School Form 1 (SF 1) School Register

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

School ID 105073 Region III Division Bulacan District San Miguel North

School Name SAN MIGUEL NORTH CENTRAL SCHOOL School Year 2022 - 2023 Grade Level Grade 4 Section HYDRANGEA

GUARDIAN
ADDRESS PARENTS
(if Not Parent)
Age MOTHER Contact

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

ATIENZA,
Christiani SAN CHENG,LERIZA
105073180107 ATIENZA,LEI VINZIE, CHENG M 12-19-2012 9 Tagalog CAMIAS BULACAN MARVIN
ty MIGUEL ,FERNANDO,
SANTOS
BARLAM, KEIL BENEDICTO,AN
Christiani SAN
418538170040 BARLAM,KEANO, BENEDICTO M 09-22-2012 10 Tagalog CAMIAS BULACAN JOHN DELA NALYN,PENGS
ty MIGUEL
CRUZ ON,
BOBLO, DELA
BOBLO,JOHN VINCENT, DELA Christiani SAN
105073180052 M 02-09-2013 9 Tagalog CAMIAS BULACAN ROMNICK CRUZ,BERNAD
CRUZ ty MIGUEL
SANTOS ETTE,JAVIER,
CALIWAG,
CALIWAG,JOHN DAVID, Christiani SAN MINTAC,ANAL
105094180014 M 11-14-2013 8 Tagalog BALITE BULACAN JERRY
MINTAC ty MIGUEL YN,GARCIA,
MAPUYAN
CERNECHEZ, BUENAVENTU
CERNECHEZ,GABRIEL THOMAS, Christiani SAN
105104180028 M 10-10-2012 10 Tagalog CAMIAS BULACAN JOHN RA,LEA,SURBA
BUENAVENTURA ty MIGUEL
NAVARRO N,
DE JESUS, MACASU,MAR
DE JESUS,JOHN JOE MARY, Christiani SAN
418538180017 M 02-01-2013 9 Tagalog CAMIAS BULACAN JOVITO Y
MACASU ty MIGUEL
FRANCO JANE,GAMBOA,
DELA CRUZ,
DELA CRUZ,CHRIS KHIAN, Christiani SAN SUCAYRE,LUCI
105073180111 M 12-27-2012 9 Tagalog BALITE BULACAN REYNALDO DE
SUCAYRE ty MIGUEL NDA,PALENG,
GUZMAN
EPISTULA,ROS
Christiani SAN E
105328170017 EPISTULA,PRINCE, FELICIANO M 11-20-2011 10 Tagalog BULIRAN BULACAN
ty MIGUEL ANN,FELICIAN
O,
ESPIRITU, DANAO,DIVINA
ESPIRITU,CHRISTIAN JAMES, Christiani SAN SAN
105073180004 M 12-19-2012 9 Tagalog BULACAN CHRISTIAN ,EVANGELISTA
DANAO ty VICENTE MIGUEL
LAYA ,

GERVACIO,JUSTINE JAKE, Christiani SAN GERVACIO, ESTIOCO,MARL

105073180140 M 07-13-2013 9 Tagalog CAMIAS BULACAN
ESTIOCO ty MIGUEL GARRY LABAD YN,QUIMPO,

JIMENEZ,
Christiani SAN GABO,CRISTIN
105073170025 JIMENEZ,CHARLES, GABO M 07-08-2011 11 Tagalog CAMIAS BULACAN JOSEPH
ty MIGUEL A,FRANCIA,
CULIANAN
Christiani SAN MAPUYAN, GAVIOLA,MARI
105073180151 MAPUYAN,JHELLO, GAVIOLA M 11-18-2012 9 Tagalog BALITE BULACAN
ty MIGUEL SHERWIN - CEL,I,
PAJARES,
Christiani SAN MADEJA,MARI
105073180064 PAJARES,MICO, MADEJA M 06-12-2012 10 Tagalog CAMIAS BULACAN CAMILO
ty MIGUEL CRIS,SOLAR,
MADEJA

SANOY, JAMES
Christiani SAN ICO,ANGELINE,
105073180157 SANOY,LIAM BRIELLE, ICO M 09-16-2013 9 Tagalog CAMIAS BULACAN BRYAN
ty MIGUEL PANGILINAN,
LIZARDO
n Miguel North

YDRANGEA

REMARKS

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

Face to Face

Face to Face

Face to Face

Face to Face

Face to Face

Face to Face

Face to Face

Blended Pending TI

Face to Face

Face to Face

Face to Face

Face to Face

Face to Face

Face to Face
 Christiani SAN STA MARIA, ESCONDE,CRES
105073170103 STA MARIA,JOVEN, ESCONDE M 10-20-2011 11 Tagalog CAMIAS BULACAN
ty MIGUEL JOMAR GARCIA SIL,BULANAN,

15 <=== TOTAL MALE

ABALOS,
Christiani SAN CIPRIANO,JANE
105073180081 ABALOS,JILLIAN, CIPRIANO F 09-28-2012 10 Tagalog CAMIAS BULACAN WILLIAM
ty MIGUEL T,CASIMIRO,
LUCIANO
DELA
Christiani SAN ARIGO, ROLLY
105073180120 ARIGO,RACHEL, DELA CRUZ F 07-23-2013 9 Tagalog CAMIAS BULACAN CRUZ,EDIELIZ
ty MIGUEL DELA TORRE
A,FRANCISCO,
BAGUISA,
BAGUISA,JANINE CARLA MAE, Christiani SAN BINGGAN,REN
105073180083 F 09-19-2012 10 Tagalog CAMIAS BULACAN LEONARDO
BINGGAN ty MIGUEL ATA,DELFIN,
SILVANO JR
BUNAG, SANTOS,JUDY
BUNAG,ARIANNA JAYCELL, Christiani SAN
105073180123 F 09-25-2012 10 Tagalog BALITE BULACAN ARNOLD ANNE,VENTURI
SANTOS ty MIGUEL
SAYUMAN NA,
DE
Christiani SAN DELA CRUZ,
105073180092 DELA CRUZ,JENSLIE, DE DIOS F 10-17-2012 10 Tagalog CAMIAS BULACAN DIOS,ANDREA,
ty MIGUEL JULIUS MAON
BAHANDE,

ENRIQUEZ,
Christiani SAN ENRIQUEZ,LOR
105073180040 ENRIQUEZ,SHAINE, DELA CRUZ F 10-26-2013 9 Tagalog CAMIAS BULACAN SIMEON
ty MIGUEL IFEL,BANGIT,
PORCINCULLA

GUMAYAN, FRANCISCO,EM
GUMAYAN,DAZE ELIYAH, Christiani SAN
400928180029 F 07-04-2013 9 Tagalog CAMIAS BULACAN DONALD MALYN,DIMAC
FRANCISCO ty MIGUEL
MIJARES ALE,
LLANERA, REY
Christiani SAN CABRAL,AGNE
105073180131 LLANERA,ZHAKIRA, CABRAL F 07-20-2012 10 Tagalog CAMIAS BULACAN JONES
ty MIGUEL S,BAIN,
CULIANAN
LUCAÑAS,
LUCAÑAS,ANDREA LOUISE, Christiani SAN MARTINEZ,MIL
105073180143 F 05-29-2013 9 Tagalog CAMIAS BULACAN ZANDRO
MARTINEZ ty MIGUEL DRED,JULIAN,
VOCAL

Christiani SAN MANANGYAHA

105073180046 MANANGHAYA,STEPHANIE, - F 01-03-2013 9 Tagalog BALITE BULACAN
ty MIGUEL ,MAY,BAYAN,

MAPUYAN,
Christiani SAN GALANG,LYNE
105073180139 MAPUYAN,JANELLE, GALANG F 04-17-2013 9 Tagalog BALITE BULACAN JEFFREY
ty MIGUEL TH,MAPUYAN,
CALIWAG
MONTALLANA,
MONTALLANA,JAMILLA, Christiani SAN CASTRO,JANIC
164002180190 F 09-22-2012 10 Tagalog CAMIAS BULACAN EDWIN
CASTRO ty MIGUEL E,DELA CRUZ,
GOBALA

Christiani SAN RELOX, ROGER MENDOZA,MIC

105073180012 RELOX,GENICA, MENDOZA F 02-19-2013 9 Tagalog CAMIAS BULACAN
ty MIGUEL BUQUE HELLE,CAO,

Christiani SAN REYES, DENNIS INOCENCIO,CE

105073180013 REYES,TRICIA MAE, INOCENCIO F 08-26-2013 9 Tagalog CAMIAS BULACAN
ty MIGUEL CRUZ CILLE,TAPAR,

SANGIL,
SANGIL,QUIELLA MAE, Christiani SAN DAMASO,RHEA
105073180133 F 10-04-2011 11 Tagalog CAMIAS BULACAN RONALDO
DAMASO ty MIGUEL ,CONCEPCION,
DELA PEÑA

Christiani SAN SAUCO, ALLAN CRUZ,ROWENA

400928180046 SAUCO,ALLOHA ROXIE, CRUZ F 12-12-2012 9 Tagalog CAMIAS BULACAN
ty MIGUEL RAMOS ,MENDOZA,

16 <=== TOTAL FEMALE

31 <=== COMBINED
Face to Face

Face to Face

Face to Face

Face to Face

Face to Face

Face to Face

Face to Face

Face to Face

Face to Face

Face to Face

T/I
Face to Face DATE:2022-09-
12

Face to Face

Face to Face

Face to Face

Face to Face

Face to Face

Face to Face
 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 RICARDO BULAONG GIRON
Date MALE 15
Balik Aral B/A Name of school last attended & Year RYAN CIPRA DURIA (Signature of School Head over Printed Na
Transfered In T/I Name of Public (P) Private (PR) School & Effectivity
Date Learner With LWD Specify (Signature of Adviser over Printed Name)
FEMALE 16
Disability
Dropped DRP Reason and Effectivity Date Accelerated ACL Specify Level & Effectivity Data
Late Enrollment LE Reason (Enrollment beyond 1st Friday of SY) BoSY Date: EoSY Date:
TOTAL 31
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Sunday, November 20, 2022

LAONG GIRON

ead over Printed Name)

EoSY Date:

d thru LIS