School Form 1 School Register for Senior High School (SF1-SHS

School Name Antipolo National High School School ID 304899 District Marihatag Division Surigao

Semester First Semester School Year 2019 - 2020 Grade Level Grade 11 Track and Strand

Section CSS Course (for TVL only) Animation (NC II), Computer Hardware Servicing (NC II)

COMPLETE ADDRESS PARENTS

AGE

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
Frida Father's Name (Last
Name (Last Na
House #/ Street/ Sitio/ Purok Barangay Municipality/ City Province Name, First Name, Middle
y June Name)
First Name, Mi
Name)

SURIGAO DEL ALICANTE, GASCON,ANE

128662080020 ALICANTE,JOFFRE GASCON M 08/29/2000 18 Christianity ANTIPOLO MARIHATAG
SUR ANTONIO CORVERA PONTILLO,

SURIGAO DEL CORVERA, JOCEY GARCIA,ANA

132846080013 CORVERA,JED GARCIA M 05/10/2002 17 Christianity ANTIPOLO MARIHATAG
SUR ORCULLO ,AVILA,

2 <=== TOTAL MALE

SURIGAO DEL ANAJAO, SOFRONIO GULTIANO,FL

132847080002 ANAJAO,CATHERINE GULTIANO F 05/17/2003 16 Christianity AROROGAN MARIHATAG
SUR DINAGAT JR ENCIA,RANQU

SURIGAO DEL MAMULO, EPIFANIO CAMPUS,ROS

131800070033 CAMPUS,DAINA - F 10/11/1998 20 Christianity AROROGAN MARIHATAG
SUR YBAÑEZ ANARA,

SURIGAO DEL CUBIL, EDILBERTO WATE,LUZMI

132846060016 CUBIL,MINBERTH WATE F 08/13/2000 18 Christianity ANTIPOLO MARIHATAG
SUR AGOPITAC A MARCASA,,

SURIGAO DEL ESTRELLA, MARIO CAMPOS,ELEN

132893130020 ESTRELLA,JOANNA CAMPOS F 11/27/2002 16 Christianity BATUNAN TAGBINA
SUR ESCORPION A,PENSAN,

SURIGAO DEL NUÑEZ, ORLANDO GIALAN,MAD

132643080079 NUÑEZ,TRISHA MAE GIALAN F 06/19/2002 16 Christianity AROROGAN MARIHATAG
SUR PONTILLO N,BALANE,

SURIGAO DEL PENSAN, RUFINO PONTILLO,VIC

132846080027 PENSAN,MARIVIC PONTILLO F 05/29/2001 18 Christianity AROROGAN MARIHATAG
SUR VENTIC JR RIA,BORJA,

SANTA SURIGAO DEL PLAZA, LUIS DE CANCIO,VIRG

132857080025 PLAZA,ANNABEL CANCIO F 06/28/2002 16 Christianity MARIHATAG
CRUZ SUR JESUS A,FACUNDO,

SURIGAO DEL SAMONTINA,

132847080024 SAMONTINA,JESSA MIE BELIZA F 08/31/2003 15 Christianity AROROGAN MARIHATAG BELLIZA,ELIZ
SUR JESETO BANAS

SURIGAO DEL TAPANG, JESUS MANTILLA,M

107195081171 TAPANG,JESCEL MANTILLA F 08/01/2003 15 Christianity AROROGAN MARIHATAG
SUR LUGAY CEL,PONTILL

SURIGAO DEL TRIMIDAL, SERENIO INATE,MELIT

132846080037 TRIMIDAL,ANGEL MARY INATE F 09/25/2002 16 Christianity ANTIPOLO MARIHATAG
SUR GOMEZ ABAZEZ,

10 <=== TOTAL FEMALE

-SHS)

Surigao del Sur Region CARAGA

Technical-Vocational-Livelihood Track

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)

GASCON,ANESIA,
PONTILLO,

GARCIA,ANALYN
AVILA,

GULTIANO,FLOR
PARENT
ENCIA,RANQUE,

CAMPUS,ROSA,R
PARENT
ANARA,

WATE,LUZMIND
A MARCASA,,

CAMPOS,ELENIT
PARENT T/I DATE:2019-06-03
A,PENSAN,

GIALAN,MADELY
PARENT
N,BALANE,

PONTILLO,VICTO
RIA,BORJA,

CANCIO,VIRGINI
T/I DATE:2019-06-03
A,FACUNDO,

BELLIZA,ELIZA,, PARENT

MANTILLA,MARI
PARENT
CEL,PONTILLO,

NATE,MELITA,C
ABAZEZ,
 12 <=== 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

Transfered Out T/O CCT Receipient CCT CCT Control/reference number &
Effectivity Date MALE 2
Name of School, Date of 1st Attendance and Balik Aral B/A Name of school last attended & Year (Sig
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 12
6/3/19 12:00 AM

Generated on: Tuesday, March 3, 2020

 SANDRA CLARIN LAURENTE

(Signature of Adviser over Printed Name)

: End of the Semester Date:

10/31/19 12:00 AM