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 8 (Year Section EMERALD

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

Sex (M/F)
as of TONGUE IP
NAME BIRTH DATE RELIGIO Number of Learning
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 Modality (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)

EBRANO,
Christiani SURIGAO DEL MONSON,SARA Modular
132787130005 EBRANO,RONIERICK, MONSON M 04-17-2008 13 Kamayo Manobo PAGTILA-AN LINGIG RONIEBOY
ty SUR H,GANLOY, (print)
GAYLO
GARAY, OMALLAYAO,
GARAY,EARLBEN REY, Christiani CITY OF Modular
126873140104 M 04-21-2008 13 Manobo Talaandig LALIGAN BUKIDNON BENITO MARY,ANN,PA
PASTRANO ty VALENCIA (print)
MADANLO STRANO

2 <=== TOTAL MALE

Christiani SURIGAO DEL ABRAHAN, GAYLO,NERLY, Modular

132787130001 ABRAHAN,ANGELICA, GAYLO F 11-09-2008 12 Kamayo Manobo PAGTILA-AN LINGIG
ty SUR ALLAN FLORES MARCELO, (print)

ABRAHAN,LEAH MAY, DELOS Christiani SURIGAO DEL SANTOS,FRITZI Modular

132805110001 F 08-19-2005 16 Kamayo Manobo LINGIG
SANTOS ty SUR E,DELOS, (print)

T/I
Christiani INDICO, LITO GODGOD,CECI Modular
136514120870 INDICO,PRINCESS, GODGOD F 01-19-2006 15 Tagalog PARULAN PLARIDEL BULACAN DATE:2021-09-
ty RIBRADELIA LLE,DONAN, (print)
13

3 <=== TOTAL FEMALE

5 <=== 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
Date
CCT Receipient CCT CCT Control/reference number & Effectivity Date NERIA L. GAMBE, Ed.D.
MALE 2
Balik Aral B/A Name of school last attended & Year MAY B. BASTIDA (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 3
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 5
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Saturday, June 18, 2022