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School Form 1 (SF 1) School Register

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

School ID 500480 Region I Division San Fernando City

School Name Pagudpud IS School Year 2020 - 2021 Grade Level Grade 9 (Year Section PATIENCE

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

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

CITY OF
AGTOS,
AGTOS,ROY BRYAN, Christiani SAN SALAVERIA,M
101041120110 M 06-29-2006 13 Iloko PAGUDPUD LA UNION BERNALDO
SALAVERIA ty FERNANDO ARY,GRACE,
LAIGO
(Capital)

CITY OF
ARAGO,
Christiani SAN LAZADA,DELI
107983110005 ARAGO,HENDEL JHAN, LAZADA M 11-21-2006 13 Tagalog PAGUDPUD LA UNION HENRY SALVO
ty FERNANDO A,VILORIA,
JR
(Capital)

CITY OF
ESTIGOY,SHEENE PAOLO, Christiani SAN SAN PACIO,SHERRY
101038100025 M 06-07-2005 14 Ilocano LA UNION
PACIO ty VICENTE FERNANDO ,-,
(Capital)

CITY OF
GAPASIN, MARZAN,CRIS
Christiani SAN
101041110022 GAPASIN,JOHN REY, MARZAN M 01-04-2006 14 Iloko PAGUDPUD LA UNION RADITO TINA
ty FERNANDO
NAVARRO GRACE,OBRA,
(Capital)

CITY OF
CABRALES,HE
JUNIO,RHENZ JASPER, Christiani SAN JUNIO, BRYAN
101041110027 M 12-07-2005 14 Iloko PAGUDPUD LA UNION LEN
CABRALES ty FERNANDO CINCO
ROSE,CUELLO,
(Capital)

CITY OF
Christiani SAN MILANA, JUDY PULIDO,JOVY,
101038100042 MILANA,JANLY, PULIDO M 02-11-2005 15 Iloko CANAOAY LA UNION
ty FERNANDO PAGUIRIGAN GALVEZ,
(Capital)

CITY OF
MONCATAR,
MONCATAR,MARK KENNETH, Christiani SAN RIVERA,MAYB
101041120131 M 09-17-2004 15 Iloko PAGUDPUD LA UNION MARK LESTER
RIVERA ty FERNANDO ELLE,PREPOSE,
UBUNGEN
(Capital)

CITY OF
MOSUELA,JAS
MOSUELA,BRYAN ICELY, Christiani SAN SAN
101041100084 M 10-20-2004 15 Iloko LA UNION MINE,APILADO
APILADO ty VICENTE FERNANDO
,
(Capital)

CITY OF
MOSUELA,LHANZE JASPHER, Christiani SAN SAN MOSUELA,JAS
101041120128 M 09-25-2006 13 Iloko LA UNION
APILADO ty VICENTE FERNANDO MINE,,
(Capital)

CITY OF
PIMENTEL,JHON MARK, Christiani SAN SAN PIMENTEL, VERGARA,EDI
101041100108 M 04-21-2005 15 Iloko LA UNION
VERGARA ty VICENTE FERNANDO BENJAMIN THA,,
(Capital)
PATIENCE

REMARKS

Learning
Modality (Please refer to
the legend on last
page)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)
CITY OF
Christiani SAN VERGARA,EDI
101041120129 PIMENTEL,JOHN MARK, BIADO M 07-15-2006 13 Iloko PAGUDPUD LA UNION
ty FERNANDO THA,BIADO,
(Capital)

CITY OF
QUIBAN,
Christiani SAN SAN SORIANO,ROSI
101041110046 QUIBAN,JHERALD, SORIANO M 08-31-2006 13 Iloko LA UNION ERNESTO
ty VICENTE FERNANDO E,BUTGUI,
FELIPE JR
(Capital)

CITY OF
Christiani SAN SALANGA, BALANON,ELV
101073120044 SALANGA,NOEL, JR BALANON M 08-01-2005 14 Iloko PAGUDPUD LA UNION
ty FERNANDO NOEL APILADO IRA,NISPEROS,
(Capital)

CITY OF
Christiani SAN SAN TUMBAGA, RAAGAS,BEBE
101041100136 TUMBAGA,BEN MARK, RAAGAS M 07-15-2005 14 Iloko LA UNION
ty VICENTE FERNANDO MAGNO B NIE,R,
(Capital)

CITY OF
TUMBAGA,MA
TUMBAGA,JOHN KYLE, Christiani SAN SAN TUMBAGA,
101041110053 M 02-11-2006 14 Iloko LA UNION RLYN,MILANE
BAGSAOAN ty VICENTE FERNANDO GARY ALBAY
S,
(Capital)

15 <=== TOTAL MALE

CITY OF SALAVERIA,M
ABTOS,
AGTOS,BERNADETTE, Christiani SAN ARY
101041120159 F 11-01-2003 16 Iloko PAGUDPUD LA UNION BERNARDO
SALAVERIA ty FERNANDO GRACE,PALIEG
LAIGO
(Capital) A,

CITY OF
Christiani SAN ALBIDAS, APILADO,ELAN
101041110003 ALBIDAS,MIKAELA, APILADO F 06-07-2006 13 Iloko PAGUDPUD LA UNION
ty FERNANDO ALVIN JOHNNY IE,APILADO,
(Capital)

CITY OF
APILADO,
Christiani SAN SAN YORO,LILIBET
101041120161 APILADO,ANGEL, YORO F 10-13-2005 14 Iloko LA UNION RICARDO
ty VICENTE FERNANDO H,TUMBAGA,
QUIBAN
(Capital)

CITY OF
APILADO, GUERRERO,MA
APILADO,ANGELA JOY, Christiani SAN
101041120119 F 10-01-2005 14 Iloko PAGUDPUD LA UNION LUDIVINO RIDEL,PREPOS
GUERRERO ty FERNANDO
CADAOAS E,
(Capital)

CITY OF
Christiani SAN BOADO,LUZ,L
100814110010 BOADO,ALYSSA, LOPEZ F 07-28-2006 13 Iloko Ilocano PAGUDPUD LA UNION
ty FERNANDO OPEZ,
(Capital)

CITY OF
CABRALES,
Christiani SAN FLORES,NELLY
101041100031 CABRALES,RYZA, FLORES F 12-29-2004 15 Iloko PAGUDPUD LA UNION RIZALDY
ty FERNANDO ,,
CUELLO
(Capital)

CITY OF
DE LEON, ANCHETA,ARA
DE LEON,DIANE EDRALYN, Christiani SAN
101041120121 F 12-17-2005 14 Iloko PAGUDPUD LA UNION EDUARDO BELLA,PULIDO
ANCHETA ty FERNANDO
PASCUA ,
(Capital)

CITY OF
DOUGLAS,
DOUGLAS,MICKEY JANE, Christiani SAN SAN BAGUYO,JENNI
101041110017 F 05-22-2006 14 Iloko LA UNION MARSHALL
BAGUYO ty VICENTE FERNANDO FER,NISPEROS,
ABAYA
(Capital)

CITY OF
ESPINUEVA,
ESPINUEVA,SANDRHEA GRACE, Christiani SAN FLORES,WARLI
101041120106 F 09-23-2006 13 Iloko PAGUDPUD LA UNION RANDY
FLORES ty FERNANDO TA,BAUTISTA,
ALAMBRA
(Capital)
Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)
CITY OF
GALANTA, SALGADO,DO
Christiani SAN
101041120138 GALANTA,VANESSA, SALGADO F 08-21-2006 13 Iloko PAGUDPUD LA UNION VINECIO MINGA,ESTABI
ty FERNANDO
CAMACHO LLO,
(Capital)

CITY OF
Christiani SAN SAN GENOVA, MAMACLAY,M
101041120139 GENOVA,JUNIEL, MAMACLAY F 07-26-2006 13 Iloko LA UNION
ty VICENTE FERNANDO JUNIOR SAMBO ARILYN,,
(Capital)

CITY OF
GULLA,
Christiani SAN APILADO,LILIA
101041100055 GULLA,JHERAMAE, APILADO F 11-28-2004 15 Iloko PAGUDPUD LA UNION ROBERTO
ty FERNANDO ,,
SABADO
(Capital)

CITY OF
JABONETE,PRINCESS MERAEL, SAN JABONETE, PREPOSE,NOR
101044110055 F 08-30-2006 13 Tagalog Others CANAOAY LA UNION
PREPOSE FERNANDO ISRAEL U A,M,
(Capital)

CITY OF
MONCATAR,
MONCATAR,TRISHA MAY, Christiani SAN RIVERA,MAYB
101041120169 F 01-24-2006 14 Iloko PAGUDPUD LA UNION MARK LESTER
RIVERA ty FERNANDO ELLE,PREPOSI,
UBUNGEN
(Capital)

CITY OF
RINGOR,LORRAINE ANGEL, Christiani SAN RINGOR, MIRANDA,OFE
100857120010 F 10-23-2006 13 Iloko PAGUDPUD LA UNION
MIRANDA ty FERNANDO ROBERTO LIA,JUCUTAN,
(Capital)

CITY OF
TOLEDO,KHRISNA JANE, Christiani SAN SAN TOLEDO,MARG
101038120119 F 01-08-2006 14 Iloko LA UNION
ESPINO ty VICENTE FERNANDO ARET,ESPINO,
(Capital)

16 <=== TOTAL FEMALE

31 <=== 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 MELINDA SAYON VERZOSA
Date MALE 15
Balik Aral B/A Name of school last attended & Year JENNILYN POCSIDIO DUCUSIN (Signature of School Head over Printed Nam
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
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 31
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Wednesday, November 18, 2020


Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

YON VERZOSA

ead over Printed Name)

EoSY Date:

d thru LIS

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