School Form 1 School Register for Senior High School (SF1-SHS)

School Name Sta. Maria NHS School ID 304296 District Sta. Maria Division Davao Occidental Region Region XI

Semester Second Semester School Year 2018 - 2019 Grade Level Grade 12 Track and Strand Academic Track -General Academic Strand

Section GAS 12 Course (for TVL only)

GUARDIAN
COMPLETE ADDRESS PARENTS
AGE (if learner is not Living with Parent)
Contact

Sex (M/F)
as of
NAME BIRTH DATE Number of
LRN
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy) 1st Religious Affilication Mother's Maiden Parent or
Friday Father's Name (Last Name
Name (Last Name, Guardian
House #/ Street/ Sitio/ Purok Barangay Municipality/ City Province Name, First Name, Middle (Last Name, First Name, Relationship
June Name)
First Name, Middle
Name Extension, Middle
Name)

SAN DAVAO DEL

129125060009 BALDASAN,LALAINE BUALAN F 01/14/2000 Christianity SANTA MARIA MOYONG, JUN JUN BANDALA,LITA,, PARENT
ANTONIO SUR
DAVAO DEL GARALDE,NELIT
129127060011 LINDA,ANGELICA GARALDE F 04/13/2000 Christianity SAN PEDRO SANTA MARIA LINDA, ALFONSO - PARENT
SUR A,-,

2 <=== TOTAL FEMALE

2 <=== 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
ALEXANDER MASULONG CAYA
Transfered Out T/O CCT Receipient CCT CCT Control/reference number &
Effectivity Date MALE 0
Name of School, Date of 1st Attendance and Balik Aral B/A Name of school last attended & Year (Signature of Adviser over Printed Name)
Date of Last Attendance if Transferred Out
Transfered In T/I Learner With LWE Specify Exceptionality of the Learner
FEMALE 2 End of the Semester
Exceptionality Beginning of the Semester Date:
Accelerated ACL Specify Level & Effectivity Date

TOTAL 2
10/29/18 12:00 AM 3/31/19 12:00 AM

Generated on: Tuesday, November 9, 2021

 Region XI

ademic Strand

REMARKS
Contact
Number of Learning
Parent or Modality
Guardian (Please refer to the
legend on last page)

NG CAYA

inted Name)

End of the Semester Date:

3/31/19 12:00 AM