School Form 1 (SF 1) School Register

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

School ID 112438 Region V Division Camarines Sur District Bula

School Name Lopez Palsong Elementary School School Year 2022 - 2023 Grade Level Grade 1 Section AMETHYST

GUARDIAN
AGE ADDRESS PARENTS
(if Not Parent)
as of MOTHER Contact

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

Bikol, BARELA, MORALES,MAR

BARELA,JHON ROBERT, Christiani CAMARINES
112438200001 M 05-23-2014 Rinconad PALSONG BULA ROBERT IBEL,MANISCA
ROSALES ty SUR
a PROTANTE N,
Bikol, BARELA, ROSALES,MARI
BARELA,JOHN REYMARK, Christiani CAMARINES
112444190077 M 12-09-2012 Rinconad PALSONG BULA ROBERT BEL,MANISCA
ROSALES ty SUR
a PROTANTE N,

Bikol, CANMELO, FIGURACION,M

Christiani CAMARINES
112438210004 CANMELO,MJAY, FIGURACION M 07-07-2016 Rinconad PALSONG BULA MICHAEL ARIBETH,BOBI
ty SUR
a CAITOM S,

Bikol,
DACILLO,PRINCE CLARK, Christiani CAMARINES DACILLO, REY UVERO,MERCY
112438210001 M 12-21-2015 Rinconad PALSONG BULA
UVERO ty SUR DE SILVA ,BERNAL,
a

Bikol, FIGURACION,
FIGURACION,ELMER JR., Christiani CAMARINES SOLIMAN,VIL
112438210003 M 06-17-2015 Rinconad PALSONG BULA ELMER
SOLIMAN ty SUR MA,BALDOZA,
a DUMAGSANG

Bikol, HOMBRE,
HOMBRE,ARKANE JAMES, Christiani CAMARINES LUMAPAG,CAT
112438210021 M 02-14-2016 Rinconad PALSONG BULA MARK JAYSON
LUMAPAG ty SUR HERINE,ALBIS,
a DELA ROSA

Bikol, ORCALES,
Christiani CAMARINES RITO,ANGELIT
112438210008 ORCALES,ANGELO, RITO M 12-28-2015 Rinconad PALSONG BULA ARIEL
ty SUR A,VISAYA,
a VASQUEZ
Bikol, OROSCO,
Christiani CAMARINES MEJOS,NOIME,
112438210009 OROSCO,JAMES, MEJOS M 07-26-2016 Rinconad PALSONG BULA JONIEL
ty SUR VILLAR,
a TUMBADO

Bikol, PETALIO, AWA-

PETALIO,PRINCE DANIEL, AWA- Christiani CAMARINES
112438210005 M 04-26-2014 Rinconad PALSONG BULA JINGKY AO,MERLITA,L
AO ty SUR
a DELOVERGES ACRO,

Bikol,
Christiani CAMARINES ROSALES, JOSE BONADOR,GLE
112438210018 ROSALES,JV, BONADOR M 01-14-2016 Rinconad PALSONG BULA
ty SUR RAZON NDA,HERTEZ,
a
SAMILLANO,SHERWIN, Christiani SAMILLANO, DOGAOHO,LEN
107015210093 M 11-30-2012 Tagalog CAWAG SUBIC ZAMBALES
DOGAOHO ty NIÑO - Y,-,
Bikol,
Christiani CAMARINES SATURNINO, OROSCO,EVEL
112438210006 SATURNINO,IVAN, OROSCO M 10-09-2015 Rinconad PALSONG BULA
ty SUR VINCENT AQUI YN,ROSALES,
a
 Bula

AMETHYST

REMARKS

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

Modular
(print)

Blended

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

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(print)

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 DELOS
Bikol, UBALLES,
UBALLES,ARIEL, DELOS Christiani CAMARINES SANTOS,MARI
112438210007 M 03-20-2016 Rinconad PALSONG BULA EDWIN
SANTOS ty SUR LYN,TABALAN
a OROSCO
ZA,
Bikol,
UVERO,JOHN MICHAEL, Christiani CAMARINES TALAGTAG,JO
112438210023 M 10-28-2013 Rinconad PALSONG BULA UVERO, LITO -
TALAGTAG ty SUR Y,CORTEZ,
a
Bikol,
Christiani CAMARINES VASQUEZ, LORENZO,JOA
112438210024 VASQUEZ,JEROME, LORENZO M 06-11-2011 Rinconad PALSONG BULA
ty SUR ANTONIO N,-,
a

15 <=== TOTAL MALE

Bikol,
Christiani CAMARINES BARUÑO, JOEL DAMAS,CHERR
112438210010 BARUÑO,CHELSY, DAMAS F 11-17-2015 Rinconad PALSONG BULA
ty SUR SEPAGAN Y,PAYLA,
a
Bikol, ROSALES,NOR
Christiani CAMARINES BELZA, ARNEL
112438210022 BELZA,BABY ZHIA, ROSALES F 04-25-2016 Rinconad PALSONG BULA MA,MANISCAN
ty SUR ABABAO
a ,
Bikol,
Christiani CAMARINES EÑOLA, SANDY SAÑO,ELMA,FI
112438210012 EÑOLA,DANIELA MHAE, SAÑO F 10-06-2015 Rinconad PALSONG BULA
ty SUR BALLIBER GURACION,
a
Bikol, GICOS,
GICOS,CRIS EMANUELA, Christiani CAMARINES VILLAR,ELSIE,
112438210013 F 01-22-2016 Rinconad PALSONG BULA REYMUND TO-
VILLAR ty SUR BOBIS,
a OS
Bikol,
Christiani CAMARINES HERTEZ, JOJIT ROMERO,LOPE
112438210014 HERTEZ,JENEVIE, ROMERO F 10-11-2016 Rinconad PALSONG BULA
ty SUR RAMOS Z,MELODY,
a
LEBASNON,SH
Bikol, MENDOZA,
MENDOZA,RASHIEL MAY, Christiani CAMARINES EINA
112438210015 F 10-28-2015 Rinconad PALSONG BULA RASHIEL
LEBASNON ty SUR MAY,SAMILLA
a BUENO
NO,
Bikol,
Christiani CAMARINES OBRERO, JESUS CAYAB,CORAZ
112438210026 OBRERO,ANIKA MAE, CAYAB F 02-10-2015 Rinconad PALSONG BULA
ty SUR JR BALDOZA ON,AGUADO,
a
Christiani SAMILLANO, DOGAOHO,LEN
107015210102 SAMILLANO,PRINCESS MAE, - F 07-17-2015 Tagalog CAWAG SUBIC ZAMBALES
ty NIÑO - Y,-,
Bikol,
SOLIMAN,MA. ALTHEA, Christiani CAMARINES SOLIMAN, BORROMEO,M
112438210016 F 12-15-2015 Rinconad PALSONG BULA
BORROMEO ty SUR GABBY TINAY ELBA,HERTEZ,
a
Bikol, TABAGAN,
Christiani CAMARINES BUFETE,JIEZEL
112438200023 TABAGAN,ANICA, BUFETE F 10-01-2014 Rinconad PALSONG BULA ROMNICK
ty SUR ,SOMBRERO,
a LLONADO
Bikol,
Christiani CAMARINES VASQUEZ, ROSALES,DAIS
112438210017 VASQUEZ,SOFIA, ROSALES F 06-28-2016 Rinconad PALSONG BULA
ty SUR JOSEPH BELZA Y,MANISCAN,
a

11 <=== TOTAL FEMALE

26 <=== 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 JOY VARGAS TOLENTINO
Date MALE 15
Balik Aral B/A Name of school last attended & Year LUNINGNING DELATADO GABITAN (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 11
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 26
BoSY Date: EoSY Date:
 Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Blended

Modular
(print)

TOLENTINO

ead over Printed Name)

EoSY Date:
 Disability
Dropped DRP Reason and Effectivity Date Accelerated ACL Specify Level & Effectivity Data
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June)
TOTAL 26
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Wednesday, August 31, 2022

d thru LIS