School Form 1 (SF 1) School Register

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

School ID 500069 Region II Division Isabela

School Name Sta. Filomena Integrated School School Year 2021 - 2022 Grade Level Grade 7 (Year Section ROSE

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

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

CCT
BALAGAN,
BALAGAN,JOHN VINCENT, Christiani SANTA SAN BRACIL,JANET,S Modular T/I
103744140039 M 09-12-2009 12 Ilocano ISABELA JERWIN
BRAZIL ty FILOMINA MARIANO UELA, (print) DATE:2021-09-
CORPUZ
13
Ifugao, BINLINGAN,
BINLINGAN,WILLIAM JR, Christiani YOGYOG,TERESI
103765130114 M 10-19-2008 13 Mayoyao/ Ifugao BOLOG KIANGAN IFUGAO WILLIAM SR Blended
YOGYOG ty TA,BUAHON,
Ayangan DINAMLING

CABICO,JHON MARK, Christiani MALUNO BENITO CABICO, PAGULAYAN,ME

103112140004 M 07-24-2009 12 Iloko ISABELA Blended
PAGULAYAN ty SUR SOLIVEN JULIAN JUAN RLITA,LUYUN,

CARMEN,
CARMEN,JAZZ EINJELLE, Christiani SANTA SAN DIZON,LEA,BAU
103599140001 M 04-20-2009 12 Ilocano Ilocano ISABELA ELMER Blended
DIZON ty FILOMINA MARIANO TISTA,
ENOBAY
CHIN,
ORTIZ,ANA
Christiani SANTA SAN SOTERO
103742140126 CHIN,ROY, ORTIZ M 09-19-2009 12 Tagalog ISABELA MARIE,VELASCO Blended
ty FILOMINA MARIANO MANAGUELO
,
D

CORPUZ, ADUPE,ROVELY
Christiani SANTA SAN
103742130096 CORPUZ,ANGELO, ADUPE M 06-27-2007 14 Tagalog Ilocano ISABELA ROLLY N,BORLAGDATA Blended
ty FILOMINA MARIANO
SALAS N,

Christiani SANTA SAN CORPUZ, REX ANTIGUA,SHIEL

103744140015 CORPUZ,RENZ, ANTIGUA M 12-15-2008 12 Tagalog Ilocano ISABELA Blended
ty FILOMINA MARIANO FIESTA A,PABRO,

DELA CRUZ, TURQUEZA,MAR

DELA CRUZ,STEVEN MELL, Christiani SANTA SAN
103744140048 M 02-01-2009 12 Tagalog Ilocano ISABELA ROMEL Y Blended
TURQUEZA ty FILOMINA MARIANO
LIQUIGAN GRACE,LAGAT,

DIOCARES,
DIOCARES,BELTHON JOHN, Christiani SANTA SAN ANTONIO,NORIC
103744150001 M 12-20-2008 12 Tagalog Ilocano ISABELA ELINO Blended
ANTONIO ty FILOMINA MARIANO EL,CANCEJO,
SORIANO JR

Christiani SANTA SAN FLORES,MONALI CCT

103744140030 FLORES,DANIEL, PONTANOS M 06-13-2009 12 Ilocano ISABELA Blended
ty FILOMINA MARIANO SA,PONTAÑOS,

DELOS
JULIAN,JAYMAR, DELOS Christiani SANTA SAN JULIAN, JOEL
103744140024 M 05-20-2009 12 Ilocano Ilocano ISABELA SANTOS,RUBILY Blended
SANTOS ty FILOMINA MARIANO GABRIEL
N,VIZCARA,

LACISTE, DELA
LACISTE,TEMY JR, DELA Christiani SANTA SAN
103744140011 M 11-22-2008 12 Tagalog Ilocano ISABELA TEMY CRUZ,MARIALIZ Blended
CRUZ ty FILOMINA MARIANO
GAJETE SR A,C,
 Christiani SAN LAGGUI, LANUZA,OLIVE, CCT
103744130036 LAGGUI,RODEL, LANUZA M 04-14-2007 14 Ibanag SAN PEDRO LAGUNA Blended
ty ANTONIO ROMY CORUZ ESTEBAN,

LAZARO, T/I
LAZARO,RHENZ JAY, Christiani SANTA SAN CORTEZ,WENDY Modular
103744140047 M 05-25-2009 12 Ilocano Ilocano ISABELA LORENZO DATE:2021-09-
CORTEZ ty FILOMINA MARIANO JOY,BAYBADO, (print)
DANCEL 13
LUMAGAS,
LUMAGAS,KEITH JOR- Cebuan Christiani SANTA SAN SHIRLITO MIRA,CHERNOB
103744150018 M 05-03-2009 12 Tagalog ISABELA Blended
DANNE, MIRA o ty FILOMINA MARIANO TUBONGBAN YL,DIZON,
UA
CCT
MELENDRES, CABICO,MARY
MELENDRES,JOHN LESTER, Christiani BENITO Modular T/I
103112140009 M 09-14-2009 12 Ilocano PUNIT ISABELA JOEL JANE,PAGULAY
CABICO ty SOLIVEN (print) DATE:2021-09-
VILLANUEVA AN,
13
OLLA,
Christiani SANTA SAN LAGO,MARIA,GU CCT
103744140038 OLLA,DANIEL, LAGO M 12-14-2008 12 Ibanag Ybanag ISABELA DANILO Blended
ty FILOMINA MARIANO MARU,
DOMINGO
QUINDARA,
QUINDARA,EMMANUEL, Christiani SANTA SAN FLORES,JOY,PON CCT
103744140029 M 10-09-2009 12 Tagalog ISABELA EUGINE Blended
FLORES ty FILOMINA MARIANO TAÑOS,
CABANADA
SULIT,
SULIT,ARVIEN JYIAN, Christiani SANTA SAN SUMIDO,ARCHIL CCT
103744130019 M 04-04-2008 13 Tagalog Ilocano ISABELA MARVINO Blended
SUMIDO ty FILOMINA MARIANO ITA,ROJERO,
AGGABAO
VERZOSA,EVAN
VERZOSA,MAYNARD, Christiani SANTA SAN CCT
103744140044 M 05-25-2009 12 Tagalog Aeta ISABELA GELINE,BALGUA Blended
BALGUA ty FILOMINA MARIANO
,
VICTORINO, T/I
VICTORINO,PRINCE PHILIP, Christiani SAN PALAZON,LAAR
103744140018 M 07-11-2008 13 Ilocano ISABELA ARNOLD Blended DATE:2021-09-
PALAZON ty MARIANO NI,GUZMAN,
AMBRI 13

21 <=== TOTAL MALE

ACIDERA,
ACIDERA,SHYRINE SHANE, Christiani SANTA SAN MALANA,SHYDE CCT
103744140025 F 07-15-2009 12 Ilocano ISABELA ELMER Blended
MALANA ty FILOMINA MARIANO L,BAUTISTA,
BALUBAL

BAUTISTA,HITHER FIONA, Christiani SANTA SAN BAUTISTA, VIZCARA,LANIE, CCT

103744140005 F 04-30-2008 13 Ilocano ISABELA Blended
VIZCARA ty FILOMINA MARIANO GINO ROBLES ALVAREZ,

CORPUZ,
CORPUZ,HANNAH PAULA, Christiani SANTA SAN ANTONIO,LORN
103744140004 F 01-23-2009 12 Ilocano Ilocano ISABELA JOVITO Blended
ANTONIO ty FILOMINA MARIANO A,MENDOZA,
VIDAD

CORPUZ, ADUPE,ROVELY
Christiani SANTA SAN
103744140033 CORPUZ,ROCHELLE, ADUPE F 08-15-2009 12 Ibanag Ilocano ISABELA ROLLY N,BORLAGDATA Blended
ty FILOMINA MARIANO
SALAS N,

T/I
MANILA, NARDO,MARIA DATE:2021-09-
Christiani BARANGAY DE LEON, IAN
136438150256 DE LEON,MARIAN, NARDO F 08-07-2008 13 Tagalog TONDO NCR, FIRST THERESA,GARSO Blended 13T/O
ty 123 BADIDLES
DISTRICT LA, DATE:2021/09/
15

DELA CRUZ, T/O

DELA CRUZ,SHEKINAH Christiani SANTA SAN DOMINGO,SHEIL
103744140006 F 06-30-2009 12 Ilocano Ilocano ISABELA JOEMAR Blended DATE:2021/09/
JOICE, DOMINGO ty FILOMINA MARIANO A,YADAO,
SINGUEO 14

DE
DUQUE,RASHELL, DE Christiani SANTA SAN DUQUE, JOEY CCT
103744140036 F 09-30-2009 12 Tagalog ISABELA GUZMAN,SAIDY, Blended
GUZMAN ty FILOMINA MARIANO TADENA
GALSOTA,

FALLORINA,
FALLORINA,ZHIARMAGNE, Christiani SANTA SAN CADELARIO,GIN
103744140043 F 06-18-2009 12 Ilocano Ilocano ISABELA REYNALDO Blended
CANDELARIO ty FILOMINA MARIANO A,GUMABON,
DUMALAG
 FLORES, REY
FLORES,PRINCESS MAE, Christiani SANTA SAN MIGUEL,IRENE,D CCT
103102140112 F 03-14-2009 12 Ilocano Calinga ISABELA PIJAY Blended
MIGUEL ty FILOMINA MARIANO ILEMA,
COLLADO

RAMOS,SHEPHE
FRANCISCO,
FRANCISCO,ANGEL Christiani SANTA SAN RD APPLE CCT
103744140002 F 12-23-2008 12 Tagalog ISABELA MARLON Blended
HANNAH, RAMOS ty FILOMINA MARIANO ANNE,TURINGA
MARANTAN
N,

MALENAB,
MALENAB,GIENDY, Christiani SANTA SAN MAMAUAG,MAR
103744140042 F 10-16-2009 12 Tagalog ISABELA ROBERT Blended
MAMAUAG ty FILOMINA MARIANO ITA,MALABAD,
CACAL
MEDINA,
MEDINA,PRECIOUS MAE, Christiani SANTA SAN BAUTISTA,CYNT
103742140219 F 10-17-2009 12 Tagalog Ilocano ISABELA REYMUNDO Blended
BAUTISTA ty FILOMINA MARIANO HIA,AGUSTIN,
FIESTA
NANALIS,
NANALIS,PRINCES ANGELA, Christiani SANTA SAN ANCHETA,SHIEL
103761150035 F 10-14-2009 12 Ilocano Ilocano ISABELA JONATHAN Blended
ANCHETA ty FILOMINA MARIANO A,TURINGAN,
MINA
SULIT,
Christiani SANTA SAN SUMIDO,ARCHIL CCT
103744140010 SULIT,ZAILA MAE, SUMIDO F 06-12-2009 12 Tagalog Ilocano ISABELA MARVINO Blended
ty FILOMINA MARIANO ITA,ROJERO,
AGGABAO

TALLOG,MARY JOE, Christiani SANTA SAN TALLOG, PELAGIO,MARY CCT

103744140031 F 02-14-2009 12 Ibanag ISABELA Blended
PELAGIO ty FILOMINA MARIANO JOEL LAGGUI ANN,ALIBIN,

VELASCO,
VELASCO,SHERY MAY, Christiani SANTA SAN CORPUZ,SHIRLE
103744140034 F 12-30-2008 12 Tagalog ISABELA MARLON Blended
CORPUZ ty FILOMINA MARIANO Y,SALAS,
MENDOZA

16 <=== TOTAL FEMALE

37 <=== 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 T/O Name of Public (P) Private (PR) School & CCT Receipient CCT CCT Control/reference number & Effectivity Date MERLIE VICTORINO BALAYAN
Out Effectivity Date MALE 21
Balik Aral B/A Name of school last attended & Year EMIELEAH PAUIG REPE (Signature of School Head over Printed
T/I Name of Public (P) Private (PR) School & Name)
Transfered In Effectivity Date Learner With LWD Specify (Signature of Adviser over Printed Name)
FEMALE 16
Disability 9/13/2021 6/24/2022
DRP Reason and Effectivity Date Accelerated ACL Specify Level & Effectivity Data
Dropped LE Reason (Enrollment beyond 1st Friday of June) 9/13/2021 6/24/2022 BoSY Date EoSY Date
Late TOTAL 37
Enrollment BoSY Date: EoSY Date:
BYRON CULANNAY DIZON
Generated thru LIS

Generated on: Thursday, July 7, 2022