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

School Name Surigao Del Norte National High School School ID 304847 District Sison
Division Surigao

Semester First Semester School Year 2021 - 2022 Grade Level Grade 12 Track and Strand

Section GARCIA (HUMSS) 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 Nam
House #/ Street/ Sitio/ Purok Barangay Municipality/ City Province Name, First Name, Middle
First Name, Mid
Name)
Name)
F1-SHS)

Surigao del Norte Region CARAGA

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)
 29

40 <=== 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 11
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 29
Exceptionality Beginning of the Semeste
Accelerated ACL Specify Level & Effectivity Date

TOTAL 40
9/13/21 12:00 AM

Generated on: Wednesday, April 20, 2022

d by;

JOSE GIL LARONG ESCABAL

(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