School Form 1 School Register for Senior High School (SF1-SH

School Name VP-Green Vale Academy, Inc. School ID 405069 District District I
Division Valen

Semester First Semester School Year 2021 - 2022 Grade Level Grade 11 Track and Strand

Section TUNGSTEN Course (for TVL only)

COMPLETE ADDRESS PARENTS

AGE

Sex (M/F)
as of
NAME BIRTH DATE
LRN
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy) 1st Religious Affilication Mother's Maid
Frida Father's Name (Last
Name (Last Na
House #/ Street/ Sitio/ Purok Barangay Municipality/ City Province Name, First Name, Middle
y June Name)
First Name, Mi
Name)

CITY OF CAPIO, JOSE BANTINAY,G

405069210051 CAPIO,AHMED BANTINAY M 07/22/1994 26 Christianity LUMBAYAO BUKIDNON
VALENCIA CANTOMAYOR NDIA,GUIMBA

RAFERNANDO
SACRAMEN SAN DUTOSME, SANNY
405069210052 DUTOSME,JUVIE RAFERNANDO M 05/10/1985 36 Christianity BUKIDNON CTORIA,QUIR
TO VALLEY FERNANDO PAJARDO
G,

LILINGAYO CITY OF ETOC, PLACIDO CHAVEZ,CHA

126843100066 ETOC,JOHN RAZHEL CHAVEZ M 11/21/2003 17 Christianity BUKIDNON
N VALENCIA LAPINIG JR NE,SIAROT,

LILINGAYO CITY OF ETOC, PLACIDO CHAVEZ,CHA

126843100067 ETOC,JUSTIN CHAVEZ M 12/21/2002 18 Christianity BUKIDNON
N VALENCIA LAPINIG JR NE,SIAROT,

SACRAMEN SAN TABIRA,LUCI

405069210053 ETOC,RONALD TABIRA M 01/07/1985 36 Christianity BUKIDNON
TO VALLEY FERNANDO LIGADA,

SINAYAWA CITY OF GALLEGO,EM

405073150199 GALLEGO,DANELITO MONTEMOR M 11/21/2000 20 Christianity BUKIDNON
N VALENCIA A,MONTEMOR

HALAPITAN SAN ROSENIO,CAR

405069210054 LAPAO,ROBERTO ROSENIO M 02/07/1975 46 Christianity BUKIDNON
(POB.) FERNANDO LITA,-,

SAN MALAGHAN,M
303955130016 ORTIZ,SALVADOR MALAGHAN M 05/19/1996 25 Christianity MABUHAY BUKIDNON
FERNANDO SALITA,ABAY

SACRAMEN SAN SELLANA,TER

314907090070 SARINO,JOSELITO SELLANA M 08/15/1993 27 Christianity BUKIDNON
TO VALLEY FERNANDO TA,B,

SACRAMEN SAN VILLARUEL,W

510011810330 SUMAGOT,CEASAR VILLARUEL M 06/06/1977 43 Christianity BUKIDNON SUMAGOT, CESAR A
TO VALLEY FERNANDO REDA,C,

TUGONON, ERMYLO GONZAGA,AN

126502080065 TUGONON,JOEWE GONZAGA M 09/10/2001 19 Christianity BUGCAON ANTAPAN BUKIDNON
LONTE ZA,TAPING,

CITY
UBALDE,ROS
303950091051 YEE,DRAZEN KIRK UBALDE M 03/24/1997 24 Christianity MALAYBALAY BUKIDNON
NDA,,
(Capital)

12 <=== TOTAL MALE

F1-SHS)

Valencia City Region Region X

Academic Track -General Academic Strand

GUARDIAN
TS REMARKS
(if learner is not Living with Parent)
Contact
Number of Learning
Mother's Maiden Parent or Modality
Name
Name (Last Name, Guardian (Please refer to the
(Last Name, First Name, Relationship
First Name, Middle legend on last page)
Name Extension, Middle
Name)

BANTINAY,GERO
Modular (print) T/I DATE:2021-07-05
NDIA,GUIMBA,

RAFERNANDO,VI
CTORIA,QUIRON Modular (print) T/I DATE:2021-07-05
G,

CHAVEZ,CHARLI
PARENT Modular (print) Pending TI
NE,SIAROT,

CHAVEZ,CHARLI
PARENT Modular (print) Pending TI
NE,SIAROT,

TABIRA,LUCIA,A
Modular (print) T/I DATE:2021-07-05
LIGADA,

GALLEGO,EMELI
PARENT Modular (print) T/I DATE:2021-07-05
A,MONTEMOR,

ROSENIO,CARME
Modular (print) T/I DATE:2021-07-05
LITA,-,

MALAGHAN,MAR
PARENT Modular (print) T/I DATE:2021-07-05
SALITA,ABAY,

SELLANA,TERESI
PARENT Modular (print) Pending TI
TA,B,

VILLARUEL,WILF
Modular (print)
REDA,C,

GONZAGA,ANALI
PARENT Modular (print) Pending TI
ZA,TAPING,

UBALDE,ROSALI
PARENT Modular (print) Pending TI
NDA,,
 CITY OF BASAÑEZ, ELIAS ESTENOR,JOS
510121500397 BASAÑEZ,DYNALEN POLENDA F 04/22/1994 27 Christianity LUMBAYAO BUKIDNON
VALENCIA TAHAD ENE,TALHA,

LITTLE SAN TERRE,JERUS

314907100029 CANETE,REJEAN TERRE F 10/02/1997 23 Christianity BUKIDNON
BAGUIO FERNANDO YM,,

SACRAMEN SAN DELA PEÑA, ORTIZ,TERISI

126772120072 DELA PEÑA,ANGELYN ORTIZ F 04/14/1996 25 Christianity BUKIDNON
TO VALLEY FERNANDO DANILO MANO-OG REMULADO,

SACRAMEN SAN DUTOSME, JUVIE

405069210056 DUTOSME,DAN EMELIE GALLEGO F 02/04/1990 31 Christianity BUKIDNON
TO VALLEY FERNANDO ROTERNANDO

SACRAMEN SAN
405069210057 EDO,RACHEL LLOREN F 12/02/1991 29 Christianity BUKIDNON EDO, WELMER -
TO VALLEY FERNANDO

SACRAMEN SAN ESTACION, ROGELIO LASPONA,ME

405069210058 ESTACION,ROBELYN LASPONA F 03/18/1984 37 Christianity BUKIDNON
TO VALLEY FERNANDO ALBORO LA,NARBASA

BENAS, JIMMY PREQUENCIA

405069210059 LADERA,JENNYVIE BENAK F 11/07/1994 26 Christianity SONGCO ANTAPAN BUKIDNON
JABIAN GIE,SISO,

COMPAS, FELIMON LADICA,ELSA

510011804013 LADERA,RAZEL COMPAS F 04/20/1990 31 Christianity SONGCO ANTAPAN BUKIDNON
DAYDAY MPOAN,

8 <=== TOTAL FEMALE

20 <=== COMBINED

Legend: List and Code of Indicators under REMARKS column

Prepared by;
Beginning of the End of the
Indicator Code Required Information Indicator Code Required Information REGISTERED
Semester Semester

Transfered Out T/O CCT Receipient CCT CCT Control/reference number &
Effectivity Date MALE 12
Name of School, Date of 1st Attendance and Balik Aral B/A Name of school last attended & Year
Date of Last Attendance if Transferred Out
Transfered In T/I Learner With LWE Specify Exceptionality of the Learner
FEMALE 8
Exceptionality Beginning of the Semeste
Accelerated ACL Specify Level & Effectivity Date

TOTAL 20
7/5/21 12:00 AM

Generated on: Wednesday, September 29, 2021

ESTENOR,JOSEPH
Modular (print)
ENE,TALHA,

TERRE,JERUSAL
PARENT Modular (print) Pending TI
YM,,

ORTIZ,TERISITA,
PARENT Modular (print) Pending TI
REMULADO,

Modular (print) T/I DATE:2021-07-05

Modular (print) T/I DATE:2021-07-05

LASPONA,MEGUI
Modular (print) T/I DATE:2021-07-05
LA,NARBASA,

PREQUENCIA,VIR
Modular (print)
GIE,SISO,

LADICA,ELSA,CA
Modular (print)
MPOAN,

d by;

CIRILA NUÑEZ ROLDAN

(Signature of Adviser over Printed Name)

ng of the Semester Date: End of the Semester Date:

12:00 AM 11/11/21 12:00 AM