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

School Name Kimamon National High School School ID 304237 District Sto. Tomas East
Division Davao

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

Section Taurus Course (for TVL only) Horticulture (NC II)

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)

NEW DAVAO DEL BENITO, LITO JUDIT,VERON

304237110030 BENITO,MIKKO JUDIT M 05/01/1998 22 Christianity SANTO TOMAS
KATIPUNAN NORTE LAGAMAO ,MADEZ,

FAUSTORILLA
DAVAO DEL DAPAR, ALFREDO
128748060035 DAPAR,JOFRED FAUSTORILLA M 02/21/2000 20 Christianity KIMAMON SANTO TOMAS CELYN,ALVA
NORTE BALISTA
DO,
AGSAMOSAM
DAVAO DEL HEY, ISIDRO
128756090021 HEY,KENNETH AGSAMOSAM M 01/29/2003 17 Christianity TALOMO SANTO TOMAS ZMINDA,ABSA
NORTE BATION
N,

DAVAO DEL LIM, HARRIE MENDAROS,M

128753080023 LIM,HAROLD MENDAROS M 07/22/2002 18 Christianity PANTARON SANTO TOMAS
NORTE ROCERO ANIE,TUNOG,

DAVAO DEL LUCNOD, HILARIO ALAGOS,FLO

128748080089 LUCNOD,HILARIO JR ALAGOS M 06/22/2001 19 Christianity KIMAMON SANTO TOMAS
NORTE SUAREZ SR LIZA,ANTONI

DAVAO DEL REBLORA, JOSE LUCERO,ROL

128751070088 REBLORA,JOSHUA LUCERO M 12/18/2000 19 Christianity LUNGAOG SANTO TOMAS
NORTE REBOTADA N,CALIXTRO,

DAVAO DEL RIVERA, REYWEN ALCAIN,ALEJ

128751080083 RIVERA,REYJAN ALCAIN M 08/24/2002 18 Christianity LUNGAOG SANTO TOMAS
NORTE SARCENO DRA,GILDORE

DAVAO DEL SENTILLANOSA, AUSTRAL,EV

128751080090 SENTILLANOSA,REY JR AUSTRAL M 10/17/2001 19 Christianity TALOMO SANTO TOMAS
NORTE REY PASTERA SR ELINE,BAISAC

DAVAO DEL TURNO, MACARIO EDAMA,DARM

128751070103 TURNO,LENARD EDAMA M 03/04/2001 19 Christianity LUNGAOG SANTO TOMAS
NORTE TASIL DELA PAZ,

DAVAO DEL VILLANUAVA, AMPIS,DINA,D

128748080179 VILLANUEVA,LLOYD ANTHONY AMPIS M 02/28/2000 20 Christianity KIMAMON SANTO TOMAS
NORTE MARINO ESCORO LAO,

10 <=== TOTAL MALE

DAVAO DEL ABELA, EDITO PIÑEZ,EVELY

128751080001 ABELA,EDELYN PIÑEZ F 11/20/2001 18 Christianity LUNGAOG SANTO TOMAS
NORTE GOMEZ NTOS,

DAVAO DEL ALBUTRA, RODELIO TESORO,MAR

128748080012 ALBUTRA,ALMERA TESORO F 08/25/2003 17 Christianity KIMAMON SANTO TOMAS
NORTE RELEVANTE A,SIGUE,
F1-SHS)

Davao del Norte Region Region XI

Technical-Vocational-Livelihood Track

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)

JUDIT,VERONICA
Modular (print)
MADEZ,

FAUSTORILLA,JO
CELYN,ALVARA PARENT Modular (print)
DO,
AGSAMOSAM,LU
ZMINDA,ABSALO Modular (print)
N,

MENDAROS,MEL
PARENT Modular (print)
ANIE,TUNOG,

ALAGOS,FLORDE
PARENT Modular (print)
LIZA,ANTONIO,

LUCERO,ROLILY
PARENT Modular (print)
N,CALIXTRO,

ALCAIN,ALEJAN
PARENT Modular (print)
DRA,GILDORE,

AUSTRAL,EVANG
PARENT Modular (print)
ELINE,BAISAC,

EDAMA,DARMIE,
PARENT Modular (print)
DELA PAZ,

AMPIS,DINA,DIA
PARENT Modular (print)
LAO,

PIÑEZ,EVELYN,SI
PARENT Modular (print)
NTOS,

TESORO,MARCEL
PARENT Modular (print)
A,SIGUE,
 DAVAO DEL BALTAR, ALAN ESTEPA,ROSA
128751080008 BALTAR,CHERY FE ESTEPA F 09/14/2002 18 Christianity TALOMO SANTO TOMAS
NORTE MILLOMIDA DA,MACAHIP

BASILES,
DAVAO DEL ROGON,BELIN
128748080033 BASILES,FERNALYN ROGON F 01/31/2002 18 Christianity KIMAMON SANTO TOMAS FERNANDO
NORTE ,RODEÑO,
CALUNGSOD

DAVAO DEL BATOC, BENITO OTERO,AYLE

128748080036 BATOC,SHIELA MAE OTERO F 09/23/2001 19 Christianity KIMAMON SANTO TOMAS
NORTE AGOR UAREZ,

DAVAO DEL AMPIS,MERLI

128756090012 CANDIDO,PRINCESS AMPIS F 11/29/2001 18 Christianity TALOMO SANTO TOMAS CANDIDO, NINO
NORTE A,DIALAO,

DAVAO DEL EDRADA, RENY ROYO,MENAL

128748080060 EDRADA,KAYE ROYO F 07/28/2002 18 Christianity KIMAMON SANTO TOMAS
NORTE BOLIBOL CALANO,

DAVAO DEL ENANORIA, ARAÑO,MERC

128748080061 ENANORIA,EDEN ARAÑO F 09/17/2001 19 Christianity KIMAMON SANTO TOMAS
NORTE DOMINADOR IMPAS TA,YUZON,

DAVAO DEL GEROMALA, ALCASID,ALV

128756090018 GEROMALA,ELVIE ALCASID F 06/11/2002 18 Christianity TALOMO SANTO TOMAS
NORTE SILVERIO GORON A,NATIVIDAD

DAVAO DEL GUMANOY, ONDOY,JAY

128753080018 GUMANOY,ANGEL MAE ONDOY F 09/29/2003 17 Christianity PANTARON SANTO TOMAS
NORTE SERAPIO RUADO JR JEAN,DENIEG

FULGUERINA
DAVAO DEL HAYANA, AGUSTIN
128751080045 HAYANA,ANGIE FULGUERINAS F 06/27/2002 18 Christianity LUNGAOG SANTO TOMAS ECELIA,MAHU
NORTE BATUON JR
OT,
MAGPATOC,E
DAVAO DEL LAGANSON, ROSIE
128748080082 LAGANSON,ROSHEL MAGPATOC F 03/01/2001 19 Christianity KIMAMON SANTO TOMAS NGELINE,MON
NORTE ROYO
R,

DAVAO DEL LUMANTAS, SISNEROS,DA

128748080090 LUMANTAS,DALIA SISNEROS F 08/03/2000 20 Christianity KIMAMON SANTO TOMAS
NORTE MAXIMO GALLENOS A,ROMERA,

DAVAO DEL MAHIPOS, ROMEO ONDOY,MYRN

128753080026 MAHIPOS,CRISTY ANNE ONDOY F 10/24/2002 18 Christianity TALOMO SANTO TOMAS
NORTE CABILES GONA,

DAVAO DEL MAHIPOS, ROGER ROMANO,MER

128753080027 MAHIPOS,DAISY ROMANO F 10/13/2002 18 Christianity PANTARON SANTO TOMAS
NORTE LURIBO ,GAMBITO,

DAVAO DEL
128748080100 MATURAN,HEZEKIAH FERRER F 01/30/2002 18 Christianity KIMAMON SANTO TOMAS MATURAN, IRVIN
NORTE
SALIGUMBA,M
DAVAO DEL MESOLIS,
128753080030 MESOLIS,DECEE ROSE SALIGUMBA F 10/14/2002 18 Christianity PANTARON SANTO TOMAS RY
NORTE DECOROSO PAQUIT
JEAN,BOLLON

DAVAO DEL MILLIONES, EDWIN ALFAR,LORIN

128748080102 MILLIONES,MISSY ALFAR F 12/08/2002 17 Christianity KIMAMON SANTO TOMAS
NORTE CAONAN LBOTRA,

DAVAO DEL PASTOLERO, LUIS LORAÑA,ARL

128623080085 PASTOLERO,LALENE LORAÑA F 09/22/2001 19 Christianity KIMAMON SANTO TOMAS
NORTE LEYSA JR ,SUAREZ,

DAVAO DEL REMOROZA, MAYBUENA,M

128748080124 REMOROZA,GERALDINE MAYBUENA F 11/21/2002 17 Christianity KIMAMON SANTO TOMAS
NORTE ROGELIO ROBIS JR Y ANN,ERASM

DAVAO DEL SEMILLA, JONIE MORTERA,LO

128751080089 SEMILLA,JENIFER MORTERA F 08/16/2002 18 Christianity TALOMO SANTO TOMAS
NORTE ESCAROLA A,CATOSALE

DAVAO DEL SOLIS, DOMINADOR BORBON,MAR

128751080094 SOLIS,DIANE MARCOS F 12/17/2002 17 Christianity TALOMO SANTO TOMAS
NORTE PALAO S,ANGELITA,
ESTEPA,ROSALIN
Modular (print)
DA,MACAHIPAY,

ROGON,BELINDA
PARENT Modular (print)
RODEÑO,

OTERO,AYLENE,S
PARENT Modular (print)
UAREZ,

AMPIS,MERLIND
PARENT Modular (print)
A,DIALAO,

ROYO,MENALYN, NLS
PARENT Modular (print)
CALANO, DATE:2021/03/15

ARAÑO,MERCEDI
Modular (print)
TA,YUZON,

ALCASID,ALVIN
PARENT Modular (print)
A,NATIVIDAD,

ONDOY,JAY
Modular (print)
JEAN,DENIEGA,

FULGUERINAS,C
ECELIA,MAHUM PARENT Modular (print)
OT,
MAGPATOC,EVA
NGELINE,MONTE PARENT Modular (print)
R,

SISNEROS,DANIL
PARENT Modular (print)
A,ROMERA,

ONDOY,MYRNA,
Modular (print)
GONA,

ROMANO,MERCY
Modular (print)
GAMBITO,

PARENT Modular (print)

SALIGUMBA,MA
RY Modular (print)
JEAN,BOLLON,

ALFAR,LORINA,A NLS
PARENT Modular (print)
LBOTRA, DATE:2021/03/15

LORAÑA,ARLENE
PARENT Modular (print)
SUAREZ,

MAYBUENA,MAR
Modular (print)
Y ANN,ERASMO,

MORTERA,LORN
Modular (print)
A,CATOSALEM,

BORBON,MARCO
PARENT Modular (print)
S,ANGELITA,
 TAGANAIT,
DAVAO DEL NAKILA,DAIS
128748120104 TAGANAIT,DHESSY RECH NAKILA F 07/12/2002 18 Christianity KIMAMON SANTO TOMAS RICHARD DELA
NORTE UHIL,
CRUZ
DAVAO DEL SEVERINO,CH
128748050143 TALIB,CHERLYN ROYO F 11/29/1999 20 Christianity KIMAMON SANTO TOMAS
NORTE TO,,
VILLANUEVA,
DAVAO DEL RAMOS,VERG
128748080177 VILLANUEVA,APRIL ROSE RAMOS F 04/04/2000 20 Christianity KIMAMON SANTO TOMAS SALVADOR
NORTE DE ASIS,
RAMIREZ

25 <=== TOTAL FEMALE

35 <=== 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 10
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 25
Exceptionality Beginning of the Semeste
Accelerated ACL Specify Level & Effectivity Date

TOTAL 35
2/15/21 12:00 AM

Generated on: Monday, June 28, 2021

NAKILA,DAISY,G
PARENT Modular (print)
UHIL,

SEVERINO,CHARI
PARENT Modular (print)
TO,,

RAMOS,VERGIE,
PARENT Modular (print)
DE ASIS,

d by;

WILSON LAYOS GODOY

(Signature of Adviser over Printed Name)

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

1 12:00 AM 7/10/21 12:00 AM