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

School Name Sacata NHS School ID 300983 District Sta. Ignacia

Division Ta

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

Section FAITH I 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 Na
House #/ Street/ Sitio/ Purok Barangay Municipality/ City Province Name, First Name, Middle
First Name, Mi
Name)
Name)

CALURA, MARIO MARON,JOCE

106595090011 CALURA,MARK JOE MARON M 11/30/2003 17 Christianity BALITE PURA TARLAC
DELA CRUZ N,DELA CRUZ

POBLACION SANTA
106679100054 VELASCO,JOHN ALBERT GOMEZ M 04/22/2004 17 Christianity TARLAC VELASCO, AL
WEST IGNACIA

2 <=== TOTAL MALE

SANTA ANDRES, WILLY REYES,ELENA

106667090003 ANDRES,WENALYN REYES F 02/21/2004 17 Christianity CABARUAN TARLAC
IGNACIA ROMEO ARIANO,

SAN SANTA BELTRAN, ISMAEL BALBIN,JACK

106677090011 BELTRAN,KYLA NICOLE BALBIN F 04/26/2004 17 Christianity TARLAC
FRANCISCO IGNACIA SORIANO YN,SANTIAGO

SANTA DURAN, ALFONSO AGUSTIN,NOR

106686090022 DURAN,ALTHEA AGUSTIN F 11/08/2003 17 Christianity CABARUAN TARLAC
IGNACIA PADRE ABRAZADO,

SAN SANTA IBARRA, FILMER MEJIA,RINA,M

106677090028 IBARRA,RIMER MAE MEJIA F 06/14/2003 18 Christianity TARLAC
FRANCISCO IGNACIA SUMAOANG RIQUE,

BOTBOTON SANTA JULIAN, ROBERT NATIVIDAD,M

106666090009 JULIAN,JEMALYN NATIVIDAD F 11/09/2003 17 Christianity TARLAC
ES IGNACIA NICOLAS GIE,SANTILLA

BOTBOTON SANTA JULIAN, ROBERT NATIVIDAD,M

106686080019 JULIAN,VANGELINE NATIVIDAD F 04/29/2002 19 Christianity TARLAC
ES IGNACIA NICOLAS GIE,SANTILLA

SAN SANTA PALLORINA, PADILLA,AHL

106677090040 PADILLA,DESSIRHY MAE - F 09/20/2003 18 Christianity TARLAC
FRANCISCO IGNACIA FRANCISCO IBARRA ,TOMAS,

SANTA PINEDA, ROMIL ROMBAOA,GR

106686090030 PINEDA,PRINCESS ROMBAOA F 09/15/2004 17 Christianity CABARUAN TARLAC
IGNACIA OAMIL E,MARIANO,

CABUGBUG SANTA
106668050019 REJUSO,ROSE MARIE DALINOG F 04/13/1999 22 Christianity TARLAC DALINOG,LIL
AN IGNACIA

SACATROPEZ, SANCHEZ,EV
106666090021 SACATROPEZ,RHEALYN SANCHEZ F 08/02/2004 17 Christianity PAPAAC CAMILING TARLAC
GARRY SERVIDAD N,GATTOC,
F1-SHS)

Tarlac Region Region III

Academic Track -General Academic Strand

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)

MARON,JOCELY
Modular (print)
N,DELA CRUZ,

Modular (print)

REYES,ELENA,M
PARENT Modular (print)
ARIANO,

BALBIN,JACKEL
PARENT Modular (print)
YN,SANTIAGO,

AGUSTIN,NORA,
PARENT Modular (print)
ABRAZADO,

MEJIA,RINA,MAN
PARENT Modular (print)
RIQUE,

NATIVIDAD,MAR
PARENT Modular (print)
GIE,SANTILLAN,

NATIVIDAD,MAR
PARENT Modular (print)
GIE,SANTILLAN,

PADILLA,AHLILY
PARENT Modular (print)
TOMAS,

ROMBAOA,GRAC
PARENT Modular (print)
E,MARIANO,

DALINOG,LILIA,, PARENT Modular (print)

SANCHEZ,EVELY
RELATIVE Modular (print)
N,GATTOC,
 SANTA BAUTISTA,GI
106686090038 TEJADA,ERICKA TIFFANY BAUTISTA F 12/23/2003 17 Christianity TAGUIPORO TARLAC
IGNACIA ,BANGIS,

SANTA
106686090040 TEJADA,MARIA JHENNY JOY NADAL F 09/07/2004 17 Christianity TAGUIPORO TARLAC
IGNACIA

12 <=== TOTAL FEMALE

14 <=== 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 2
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 12
Exceptionality Beginning of the Semeste
Accelerated ACL Specify Level & Effectivity Date

TOTAL 14
2/7/22 12:00 AM

Generated on: Wednesday, June 22, 2022

BAUTISTA,GILDA
Modular (print)
BANGIS,

PARENT Modular (print)

d by;

MELGRACE ANTONIO VALERA

(Signature of Adviser over Printed Name)

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

12:00 AM 6/24/22 12:00 AM