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School Form 1 (SF 1) School Register

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

School ID 109538 Region IV-A Division Rizal District Taytay II

School Name Dolores Elementary School School Year 2021 - 2022 Grade Level Grade 4 Section KINDNESS

GUARDIAN
ADDRESS PARENTS REMARKS
(if Not Parent)
Age MOTHER Contact

Sex (M/F)
IP
NAME BIRTH DATE as of TONGUE RELIGIO Number of Learning
LRN (Ethnic Mother's Maiden
(Last Name, First Name, Middle Name) (mm/dd/yyyy) Octob (Grade 1 Group)
N House #/ Father's Name (Last Parent or Modality (Please refer to
er 31 to 3 Only) Municipality/ Name (Last Name, Guardian
Street/ Sitio/ Barangay Province Name, First Name, Name Relationship the legend on last
City First Name, Middle
Purok Middle Name) page)
Name)

CAMAIN, JACINTO,MAR
CAMAIN,NICK DHAIMIEL, Christiani DOLORES Modular
109538170345 M 10-17-2011 10 Tagalog TAYTAY RIZAL ROMNICK Y
JACINTO ty (POB.) (print)
DELA TORRE NEIL,JACINTO,
Christiani DOLORES DELA Modular
109538170007 DELA PAZ,RAFAEL NASH, - M 04-12-2012 9 Tagalog TAYTAY RIZAL
ty (POB.) PAZ,RUTH,, (print)

DELOS
DELOS SANTOS,CARLO, Christiani DOLORES DELOS SANTOS,JERRI Modular
109538150272 M 10-04-2009 12 Tagalog TAYTAY RIZAL
BUENAVENTURA ty (POB.) SANTOS, JESSIE LYN,BUENAVE (print)
NTURA,

STA
ENTRADA,JOHN ARZEN, STA Christiani DOLORES ENTRADA, Modular
109533170080 M 12-14-2011 9 Tagalog TAYTAY RIZAL ANA,ABEGAIL,
ANA ty (POB.) BRYAN - (print)
-,
JAVIER,
Christiani DOLORES CLORES,EVELY Modular
109538150222 JAVIER,JOHN ANDREW, CLORES M 09-09-2010 11 Tagalog TAYTAY RIZAL ARMANDO
ty (POB.) N,-, (print)
CRISOSTOMO

LAMEYRA,
LAMEYRA,BRYLE WYVERN, Christiani DOLORES MENDEZ,WEN Modular
109538170048 M 09-06-2011 10 Tagalog TAYTAY RIZAL MARK JOSEPH
MENDEZ ty (POB.) DY,ESTEBAN, (print)
AMBITA

MARASIGAN, T/I
MARASIGAN,GHENCEL, Christiani CAMARINES BASILIA,RASC Modular
109538170140 M 04-27-2012 9 Tagalog CASUNA TIGAON REOLITO DATE:2021-09-
BASILIA ty SUR HEL,BAAL, (print)
FERRER 13
ORASA,
Christiani DOLORES ANDRES,SHIEL Modular
109538170187 ORASA,KYLE LOUIE, ANDRES M 08-24-2011 10 Tagalog TAYTAY RIZAL WENDHEL
ty (POB.) A,BRIN, (print)
IGNACIO
ORTICIO, CERBO,ROSEL
Christiani DOLORES Modular
109538170089 ORTICIO,JHON PAUL, CERBO M 05-10-2011 10 Tagalog TAYTAY RIZAL JERICO YN,CABALLER
ty (POB.) (print)
JERVOSO O,
MANZANA,ELO
PEREZ,SIRYAZ KYLE, Christiani DOLORES PEREZ, ALLAN Modular
109538170191 M 04-30-2012 9 Tagalog TAYTAY RIZAL ISA,SARMIENT
MANZANA ty (POB.) FRANCISCO (print)
O,
RAZON, OBISPO,CRISEL
Christiani DOLORES Modular
109538150238 RAZON,JOHN LESTER, OBISPO M 08-05-2010 11 Tagalog TAYTAY RIZAL EDUARDO DA,DELA
ty (POB.) (print)
BACOL JR CRUZ,

REYES,KARL NICKOLAS, Christiani DOLORES REYES, MONTIMAYOR, Modular


109538170161 M 01-23-2012 9 Tagalog TAYTAY RIZAL
MONTIMAYOR ty (POB.) CARLITO MARILYN,, (print)

SINGCUENCO,
SINGCUENCO,VINCE JACOB, Christiani DOLORES MAURICIO,CHE Modular
109538170250 M 10-17-2010 11 Tagalog TAYTAY RIZAL VALENTINO
MAURICIO ty (POB.) RRY,GARCIA, (print)
CASTRO

SORIANO,
SORIANO,JARIONE KHAYLL, Christiani DOLORES BERTOS,KARE Modular
109538160128 M 01-01-2011 10 Tagalog Tagalog TAYTAY RIZAL MARK JASON
BERTOS ty (POB.) N,PARSAN, (print)
REMO

SORIANO,MATTHEW, Christiani DOLORES SORIANO, BERNARDEZ,R Modular


109538170251 M 09-06-2011 10 Tagalog TAYTAY RIZAL
BERNARDEZ ty (POB.) GARY TAYCO OWENA,SONIO, (print)

TABUENA,
TABUENA,RAJON PAUL, Christiani DOLORES ANTHONY SABUSAP,MARI Modular
109538170253 M 07-15-2012 9 Tagalog TAYTAY RIZAL
SABUSAP ty (POB.) JOSEPH FE,VINAS, (print)
GUIDEB
ESPER,MA
Christiani TIBAY, PAULO Modular
109541170075 TIBAY,LORD LUTHER, ESPER M 08-17-2011 10 Tagalog SAN JUAN TAYTAY RIZAL CECILLIA,LAC
ty DELA PAZ (print)
ABE,
VERSELES, SANVICTORES,
VERSELES,ERICH JOHN Christiani DOLORES
109538170105 M 06-22-2011 10 Tagalog TAYTAY RIZAL JOHN EDITHA,FREJA Blended
CARLOS, SANVICTORES ty (POB.)
VILLANUEVA S,
ZAMORA,
ZAMORA,JUSTINE KERVIN, Christiani DOLORES RIVERA,NELIT Modular
109538170344 M 10-17-2011 10 Tagalog TAYTAY RIZAL ERWIN
RIVERA ty (POB.) A,VARGAS, (print)
EBUENGA

19 <=== TOTAL MALE

ALCANTARA,
ALCANTARA,PRINCESS DENISE, Christiani DOLORES CLORES,LALEN
109538170064 F 09-01-2011 10 Tagalog TAYTAY RIZAL DENNIS Blended
CCLORES ty (POB.) ,PUCOL,
MANZON

Christiani DOLORES BASILIDES,DAI Modular


109538170067 BASILIDES,SOPHIA, - F 02-03-2012 9 Tagalog TAYTAY RIZAL
ty (POB.) SY,PORNILLOS, (print)

BERNARDINO, ARABIT,CHAR
BERNARDINO,JAYRMAINE, Christiani Modular
109538170348 F 05-13-2012 9 Tagalog SAN JUAN TAYTAY RIZAL LEOGEE MAINE,FRANCI
ARABIT ty (print)
MAGNO SCO,
BRASILENO,M
Christiani DOLORES A
109366170041 BRASILEÑO,CAILYN JOYCE, - F 07-18-2011 10 Tagalog TAYTAY RIZAL Blended
ty (POB.) CATHERINE,BA
GUNA,

Christiani DOLORES CRUZ, JACOB YUGING,DONN Modular


109538170099 CRUZ,JAYMIE JURIS, YUGING F 07-16-2011 10 Tagalog TAYTAY RIZAL
ty (POB.) TOLENTINO ABEL,FLORES, (print)

DE LUMEN,JEANINE CARMEL, Christiani DE LUMEN, AMILAO,ZUSIE, Modular


425560170009 F 07-16-2012 9 Tagalog SAN ISIDRO TAYTAY RIZAL
AMILANO ty JAYSON M , (print)

BAUTISTA,JEN
DEL ROSARIO,JESSICA ANNE, Christiani DOLORES DEL ROSARIO, Modular
109538170104 F 05-11-2012 9 Tagalog TAYTAY RIZAL NIFER,CANLAS
BAUTISTA ty (POB.) IRINEO RIVERA (print)
,

ESPERANZATE,
ESPERANZATE,EUNICE, Christiani DOLORES GALAMITON,G Modular
109538170001 F 03-30-2012 9 Tagalog TAYTAY RIZAL EDMAR
GALAMITON ty (POB.) RACE,TADO, (print)
ZAPANTA

ESTRELLADO,LEIDOLHYEN Christiani DOLORES ESTRELLADO, SAUNAR,RACH Modular


109538170269 F 05-01-2012 9 Tagalog TAYTAY RIZAL
MAY, SAUNAR ty (POB.) RUEL IELLE LEE,, (print)

FELIZARDO,
FELIZARDO,FRANZINE, Christiani DOLORES RICAFRENTE,J Modular
109538170116 F 04-19-2012 9 Tagalog TAYTAY RIZAL PRINCE
RICAFRENTE ty (POB.) ESSICA,-, (print)
ORTEGA
FIGURACION,
FIGURACION,MARION Christiani CERRERO,MYL Modular
425596150005 F 11-08-2011 9 Tagalog SAN JUAN TAYTAY RIZAL JOMAR
HERMILENE, CERRERO ty ENE,LOYOLA, (print)
OLIVEROS

FRANCISCO,
FRANCISCO,KRISTELLE, Christiani MANABAT,GIN Modular
109533180353 F 09-02-2012 9 Tagalog SANTA ANA TAYTAY RIZAL CRISANTO DEL
MANABAT ty A,BAJACAN, (print)
ROSARIO

GARCIA,
Christiani DOLORES GONZAGA,DOL Modular
109538140099 GARCIA,NICOLE, GONZAGA F 08-02-2009 12 Tagalog TAYTAY RIZAL ARISTOTLE
ty (POB.) ORES,, (print)
GABRIEL
GEREMILLO,
DE
GEREMILLO,ATHENA SOFIA, DE Christiani DOLORES JOHN Modular
109538170029 F 05-09-2012 9 Tagalog TAYTAY RIZAL LUMEN,RUTH,S
LUMEN ty (POB.) DANIELLE (print)
ALANSANG,
CRUZ
HILA,
Christiani DOLORES REYES,CRISTIN Modular
109538170053 HILA,RAIM COURTNEY, REYES F 09-10-2011 10 Tagalog TAYTAY RIZAL REMMUEL
ty (POB.) A,PADUA, (print)
BAUTISTA
LOBARVIO,BER
Christiani DOLORES JULIANO, Modular
109538170290 JULIANO,ELVI-LYN, LOBARVIO F 07-16-2012 9 Tagalog TAYTAY RIZAL LYN,SUMBAJO
ty (POB.) ELVIS LAPUZ (print)
N,
LAROCO,
LAROCO,AIAJOHN NICOLLE, Christiani DOLORES TOLENTINO,JIL Modular
109538170197 F 08-15-2011 10 Tagalog TAYTAY RIZAL PRANDY NICO
TOLENTINO ty (POB.) L,LUCAS, (print)
CO
BATAS,HAZEL
PALIT-ANG,HANNAH KYLIE, Christiani DOLORES PALIT-ANG, Modular
109538170199 F 08-13-2012 9 Tagalog TAYTAY RIZAL JOAN,MAGALI
BATAS ty (POB.) ROMMEL (print)
NG,
Christiani DOLORES PANONCILLO, CASUYON,MAR Modular
109538170353 PANONCILLO,IZEAH, CASUYON F 12-26-2011 9 Tagalog TAYTAY RIZAL
ty (POB.) MARCO RAMOS INA,IDEAL, (print)

PARUNGAO,
PARUNGAO,KURT RAIXELL, Christiani DOLORES URIAS,ONALY Modular
109538170201 F 10-09-2011 10 Tagalog TAYTAY RIZAL REXELL
URIAS ty (POB.) N,OLGUERA, (print)
GANTALA
PULUMBARIT, GUEVARRA,JO
PULUMBARIT,JADE CHLOEI, Christiani DOLORES Modular
109538170337 F 12-25-2011 9 Tagalog TAYTAY RIZAL JOVELT NALYN,ARABI
GUEVARRA ty (POB.) (print)
DUMANDAN T,
REMAN,CARL ANGELA, Christiani DOLORES REMAN, LEGASPI,MARY
109538170231 F 02-06-2012 9 Tagalog TAYTAY RIZAL Blended
LEGASPI ty (POB.) ERICSON JANE,,
NCR SANTOS,
SANTOS,CARLA ALLAICEL, Christiani CALUMPAN CITY OF TIAMSON,CECI Modular
107712170026 F 03-14-2012 9 Tagalog SECOND ALLAN
TIAMSON ty G MARIKINA LLE,PASCO, (print)
DISTRICT RODRIGUEZ
SARANGAY,RHEILYN Christiani DOLORES SARANGAY, BANDALA,LOU Modular
109538170346 F 09-02-2011 10 Tagalog TAYTAY RIZAL
MARGARET, BANDALA ty (POB.) RHENDELE IE LYN,, (print)
VILLANUEVA,
PANCHO,JONA
VILLANUEVA,ALLTHEA JOY, Christiani DOLORES ALLAN Modular
109538170208 F 08-05-2011 10 Tagalog TAYTAY RIZAL LYN,MANANG
PANCHO ty (POB.) BUENAVENTU (print)
AN,
RA

25 <=== TOTAL FEMALE

44 <=== 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 LORIE BATALLA ROQUERO
Date MALE 19
Balik Aral B/A Name of school last attended & Year IRENE RAMIREZ SARMIENTO (Signature of School Head over Printed Name)
Transfered In T/I Name of Public (P) Private (PR) School & Effectivity
Date Learner With LWD Specify (Signature of Adviser over Printed Name)
FEMALE 25
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 44
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Thursday, June 30, 2022

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