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

School Name Pascual Rivera Pimentel Memorial Academy School ID 400047 District Sta. Cruz
Division Iloco

Semester Second Semester School Year 2020 - 2021 Grade Level Grade 12 Track and Strand

Section MACHIAVELLI Course (for TVL only)

COMPLETE ADDRESS PARENTS

AGE

Sex (M/F)
NAME BIRTH DATE as of
LRN Religious Affilication Mother's Maid
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy) Octob Father's Name (Last
er 31st Name (Last Na
House #/ Street/ Sitio/ Purok Barangay Municipality/ City Province Name, First Name, Middle
First Name, Mi
Name)
Name)

ANGALA, ARNEL JAVILLONAR

100672080001 ANGALA,SHERWIN JAVILLONAR M 11/03/2003 16 Christianity LANTAG SANTA CRUZ ILOCOS SUR
LOZANO IE,ISLA,
BARRIOS,CAT
BARBADO, LEONILO
400047150748 BARBADO,JERROLD BARRIOS M 05/03/2002 18 Christianity LALONG SANTA CRUZ ILOCOS SUR RINE,JAVILLO
TUGADE
R,

BITE, HERSON RAGANDAP,A

400047150753 BITE,JORGE EMMANUEL RAGANDAP M 12/15/2002 17 Christianity LALONG SANTA CRUZ ILOCOS SUR
SANTA ROSA BELLE,REYAL

CABRADILLA, HAILAR,SUSA
100677080018 CABRADILLA,JAZZEL HAILAR M 05/17/2003 17 Christianity PILAR SANTA CRUZ ILOCOS SUR
ROGELIO C JR ,
CALLEJO,
ASPACIO,MYR
100677080026 CALLEJO,BOBBY ASPACIO M 03/27/2002 18 Christianity PILAR SANTA CRUZ ILOCOS SUR INOCENCIO
,AGUILAR,
CABAGBAG
POBLACION CORDOVA, JUDY TORDA,DIGN
400047150787 CORDOVA,JUSTINE TORDA M 04/28/2003 17 Christianity SANTA CRUZ ILOCOS SUR
SUR JAVILLONAR GALOOS,

GABOR DAPIG, ISAGANI BUGARIN,JEA

100684080045 DAPIG,IAN BUGARIN M 02/26/2003 17 Christianity SANTA CRUZ ILOCOS SUR
NORTE LAMARCA SR UNGAWEN,

GARNACE,
AURELIO,CHA
100680080023 GARNACE,CHARVIC AURELIO M 12/08/2002 17 Christianity SAGAT SANTA CRUZ ILOCOS SUR VICTORIO
A,ROCA,
VALENTINO PAGAR

GASMEN, WARLITO QUODALA,JO

100678080014 GASMEN,JAZPER QUODALA M 08/11/2002 18 Christianity PINIPIN SANTA CRUZ ILOCOS SUR
JAVONILLO QUILON,

CABALBAG,M
100678080016 GAZMEN,BILLY JOE CABALBAG M 04/02/2003 17 Christianity PINIPIN SANTA CRUZ ILOCOS SUR
E,GAZMEN,

BAYUGAO GUIEB, EDUARDO ABALOS,AUR

100684080059 GUIEB,EDRIANE ABALOS M 11/20/2002 17 Christianity SANTA CRUZ ILOCOS SUR
OESTE LACESTE PUCTI,

POBLACION HERMOSURA, AGALOOS,SO

100684080068 HERMOSURA,JAMES RENZO AGALOOS M 05/23/2003 17 Christianity SANTA CRUZ ILOCOS SUR
NORTE WILFREDO PAY-YEN AD,GERMAN,

JACOSALEM,N
400047150490 JACOSALEM,KIANO MALAP-IT M 04/24/2001 19 Christianity TUROD SANTA CRUZ ILOCOS SUR
A,MALAP-IT,
F1-SHS)

Ilocos Sur Region Region I

Academic Track -Humanities and Social Sciences

GUARDIAN
TS REMARKS
(if learner is not Living with Parent)
Contact
Number of Learning
Mother's Maiden Parent or Modality
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)

JAVILLONAR,ELS
PARENT Modular (print)
E,ISLA,
BARRIOS,CATHE
RINE,JAVILLONA PARENT Modular (print)
R,

RAGANDAP,ANA
PARENT Modular (print)
BELLE,REYAL,

HAILAR,SUSAN,Q
PARENT Modular (print)

ASPACIO,MYRNA
PARENT Modular (print)
AGUILAR,

TORDA,DIGNA,A
PARENT Modular (print)
GALOOS,

BUGARIN,JEAN,D
PARENT Modular (print)
UNGAWEN,

AURELIO,CHARIT
PARENT Modular (print)
A,ROCA,

QUODALA,JOSIE,
Modular (print)
QUILON,

CABALBAG,MIMI
Modular (print)
E,GAZMEN,

ABALOS,AUREA,
PARENT Modular (print)
PUCTI,

AGALOOS,SOLED
PARENT Modular (print)
AD,GERMAN,

JACOSALEM,NOR
Modular (print)
A,MALAP-IT,
 JAMANDRA, JAIME GARNACE,JA
100680080028 JAMANDRA,MARK LEE GARNACE M 10/24/2002 18 Christianity SAGAT SANTA CRUZ ILOCOS SUR
JACILDO N,PAGAN,

JANEROL,
MINA,VERON
100664080021 JANEROL,JANLEE MINA M 11/12/2002 17 Christianity AMARAO SANTA CRUZ ILOCOS SUR ANATALIO
BALANGCAD
YUSAOEN

POBLACION JAVONITALLA, LAMPASA,MA

100684080091 JAVONITALLA,MARK RUSSEL LAMPASA M 11/11/2002 17 Christianity SANTA CRUZ ILOCOS SUR
NORTE RONALD REYES YN,JAMANDR

LARDIZABAL,
MORENO,ANN
100677080035 LARDIZABAL,JOHN DELL MORENO M 08/26/2001 19 Christianity PILAR SANTA CRUZ ILOCOS SUR LORENZO
IZA,ALNAJES
CABAGBAG
MILLANO,
VILLA CORPUZ,ROB
400047150114 MILLANO,JOHN RAFAEL CORPUZ M 11/20/2002 17 Christianity SANTA CRUZ ILOCOS SUR TEODORICO
LAURENCIA A,DEL ROSAR
MOLINA
SABLAY,MAR
SALCEDO SIO-ANG, EDUARDO
100557080019 SIO-ANG,EDUARDO II SABLAY M 09/17/2003 17 Christianity BALUARTE ILOCOS SUR AILENE,APOS
(BAUGEN) TOGUPEN SR
,

POBLACION SUPAN, RENATO BABON,MARI

100684080142 SUPAN,REYMAR BABON M 12/03/2002 17 Christianity SANTA CRUZ ILOCOS SUR
ESTE MONSES ,CABAGUA,

POBLACION TABABAN, JESUS CO,RUBY,CAS

400047150116 TABABAN,DEXTER CO M 04/01/2001 19 Christianity SANTA CRUZ ILOCOS SUR
ESTE CORDOVA O,

VALDEZ,EMIL
TOMBAGA, JAIME
100684120146 TOMBAGA,JAIME JR VALDEZ M 10/12/2002 18 Christianity BACSAYAN SANTA CRUZ ILOCOS SUR MARILOU,JAR
PILIEN SR
ILLA,

VERZOSA, ARIEL QUITOR,ANIT

400047150118 VERZOSA,RAFFY QUITOR M 07/18/2000 20 Christianity SAOAT SANTA CRUZ ILOCOS SUR
LAZAGA OYONEN,

23 <=== TOTAL MALE

ASILO, RICARTE PIMENTEL,RO

100669080009 ASILO,RACHEL PIMENTEL F 10/17/2003 17 Christianity BUGBUGA SANTA CRUZ ILOCOS SUR
DUTERTE NA,PADALOY

BARON, JOHN BARON,ZITA,

100684080015 BARON,RICA MAE BUSTILLOS F 09/03/2003 17 Christianity SUYO SANTA CRUZ ILOCOS SUR
BASILIO COLOMA AT,

SAN BUSTILLOS, OSCAR JAVILLO,JUVI

100674080005 BUSTILLOS,JUVY CLAIRE JAVILLO F 11/14/2002 17 Christianity SANTA CRUZ ILOCOS SUR
ANTONIO CONCEPCION N,GANACE,

CABAGBAG, CABATO,ESTR
100677080009 CABAGBAG,DESIREE CABATO F 09/03/2002 18 Christianity PILAR SANTA CRUZ ILOCOS SUR
MANUEL CALLEJO LIA,VERGARA

CABATO, JOSELITO CASIO,MELOD

100677080013 CABATO,PRINCESS AEZEL CASIO F 08/20/2003 17 Christianity PILAR SANTA CRUZ ILOCOS SUR
RAMOS CABUCO,

CABRADILLA, MANZANO,SO
100677080020 CABRADILLA,REZELL ANNE MANZANO F 03/25/2002 18 Christianity PILAR SANTA CRUZ ILOCOS SUR
PERFECTO CABATO ,CABATO,

GALAPATI,MA
100672080003 GALAPATI,KRISHA JOY - F 05/05/2003 17 Christianity LANTAG SANTA CRUZ ILOCOS SUR JHUN, GUEVARRA
TESS,ANGALA

GANDEZA, RAFAEL RAGANIT,IME

100677080034 GANDEZA,LEA MEL RAGANIT F 05/07/2003 17 Christianity PILAR SANTA CRUZ ILOCOS SUR
NISCO JR A,OLAYA,

BAYUGAO GARCIA,ROSE
400047150088 GARCIA,MARIFE LULU F 04/15/2003 17 Christianity SANTA CRUZ ILOCOS SUR
OESTE LU,
GARNACE,JASMI
PARENT Modular (print)
N,PAGAN,

MINA,VERONICA,
PARENT Modular (print)
BALANGCAD,

LAMPASA,MARIL
PARENT Modular (print)
YN,JAMANDRE,

MORENO,ANNAL
PARENT Modular (print)
ZA,ALNAJES,

CORPUZ,ROBELL
Modular (print)
A,DEL ROSARIO,

SABLAY,MARIA
AILENE,APOSTOL PARENT Modular (print)

BABON,MARIBEL
PARENT Modular (print)
CABAGUA,

CO,RUBY,CASTR
Modular (print)
O,

VALDEZ,EMILIA
MARILOU,JARAM RELATIVE Modular (print)
LLA,

QUITOR,ANITA,B
Modular (print)
OYONEN,

PIMENTEL,ROVE
RELATIVE Modular (print)
NA,PADALOY,

BARON,ZITA,SUY
PARENT Modular (print)
AT,

JAVILLO,JUVILY
PARENT Modular (print)
N,GANACE,

CABATO,ESTREL
PARENT Modular (print)
LIA,VERGARA,

CASIO,MELODY,
PARENT Modular (print)
CABUCO,

MANZANO,SOFIA
Modular (print)
CABATO,

GALAPATI,MARI
RELATIVE Modular (print)
TESS,ANGALA,

RAGANIT,IMELD
PARENT Modular (print)
A,OLAYA,

GARCIA,ROSE,LU
RELATIVE Modular (print)
LU,
 GUIEB, RENATO BUSTILLOS,L
100684080061 GUIEB,IVY BUSTILLOS F 11/02/2002 17 Christianity SUYO SANTA CRUZ ILOCOS SUR
GAZMEN JAVONITALLA

HABAN,
GONZALES,M
100669080027 HABAN,TANYA GONZALES F 03/29/2003 17 Christianity CALAOAAN SANTA CRUZ ILOCOS SUR RAYMUNDO
LYN,BABON,
REBOLLIDO

HALAGAO, EDWIN ABAYATA,AR

100683080007 HALAGAO,MAYUMI ABAYATA F 07/22/2003 17 Christianity SIDAOEN SANTA CRUZ ILOCOS SUR
PACLEB NE,PINQUE,

JANDOC, ROBERT JAMANDRE,W

100672080006 JANDOC,BHERTNY ANN JAMANDRE F 08/01/2002 18 Christianity LANTAG SANTA CRUZ ILOCOS SUR
LOZANO IE,VERGARA,

MANZANO, DANILO CABRADILLA

100677080038 MANZANO,TRICIA JOY CABRADILLA F 01/12/2003 17 Christianity PILAR SANTA CRUZ ILOCOS SUR
CABATO LLY,AGAD,
COSCOSNO HALAMAN,LE
400048150261 MAYO,RACHELLE ALAMAN F 03/04/2003 17 Christianity SANTA CRUZ ILOCOS SUR MAYO, ROLANDO -
NG -,

MORATO, ROBERTO JANDOC,ROW

400047150045 MORATO,KATHLEENE JOY JANDOC F 06/03/2002 18 Christianity LANTAG SANTA CRUZ ILOCOS SUR
CAPITIN A,JAVELLANA

RABON, EUTIQUIO OMANITO,ELE

100672080008 RABON,JENNA ERIKA OMANITO F 04/02/2003 17 Christianity LANTAG SANTA CRUZ ILOCOS SUR
ANGALA TA,SARMIENT

REALIN,ANNA
RAGANDAP, SONNY
400047150140 RAGANDAP,MARICAR REALIN F 09/17/2002 18 Christianity LALONG SANTA CRUZ ILOCOS SUR MARIE,ALVES
REAL
R,

REYES, DEMETRIO LANGI,REMY

400047150143 REYES,FLORA MAE LANGI F 08/25/2002 18 Christianity MAMBOG SANTA CRUZ ILOCOS SUR
SANCHEZ MEZ,

RIVERA, JOSELITO JARQUIO,CAN

100684080131 RIVERA,LYKA ISABELL JARQUIO F 11/06/2002 17 Christianity SUYO SANTA CRUZ ILOCOS SUR
GAMUETA DA,ORTEGA,

SIDAYEN, EDUARDO HABON,TERE

100684080138 SIDAYEN,HAZEL HABON F 02/06/2003 17 Christianity TAMPUGO SANTA CRUZ ILOCOS SUR
GABERTAN A,LEONZON,

POBLACION UNGRIA, RUDOLF

400047150057 UNGRIA,RUDJEL ASLE ARBOLEDA F 02/23/2003 17 Christianity SANTA CRUZ ILOCOS SUR ARBOLEDA,JE
SUR JOSUE

VALDEZ, RICARDO TEJADA,ROSA

400047150144 VALDEZ,RICALYN TEJADA F 06/21/2003 17 Christianity BUGBUGA SANTA CRUZ ILOCOS SUR
RAGANDAP DA,BARAQUI

VILOG, EDWIN BARTE,LEON

400047150145 VILOG,ABEGAEL BARTE F 03/03/2003 17 Christianity CALAOAAN SANTA CRUZ ILOCOS SUR
PADALOY ,CORTEZ,

24 <=== TOTAL FEMALE

47 <=== 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 23
Name of School, Date of 1st Attendance and Balik Aral B/A Name of school last attended & Year
Date of Last Attendance if Transferred Out
Transfered In T/I Learner With LWE Specify Exceptionality of the Learner
FEMALE 24
Exceptionality Beginning of the Semeste
Accelerated ACL Specify Level & Effectivity Date

TOTAL 47
1/4/21 12:00 AM
BUSTILLOS,LITA,
PARENT Modular (print)
JAVONITALLA,

GONZALES,MARI
RELATIVE Modular (print)
LYN,BABON,

ABAYATA,ARLE
Modular (print)
NE,PINQUE,

JAMANDRE,WINN
PARENT Modular (print)
E,VERGARA,

CABRADILLA,NE
PARENT Modular (print)
LLY,AGAD,
HALAMAN,LEAH,
Modular (print)
,

JANDOC,ROWEN
PARENT Modular (print)
A,JAVELLANA,

OMANITO,ELENI
PARENT Modular (print)
TA,SARMIENTO,

REALIN,ANNA
MARIE,ALVESTE PARENT Modular (print)
R,

LANGI,REMY,GO
PARENT Modular (print)
MEZ,

JARQUIO,CANDI
PARENT Modular (print)
DA,ORTEGA,

HABON,TERESIT
Modular (print)
A,LEONZON,

ARBOLEDA,JEL,, PARENT Modular (print)

TEJADA,ROSALIN
PARENT Modular (print)
DA,BARAQUIO,

BARTE,LEONORA
PARENT Modular (print)
CORTEZ,

d by;

ARSENIO HALABASO HEZETA JR

(Signature of Adviser over Printed Name)

ng of the Semester Date: End of the Semester Date:

12:00 AM 4/30/21 12:00 AM

Generated on: Monday, May 17, 2021