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

School Name Malacampa NHS School ID 307006 District Camiling East

Division Ta

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

Section SWAIM Course (for TVL only) Shielded Metal Arc Welding (NC I), Shielded Metal Arc

COMPLETE ADDRESS PARENTS

AGE

Sex (M/F)
NAME BIRTH DATE as of
LRN Religious Affilication Mother's Maid
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy) Octob Father's Name (Last
er 31st Name (Last Na
House #/ Street/ Sitio/ Purok Barangay Municipality/ City Province Name, First Name, Middle
First Name, Mi
Name)
Name)

SANTA TUMBAGA, JOMER GUTIERREZ,M

106353100005 AGAS,JIMBOY - M 04/06/2004 17 Christianity CAMILING TARLAC
MARIA SAMPAYAN LOU,AGAS,

SANTA ANTIMANO, BAGUISTAN,S

106675100002 ANTIMANO,DEXTER JOHN BAGUISTAN M 12/30/2004 16 Christianity PINPINAS TARLAC
IGNACIA JEFFREY S. LY,M.,

PINDANGAN ARELLANO, DENNIS VALDEZ,JENN

106332100004 ARELLANO,JHAYTEE VALDEZ M 03/20/2005 16 Christianity CAMILING TARLAC
2ND PERIDA R,PUBLICO,

CABANABA BAGUYO, EDUARDO CALMA,KARE

106340100004 BAGUYO,EDREN CALMA M 12/03/2004 16 Christianity CAMILING TARLAC
AN CARBO ALLENA,

SOMBRANO,D
BALDELOMAR,
106335100013 BALDELOMAR,JOHN MICHAEL SOMBRANO M 01/28/2005 16 Christianity SURGUI 1ST CAMILING TARLAC ORES,MELECO
ELTERJUN ISIDRO
NES,

MALACAMP BALUYOT,JOC
503062000783 BALUYOT,ELMER LAGOSTA M 06/12/1997 24 Christianity CAMILING TARLAC
A YN,LACOSTA

MALACAMP BANCIFRA, VALETE,ARC

106629090005 BANCIFRA,DINO VALETE M 06/04/2002 19 Christianity CAMILING TARLAC
A BERNARDO PASCUA FACUN,

POBLACION CALAGUAS, PASCUA,EMIL

106329100038 CALAGUAS,MICHAEL PASCUA M 10/05/2004 17 Christianity CAMILING TARLAC
B MARCIAL L M,
MALACAMP CASTRO, MARLON GUMERO,JOS
160008100009 CASTRO,MARK JOSHUA GUMERO M 07/24/2004 17 Christianity CAMILING TARLAC
A C. .,

POBLACION CRUZ, RICHARD GUILLERMO,A

106360080027 CRUZ,RICK ALLAN GUILLERMO M 01/13/2003 18 Christianity CAMILING TARLAC
D UMAGAT A,BRAGADO,

MALACAMP DACAYANAN, TURLA,ANAB

106346100019 DACAYANAN,AIRON JOHN TURLA M 06/08/2005 16 Christianity CAMILING TARLAC
A NESTOR JULIAN DIZON,

BALDELOMA
106335060026 DUCUSIN,JEFFERSON BALDELOMAR M 09/18/2000 21 Christianity SURGUI 1ST CAMILING TARLAC ATHERINE,ISI
O,
POBLACION ESTEBAN, ROGELIO JOSE,EDITHA
106360100044 ESTEBAN,RICHARD JOSE M 08/13/2004 17 Christianity CAMILING TARLAC
E SIMON N,
F1-SHS)

Tarlac Region Region III

Technical-Vocational-Livelihood Track

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)

GUTIERREZ,MARI
Modular (print)
LOU,AGAS,

BAGUISTAN,SHIR
Modular (print)
LY,M.,

VALDEZ,JENNIFE
PARENT Modular (print)
R,PUBLICO,

CALMA,KAREN,C
Modular (print)
ALLENA,

SOMBRANO,DOL
ORES,MELECOTO Modular (print)
NES,

BALUYOT,JOCEL
Modular (print)
YN,LACOSTA,

VALETE,ARCELI,
PARENT Modular (print)
FACUN,

PASCUA,EMILY,
RELATIVE Modular (print)
M,
GUMERO,JOSIE,A
Modular (print)
,

GUILLERMO,ALM
Modular (print)
A,BRAGADO,

TURLA,ANABEL,
Modular (print)
DIZON,

BALDELOMAR,K
ATHERINE,ISIDR PARENT Modular (print)
O,
JOSE,EDITHA,JUA
Modular (print)
N,
 NARDO,JAME
CAANAMON SANTA FERNANDEZ,
106667070014 FERNANDEZ,RONEL KENNETH NARDO M 07/16/2002 19 Christianity TARLAC ROXANNE,BU
GAN IGNACIA RONALD TEODORO
RIN,NARDO

MALACAMP HALLIG, EDUARDO DURAL,MARI

114288120064 HALLIG,ROBIN DURAL M 06/08/2003 18 Christianity CAMILING TARLAC
A CUIZON ORDILLANO,

IGNACIO,
ANTONIO,REM
106331100019 IGNACIO,JONAS ANTONIO M 09/15/2005 16 Christianity CAYAOAN CAMILING TARLAC GREGORIO
IOS,CAMO,
SOBREPENA JR
DELA
POBLACION LAPITAN, JERRY
106329100095 LAPITAN,JERRICHO DELA CRUZ M 03/17/2004 17 Christianity CAMILING TARLAC CRUZ,LORNA
C ESTEBAN
AYO,
LETADA, RAUL ONGOTAN,EL
106366100016 LETADA,JAYBOY ONGOTAN M 07/26/2002 19 Christianity LIBUEG CAMILING TARLAC
AJITAN A,RIVERA,
MANGLICMOT,
SINULATAN PAPIO,MEDY,
106366100017 MANGLICMOT,MARIO PAPIO M 11/13/2004 16 Christianity CAMILING TARLAC MELCHOR
1ST AGAS,
GANOTAN
MARCELINO,
POBLACION FERNANDEZ,
106329080195 MARCELINO,LORD CHRISTIAN FERNANDEZ M 07/28/2003 18 Christianity CAMILING TARLAC MARLON JESUS
A HERINE,BUEN
ESPERU

ANTIQUINA,R
POBLACION SANTA MARTIN, RODERICK
106680100136 MARTIN,RODERICK JR ANTIQUINA M 01/22/2003 18 Christianity TARLAC ELYN,CASAL
EAST IGNACIA JARAMILLO
TAO,

MALACAMP LUNA, ESTARLITO NEVERBA,ME

106329080215 NEVERVA,JAYVE - M 09/30/2002 19 Christianity CAMILING TARLAC
A RANARA RIE,SUELEN,

CACAMILIN PANIGBATAN
106341100050 PANIGBATAN,JOHN GIL - M 06/30/2005 16 Christianity CAMILING TARLAC
GAN SUR ORIA,DOMING

QUILALA, VERGEL MONARES,CA

106354100015 QUILALA,MARK CLARINES MONARES M 09/29/2004 17 Christianity TELBANG CAMILING TARLAC
VILLANDA ERINE,TOLED

RAMALES,
LAURENCIO SORIANO,MA
106353100044 RAMALES,GIAN CARLO SORIANO M 05/02/2005 16 Christianity NEW SALEM GERONA TARLAC
ESMATAO EL,AQUINO,
RAMALES

MALACAMP REYES, EDWIN GROSPE,EVEL

106346100084 REYES,JUN GROSPE M 06/23/2005 16 Christianity CAMILING TARLAC
A SUMAOANG ASUNCION,

CACAMILIN RONQUILLO, MURCIA,RUB

106341090046 RONQUILLO,MARK ANTHONY MURCIA M 01/24/2004 17 Christianity CAMILING TARLAC
GAN SUR RODOLFO OVEJERA ROSA,SURAT

SANTOS,
MALACAMP PABLO,ESTEL
160008100035 SANTOS,MARK ANTHONY PABLO M 05/09/2005 16 Christianity CAMILING TARLAC FORTUNATO
A ,JOSE,
CASTILLO JR
AGAO,JANITA
106362050035 SEBASTIAN,JOSHUA AGAO M 07/12/2000 21 Christianity LIBUEG CAMILING TARLAC
IS,
MALACAMP JULIAN, ROMEO SY,VIOLETA,T
106346080086 SY,ROMEO - M 05/09/2002 19 Christianity CAMILING TARLAC
A IBUSCA IO,
TENTATIVA,
PABLO,MARY
106335100077 TENTATIVA,GABRIEL PABLO M 10/30/2003 18 Christianity SURGUI 2ND CAMILING TARLAC RICHARD
ANN,ANTONI
SACATROPEZ

TIMMAGUA SANTA VALDEZ, GENARO PASTOR,DELI

106687090038 VALDEZ,DICK PASTOR M 01/30/2004 17 Christianity TARLAC
B IGNACIA PRANDO ATRES,
NARDO,JAMEL
ROXANNE,BUGA PARENT Modular (print)
RIN,NARDO

DURAL,MARISSA,
Modular (print)
ORDILLANO,

ANTONIO,REMED
PARENT Modular (print)
OS,CAMO,

DELA
CRUZ,LORNA,PIL Modular (print)
AYO,
ONGOTAN,ELEN
RELATIVE Modular (print)
A,RIVERA,

PAPIO,MEDY,PAR
Modular (print)
AGAS,

FERNANDEZ,CAT
PARENT Modular (print)
HERINE,BUENO,

ANTIQUINA,ROS
ELYN,CASALAMI Modular (print)
TAO,

NEVERBA,MERJO
Modular (print)
RIE,SUELEN,

PANIGBATAN,GL
Modular (print)
ORIA,DOMINGO,

MONARES,CATH
PARENT Modular (print)
ERINE,TOLEDO,

SORIANO,MARIC
Modular (print) T/I DATE:2021-09-13
EL,AQUINO,

GROSPE,EVELYN,
PARENT Modular (print)
ASUNCION,

MURCIA,RUBY
Modular (print)
ROSA,SURAT,

PABLO,ESTELITA
Modular (print)
JOSE,

AGAO,JANITA,AS
PARENT Modular (print) T/I DATE:2021-09-13
S,
SY,VIOLETA,TOR
PARENT Modular (print) T/I DATE:2021-09-13
O,

PABLO,MARY
PARENT Modular (print)
ANN,ANTONIO,

PASTOR,DELIA,SI
Modular (print) T/I DATE:2021-09-13
ATRES,
 CACAMILIN YADAO, ROGELIO ALEGADO,TE
106341100086 YADAO,MARK IAN ALEGADO M 12/10/2004 16 Christianity CAMILING TARLAC
GAN SUR SABADO ITA,AQUINO,

33 <=== TOTAL MALE

SANTA DELA CRUZ, REYES,HILDA

106353100018 DELA CRUZ,ALTHEA ELLEN REYES F 12/22/2004 16 Christianity CAMILING TARLAC
MARIA FLORANDO LEYSA EGADO,

SANTA PABILONA, OSCAR PAYBA,DOLO

106340080013 PABILONA,KAREN PAYBA F 01/31/2002 19 Christianity CAMILING TARLAC
MARIA ALEGADO ,,

POBLACION TAMORADA, TADIWAN,ME

106330100068 TAMORADA,ANDREA MAE TADIWAN F 10/21/2005 16 Christianity CAMILING TARLAC
I ADELIO LORENZO A,MONTAJES,

3 <=== TOTAL FEMALE

36 <=== 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 33
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 3
Exceptionality Beginning of the Semeste
Accelerated ACL Specify Level & Effectivity Date

TOTAL 36
9/13/21 12:00 AM

Generated on: Thursday, February 3, 2022

ALEGADO,TERES
PARENT Modular (print)
TA,AQUINO,

REYES,HILDA,AL
Modular (print)
EGADO,

PAYBA,DOLORES
Modular (print)
,

TADIWAN,MELIS
Modular (print)
A,MONTAJES,

d by;

SUSANGRES PESCADOR PASCUA

(Signature of Adviser over Printed Name)

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

1 12:00 AM 1/28/22 12:00 AM