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

School Name Bintawan NHS School ID 300623 District Villaverde

Division Nueva

Semester First Semester School Year 2022 - 2023 Grade Level Grade 12 Track and Strand

Section HUMSS 3 Course (for TVL only)

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)

POBLACION NUEVA AGPAWA, JEREMY MARQUEZ,MI

104221100001 AGPAWA,JEREMY JR MARQUEZ M 11/28/2004 17 Christianity VILLAVERDE
(TUROD) VIZCAYA POLICENA OL,SAMANDR

NUEVA BASCONCILLO, LAURETA,EU

104223120085 BASCONCILLO,DANNY JR LAURETA M 05/12/2001 21 Christianity NAGBITIN VILLAVERDE
VIZCAYA DANNY IA,,

BINTAWAN NUEVA BUENO, MARIO VALDEZ,MAR

103929120004 BUENO,MAR JOHN LOID VALDEZ M 03/10/2005 17 Christianity VILLAVERDE
NORTE VIZCAYA WASIN N,ESTIMADA,

BINTAWAN NUEVA CABBAT, KARL GUILING,ELM

136390100019 CABBAT,LAY WALTER GUILING M 08/16/2005 17 Christianity VILLAVERDE
SUR VIZCAYA HOERST RAMOS ,
NUEVA FERNANDEZ, LAMARCA,SH
400536150159 FERNANDEZ,MARK IVAN LAMARCA M 11/15/2005 16 Christianity IBUNG VILLAVERDE
VIZCAYA JACINTO T JR L,G,

NUEVA GABIOLA, EDWIN DINAMTAN,L

104215140031 GABIOLA,ADRIAN D M 10/02/2005 17 Christianity CABULUAN VILLAVERDE
VIZCAYA OSO NA,OTCHOC,

NUEVA
104215140034 GARNADOZO,ALEXANDER M M 06/12/2005 17 Christianity CABULUAN VILLAVERDE GARNADOZO, JUN MON-AY,ANG
VIZCAYA

NUEVA PASION, FELIPE ACADEMIA,D

104164070031 PASION,FELIPE III ACADEMIA M 03/24/2002 20 Christianity AGGUB SOLANO
VIZCAYA BUENO JR ALYN,CORPU

FERNANDEZ,
NUEVA SACULLES, JESSIE
103935100031 SACULLES,CHRIS LORENZ FERNANDEZ M 04/15/2004 18 Christianity CAREB BAGBAG CIDAD,MAGP
VIZCAYA RUAR
,

BINTAWAN NUEVA SALUDARES, CACAYURIN,

104213140209 SALUDAREZ,JAYLORD CACAYURIN M 06/04/2005 17 Christianity VILLAVERDE
NORTE VIZCAYA JOSEPH OREL CY,BODOMO,

NUEVA
104223100091 URBAN,JOSHUA SABADO M 03/08/2005 17 Christianity IBUNG VILLAVERDE URBAN, CORNELIO SABADO,EDN
VIZCAYA
NUEVA VILLAR, RENATO ESCOBAR,LU
104216100038 VILLAR,DOMINIC ESCOBAR M 10/13/2004 18 Christianity NAGBITIN VILLAVERDE
VIZCAYA ALMAZAN A,,

12 <=== TOTAL MALE

AGUIRRE, SONNY CLARIDAD,CL

103598100007 AGUIRRE,XYRENE CLARIDAD F 08/08/2005 17 Christianity BURGOS RAMON ISABELA
REY BERRAS ITA,CEREZO,

NUEVA ANSOTIGUE, ERICK HERNANDEZ,

104216100001 ANSOTIGUE,JASMINE ERIKA HERNANDEZ F 11/26/2005 16 Christianity NAGBITIN VILLAVERDE
VIZCAYA OLIGO MMA,,
F1-SHS)

Nueva Vizcaya Region Region II

Academic Track -Humanities and Social Sciences

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)

MARQUEZ,MIRAS
PARENT Face to Face
OL,SAMANDRE,

LAURETA,EUGEN
PARENT Modular (print)
A,,

VALDEZ,MARILY
RELATIVE Blended
N,ESTIMADA,

GUILING,ELMAR,
PARENT Blended

LAMARCA,SHERI
PARENT Modular (print)
L,G,

DINAMTAN,LOR
PARENT Modular Digital
NA,OTCHOC,

MON-AY,ANGIE,, PARENT Modular (print)

ACADEMIA,DON
PARENT Blended
ALYN,CORPUZ,

FERNANDEZ,FELI
CIDAD,MAGPALE Blended

CACAYURIN,MER
Blended
CY,BODOMO,

SABADO,EDNA,, PARENT Blended

ESCOBAR,LUCIT
PARENT Blended
A,,

CLARIDAD,CLAR
PARENT Blended
TA,CEREZO,

HERNANDEZ,GE
PARENT Blended
MMA,,
 NUEVA ANTONIO, FRANCIS REYES,GINAL
104223100011 ANTONIO,ANA MARIZ REYES F 08/30/2005 17 Christianity IBUNG VILLAVERDE
VIZCAYA SORIA SR DELA PEÑA,

POBLACION NUEVA BALUBAYAN, JOEL JACOSALEM,E

104221100005 BALUBAYAN,FRANZCIA MAE JACOSALEM F 03/03/2005 17 Christianity VILLAVERDE
(TUROD) VIZCAYA VASQUEZ ALYN,POLICE

NUEVA CONTAWE, RESTY MASIN,JOCEL

104165090006 CONTAWE,AIREEN MASIN F 06/11/2003 19 Christianity IBUNG VILLAVERDE
VIZCAYA BAÑAGA DULNUAN,

BINTAWAN NUEVA DEL ROSARIO, VILLANUEVA

104213100021 DEL ROSARIO,JENSEN VILLANUEVA F 06/03/2005 17 Christianity VILLAVERDE
NORTE VIZCAYA WILFREDO RIGOR RIDEL,JASMIN

DE
NUEVA ERAÑA, JOEL
103935100010 ERAÑA,KHRYZZY SHANE AECYANNE DE GUZMAN F 03/31/2005 17 Christianity CAREB BAGBAG GUZMAN,SHA
VIZCAYA RIVERA
N,VALEROZO

NUEVA GUIMBUNGAN, DINAMLING,N

104222100006 GUIMBUNGAN,GRETCHEN DINAMLING F 08/08/2005 17 Christianity CABULUAN VILLAVERDE
VIZCAYA EDUARDO TOMMET MA,BANGAON

MALAQUE,
SAN CABARROGUIS AGPAWA,MEL
104221100020 MALAQUE,KRIZZLE MAE AGPAWA F 10/17/2005 17 Christianity QUIRINO CHRISTOPHER
MARCOS (Capital) IE,POLICENA,
MAMMUAD

NUEVA NICOLAS, MICHAEL RAFAL,ANNA

104223120060 NICOLAS,MICHELLE ANNE RAFAL F 10/17/2004 18 Christianity IBUNG VILLAVERDE
VIZCAYA CORPUZ N,MARQUEZ,

BINTAWAN NUEVA OCUMEN, JOEL DEQUEROZ,JO

104213140208 OCUMEN,ELAIZA JAZLY DEQUIROZ F 10/12/2005 17 Christianity VILLAVERDE
NORTE VIZCAYA HABOC ,ACOSTA,
NUEVA ORBITA, VINVENT DACANAY,MA
104223100065 ORBITA,IRISH MAE DACANAY F 03/05/2005 17 Christianity IBUNG VILLAVERDE
VIZCAYA VALDEZ ANN,

NUEVA PADASAS, ARNEL MENDOZA,SO

104216100027 PADASAS,AIRA SOPHIA MAE MENDOZA F 08/26/2005 17 Christianity NAGBITIN VILLAVERDE
VIZCAYA PARIOL ,MENDOZA,

BINTAWAN NUEVA SABADO, ERIC VELASCO,JEN

104214140220 SABADO,ERICA JANE VELASCO F 11/27/2004 17 Christianity VILLAVERDE
SUR VIZCAYA SERIDON YN,SALVADO

NUEVA SABATER, ROGELIO SISON,JOVELY

400536150175 SABATER,ROXANNE SISON F 07/31/2005 17 Christianity IBUNG VILLAVERDE
VIZCAYA GUINTO JR VALIENTE,

NUEVA SECRETARIO, ANCHETA,AN

104223100079 SECRETARIO,ROSEMARIE ANCHETA F 12/01/2004 17 Christianity IBUNG VILLAVERDE
VIZCAYA RODELIO RAFAL YN,BOADO,

SARMIENTO,S
NUEVA SEPNIO, JESSIE
104178100012 SEPNIO,MICAELLA SARMIENTO F 02/09/2005 17 Christianity SAN JUAN SOLANO RYL
VIZCAYA SANTIAGO
JOY,MARTINE
TALAVERA, CLARIDAD,LA
103602100071 TALAVERA,MICAH CLARIDAD F 08/05/2005 17 Christianity OSCARIZ RAMON ISABELA
NELSON SALES SR A,CEREZO,
NUEVA VALDEZ, RENATO CARBONEL,L
104216100036 VALDEZ,RHIENALYN CARBONEL F 10/20/2005 17 Christianity NAGBITIN VILLAVERDE
VIZCAYA ASUNCION A,RAMOS,

19 <=== TOTAL FEMALE

31 <=== 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 19
Exceptionality
Accelerated ACL Specify Level & Effectivity Date
REYES,GINALYN,
PARENT Modular Digital
DELA PEÑA,

JACOSALEM,EDN
PARENT Blended
ALYN,POLICENA,

MASIN,JOCELYN,
PARENT Blended
DULNUAN,

VILLANUEVA,MA
Blended
RIDEL,JASMIN,

DE
GUZMAN,SHARO RELATIVE Blended
N,VALEROZO,

DINAMLING,NOR
PARENT Blended
MA,BANGAONA,

AGPAWA,MELAN
PARENT Blended T/I DATE:2022-08-22
E,POLICENA,

RAFAL,ANNALY
PARENT Blended
N,MARQUEZ,

DEQUEROZ,JOAN
Blended
ACOSTA,
DACANAY,MAY, WFO, T/I
PARENT Blended
ANN, DATE:2022-08-22

MENDOZA,SONIA
PARENT Blended
MENDOZA,

VELASCO,JENNIL
PARENT Blended
YN,SALVADOR,

SISON,JOVELYN,
PARENT Blended
VALIENTE,

ANCHETA,ANAL
PARENT Blended
YN,BOADO,

SARMIENTO,SHE
RYL PARENT Blended
JOY,MARTINEZ,
CLARIDAD,LAIL
PARENT Blended
A,CEREZO,
CARBONEL,LAIL
PARENT Blended
A,RAMOS,

d by;

MERLITA CACAL PADILLA

(Signature of Adviser over Printed Name)

End of the Semester Date:

 Effectivity Date
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 19
Exceptionality Beginning of the Semeste
Accelerated ACL Specify Level & Effectivity Date

TOTAL 31
8/22/22 12:00 AM

Generated on: Monday, January 9, 2023

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

2 12:00 AM 2/3/23 12:00 AM