School Form 1 (SF 1) School Register

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

School ID 301397 Region IV-A Division Quezon

School Name Calasumanga NHS (Formerly San Juan NHS - School Year 2020 - 2021 Grade Level Grade 9 (Year Section G9-JVV

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)

ANOL,
Christiani CALASUMA PANUKULA JUANITO DIETA,NEDIE,
109028110002 ANOL,JOSHUA, DIETA M 11-29-2005 14 Tagalog QUEZON
ty NGA N FELICANO MORILLA,
SENIOR
AVELLANO,
Christiani PANUKULA DURADO,EVEL
109038110002 AVELLANO,RAFFY, DURADO M 10-18-2005 14 Tagalog MILAWID QUEZON RONALDO
ty N YN,REGADO,
AGUILAR
BALANI,
Christiani CALASUMA PANUKULA LAVIÑA,ANGE
109028120001 BALANI,BRYAN, LAVIÑA M 07-21-2004 15 Tagalog QUEZON RAMCY
ty NGA N LITA,MORFE,
ARGENTE

BAÑADERA,
BANADERA,ANTONY, Christiani PANUKULA CARRANZA,CL
109038100002 M 05-29-2005 15 Tagalog MILAWID QUEZON ANTONIO
CARRANZA ty N ARITA,TIPO,
CRISOSTOMO

BANZUELA,
Christiani CALASUMA PANUKULA BELGA,AIDA,B
109028110006 BANZUELA,JUSTINE, BELGA M 12-03-2005 14 Tagalog QUEZON RAFAEL
ty NGA N ARLISO,
BUEMIA

Christiani CALASUMA PANUKULA BERNADAS,

109028100018 BERNADAS,JERICHO, DIETA M 07-18-2005 14 Tagalog QUEZON
ty NGA N JOJO MALATE

CORBITO,
Christiani CALASUMA PANUKULA BINGCO,SHIEL
109028130066 CORBITO,DANLY, BINGCO M 06-30-2006 13 Tagalog QUEZON ZALDY
ty NGA N A,SUMIDO,
RESARE

Christiani CALASUMA PANUKULA CUNANAN, GLORIA,HELEN

109028120003 CUNANAN,KENNETH, GLORIA M 05-03-2005 15 Tagalog QUEZON
ty NGA N ROLLIE RUZOL ,MARQUEZ,

DACILLO, CUNANAN,NA
Christiani CALASUMA PANUKULA
109028120019 DACILLO,VENCINT, CUNANAN M 10-27-2006 13 Tagalog QUEZON REYNANTE NCY,HUWERT
ty NGA N
DELA CRUZ O,
ESTEVES,
Christiani CALASUMA PANUKULA LAVIÑA,LERM
109028110013 ESTEVES,EMERSON, LAVIÑA M 11-07-2005 14 Tagalog QUEZON ERNESTO
ty NGA N A,AVELLANO,
LUTAO
GLORIA,
Christiani CALASUMA PANUKULA FABIE,MARY
109028110018 GLORIA,RHEX, FABIE M 06-09-2006 13 Tagalog QUEZON ALEXANDER
ty NGA N JANE,DESDER,
SALUBANTE
SABANDO,TRI
Christiani CALASUMA PANUKULA IHAPON, NOEL
109028100038 IHAPON,NORIEL, SABANDO M 11-14-2004 15 Tagalog QUEZON NIDAD,PORTA
ty NGA N ASTRERA
LES,
LUNA,
LUNA,MICHAEL HENRY, Christiani CALASUMA PANUKULA PROHIBIDO,ED
109074100180 M 06-10-2005 14 Tagalog QUEZON MICHAEL
PROHIBIDO ty NGA N ELYN,TENA,
BERCILLA
G9-JVV

REMARKS

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

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 ROMANTICO,M
Christiani CALASUMA PANUKULA MORFE, TOMAS
109028110023 MORFE,ADRIAN, ROMANTICO M 03-20-2006 14 Tagalog QUEZON ARIA,PENAMA
ty NGA N GUCILATAR
NTE,

Christiani CALASUMA PANUKULA MORFE, JOEY MERTO,CLEOF

109028110024 MORFE,SYMON, MERTO M 06-10-2006 13 Tagalog QUEZON
ty NGA N GUCILATAR E,TENA,

NOLLEDO,MARK ELVIN, Christiani PANUKULA NOLLEDO, VIRREY,VIVIA

109038100024 M 06-05-2004 16 Tagalog MILAWID QUEZON
VIRREY ty N JOEL ORACION N,VILLALON,

OROZCO,
OROZCO,MARK JIMBOY, Christiani CALASUMA PANUKULA LORETO ARANEL,GEM
109028120025 M 02-09-2005 15 Tagalog QUEZON
ARANEL ty NGA N SUPREMO MA,MANCERA,
JUNIOR

PORTALES,
VILLANUEVA,
PORTALES,REIAN, Christiani CALASUMA PANUKULA ROGELIO
109028110027 M 04-04-2006 14 Tagalog QUEZON MELANIE,CAST
VILLANUEVA ty NGA N AVELLANO
OR,
SENIOR
RODRIGUEZ,
Christiani CALASUMA PANUKULA LOPEZ,MARY
109028100058 RODRIGUEZ,JEROME, LOPEZ M 02-19-2003 17 Tagalog QUEZON WILLARD
ty NGA N ROSE,LEONA,
BATALLER
RODRIGUEZ,
RODRIGUEZ,JOHN MICHAEL, Christiani CALASUMA PANUKULA AQUINO,EMMA
109028120008 M 06-09-2004 15 Tagalog QUEZON GILBERT
AQUINO ty NGA N ,VALENA,
BATALLER
SALEN, LAVIÑA,LORE
Christiani CALASUMA PANUKULA
109028110032 SALEN,NATANAEL, LAVIÑA M 04-30-2006 14 Tagalog QUEZON BERNARD NA,AVELLANO
ty NGA N
BERCILLA ,

TALLAR,
TALLAR,TEODORICO, JR Christiani PANUKULA PONPON,LIVY,
109038100031 M 05-23-2005 15 Tagalog MILAWID QUEZON TEODORICO
PONPON ty N LLERA,
CUNANAN SR

22 <=== TOTAL MALE

AGUILA,
Christiani SAN BUEMIA,LORN
111196110002 AGUILA,JAMAICA, BUEMIA F 03-26-2006 14 Tagalog CARURAY PALAWAN PANCHITO
ty VICENTE A,DELA CRUZ,
PARDILLA
AVELLANO,
Christiani CALASUMA PANUKULA MORFE,MARIE
109028110004 AVELLANO,MICA JOY, MORFE F 07-16-2006 13 Tagalog QUEZON FELIZARDO
ty NGA N L,CABREROS,
DELORETO
BARRERA,
Christiani CALASUMA PANUKULA ISRAEL,VIRGIN
109028110008 BARRERA,JANNEZZA, ISRAEL F 04-28-2006 14 Tagalog QUEZON DIONISIO
ty NGA N IA,ASTORGA,
REDOBLO

Christiani PANUKULA BUAG, JOVEN GAMBAL,SANE

109038110004 BUAG,ALEJA JOY, GAMBAL F 01-27-2006 14 Tagalog MILAWID QUEZON
ty N FREDERICK LYN,NOLLEDO,

BUERANO,
Christiani CALASUMA PANUKULA PRADO,MIRAS
109028130067 BUERANO,MIKKA ELLA, PRADO F 05-13-2005 15 Tagalog QUEZON MICHAEL
ty NGA N ON,ATENTO,
CANDELARIA
DOLORES,
Christiani NOLLEDO,EVA,
108787100144 DOLORES,DANIELA, NOLLEDO F 09-18-2004 15 Tagalog INGAS INFANTA QUEZON ALFREDO
ty JARDINAZO,
SALUDAR

FRANCISCO, BITARA,IRENE
FRANCISCO,ELIZABETH, Christiani CALASUMA PANUKULA
109028110014 F 11-10-2005 14 Tagalog QUEZON EMMANNUEL GRACE,DY,BIT
BITARA ty NGA N
AZCUNA ARA

GLORIA, TUMBADO,GRE
Christiani CALASUMA PANUKULA
109028110015 GLORIA,ALTHEA, TUMBADO F 05-20-2006 14 Tagalog QUEZON MARCELINO GORIA,BALAC
ty NGA N
VILLAREAL A,
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 Christiani SAN INDON, EDWIN LAZARTE,LILI
105138110022 INDON,LADYHAN, LAZARTE F 02-06-2006 14 Tagalog TUKOD BULACAN
ty RAFAEL MENDOZA BETH,ROZOL,

MARINO,
MARINO,MAE-ANN MARISH, Christiani CALASUMA PANUKULA AVELLANO,MI
109028110021 F 12-28-2005 14 Tagalog QUEZON EDWIN
AVELLANO ty NGA N LA,TENA,
VALDEZ
OPEÑA, PRUDENTE,EV
Christiani CALASUMA PANUKULA
107736120052 OPEÑA,JEAN, PRUDENTE F 08-18-2006 13 Tagalog QUEZON JEFFREY ELYN,DE
ty NGA N
UMANDAL LEON,
PANGANIBAN, DELA
PANGANIBAN,CAMILL, DELA Christiani CALASUMA PANUKULA
109028120012 F 07-19-2006 13 Tagalog QUEZON ANGELITO CRUZ,MYRA,D
CRUZ ty NGA N
HILARIO E LEON,
PENAMANTE,
Christiani PANUKULA MORFE,LITA,Z
109035110010 PENAMANTE,GLAIZEL, MORFE F 06-22-2006 13 Tagalog LIPATA QUEZON MANNY
ty N ACARIAS,
ASTRERA

Christiani CALASUMA PANUKULA ROSANA, BOOC,VILMA,D

109028100063 ROSANA,MARY ROSE, BOOC F 12-31-2003 16 Tagalog QUEZON
ty NGA N MANUEL TENA ELA CRUZ,

RUTAQUIO, PORTALES,ROS
Christiani CALASUMA PANUKULA
109028110031 RUTAQUIO,RAIZAH, PORTALES F 02-17-2006 14 Tagalog QUEZON RANDY ALIE,PUMARA
ty NGA N
CONCHADA DA,
SOLANO,
Christiani CALASUMA PANUKULA TALENTO,CHIT
109028120015 SOLANO,JESSA, TALENTO F 10-05-2004 15 Tagalog QUEZON FELIPE
ty NGA N A,JUNGCO,
ASCARATE
RUATOREZ,CHI
TENA,KHATE JAMILLA, Christiani CALASUMA PANUKULA TENA, RODEL
109028130065 F 04-27-2006 14 Tagalog QUEZON NCHIN,UNGRIA
RUATOREZ ty NGA N MORILLA
NO,
VILORIA, BERNADAS,MA
Christiani CALASUMA PANUKULA
109028120037 VILORIA,MEA, BERNADAS F 03-11-2005 15 Tagalog QUEZON NARCISO RITES,MALATE
ty NGA N
LUSTRE ,

18 <=== TOTAL FEMALE

40 <=== 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 CONRADO GLORIA PRUDENTE
Date MALE 22
Balik Aral B/A Name of school last attended & Year JOHN REX VILLAVERDE VILLANUEVA (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 18
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 40
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Friday, October 30, 2020

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Pending TI
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RIA PRUDENTE

ead over Printed Name)

EoSY Date:

d thru LIS