School Form 1 (SF 1) School Register

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

School ID Region Division District

School Name School Year Grade Level Section

AGE as of
1st Friday of ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
June
IP
NAME Sex BIRTH DATE BIRTH PLACE MOTHER Contact Number
LRN (Specify Ethnic RELIGION
(Last Name, First Name, Middle Name) (M/F) (mm/ dd/yy) (Province) TONGUE (Parent /Guardian)
(nos. of Group) House # / Father (1st name only if
Mother (Maiden: 1st Name, Middle (Please refer to the legend
years as per Street/Sitio/ Barangay Municipality/ City Province family name identical to Name Relationship
& Last Name) on last page)
last birthday) Purok learner)
 AGE as of
1st Friday of ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
June
IP
NAME Sex BIRTH DATE BIRTH PLACE MOTHER Contact Number
LRN (Specify Ethnic RELIGION
(Last Name, First Name, Middle Name) (M/F) (mm/ dd/yy) (Province) TONGUE (Parent /Guardian)
(nos. of Group) House # / Father (1st name only if
Mother (Maiden: 1st Name, Middle (Please refer to the legend
years as per Street/Sitio/ Barangay Municipality/ City Province family name identical to Name Relationship
& Last Name) on last page)
last birthday) Purok learner)

List and code of Indicators under REMARK column

Prepared by: Certified Correct:
Indicator Code Required Information Indicator Code Required Information BoSY EoSY

Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity DatCCT Recipient CCT CCT Control/reference number & Effectivity Date MALE

(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity DatBalik-Aral B/A Name of school last attended & Year FEMALE
 AGE as of
1st Friday of ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
June
IP
NAME Sex BIRTH DATE BIRTH PLACE MOTHER Contact Number
LRN (Specify Ethnic RELIGION
(Last Name, First Name, Middle Name) (M/F) (mm/ dd/yy) (Province) TONGUE (Parent /Guardian)
(nos. of Group) House # / Father (1st name only if
Mother (Maiden: 1st Name, Middle (Please refer to the legend
years as per Street/Sitio/ Barangay Municipality/ City Province family name identical to Name Relationship
& Last Name) on last page)
last birthday) Purok learner)

Dropped DRP Reason and Effectivity Date Learner With Dissability LWD Specify
TOTAL
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) Accelarated ACL Specify Level & Effectivity Data BoSY Date: EoSYDate: BoSY Date: EoSYDate: