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

School Name Buenavista National High School School ID 304871 District Tandag I
Division Tand

Semester First Semester School Year 2021 - 2022 Grade Level Grade 11 Track and Strand

Section GENTLE Course (for TVL only) Bread and Pastry Production (NC II), Cookery (NC II), Food

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)

SURIGAO DEL BALINGAN, PROBETCHO,

132791100001 BALINGAN,JAMES VAN PROBETCHO M 05/05/2005 16 Christianity MANGAGOY CITY OF BISLIG
SUR CILBESTRO TIKOD LYN,GINGOY

SAN CITY OF
SURIGAO DEL CORDOVIZ, MAHUMOC,A
132974100032 CORDOVIZ,ALJHUN MAHUMOC M 10/20/2003 18 Christianity AGUSTIN TANDAG
SUR RICHARD ASOQUE NA,PAMAUS,
NORTE (Capital)
SAN CITY OF
SURIGAO DEL CORDOVIZ, APDO,LUISA,S
132974100033 CORDOVIZ,DENNIS APDO M 08/09/2004 17 Christianity AGUSTIN TANDAG
SUR AVELINO MADELO SON,
NORTE (Capital)
NEW DAVAO DEL DENSING, VEDASTO CORTES,BERN
514121900134 DENSING,RITCHIE PAUL CORTES M 09/06/1994 27 Christianity MALITA
ARGAO SUR - SR ITH,-,
SURIGAO DEL MONTENEGRO, MORENO,GIN
132943120149 MONTENEGRO,JOSEPHCRIS MORENO M 12/29/2001 19 Christianity GAMUT TAGO
SUR RUDY SOCO ORTES,
CITY OF
SAN SURIGAO DEL ALZATE, GLECERIO NAJIAL,MARY
132975090002 NAJIAL,MIKE - M 06/02/2002 19 Christianity TANDAG
ANTONIO SUR MADELO GRACE,JURIG
(Capital)
CITY OF
BUENAVIST SURIGAO DEL PALAÑA, FEDERICO JAMERO,ROM
120911090014 PALAÑA,MARK JAMERO M 12/17/2003 17 Christianity TANDAG
A SUR PARODE A,SAMONTIN
(Capital)

7 <=== TOTAL MALE

CITY OF
BUENAVIST SURIGAO DEL ABAO, PRUDENCIO PAGARAN,DO
132961060002 ABAO,CHARMAINE PAGARAN F 07/11/1999 22 Christianity TANDAG
A SUR SIGUE JR NGA,MARTIN
(Capital)
SAN CITY OF
SURIGAO DEL CORDOVIZ, ARNEL ORTIZ,RIZA,O
132974100035 CORDOVIZ,QUEENBELLE ORTIZ F 12/22/2004 16 Christianity AGUSTIN TANDAG
SUR BUCAY S,
NORTE (Capital)
CITY OF
BUENAVIST SURIGAO DEL MARTINEZ, BASILIO SENO,ELESAB
132961100048 MARTINEZ,JODYVINE SENO F 06/03/2004 17 Christianity TANDAG
A SUR ESCASINAS JR ,GAJIE,
(Capital)
SAN CITY OF
SURIGAO DEL MENDEZ, APELLANES,A
132964090076 MENDEZ,LYNLYN APELLANES F 01/11/2003 18 Christianity AGUSTIN TANDAG
SUR APOLINARIO SOTIS N,CALABDAN
SUR (Capital)
CITY OF
SURIGAO DEL NOVO, JUANCHO VILLARUZ,MA
132978100105 NOVO,RAFUNZEL VILLARUZ F 07/14/2002 19 Christianity MABUA TANDAG
SUR MAGBANUA YN,S,
(Capital)
F1-SHS)

Tandag City Region CARAGA

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)

PROBETCHO,ANA
PARENT Modular (print)
LYN,GINGOYON,

MAHUMOC,ALBE
PARENT Modular (print)
NA,PAMAUS,

APDO,LUISA,SAY
PARENT Modular (print)
SON,

CORTES,BERNAD
Modular (print)
TH,-,
MORENO,GINA,C
Modular (print) Pending TI
ORTES,

NAJIAL,MARY
PARENT Modular (print)
GRACE,JURIGUE,

JAMERO,ROMAN
PARENT Modular (print)
A,SAMONTINA,

PAGARAN,DOMI
Modular (print) T/I DATE:2021-10-25
NGA,MARTINEZ,

ORTIZ,RIZA,OMO
PARENT Modular (print)
S,

SENO,ELESABITH
PARENT Modular (print)
GAJIE,

APELLANES,AILY
Modular (print) T/I DATE:2021-09-30
N,CALABDAN,

VILLARUZ,MARL
Modular (print) T/I DATE:2021-09-30
YN,S,
 CITY OF
SURIGAO DEL PALMA, MEDARDO ESTRADA,RU
132979120299 PALMA,MICHELLE ESTRADA F 03/02/2004 17 Christianity MABUA TANDAG
SUR ABAO EL,DE CASTR
(Capital)
CITY OF PRAJENOG,
SURIGAO DEL PACARDO,EL
132963070008 PRAJENOG,ELLEN JOY PACARDO F 09/30/2002 19 Christianity SALVACION TANDAG EMMANUEL ARBIS
SUR BETH,ERAN,
(Capital) SR
CITY OF
DAVAO DEL PRAJINOG,EV
132963100018 PRAJINOG,LOVELY ROSE - F 11/21/2003 17 Christianity MANKILAM TAGUM
NORTE N,PACARDO,
(Capital)

SURIGAO DEL RAMOS, GREG NACAYTUNA

406056150069 RAMOS,YESHA NACAYTUNA F 10/29/2005 16 Christianity POBLACION SAN MIGUEL
SUR CABANLIT Z,MEDRANO,

CITY OF
BUENAVIST SURIGAO DEL ADINO, PIADEL RIVERA,VERG
132961100006 RIVERA,JOANA MAE - F 06/24/2003 18 Christianity TANDAG
A SUR ABAO BEBAT,
(Capital)
CITY OF SAMONTINA,
BUENAVIST SURIGAO DEL RAMBOYON,N
132961100084 SAMONTINA,JAIRA RAMBOYON F 12/23/2005 15 Christianity TANDAG SALVADOR
A SUR CISA,PELARY
(Capital) MENDEZ
SAN CITY OF
SURIGAO DEL SUAREZ, AMELITO SALAR,MARIF
132974100072 SUAREZ,MERRY JOY SALAR F 11/14/2003 17 Christianity AGUSTIN TANDAG
SUR CARIAGA ACUNDO,
NORTE (Capital)
CITY OF TAMPARONG,
BUENAVIST SURIGAO DEL MADELO,RIZA
132961120145 TAMPARONG,MISHA NOVA MADELO F 11/06/2002 18 Christianity TANDAG DOMINADOR
A SUR IS,
(Capital) ALBURO JR
CITY OF
BUENAVIST SURIGAO DEL TOMBOC, LUCENO FUERZAZ,FEL
132961100092 TOMBOC,CHRISTELLE FUERZAZ F 01/22/2005 16 Christianity TANDAG
A SUR BAGNOL SR DAD,ABO,
(Capital)

14 <=== TOTAL FEMALE

21 <=== 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 7
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 14
Exceptionality Beginning of the Semeste
Accelerated ACL Specify Level & Effectivity Date

TOTAL 21
9/13/21 12:00 AM

Generated on: Saturday, February 26, 2022

ESTRADA,RUTCH
Modular (print) T/I DATE:2021-09-30
EL,DE CASTRO,

PACARDO,ELIZA
PARENT Modular (print)
BETH,ERAN,

PRAJINOG,EVELY
RELATIVE Modular (print)
N,PACARDO,

NACAYTUNA,GLI
PARENT Modular (print) T/I DATE:2021-09-30
Z,MEDRANO,

RIVERA,VERGIE,
PARENT Modular (print)
BEBAT,

RAMBOYON,NAR
PARENT Modular (print)
CISA,PELARYOS,

SALAR,MARIFE,F
PARENT Modular (print)
ACUNDO,

MADELO,RIZA,EP
RELATIVE Modular (print)
S,

FUERZAZ,FELICI
PARENT Modular (print)
DAD,ABO,

d by;

DOROTHY LUENGAS SUAZO

(Signature of Adviser over Printed Name)

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

1 12:00 AM 1/28/22 12:00 AM