA UNION
DOMINGUEZ y CENTRAL N,DOMINGUEZ,

CARRERA,EVA
Christianit SAN JULIAN VIDUYA, LEO
100814120085 VIDUYA,RICA, CARRERA F 06-01-2007 12 Iloko AGOO LA UNION NGELINE,DOCT
y WEST QUERO
OLERO,

18 <=== TOTAL FEMALE

33 <=== COMBINED

List and Code of Indicators under REMARKS column

Prepared by; Certified Correct:
Indicator Code Required Information Indicator Code Required Information REGISTERED BoSY EoSY
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date MAURINO JUNIO NACOR
Date MALE 15 14
Balik Aral B/A Name of school last attended & Year RUEL ELEVAZO PULIDO (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 16 17
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:6/32019 EoSY Date:4/3/2021
TOTAL 31 31
BoSY Date:6/32019 EoSY Date:4/3/2021
22-Apr-21
Generated thru LIS

Generated on: Wednesday, April 22, 2020