School Form 1 (SF 1) School Register

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

School ID 501284 Region XII Division Sarangani

School Name Kaltuad Integrated School School Year 2021 - 2022 Grade Level Grade 10 Section PELAYO

GUARDIAN
ADDRESS PARENTS
(if Not Parent)
Age MOTHER Contact

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

Blaan, Christiani APANG, JOLITO MAMAYO,EDN

130463120084 APANG,JOLITO JR., MAMAYO M 01-20-2005 16 Blaan KALTUAD GLAN SARANGANI
Sarangani ty JR MATACO A,TATA,

Blaan, Christiani APANG, JOLITO MAMAYO,EDN

130463130002 APANG,JOSUA, MAMAYO M 05-27-2003 18 Blaan KALTUAD GLAN SARANGANI
Sarangani ty MATACO A,TATA,

Blaan, Christiani BUNOG, BERTO CAGO,JUDITHA

130463100017 BUNOG,MARJUN, CAGO M 08-21-2000 21 Blaan KALTUAD GLAN SARANGANI
Sarangani ty AMPAN ,CABCA,

Blaan, Christiani CABAT, LITO LAWA,MARISA

208037110004 CABAT,JEROM, LAWA M 05-01-2007 14 Blaan KALTUAD GLAN SARANGANI
Sarangani ty BAYAWAN ,TALANGIN,

Blaan, Christiani LONDONG,LOR

130466140111 GAPA,ALPEO, LAWA M 05-15-2001 20 Blaan E. ALEGADO GLAN SARANGANI GAPA, RENE
Sarangani ty ETA,,

Blaan, Christiani LUIS, ALDEN BULANI,JENNY

130463090018 LUIS,LEVIE, BULANI M 04-19-2002 19 Blaan KALTUAD GLAN SARANGANI
Sarangani ty LAGSICAN BETH,-,

MAGAN,
Blaan, CENON,LYNLY
208037110007 MAGAN,MON-MON, CENON M 09-19-2004 17 Blaan Others KALTUAD GLAN SARANGANI NELSON
Sarangani N,PAKAY,
PONDONG

Blaan, Christiani ODET, ARJOY DALUSAY,MER

130463110034 ODET,JOREDEN, DALUSAY M 06-04-2005 16 Blaan KALTUAD GLAN SARANGANI
Sarangani ty TIAGO LY,ALICER,

Cebuano
/
PATROMBON,HARISS JOHN, Christiani PATROMBON, AGLUBO,BREN
501284210029 M 10-26-2002 19 Sinugbua KALTUAD GLAN SARANGANI
AGLUBO ty JOVEN DA,,
nong
Binisay

Blaan, Christiani SAROT, ORLAN SINGCALA,DIV

208037110012 SAROT,AGIE, SINGCALA M 11-05-2005 15 Blaan KALTUAD GLAN SARANGANI
Sarangani ty CENON INA,FELING,

10 <=== TOTAL MALE

Blaan, Christiani AGOS, ROBERT LAGUNSAY,CR

130463100005 AGOS,ROBINA, LAGUNSAY F 04-29-2004 17 Blaan KALTUAD GLAN SARANGANI
Sarangani ty - ISTINA,MELIO,

BALONGAN,
Blaan, Christiani BULANI,ROWE
130463140065 BALONGAN,JENEVI, BULANI F 06-23-2004 17 Blaan KALTUAD GLAN SARANGANI JESSON
Sarangani ty NA,SAROT,
SUMANDAY

Blaan, Christiani BAWA, ROMY DALUSAY,MO

130463100014 BAWA,MONICA, DALUSAY F 10-22-2002 19 Blaan KALTUAD GLAN SARANGANI
Sarangani ty BAYAWAN NDA,ALICER,
PELAYO

REMARKS

Learning
Modality (Please refer to
the legend on last
page)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

LE
Modular
DATE:2021/10/
(print)
15

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)
 BULANI,
Blaan, Christiani ALADIAO,VIRG
130463120096 BULANI,APRIL MAY, ALADIAO F 04-22-2004 17 Blaan KALTUAD GLAN SARANGANI ROBERT
Sarangani ty IE,YAGON,
TULING

Blaan, Christiani CENON, BUALAN,ENIT

208037110006 CENON,CATHY MAE, BUALAN F 07-25-2006 15 Blaan KALTUAD GLAN SARANGANI
Sarangani ty RANDY PEDRO A,BULANI,

MATACO,
Blaan, Christiani MENDOZA,LET
130463110030 MATACO,KEYJOY, MENDOZA F 03-10-2005 16 Blaan KALTUAD GLAN SARANGANI CHRISTOPER
Sarangani ty Y,BULANI,
TUNLE
MATACO,
Blaan, Christiani BAYAWAN,LIS
130463130008 MATACO,RISA MAE, BAGAYAN F 12-29-2003 17 Blaan KALTUAD GLAN SARANGANI REYNANTE
Sarangani ty A,ESIL,
TUNLI
MATANOD,EM
MATONDO,ANNAROSE, Blaan, Christiani MATONDO,
130463110033 F 11-14-2004 16 Blaan KALTUAD GLAN SARANGANI ELISA,TAMAY
MATANOD Sarangani ty JORA CHAVEZ
AO,

Blaan, Christiani MENDOZA, PADAN,ROSILY

130463120099 MENDOZA,RICHELYN, PADAN F 02-12-2004 17 Blaan KALTUAD GLAN SARANGANI
Sarangani ty ROEL BULANI ,CARSADA,

PACAY, ENACIO,PENA
Blaan, Christiani
501284180002 PACAY,ENEDA, ENACIO F 09-17-1965 56 Blaan KALTUAD GLAN SARANGANI VENTURA MBO,AGOLING
Sarangani ty
SADON ,

TALANGIN,
Blaan, CABAT,CARME
208037110014 TALANGIN,EVAMAE, CABAT F 12-11-2005 15 Blaan Others KALTUAD GLAN SARANGANI ESTINO
Sarangani N,TONIA,
MALANYONG

11 <=== TOTAL FEMALE

21 <=== 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 MALE 9
Balik Aral B/A Name of school last attended & Year HEIDY GUTIERREZ BAGDOC (Signature of School Head over Printed Nam
Transfered In T/I Name of Public (P) Private (PR) School & Effectivity
Date Learner With LWD Specify (Signature of Adviser over Printed Name)
FEMALE 10
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 19
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Tuesday, July 19, 2022

 Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

T/I
Modular
DATE:2021-
(print)
09-15

Modular
(print)

Modular
(print)

Modular
(print)

ead over Printed Name)

EoSY Date:

d thru LIS