School Form 1 (SF 1) School Register

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

School ID 106405 Region III Division Tarlac District Concepcion North

School Name Lourdes Elementary School School Year 2020 - 2021 Grade Level Grade 5 Section GRADE 5

GUARDIAN
ADDRESS PARENTS
(if Not Parent)
Age MOTHER Contact

Sex (M/F)
IP
LRN
NAME BIRTH DATE as of TONGUE (Ethnic
RELIGIO Number of
(Last Name, First Name, Middle Name) (mm/dd/yyyy) Octob (Grade 1 N Father's Name Mother's Maiden Parent or
Group) House #/
er 31 to 3 Only) Municipality/ (Last Name, First Name (Last Name, Guardian
Street/ Sitio/ Barangay Province Name Relationship
City Name, Middle First Name, Middle
Purok
Name) Name)

SANGUYO,NOR
Kapampa Christiani SANTA CONCEPCIO ANDA, ALDRIN
106405150015 ANDA,ALNATHANE, SANGUYO M 05-15-2009 11 TARLAC MITA,MALLAR
ngan ty ROSA N BULATAO
I,

Pampang
an/ BALANCE,
Christiani SANTA CONCEPCIO TAGO,GLORY,
106405160041 BALANCE,PHILIP JOHN, TAGO M 11-08-2010 9 Kapampa TARLAC PHILIP
ty ROSA N MARIANO,
ngan/ TABERNA
Pampan

BALURO,
Kapampa Christiani SANTA CONCEPCIO MANINANG,AN
106405150016 BALURO,JUSTINE, MANINANG M 02-08-2010 10 TARLAC NYMWEL
ngan ty ROSA N ALYN,LOPEZ,
ALBARICO

CAÑETE, RYAN
CAÑETE,ROHAN GAILE, Kapampa Christiani SANTA CONCEPCIO PARAJAS,GIAN
106405150001 M 02-25-2010 10 TARLAC JAY DEL
PARAJAS ngan ty ROSA N ,TOLENTINO,
ROSARIO

CARREON,RHAIVE DOMINIC, Christiani VARGAS,MAR

106380150019 M 08-21-2010 10 Filipino TALAGA CAPAS TARLAC
VARGAS ty Y GRACE,,

CONSTANTINO,
Kapampa Christiani SANTA CONCEPCIO DIZON,LOURD
106405150002 CONSTANTINO,ALDRIN, DIZON M 09-07-2010 10 TARLAC ALBERT
ngan ty ROSA N ES,HIPOLITO,
GUINTO
CUNANAN,
CUNANAN,ELIJAH, Kapampa Christiani SANTA CONCEPCIO PANGILINAN,E
106405150017 M 07-10-2010 10 TARLAC RANILLO
PANGILINAN ngan ty ROSA N MILY,QUINTO,
LISING
DE GUZMAN,
DE GUZMAN,CARL MATTHEW, Kapampa Christiani SANTA CONCEPCIO LOPEZ,LORELI
106405150019 M 10-10-2010 10 TARLAC RODRIGO
LOPEZ ngan ty ROSA N E,SAYCO,
GARCIA
TAYAG,ANGEL
Kapampa Christiani SANTA CONCEPCIO DELA CRUZ,
106405150020 DELA CRUZ,AJHAY, TAYAG M 12-23-2009 10 TARLAC ITA,GUTIERRE
ngan ty ROSA N JOEL FAUSTO
Z,
HIPOLITO,
Kapampa Christiani SANTA CONCEPCIO PEREZ,AIREZ,L
106405150022 HIPOLITO,IAN MARK, PEREZ M 09-13-2010 10 TARLAC MARTIN
ngan ty ROSA N INTAD,
PANLILIO
HIPOLITO,
Kapampa Christiani SANTA CONCEPCIO PEREZ,AIREZ,L
106405150023 HIPOLITO,JAMIL, PEREZ M 09-13-2010 10 TARLAC MARTIN
ngan ty ROSA N INTAD,
PANLILIO
LACSON,
LACSON,JOHN DERICK, Kapampa Christiani SANTA CONCEPCIO TANEDO,MARI
106405150061 M 09-09-2009 11 TARLAC ALVIN
TANEDO ngan ty ROSA N E,SANCHEZ,
HIPOLITO
MANALO,
Kapampa Christiani SANTA CONCEPCIO LOPEZ,JACQUE
106405150025 MANALO,ARJAY, LOPEZ M 12-02-2009 10 TARLAC ROMMEL
ngan ty ROSA N LINE,PASION,
MIRANDA
ncepcion North

GRADE 5

REMARKS

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

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T/I
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DATE:2020-
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08-26

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T/I
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DATE:2021-
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01-04

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 QUIAZON, MENDOZA,ERI
Kapampa Christiani SANTA CONCEPCIO
106405150027 QUIAZON,KERDY, MENDOZA M 05-03-2010 10 TARLAC RANDY KA,TOLENTIN
ngan ty ROSA N
FELICIANO O,
QUIAZON, BALDIVIA,JEN
QUIAZON,LAWRENCE JAMES, Kapampa Christiani SANTA CONCEPCIO
106405150028 M 09-04-2010 10 TARLAC DELOMAR NIFER,BONDO
BALDIVIA ngan ty ROSA N
TEJADA C,

RUFINO, CESAR
RUFINO,CHRISTOPHER LLOYD, Christiani MENDOZA,MA
106405150029 M 06-27-2010 10 Tagalog BACULONG VICTORIA TARLAC DELOS SANTOS
MENDOZA ty RICAR,MATEO,
JR

SANTOS,ANDREI JOHN, Kapampa Christiani SANTA CONCEPCIO SANTOS, ROY CUNANAN,DO

106405150003 M 05-08-2010 10 TARLAC
CUNANAN ngan ty ROSA N TARUC NA,CALAGUI,

Christiani SANTA CONCEPCIO TAGO, ELPUZ,AILEEN,

106405140037 TAGO,JOHN DANIEL, ELPUZ M 12-12-2008 11 Tagalog TARLAC
ty ROSA N PATRICIO M N,
VERGARA, QUIAZON,CAY
VERGARA,JAYCE ASHT Kapampa Christiani
106405150047 M 12-16-2008 11 TALAGA CAPAS TARLAC GERALD ABYAB,JUDITH
KRAVEN, QUIAZON ngan ty
SERINO ,

19 <=== TOTAL MALE

SALVACION,EL
AQUINO,SHAHANIE, Kapampa Christiani SANTA CONCEPCIO AQUINO, JUNE SA
106405150004 F 08-18-2010 10 TARLAC
SALVACION ngan ty ROSA N JOE ABILLO JANE,ALFONSO
,
CAJILIG,
Kapampa Christiani SANTA CONCEPCIO DIZON,ESMEL
106405150006 CAJILIG,KRISTINE JEAN, DIZON F 10-10-2010 10 TARLAC JAYSON
ngan ty ROSA N DA,HIPOLITO,
MACALE
DAYRIT,
Kapampa Christiani SANTA CONCEPCIO LOZANO,MARI
106405150060 DAYRIT,JUDIELYN, MENDOZA F 12-13-2009 10 TARLAC MANUEL
ngan ty ROSA N CEL,OCAMPO,
PANLILIO
LOPEZ,JEFFER
Christiani LAWAN,
106371150146 LAWAN,STEPHANIE JOY, LOPEZ F 07-01-2010 10 Tagalog TALAGA CAPAS TARLAC JOY,MUNGCAL
ty ADONIS UMALI
,
LINGAT,
LINGAT,JEDI SHANAYA, Kapampa Christiani SANTA CONCEPCIO HIPOLITO,JUDI
106405150007 F 03-17-2010 10 TARLAC JEFFREY
HIPOLITO ngan ty ROSA N TH,TAGO,
FELIPE

Kapampa Christiani LOPEZ, JESSIE BOBILES,EMEL

106405150032 LOPEZ,MICAELA, BOBILES F 07-16-2010 10 TALAGA CAPAS TARLAC
ngan ty BOY MALLARI YN,SABABAN,

MAGDALI,
MAGDALI,TRODIS ANN JOY, Kapampa Christiani LOPEZ,MERLY,
106405150013 F 06-30-2010 10 TALAGA CAPAS TARLAC JOSHUA
LOPEZ ngan ty PANLILIO,
SCOVILLA

MANALASTAS, OSERA,PRINCE
Kapampa Christiani
106405150008 MANALASTAS,SYRHEL, OSERA F 07-30-2010 10 TALAGA CAPAS TARLAC MARLON SSAIR,CAPILIT
ngan ty
MALLARI AN,

MANALASTAS, OSERA,PRINCE
Kapampa Christiani
106405150009 MANALASTAS,SYRISH, OSERA F 07-30-2010 10 TALAGA CAPAS TARLAC MARLON SSAIR,CAPILIT
ngan ty
MALLARI AN,

Kapampa Christiani MARIANO,ROC

106154150042 MARIANO,CARLA, - F 07-06-2010 10 PALIMPE MASANTOL PAMPANGA
ngan ty HELLE,LACAP,

PANLILIO,ROW
PANLILIO,LAURA JEAN, Kapampa Christiani
106405150014 F 10-21-2010 10 TALAGA CAPAS TARLAC ENA,MARIANO
MARIANO ngan ty
,
SAPIERA,
SAPIERA,JOHANAH ASHLEY, Pangasina Christiani CAYABYAB,AR
101428150073 F 08-01-2010 10 TALAGA CAPAS TARLAC NORLITO
CAYABYAB n ty VY,MANIEGO,
MANANDIG
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T/I
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DATE:2020-
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10-27

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T/I
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DATE:2020-
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08-27

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 TABABA, TAGO,MARIA
TABABA,CLARENCE DIANNE, Kapampa Christiani
106405150011 F 01-12-2010 10 TALAGA CAPAS TARLAC DANILO CLARA,LAYUG
TAGO ngan ty
MANALILI JR ,

Kapampa Christiani SANTA CONCEPCIO TAGO,EVELYN,

106405150010 TAGO,FROILYN SHANE, - F 02-19-2010 10 TARLAC
ngan ty ROSA N MARIANO,

TOLENTINO,
TOLENTINO,JOYCE ANNE, Kapampa Christiani POLINIO,ANNA
106405150012 F 12-04-2009 10 TALAGA CAPAS TARLAC BIENVENIDO
POLINIO ngan ty LIZA,ORETO,
MANALILI

15 <=== TOTAL FEMALE

34 <=== 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 ALEXIE MANABAT LALAQUE
Date MALE 18
Balik Aral B/A Name of school last attended & Year AMOR DAVID DOMETITA (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 15
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 33
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Monday, September 6, 2021

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BAT LALAQUE

ead over Printed Name)

EoSY Date:

d thru LIS