School Form 1 (SF 1) School Register

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

School ID 121467 Region VIII Division Leyte District

School Name San Agustin Elementary School School Year 2021 - 2022 Grade Level Grade 4 Section

GUARDIAN
ADDRESS PARENTS
Age (if Not Parent)
as of MOTHER Contac

Sex (M/F)
NAME IP
BIRTH DATE TONGUE RELIGIO Number
LRN (Last Name, First Name, Middle
(mm/dd/yyyy)
Octo (Grade 1 (Ethnic
N Father's Name Mother's Maiden Parent o
Name) ber to 3 Only) Group) House #/
Municipality/ (Last Name, First Name (Last Name,
Street/ Sitio/ Barangay Province Name Relationship Guardia
31 Purok
City Name, Middle First Name,
Name) Middle Name)

Christian SAN ADLAWAN,JEA

121467170017 ADLAWAN,JETHRO JOSH, - M 07-10-2012 9 Waray JARO LEYTE
ity AGUSTIN N,AMADO,

Christian SAN AMADO, RUEL BARRAZA,ROS

121467170020 AMADO,RUEL, JR. BARRAZA M 10-27-2011 10 Waray JARO LEYTE
ity AGUSTIN CAAYA ELLE,BADIL,

ARTOZA,
Christian SAN BADILLA,AILEN
121467170022 ARTOZA,JIMSON, JR. BADILLA M 10-23-2009 12 Waray JARO LEYTE JIMSON
ity AGUSTIN E,BADIL,
SOLAYAO
Christian SAN BADIL, RIVERA,RIMAL
121467170008 BADIL,FERNAN, RIVERA M 07-24-2009 12 Waray JARO LEYTE
ity AGUSTIN FERNANDO YN,,
BATUCAN, ABENIO,MARIC
Christian SAN
121467170005 BATUCAN,JEREMY, ABENIO M 12-07-2011 9 Waray JARO LEYTE ERNESTO EL,SUPERABL
ity AGUSTIN
BARRAZA JR E,
BATUCAN,
Christian SAN ROBEL,MARIVI
121467160018 BATUCAN,JOSHUA, ROBEL M 06-23-2011 10 Waray JARO LEYTE NATHANIEL
ity AGUSTIN C,FLORENDO,
OBINA

Christian SAN CAIGOY, CLITO CRUZ,JANET,A

121467160003 CAIGOY,CLINTON, CRUZ M 12-10-2010 10 Waray JARO LEYTE
ity AGUSTIN MANDALONES QUINO,

Christian SAN CALE, ALEX VILLENA,GINA,

121467170002 CALE,JONAS, VILLENA M 12-28-2011 9 Waray JARO LEYTE
ity AGUSTIN GELIG ALBARIDO,

CAÑEGA, SARNO,MARY
Christian SAN
121467170004 CAÑEGA,DANIEL, SARNO M 04-12-2012 9 Waray JARO LEYTE ARNEL GRACE,PALACI
ity AGUSTIN
LAGUNZAD O,

Christian SAN CARIDO, GARRIDO,LILIA

121467170025 CARIDO,RAYMOND, GARRIDO M 08-05-2011 10 Waray JARO LEYTE
ity AGUSTIN ROGER SUELA N,DACOSCOS,

SALAZAR,
Christian SAN BRAZIL,VIOLET
121467150017 SALAZAR,CHRISTIAN, BRAZIL M 09-28-2009 12 Waray JARO LEYTE CRISTITUTO
ity AGUSTIN A,NARIDO,
PALCON

Christian SAN SARNO,SHERY

121467170006 SARNO,CYRUS SEAN, - M 08-28-2012 9 Waray JARO LEYTE
ity AGUSTIN L,PALACIO,

Christian SAN SARNO, RYAN

121467170011 SARNO,RHENJIE, CAIGOY M 08-18-2012 9 Waray JARO LEYTE CAIGOY,LIZA,,
ity AGUSTIN PALACIO

SUPERABLE,
Christian DIAZ,BILLA,ALB
121467130028 SUPERABLE,RENANTE, DIAZ M 06-26-2008 13 Waray SAN PEDRO JARO LEYTE GODOFRIDO
ity ARIDO,
REFUERZO

VARONA,JOHN EDRIK, Christian SAN VARONA, BATUCAN,AILE

121467170009 M 01-14-2012 9 Waray JARO LEYTE
BATUCAN ity AGUSTIN EFREN IDANO EN,ALBARIDO,

15 <=== TOTAL MALE

F 1) School Register
STS Form 2-Family Background and Profile)

Jaro I

REMARKS
Contact
Number of Learning
Parent or Modality (Please refer to
Guardian the legend on
last page)

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 Christian SAN ADOR, RUEL BATAN,ELSIE,
121467170012 ADOR,ELLA MAE, BATAN F 12-27-2011 9 Waray JARO LEYTE
ity AGUSTIN DE LA CERNA MANDALONES,

ARRIJO, PALACIO,ANTO
Christian SAN
121467170014 ARROJO,ELARY, PALACIO F 12-06-2011 9 Waray JARO LEYTE ERNESTO NIETTA,AZORE
ity AGUSTIN
CREMIT JR S,
ARROJO,
Christian SAN CANE,AIZA,DIO
121467170015 ARROJO,LYCA JANE, CANE F 12-04-2011 9 Waray JARO LEYTE REYMOND
ity AGUSTIN NALDO,
CREMIT
ARTOZA,
Christian SAN BADILLA,AILEN
121467170021 ARTOZA,MA. FYEZEL, BADILLA F 12-20-2011 9 Waray JARO LEYTE JIMSON
ity AGUSTIN E,BADIL,
SOLAYAO

Christian SAN AURE, ROMEO

121467150035 AURE,LEANNE, DABLO F 06-28-2010 11 Waray JARO LEYTE DABLO,JULIE,-,
ity AGUSTIN BADIL

Christian SAN BADIL, RIVERA,REMAL

121467170027 BADIL,MARILYN, RIVERA F 12-07-2010 10 Waray JARO LEYTE
ity AGUSTIN FERNANDO Y,-,

Christian SAN GELIG, RICHIE LARIDO,ANNA

121467170013 GELIG,JANINE MAE, LARIDO F 04-16-2012 9 Waray JARO LEYTE
ity AGUSTIN BARREDO LYNN,ARROJO,

MARMITA,
Christian SAN ROBEL,VILMA,
121467170016 MARMITA,ROWELYN, ROBEL F 04-18-2012 9 Waray JARO LEYTE RICKY
ity AGUSTIN FLORENDO,
VILLASIN

LAPU-LAPU ALBARIDO,ME
NAVALES,FEBIE JOY, Christian NAVALES,
119965170027 F 02-04-2012 9 Cebuano IBO CITY CEBU NCHUE,GORO
ALBARIDO ity JOEY ALIDON
(OPON) N,

SANITA,
Christian SAN DIAZ,JOSEPHI
121467170023 SANITA,ALEA MAE, DIAZ F 02-10-2012 9 Waray JARO LEYTE ALISON
ity AGUSTIN NE,GELIG,
CARIDO
SUPERABLE,
Christian SAN PEPITO,ALMA,
121467160009 SUPERABLE,SHEILA, PEPITO F 04-05-2011 10 Waray JARO LEYTE CRISANTO
ity AGUSTIN ALBARIDO,
GAMBOA
TORREFIEL,RHEA MAE, Christian ALANGALAN TORREFIEL, SINGSON,MARI
120948170031 F 01-15-2011 10 Waray LANGIT LEYTE
SINGSON ity G RANDY CEL,,

12 <=== TOTAL FEMALE

27 <=== COMBINED

List and Code of Indicators under REMARKS column

Cod Cod Prepared by; Certified Correct:
Indicator Required Information Indicator Required Information REGISTERED BoSY EoSY
e e
Transfered Out T/O Name of Public (P) Private (PR) School & CCT Receipient CCT CCT Control/reference number & Effectivity Date LIZA MALQUE
Effectivity Date MALE 15
Balik Aral B/A Name of school last attended & Year MAY JOY TABORADA TORREFIEL (Signature of School Head
Transfered In T/I Name of Public (P) Private (PR) School &
Effectivity Date Learner With LWD Specify (Signature of Adviser over Printed Name)
FEMALE 12
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:
TOTAL 27
BoSY Date: EoSY Date:

Generated th

Generated on: Sunday, June 19, 2022

 Modular
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Modular
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Modular
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Modular CCT
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Modular
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T/I
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DATE:2021-
(print)
09-20

Certified Correct:

LIZA MALQUEZ GUDA

(Signature of School Head over Printed Name)

EoSY Date:

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