School Form 1 (SF 1) School Register

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

School ID 407583 CARAGA Division Surigao del Sur

School Name Surigao Sur College - Pagtilaan School Year 2021 - 2022 Grade Level Grade 9 (Year Section SAPPHIRE

GUARDIAN
ADDRESS PARENTS REMARKS
(if Not Parent)
Age MOTHER Contact

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

Christiani SURIGAO DEL ABRAHAN, GAYLO,NERLY, Modular

132787120001 ABRAHAN,JAYCO, GAYLO M 10-20-2007 14 Kamayo Kamayo PAGTILA-AN LINGIG
ty SUR ALLAN FLORES MARCELO, (print)

BAGO,
Christiani SURIGAO DEL TOROBA,LORD Modular
132787120002 BAGO,JOVAN, TOROBA M 07-20-2007 14 Kamayo Kamayo PAGTILA-AN LINGIG SERBANDO
ty SUR ENITA,, (print)
CORTES

Christiani SURIGAO DEL BETE, ROGEN BANDOY,RHEA Modular

132805110007 BETE,REMUEL, BANDOY M 03-06-2005 16 Kamayo Manobo PAGTILA-AN LINGIG
ty SUR GAYLO ,PAMINTUAN, (print)

CUTAMORA,
Christiani SURIGAO DEL GODGOD,NERL Modular
132787120003 CUTAMORA,MICCO, GODGOD M 08-31-2007 14 Kamayo PAGTILA-AN LINGIG SALVADOR
ty SUR INDA,GAYLO, (print)
DELA VEGA
GAYLO,
Christiani SURIGAO DEL VISTAL,EMIE,R Modular
132787120005 GAYLO,JOEL, VISTAL M 12-19-2007 13 Kamayo PAGTILA-AN LINGIG FLOREN
ty SUR IZADO, (print)
PASCUAL
GUDGUD,
Christiani SURIGAO DEL TUGON,LUCINI Modular
129263100100 GUDGUD,RESALDO, TUGON M 10-13-2002 19 Mandaya Mandaya PAGTILA-AN LINGIG ROLANDO
ty SUR A,MONSON, (print)
ENGUIN
NCR QUINDOZA, T/I
Christiani PASONG QUEZON HILARION,MEL Modular
136514131004 QUINDOZA,ANDREY, HILARION M 03-20-2007 14 Tagalog SECOND ARIEL DATE:2021-09-
ty TAMO CITY VIE,GAYLO, Digital
DISTRICT LIMPIADO 13

Cebuano /
CITY OF T/I
Sinugbua Christiani AGUSAN DEL RAMOS, OSCAR PAMESA,ANAL Modular
126108060243 RAMOS,JEMARK, PAMESA M 09-09-1999 22 Cebuano CAASINAN CABADBAR DATE:2021-09-
nong ty NORTE - YN,LABITAN, (print)
AN 13
Binisay

TOROBA,
Christiani SURIGAO DEL SAJOLAN,MARI Modular
132810110028 TOROBA,EDRIAN, SAJOLAN M 07-24-2006 15 Cebuano Manobo PAGTILA-AN LINGIG JOREVEN
ty SUR VIC,, (print)
MATING

Cebuano /
TOROBA,
Sinugbua Christiani CITY OF SURIGAO DEL SAJOLAN,MARI Modular
132810100049 TOROBA,JOVIC, SAJOLAN M 03-02-2005 16 Manobo TABON JOREVEN
nong ty BISLIG SUR VIC,, (print)
MATING
Binisay

10 <=== TOTAL MALE

BATISTIL,
BATISTIL,PRINCES JOY, Christiani SURIGAO DEL MANLATICAN,J Modular
132805120024 F 09-22-2007 14 Cebuano Kamayo PAGTILA-AN LINGIG GEORGE
MANLATICAN ty SUR OY,AGUJETAS, (print)
LOSENTES
DELA VEGA,
Christiani SURIGAO DEL MAINIT,GLORI Modular
132805120029 DELA VEGA,ALANIE, MAINIT F 05-29-2008 13 Kamayo Kamayo PAGTILA-AN LINGIG ALLAN
ty SUR A,MILLAMA, (print)
NONONG

Cebuano /
ESPARAGO, LE
ESPARAGO,ASHLEE MARIE, Sinugbua Christiani CITY OF SURIGAO DEL GAYLO,MAREC Modular
132787120007 F 09-16-2007 14 Manobo TABON ALEJANDRO DATE:2021/09/
GAYLO nong ty BISLIG SUR IL,CONEJAR, (print)
BANGKILID 15
Binisay

Christiani GODGOD, GODGOD,DULC Modular

132787100008 GODGOD,DISHEL, DUNAN F 04-13-2005 16 Tagalog PARULAN PLARIDEL BULACAN
ty MARTINO INOB ISIMA,DUNAN, (print)

Christiani SURIGAO DEL INLAJUSTA, GAYLO,MARYJ Modular

132787120011 INLAJUSTA,JULIAN, GAYLO F 04-10-2007 14 Kamayo Manobo PAGTILA-AN LINGIG
ty SUR ROSEL BITASA OY TOROBA,, (print)

5 <=== TOTAL FEMALE

15 <=== 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 NERIA L. GAMBE, Ed.D.
Date MALE 10
Balik Aral B/A Name of school last attended & Year MARK RUBY R. DURO (Signature of School Head over Printed Name)
Transfered In T/I Name of Public (P) Private (PR) School & Effectivity
Date Learner With LWD Specify (Signature of Adviser over Printed Name)
FEMALE 5
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 14
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Saturday, June 18, 2022