School Form 1 (SF 1) School Register

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

School ID 152009 Region I Division Pangasinan II, Binalonan District Umingan I

School Name Sinabaan ES School Year 2021 - 2022 Grade Level Grade 6 Section MASUNURIN

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)

ALVEAR,
Christiani PASCUA,LEA,V Modular
136446150087 ALVEAR,JEGER, PASCUA M 05-04-2010 11 Tagalog SINABAAN UMINGAN PANGASINAN JOMAR
ty ILLAR, (print)
PETINES
T/I
CABRAL,LORDY JHANCEN, Christiani TANGGAL CABRAL, JOHN TIALENGCO,LO Modular
105379160036 M 11-01-2009 11 Tagalog UMINGAN PANGASINAN DATE:2021-09-
TIALENGCO ty SAWANG RICK BENDEJO RINA,LATOJA, (print)
13
CASEM,
CASEM,MARK DANIELLE, Christiani EBUNA,ELGIA, Modular
152009150001 M 04-02-2010 11 Iloko SINABAAN UMINGAN PANGASINAN DARLINO
EBUNA ty GEOTINA, (print)
FLORES
GAMBOA, DE
GAMBOA,CRISTAN KYLE, DE Christiani Modular
136426150030 M 07-20-2010 11 Iloko SINABAAN UMINGAN PANGASINAN CRISOSTOMO VILLA,ANALY
VILLA ty (print)
LOMBRES N,GONZALES,

Christiani GOTIS, JAY MARTINEZ,ELS Modular CCT

152009150002 GOTIS,JOHN MARK, MARTINEZ M 03-02-2010 11 Iloko SINABAAN UMINGAN PANGASINAN
ty LAYONIS A,BRITOS, (print)

MAGPALE, PETINES,CRISE
MAGPALE,RICARDO, JR Christiani Modular
152009150008 M 11-06-2009 11 Iloko SINABAAN UMINGAN PANGASINAN RICARDO LDA,MANGAO
PETINES ty (print)
SASTRILLAS AN,
MOLINA, LOMBOY,JENE
MOLINA,DANES XYRYLL, Christiani TANGGAL Modular CCT
152009150004 M 11-09-2009 11 Iloko UMINGAN PANGASINAN MELCHOR LYN,CASPILLA
LOMBOY ty SAWANG (print)
ESTILLORE N,
PASCUA,
CAJES,JENNE
PASCUA,IAN CHRISTOPHER, Christiani RAMIL Modular CCT
152009150005 M 01-07-2010 11 Iloko SINABAAN UMINGAN PANGASINAN JENNIFER,SAB
CAJES ty VINCENT (print)
ADO,
BALTAZAR
PASCUA,
Christiani QUINSAY,LINA Modular CCT
152009150007 PASCUA,JUSTIN, QUINSAY M 01-29-2010 11 Iloko SINABAAN UMINGAN PANGASINAN DIOSDADO
ty ,DELA CRUZ, (print)
MATABIA
PASCUA, REALISTA,RO
Christiani Modular
152009140006 PASCUA,RONNIE, REALISTA M 07-03-2009 12 Iloko SINABAAN UMINGAN PANGASINAN RODOLFO WENA,VALENC
ty (print)
VILLANOS IA,
PETINES, DE
PETINES,JAMES KRISTOFF, DE Christiani Modular
152009150020 M 07-25-2010 11 Iloko SINABAAN UMINGAN PANGASINAN DANTE VERA,AIDA,GR
VERA ty (print)
VALENCIA ACIO,

11 <=== TOTAL MALE

AVELLANOZA,
AVELLANOZA,CRISTINE, Christiani DUMAY,SUSAN Modular CCT
152009150016 F 06-07-2010 11 Iloko SINABAAN UMINGAN PANGASINAN CRISANTO
DUMAY ty ,SAGINO, (print)
ELLASO

Christiani CORTUNA, LEO DIMACISIL,RAI Modular

152009150010 CORTUNA,RHIALYN, DIMACISIL F 01-01-2010 11 Iloko SINABAAN UMINGAN PANGASINAN
ty ORBIGO MA,ANDRES, (print)

NARDO,
NARDO,EMPRESS WILL, Christiani DARAPITE,LOT Modular
136479160021 F 05-21-2010 11 Iloko SINABAAN UMINGAN PANGASINAN WILFREDO
DARAPITE ty A,PASCUA, (print)
LOMBOY
PABLO,
Christiani JUSTO,TERESIT Modular
152009150012 PABLO,THERESA, JUSTO F 09-24-2010 11 Iloko SINABAAN UMINGAN PANGASINAN RODRIGO
ty A,LATONIO, (print)
BLANCO JR
 SUMPAY,MARI
Christiani PANIT, PETER Modular
152009150013 PANIT,PEARLYN MAE, SUMPAY F 09-23-2010 11 Iloko SINABAAN UMINGAN PANGASINAN LOU,LAPASTO
ty FOL BENIN (print)
RA,
PASCUA,JENNIFER, Christiani PASCUA, MACALIMPAS, Modular CCT
152009150018 F 11-22-2010 10 Iloko SINABAAN UMINGAN PANGASINAN
MACALIMPAS ty TEOFILO V AIDA,-, (print)
PETINES, VALENCIA,ROS
PETINES,LUNINGNING, Christiani Modular CCT
152009150015 F 11-14-2009 11 Iloko SINABAAN UMINGAN PANGASINAN CRISTINO E
VALENCIA ty (print)
BLANCO ANN,GARCIA,
Christiani RIVERA, BEDANA,ARCE Modular
152009150006 RIVERA,JEZANIAH, BEDANA F 01-01-2010 11 Iloko SINABAAN UMINGAN PANGASINAN
ty MANUEL A LI,R, (print)

8 <=== TOTAL FEMALE

19 <=== 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
Date
RICHARD ALMAZAN BAGORIO
MALE 11 11
Balik Aral B/A Name of school last attended & Year FERDINAND ANDRES ORTIZ (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 8 8
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: 09/13/2021 EoSY Date: 06/24/2022
TOTAL 19 19
BoSY Date: 09/13/2021 EoSY Date: 06/24/2022
ELIZA MINA MICUA
Generated thru LIS

Generated on: Tuesday, June 21, 2022