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 11 Track and Strand

Section PETRARCH 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)

NAGTENGN ASTOCIA, JESSIE DE FIGURACION,

100674090002 ASTOCIA,JESSIE FIGURACION M 01/19/2004 16 Christianity SANTA CRUZ ILOCOS SUR
GA GUZMAN SR RMA,JALLOR

100684090015 BARON,HAROLD RAGADI M 06/12/2004 16 Christianity SUYO SANTA CRUZ ILOCOS SUR BARON, HENRY RAGADI,EDIT

BRIETA, RICKY BISTOYONG,D

150505130021 BRIETA,DERICK BISTOYONG M 03/12/2004 16 Christianity DALIGAN SANTA CRUZ ILOCOS SUR
PUGAL Y,BACAGAN,

CALLEJO,
TICONG,AMIL
100678090009 CALLEJO,CARL JANUAH TICONG M 01/22/2004 16 Christianity PINIPIN SANTA CRUZ ILOCOS SUR RODERICK
LIBAYAN,
BARIENTOS

CALLEJO,MAR
100678090011 CALLEJO,VICTOR BARRIENTOS M 09/08/2003 17 Christianity PINIPIN SANTA CRUZ ILOCOS SUR
EL,BARRIENT

BAYUGAO DICTAAN, GEORGE BERAQUIT,AM

100680140006 DICTAAN,JHON BERAQUIT M 01/01/2003 17 Christianity SANTA CRUZ ILOCOS SUR
ESTE JAVILLONAR E,MONTERO,

POBLACION FIGURACION, PIMENTEL,DO

100684090055 FIGURACION,JOHN NEUMANN PIMENTEL M 01/05/2004 16 Christianity SANTA CRUZ ILOCOS SUR
SUR FLORANTE QUIRIDO RES,ROLLUDA

QUINES, ROMANDO FONTANILLA

100684090057 FONTANILLA,JOHN ROMAR BARBADO M 04/25/2004 16 Christianity PINIPIN SANTA CRUZ ILOCOS SUR
GAZMEN RICEL,BARBA

GACUSAN,
RAGANIT,IRE
100664090010 GACUSAN,JONEER RAGANIT M 10/16/2003 17 Christianity AMARAO SANTA CRUZ ILOCOS SUR JONATHAN
TINGLE,
JAVILLONAR
CABUNIAS,AN
100678090015 GALLARDO,ARJAY CABUENAS M 08/01/2004 16 Christianity PINIPIN SANTA CRUZ ILOCOS SUR GALLARDO, HONIE
LICA,,

GARCIA, SALVADOR ANDAYA,NAN

100669090019 GARCIA,MARK VINCENT ANDAYA M 01/06/2004 16 Christianity BUGBUGA SANTA CRUZ ILOCOS SUR
SARMIENTO ,GOMOLPE,

GONZALES, LIMUEL BUSTILLOS,M

100684090063 GONZALES,IAN LESTER BUSTILLOS M 08/03/2004 16 Christianity SUYO SANTA CRUZ ILOCOS SUR
NUCOM TERESA,TARG

JARAMILLA, FIDEL ROBLES,JACQ

100684090083 JARAMILLA,MICHAEL JIMZ ROBLES M 05/12/2002 18 Christianity BUGBUGA SANTA CRUZ ILOCOS SUR
ANTONIO LYN,GABOY,
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)

FIGURACION,NO
PARENT Modular (print)
RMA,JALLORINA,

RAGADI,EDITH,, PARENT Modular (print)

BISTOYONG,DAIS
RELATIVE Modular (print)
Y,BACAGAN,

TICONG,AMILYN,
Modular (print)
LIBAYAN,

CALLEJO,MARIB
PARENT Modular (print)
EL,BARRIENTOS,

BERAQUIT,AMMI
PARENT Modular (print)
E,MONTERO,

PIMENTEL,DOLO
PARENT Modular (print)
RES,ROLLUDA,

FONTANILLA,MA
PARENT Modular (print)
RICEL,BARBADO,

RAGANIT,IRENE,
PARENT Modular (print)
TINGLE,

CABUNIAS,ANGE
PARENT Modular (print)
LICA,,

ANDAYA,NANCY
PARENT Modular (print)
GOMOLPE,

BUSTILLOS,MA
Modular (print)
TERESA,TARGA,

ROBLES,JACQUE
PARENT Modular (print)
LYN,GABOY,
 CANDALICA JAVILLO, JOSE ABLAN,LOIDA
100680090035 JAVILLO,JOHN LLOYD ABLAN M 01/15/2004 16 Christianity SANTA CRUZ ILOCOS SUR
N ALTONA VILLONAR,

CANDALICA JAVILLONAR, BEGNALEN,L

100680090041 JAVILLONAR,JOSHUA BEGNALEN M 10/25/2003 17 Christianity SANTA CRUZ ILOCOS SUR
N RENATO LOZANO ,HONORATO,

JAVILLONAR, CARIÑO,MAR
100684090088 JAVILLONAR,MIKO CARIÑO M 08/07/2004 16 Christianity TUROD SANTA CRUZ ILOCOS SUR
MICHAEL APOSTOL S,,

JAVILLONAR,
GANDEZA,AR
100678090021 JAVILLONAR,RAYMOND GANDEZA M 07/27/2003 17 Christianity PINIPIN SANTA CRUZ ILOCOS SUR REYNANTE
DA,,
CABALBAG
NALAOAGAN
100684130227 JAVINAR,JOHN KEVIN NALAOAGAN M 12/01/2003 16 Christianity SAGAT SANTA CRUZ ILOCOS SUR JAVINAR, EDDIE
ENA,,
MADRIAGA,
CALA,EVAVE
100669090028 MADRIAGA,JERICHO CALA M 10/07/2003 17 Christianity CALAOAAN SANTA CRUZ ILOCOS SUR MARCELINO
,REYES,
TEJADA
LACBONGAN
100684090126 RABILAS,EMERSON LACBONGAN M 02/18/2004 16 Christianity SIDAOEN SANTA CRUZ ILOCOS SUR RABILAS, ELMER B
MA,,

RABON, CARLITO NEBRES,CHER

100672090009 RABON,JOHN RYCHARL JUSTINE NEBRES M 03/31/2004 16 Christianity LANTAG SANTA CRUZ ILOCOS SUR
ANGALA LYN,NUESCA

VELASCO,
POBLACION OPEÑA,GLAD
100684130206 VELASCO,ALJAY OPEÑA M 01/12/2004 16 Christianity SANTA CRUZ ILOCOS SUR LEOVIGILDO
NORTE CORPUZ,
CABRADILLA
BRONDIAL,M
100677090040 VILLAR,MARK RAINIER BRONDIAL M 04/11/2004 16 Christianity PILAR SANTA CRUZ ILOCOS SUR
A,FE,

WAGENNAN, JOEL DAPIG,RUMEL

150505090010 WAGENNAN,HARVEY DAPIG M 12/05/2003 16 Christianity DALIGAN SANTA CRUZ ILOCOS SUR
BALAQUE MANZANO,

24 <=== TOTAL MALE

NAGTENGN AFALLA, RYAN SIGISMUNDO

136775090276 AFALLA,PRINCESS ANNE SIGISMUNDO F 09/12/2003 17 Christianity SANTA CRUZ ILOCOS SUR
GA CUANICO STINA,ANGEL

ARZADON, JERRY PANGAYAN,L

100665090001 ARZADON,SHENAICAH LIEZEL PANGAYAN F 09/21/2003 17 Christianity BABAYOAN SANTA CRUZ ILOCOS SUR
TAMAYO TA,DUMIPNA

BEBIRO, JONATHAN DELACRUZ,A

135336090017 BEBIRO,SHENINA LOUISE DELA CRUZ F 05/07/2003 17 Christianity MANTANAS SANTA CRUZ ILOCOS SUR
ANTONIO A,CENTENO,

BAYUGAO BUAKEN,ELIZ
100684120115 BELEN,REA MAE BUAKEN F 07/23/2004 16 Others SANTA CRUZ ILOCOS SUR BELEN, ROMANO
OESTE ETH,GUIEB,

CABAGBAG, CABANES,DE
100678090004 CABAGBAG,PRYCE CABANES F 12/19/2003 16 Christianity PINIPIN SANTA CRUZ ILOCOS SUR
MARLOU GAZMEN E,CHAN,

CABAGBAG, CALLEJO,CAT
100678090003 CALLEJO,AMANDA ROSE - F 12/30/2003 16 Christianity PINIPIN SANTA CRUZ ILOCOS SUR
CRESENCIO RINE,,
HALUNAHAN
POBLACION CONTAOI, JOHN
100684090037 CONTAOI,MELINDA HALUNAJAN F 11/24/2003 16 Christianity SANTA CRUZ ILOCOS SUR RCEDES,BENG
NORTE RIVERA
DO,
JAVILLONAR
DELA CRUZ,
100684120295 DELA CRUZ,MARY JENNYLYN JAVILLONAR F 07/09/2004 16 Christianity TUROD SANTA CRUZ ILOCOS SUR LCHORA,APO
ARLIBERT BANAL
L,

CANDALICA FARINAS, EDGAR GANDEZA,MA

100680120055 FARIÑAS,SANDARA GRACE GANDEZA F 07/18/2004 16 Christianity SANTA CRUZ ILOCOS SUR
N JAVILLONAR ANN,BLANZA
ABLAN,LOIDA,JA
PARENT Modular (print)
VILLONAR,

BEGNALEN,LEAH
PARENT Modular (print)
HONORATO,

CARIÑO,MARITE
PARENT Modular (print)
S,,

GANDEZA,ARMI
PARENT Modular (print)
DA,,

NALAOAGAN,EL
PARENT Modular (print)
ENA,,

CALA,EVAVELLE
RELATIVE Modular (print)
REYES,

LACBONGAN,AL
PARENT Modular (print)
MA,,

NEBRES,CHERRY
PARENT Modular (print)
LYN,NUESCA,

OPEÑA,GLADYS,
PARENT Modular (print)
CORPUZ,

BRONDIAL,MARI
PARENT Modular (print)
A,FE,

DAPIG,RUMELY,
PARENT Modular (print)
MANZANO,

SIGISMUNDO,CRI
PARENT Modular (print)
STINA,ANGELES,

PANGAYAN,LOLI
PARENT Modular (print)
TA,DUMIPNAS,

DELACRUZ,ALM
PARENT Modular (print)
A,CENTENO,

BUAKEN,ELIZAB
PARENT Modular (print)
ETH,GUIEB,

CABANES,DEBBI
Modular (print)
E,CHAN,

CALLEJO,CATHE
Modular (print)
RINE,,
HALUNAHAN,ME
RCEDES,BENGGA PARENT Modular (print)
DO,
JAVILLONAR,ME
LCHORA,APOSTO PARENT Modular (print)
L,

GANDEZA,MARY
PARENT Modular (print)
ANN,BLANZA,
 CALENDARIO, GALICIA,ANA
100672080004 GALICIA,JULLIE ANN ANCHETA F 07/06/2002 18 Christianity LANTAG SANTA CRUZ ILOCOS SUR
JOSEPHINO TUYO LLE,ANCHETA

CANDALICA GALO, ROMULO CARLES,JENN

100684090061 GALO,NADINE CARLES F 01/19/2004 16 Christianity SANTA CRUZ ILOCOS SUR
N JALLORINA YN,MUANAG

FAROFALDAN
100699120123 HADUCA,LEAH JEAN FAROFALDANE F 11/07/2004 15 Christianity ANGKILENG SANTA LUCIA ILOCOS SUR
ONNABEL,,
HOMBREBUENO,
VILLA RAGASA,NAN
100685090021 HOMBREBUENO,DAPHNY RAGASA F 05/08/2003 17 Christianity SANTA CRUZ ILOCOS SUR RAYMUNDO DELA
HERMOSA DALANG,
CRUZ
POBLACION JARUDAL, MARLON FLORES,CATH
100684090085 JARUDAL,WINTERLYN FLORES F 07/24/2004 16 Christianity SANTA CRUZ ILOCOS SUR
ESTE J NE,,

POLONIO, RICARDO ANGALA,THE

100683090012 POLONIO,CELERINA ANGALA F 06/11/2004 16 Christianity SIDAOEN SANTA CRUZ ILOCOS SUR
GRAY A,JAVELLANA

RAVINA, DANTE LAMARCA,VA

100680090055 RAVINA,DANESSA ARIANNE LAMARCA F 08/09/2004 16 Christianity MAMBOG SANTA CRUZ ILOCOS SUR
TACAL SSA,YIN,

POBLACION SALAZAR, RONNEL OLAYA,ROWE

100684090135 SALAZAR,ARA LEE OLAYA F 11/12/2003 16 Others SANTA CRUZ ILOCOS SUR
SUR BAJAMONDE QUINES,

ULPINDO, ANTONIO RAMOS,ROSA

100669090046 ULPINDO,ANTONETTE RAMOS F 03/18/2003 17 Christianity BUGBUGA SANTA CRUZ ILOCOS SUR
DAVID DA,DELA CRU

18 <=== TOTAL FEMALE

42 <=== 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 24
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 18
Exceptionality Beginning of the Semeste
Accelerated ACL Specify Level & Effectivity Date

TOTAL 42
1/4/21 12:00 AM

Generated on: Monday, May 17, 2021

GALICIA,ANABE
PARENT Modular (print)
LLE,ANCHETA,

CARLES,JENNYL
PARENT Modular (print)
YN,MUANAG,

FAROFALDANE,D
PARENT Modular (print)
ONNABEL,,

RAGASA,NANCY,
Modular (print)
DALANG,

FLORES,CATHERI
PARENT Modular (print)
NE,,

ANGALA,THELM
PARENT Modular (print)
A,JAVELLANA,

LAMARCA,VANE
PARENT Modular (print)
SSA,YIN,

OLAYA,ROWENA,
PARENT Modular (print)
QUINES,

RAMOS,ROSALIN
RELATIVE Modular (print)
DA,DELA CRUZ,

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