School Form 1 (SF 1) School Register

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

School ID 401364 Region III Division Cabanatuan City

School Name Good Samaritan Colleges School Year 2020 - 2021 Grade Level Grade 8 (Year Section SAMPAGUITA

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 Mother's Maiden Parent or
Group) House #/ Father's Name (Last
y to 3 Only) Municipality/ Name (Last Name, Guardian
Street/ Sitio/ Barangay Province Name, First Name, Name Relationship
City First Name, Middle
June Purok Middle Name)
Name)

ALCANTARA, ANASTACIO,LE
ALCANTARA,ADRIAN JEROME, Christiani BANTUG CABANATU
HS190007 ANASTACIO
M 01-31-2007 13 Tagalog
ty NORTE AN CITY
NUEVA ECIJA JOMER TICIA,AMATOR
VILLAFUERTE IO,

COBARRUBIAS, JOSON,ANA
COBARRUBIAS,KURT DUSTINE, Christiani MABINI CABANATU
107064130421 M 06-05-2007 13 Tagalog NUEVA ECIJA JEFFREY MARIN,GAMBO
JOSON ty EXTENSION AN CITY
FAJARDO A,

Christiani DAANG CABANATU CUMBE, JULIUS PERIA,PRINCES

107112120276 CUMBE,JHON CZEDRICH, PERIA M 04-26-2006 14 Tagalog NUEVA ECIJA
ty SARILE AN CITY CEASAR MAÑO S,REYES,

DE LEON,
Christiani COJUANGC SANTA NABOR,EDYLE
107104120065 DE LEON,JHANLEE, NABOR M 08-24-2006 13 Tagalog NUEVA ECIJA JANELSON
ty O (POB.) ROSA E,RAÑESES,
PASION

DESEO,NORAID
Christiani DAANG CABANATU
421513150217 DESEO,JAMES BRYN, - M 04-20-2007 13 Tagalog NUEVA ECIJA A
ty SARILE AN CITY
JOY,ADRIANO,

Christiani CABANATU DIZON, NOEL JARDINERO,CH

107112130550 DIZON,JOB ISAIAH, JARDINERO M 07-28-2006 13 Tagalog CRUZ ROJA NUEVA ECIJA
ty AN CITY PINEDA ELO,ANDASAN,

GENERAL
CONCEPCIO DUBB, RAJIV KAUR,PARAMJI
401002150106 DUBB,ROHIT, KUMAR M 10-09-2006 13 Tagalog Islam TINIO NUEVA ECIJA
N KUMAR T,,
(PAPAYA)

GALUS,RENNIEL ALRENZ, Christiani CABANATU GALUS, RENE FERNANDEZ,A

107106120035 M 08-23-2007 12 Tagalog PATALAC NUEVA ECIJA
FERNANDEZ ty AN CITY MALAVEGA LONA,PIANG,

FLORES,YVETT
ADUAS GRAGASIN,
GRAGASIN,IVAN GENESIS, Christiani CABANATU E
107109120147 M 08-01-2007 12 Tagalog CENTRO NUEVA ECIJA TIRSO GABAY
FLORES ty AN CITY CHRISTINE,RO
(ADUAS) II
DRIGUEZ,

LOURDES LAGARTA, PAGAYUNAN,A

LAGARTA,MARCO LAUREN, Christiani CABANATU
107107120044 M 10-09-2007 12 Tagalog (MATUNGA NUEVA ECIJA MARLON RVELIN,DAVID
PAGAYUNAN ty AN CITY
L-TUNGAL) WAGAYEN ,

PADRE MALLARI, APOSTOL,ROM

MALLARI,JULIAN JAMES, Christiani CABANATU
401347150092 M 12-26-2007 12 Tagalog CRISOSTOM NUEVA ECIJA JULIUS EFIE,SEBASTIA
APOSTOL ty AN CITY
O ASPIRAS N,
ADUAS CARIAGA,CON
MARTIN,DWIGHT MIGUEL, Christiani CABANATU MARTIN, DEAN
107109110016 M 02-15-2007 13 Tagalog Tagalog CENTRO NUEVA ECIJA TESSA
CARIAGA ty AN CITY ENRIQUEZ
(ADUAS) MARIE,DIAZ,
AMPAGUITA

REMARKS

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

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T/O
Blended DATE:2021/01/
05

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 OBINA, LAGASCA,MAR
Christiani MACATBON CABANATU
107105130004 OBINA,KYLE ENZO, LAGASCA M 08-01-2007 12 Tagalog NUEVA ECIJA ROLAND IVIC,DOMINGO
ty G AN CITY
GONZALES ,

ORDONIO,MICHAELO REAUJAH, Christiani CABANATU ORDONIO,RHE

107106120061 M 01-16-2007 13 Tagalog PATALAC NUEVA ECIJA
- ty AN CITY A,PACLIHARE,

LOURDES PARUMOG JR,

PARUMOG,KEVIN ORLANCE, Christiani CABANATU LAHER,GALA,A
107107120048 M 12-31-2007 12 Tagalog (MATUNGA NUEVA ECIJA ORLANDO
LAHER ty AN CITY BERGAS,
L-TUNGAL) PABLO

POTENTE,
POTENTE,RHOD HARRLIE, Christiani CABANATU JUSTO,RUBY,R
419020150159 M 11-08-2006 13 Tagalog PATALAC NUEVA ECIJA HERBERT
JUSTO ty AN CITY AMOS,
BINARAO
SANTOS,MARL
PALAYAN RAMOS,
Christiani A
401364150128 RAMOS,HEZEKIAH, SANTOS M 03-26-2007 13 Tagalog MANACNAC CITY NUEVA ECIJA ARMANDO
ty AMERISZA,VIL
(Capital) ACOSTA
LAR,
REGUA,
Christiani CABANATU FRANCO,MERC
107107120050 REGUA,JOHN MARK, FRANCO M 09-04-2007 12 Tagalog BANGAD NUEVA ECIJA BERNARD
ty AN CITY EDEZ,SUBA,
BERMUDEZ
SALVADOR, DOMINGO,AILE
SALVADOR,ALBERT JUNE, Christiani DAANG CABANATU
401364150129 M 09-21-2006 13 Tagalog NUEVA ECIJA FELIX EN,VILLAREAL
DOMINGO ty SARILE AN CITY
HERNANDEZ ,

Christiani CABANATU SISO, AGATON SALAMAT,ANA

159012120039 SISO,JAN PAOLO, SALAMAT M 01-18-2007 13 Tagalog CABU NUEVA ECIJA
ty AN CITY JR PENIS LYN BIGCAS,,

VILLAFLORES,
VILLAFLORES,JOHN LUIS, Christiani KAPITAN CABANATU MARK PALON,MAJIEH
401364150132 M 11-02-2006 13 Tagalog NUEVA ECIJA
PALON ty PEPE (POB.) AN CITY ANTHONY ,CALMA,
HSIA
VILLANUEVA, DE
VILLANUEVA,NAETHAN Christiani FATIMA CABANATU
107112140618 M 12-29-2006 13 Tagalog NUEVA ECIJA VICTOR LEON,APRIL,V
JOSFEL, DE LEON ty (POB.) AN CITY
CABUNGCAL OCENCIO,

PALAYAN VILLEGAS, FER OCAMPO,GLAD

VILLEGAS,JOHN GEFER LLOYD, Christiani
419030150079 M 01-20-2008 12 Tagalog GANADERIA CITY NUEVA ECIJA ABRAHAM YS
OCAMPO ty
(Capital) BAUTISTA GRACE,ABES,

23 <=== TOTAL MALE

ADUAS ADRINEDA,
ADRINEDA,SAMANTHA Christiani CABANATU ROXAS,WENDY
107109120106 F 03-16-2007 13 Tagalog CENTRO NUEVA ECIJA LEONILO BASIL
NICOLE, ROXAS ty AN CITY LYN,DE JESUS,
(ADUAS) MANUEL

ADUNA,
ADUNA,ELAIJAH VERA, Christiani SAN JOSEF CABANATU MALLARI,JULI
107112130498 F 11-08-2007 12 Tagalog NUEVA ECIJA ROMMEL
MALLARI ty NORTE AN CITY ETA,LEGASPI,
LOPEZ
MERCADO,ELE
ALCOBER,ELIJAH NYCHIE, Christiani CABANATU ALCOBER, NY
401363150088 F 12-29-2007 12 English BANGAD NUEVA ECIJA
MERCADO ty AN CITY ARCHIE SISON ROSE,SANCHE
Z,
ALVARAN, FERNANDO,HO
ALVARAN,DANIELLA MARIA, Christiani MAYAPYAP CABANATU
107083130018 F 09-08-2007 12 Tagalog NUEVA ECIJA ROGELIO NEYLET,ESPIRI
FERNANDO ty SUR AN CITY
SAMSON TU,
AVENDAÑO,
AVENDAÑO,ANGELICA, Christiani CABANATU DUMDUM,NOR
107103120058 F 09-28-2007 12 Tagalog BANGAD NUEVA ECIJA JAIME
DUMDUM ty AN CITY A,QUIRANTE,
RODOLFO JR
PALAYAN CAPILI,
Christiani GABISON,GENE
105584120013 CAPILI,JARECA, GABISON F 04-24-2007 13 Tagalog MALIGAYA CITY NUEVA ECIJA ENRIELO
ty SA,BORJA,
(Capital) AVILA
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 Christiani CABANATU CARLOS, NOEL GARCIA,TRINA
107097130068 CARLOS,MARY JOY, GARCIA F 06-02-2007 13 Tagalog CABU NUEVA ECIJA
ty AN CITY CARIÑO VALLARTA,,

CARLOS,
Christiani DAANG CABANATU CABAL,REGIN
107078130013 CARLOS,REANA, CABAL F 08-31-2007 12 Tagalog NUEVA ECIJA ROMVILLE
ty SARILE AN CITY A,AGUSTIN,
CALANDAY

FUENSALIDA,
CHUA,DENNILYN CLAIRE, Christiani CABANATU CHUA, DENNIS
107064120409 F 11-30-2006 13 Tagalog BITAS NUEVA ECIJA MANILYN,CON
FUENSALIDA ty AN CITY CONCEPCION
TANTE,

DEL ROSARIO,
DEL ROSARIO,ARIANNA, Christiani DALAMPAN CABANATU VENTUZO,RUB
107083130019 F 11-24-2007 12 Tagalog NUEVA ECIJA ALFRED REYES
VENTUZO ty G AN CITY Y,MENDOZA,
JR

DIMAPAWI,
DIMAPAWI,MA ANGELA, Christiani BAGONG CABANATU BAUTISTA,RO
107094110019 F 11-30-2006 13 Tagalog NUEVA ECIJA RODERICK
BAUTISTA ty SIKAT AN CITY WENA,JAVIER,
DELOS SANTOS

GENERAL
CONCEPCIO DUBB, RAJIV KAUR,PARAMJI
401002150113 DUBB,LOVEPREET, KAUR F 12-05-2007 12 Tagalog Islam TINIO NUEVA ECIJA
N KUMAR T,,
(PAPAYA)

GALANG,
GALANG,QUEMMA MAY, Christiani CABANATU RAMOS,ARSEN
107106120046 F 05-12-2007 13 Tagalog PATALAC NUEVA ECIJA JOSEPH
RAMOS ty AN CITY IA,BALBIN,
PANINGBATAN

BANTIQUE,HA
Christiani ADUAS CABANATU ICO, HERBERT
107113120080 ICO,KALIX KHERBY, BANTIQUE F 10-09-2007 12 Tagalog NUEVA ECIJA RVIE,MONTILL
ty NORTE AN CITY DE JESUS
A,
ISLETA, MIRANDA,ELIZ
ISLETA,MHYCA CIELO, Christiani MARIA CABANATU
401364150113 F 11-29-2006 13 Tagalog NUEVA ECIJA FERDINAND ABETH,TANGH
MIRANDA ty THERESA AN CITY
MORALES AL,
LOZANO,
Christiani CABANATU PADIERNOS,OL
107107120010 LOZANO,RANLIV, PADIERNOS F 11-22-2006 13 Tagalog SAN ISIDRO NUEVA ECIJA RANDY
ty AN CITY IVE,MENDOZA,
CANTUBA
MACAPAGAL, PASCUAL,VICT
MACAPAGAL,MIHKYLA JOY, Christiani SAN ROQUE CABANATU
421522150070 F 06-21-2006 13 Tagalog NUEVA ECIJA FREDIE ORIA,VENTUR
PASCUAL ty SUR AN CITY
TIBURCIO A,
ADUAS MARTIN,
MARTIN,ANGELA MAY, Christiani CABANATU GARSULA,MEL
107113120081 F 01-20-2007 13 Tagalog CENTRO NUEVA ECIJA ROLANDO
GARSULA ty AN CITY IZA,ATENCIO,
(ADUAS) GARCIA
MUNSAYAC, SIMBULAN,APP
MUNSAYAC,LEIGH ASHLEY, Christiani KAPITAN CABANATU
107112120079 F 01-20-2007 13 Tagalog NUEVA ECIJA ELISEO LE
SIMBULAN ty PEPE (POB.) AN CITY
ROMANO JAY,FAJARDO,

MURAMATSU,KINCIA MAYU, Christiani CAMPO CABANATU MURAMATSU, QUIRANTE,JOA

421517150074 F 11-06-2007 12 Tagalog NUEVA ECIJA
QUIRANTE ty TINIO AN CITY SHINICHI - NA,CERA,

NIEGOS,
NIEGOS,SANDRA MARIE, Christiani BAGONG PENSON,FLORE
105809120032 F 05-04-2007 13 Tagalog TALAVERA NUEVA ECIJA RANDIE
PENSON ty SIKAT NCE,MARCIAL,
PATRICIO
PINEDA,
PINEDA,PRINCESS NICOLE, Christiani M. S. CABANATU PALAFOX,MAR
107112120213 F 03-15-2007 13 Tagalog NUEVA ECIJA FERDINAND
PALAFOX ty GARCIA AN CITY INELA,GARCIA,
ESMAS

VILLA RAQUINIO, MAQUINTO,DI

RAQUINIO,ALIYAH ARTEMIS, Christiani SAN JOSE
401344150024 F 08-22-2006 13 Filipino JOSON NUEVA ECIJA EDMUNDO ANNE BETH
MAQUINTO ty CITY
(PARILLA) VELASCO IRIS,VELASCO,

ADUAS FLORENTINO,J
REMIGIO,SHIN HYE HANNAH Christiani CABANATU REMIGIO, ERIC
107113120226 F 02-23-2007 13 Tagalog CENTRO NUEVA ECIJA OCELYN,BAGSI
ERIKKA, FLORENTINO ty AN CITY NERY
(ADUAS) C,
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 REPATO, JIMENEZ,FLOR
REPATO,ALLIZA MHAE, Christiani KALIKID CABANATU
107112120619 F 04-06-2007 13 Tagalog NUEVA ECIJA ALFREDO DELIZA,BARNA
JIMENEZ ty SUR AN CITY
PAJAR JR CHEA,

SANTIAGO, CHANECO,JAC
SANTIAGO,LAURA ASHLEY, Christiani SAN ROQUE CABANATU
401364150117 F 10-16-2006 13 Tagalog NUEVA ECIJA DENNIS QUELOU,GALA
CHANECO ty NORTE AN CITY
BACANI PIN,

SANTOS,
Christiani CABANATU CAMUA,CAROL
107094120023 SANTOS,CARLENE JOI, CAMUA F 12-18-2007 12 Tagalog BAKERO NUEVA ECIJA NELSON
ty AN CITY ,DANDANTAJ,
PARUBRUB

VALLARTA,
VALLARTA,JEANNE PATRICIA, Christiani CABANATU BAUTISTA,JOC
107107110107 F 02-04-2007 13 Tagalog SAN ISIDRO NUEVA ECIJA PATRICK
BAUTISTA ty AN CITY ELYN,TADEO,
REYES
VILLA VICENTE,
VICENTE,CHESKA LORRAINE, Christiani CABANATU CUNANAN,LEA
107067120251 F 02-27-2007 13 Tagalog OFELIA- NUEVA ECIJA FRANCISCO
CUNANAN ty AN CITY H,FLORES,
CARIDAD LISING

VILLAMIA,
VILLAMIA,SOPHIA BLANCA, Christiani CABANATU DIAZ,JENNIE,VI
401364150118 F 11-13-2006 13 Tagalog SANGITAN NUEVA ECIJA EDWIN
DIAZ ty AN CITY LLAREAL,
CABANGBANG

30 <=== TOTAL FEMALE

53 <=== 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 VICENTA TOMAS MARCELO
Date MALE 23
Balik Aral B/A Name of school last attended & Year (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 30
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 53
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Friday, March 5, 2021

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MAS MARCELO

ead over Printed Name)

EoSY Date:

d thru LIS