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

School Name Rajah Cabungsuan Integrated Secondary School School ID 500327 District Lingig II
Division Surigao

Semester Second Semester School Year 2021 - 2022 Grade Level Grade 11 Track and Strand

Section Plato 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)

RAJAH
SURIGAO DEL ARTIZA, VICTOR OTOM,MERLI
132808090004 ARTIZA,MARVIN OTOM M 12/25/2001 19 Christianity CABUNGSO- LINGIG
SUR CURAS BILLONES,
AN
RAJAH
SURIGAO DEL COBOY, ANTONIO LATIBAN,ALB
132808090009 COBOY,JAMES LATIBAN M 07/26/2004 17 Christianity CABUNGSO- LINGIG
SUR IMLAY COBOY G,ARTIZA,
AN
RAJAH
SURIGAO DEL DAGA-ANG, RAMIREZ,ANA
132808100018 DAGA-ANG,JOHN LLOYD RAMIREZ M 01/30/2005 16 Christianity CABUNGSO- LINGIG
SUR ANTONIO ESIO N,ASIS,
AN
RAJAH
SURIGAO DEL NOCOS, DOMINGO ARTIZA,MARI
132808070046 NOCOS,DINDO ARTIZA M 01/26/2000 21 Christianity CABUNGSO- LINGIG
SUR TOLIDO TA,LATIBAN,
AN
RAJAH
SURIGAO DEL ROZ, ARMANDO ESIO,ADELAID
132808100047 ROZ,ARMANDO JR ESIO M 09/01/2004 17 Christianity CABUNGSO- LINGIG
SUR QUILAY SR CORRAS,
AN

5 <=== TOTAL MALE

SURIGAO DEL MALBAS,MAR

214518100001 ARGENTE,GRETCHIN MALBAS F 07/04/2004 17 Christianity BOGAK LINGIG
SUR L,JADOL,

CITY OF RUAREZ,MAR
MAGUGPO DAVAO DEL
214518060001 ARTIZA,MARYFLOR DOMINADOR F 04/21/1999 22 Christianity TAGUM ANN,DOMINA
NORTH NORTE
(Capital) R

DAVAO AUSTRIA, RODELO COLAS,GEGIE

129202100002 AUSTRIA,HAIDE LOU COLAS F 02/20/2004 17 Christianity SIMULAO BOSTON
ORIENTAL MARABILLA TIBAN,

RAJAH
SURIGAO DEL BELTRAN, MARCOS NANANG,CAR
132808100008 BELTRAN,MECAILA NANANG F 05/28/2004 17 Christianity CABUNGSO- LINGIG
SUR PURALAN NCITA,CORTE
AN
RAJAH GAY-
SURIGAO DEL CORTEZ, JOEL
132808130040 CORTEZ,JASRIL GAY-OD F 12/06/2004 16 Christianity CABUNGSO- LINGIG OD,REGINA,P
SUR COTIC
AN DONG,

TRECE
LAPIDARIO DE GUZMAN, JOSE LONJAMON,M
132575090024 DE GUZMAN,JOCELYN LONJAWON F 01/06/2002 19 Christianity MARTIRES CAVITE
(BAYOG) MENDEZ JR TINEZ,AMALI
CITY (Capital)
F1-SHS)

Surigao del Sur Region CARAGA

Academic Track -General Academic Strand

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)

OTOM,MERLINA,
PARENT Modular (print)
BILLONES,

LATIBAN,ALBIN
PARENT Modular (print)
G,ARTIZA,

RAMIREZ,ANALY
PARENT Modular (print)
N,ASIS,

ARTIZA,MARIQUI
PARENT Modular (print)
TA,LATIBAN,

ESIO,ADELAIDA,
PARENT Modular (print)
CORRAS,

MALBAS,MARICE
PARENT Modular (print)
L,JADOL,

RUAREZ,MARRY,
ANN,DOMINADO PARENT Blended
R

COLAS,GEGIE,LA
PARENT Modular (print)
TIBAN,

NANANG,CARME
PARENT Modular (print)
NCITA,CORTEZ,

GAY-
OD,REGINA,PUN PARENT Modular (print)
DONG,

LONJAMON,MAR
PARENT Modular (print)
TINEZ,AMALIA,
 CITY OF
DAVAO DEL ERMAC, LOPE ABADAL,MEL
214518100006 ERMAC,CYRIL JOY ABADAL F 09/17/2003 18 Christianity APOKON TAGUM
NORTE ABRAHAM MARAVILLA,
(Capital)
RAJAH
SURIGAO DEL CORAS,LUTG
132808090016 ESIO,JENABIE CURAS F 06/18/2002 19 Christianity CABUNGSO- LINGIG ESIO, ROSIL -
SUR A,LATIBAN,
AN
RAJAH
SURIGAO DEL GAY-OD, RECARDO DOMINADOR
132808120067 GAY-OD,RECAMAE DOMINADOR F 01/03/2004 17 Christianity CABUNGSO- LINGIG
SUR LINGAY RILYN,RUALE
AN
RAJAH GAY-
SURIGAO DEL LASUTA, SANNY
132808120069 LASUTA,STEPHANIE GAY-OD F 08/27/2004 17 Christianity CABUNGSO- LINGIG OD,LENNY,LI
SUR NAMOCO
AN AY,

SURIGAO DEL CAUYAN, DINO CORTEZ,ENIL

129203140044 LATIBAN,LOVELY - F 05/01/2003 18 Christianity UNION LINGIG
SUR MANAYTAY LATIBAN,

SURIGAO DEL SAG-OD, ELMIR LIS- DIANSAY,MA

214518100017 SAG-OD,KEAMIE DIANSAY F 08/29/2004 17 Christianity BOGAK LINGIG
SUR ON ES,BLANCO,

SURIGAO DEL SALISE, ALIJANDRO CABARILLAS

304917140045 SALISE,MARA CABARILLAS F 05/13/2002 19 Christianity BOGAK LINGIG
SUR LEUVET RIA,-,

RAJAH
SURIGAO DEL SARNO, JOVELITO TOMAS,LELIA
132808100049 SARNO,ELIZABETH TOMAS F 10/31/2004 17 Christianity CABUNGSO- LINGIG
SUR ORCULLO RTEZ,
AN

SAN ISIDRO DAVAO DEL SEGURA, LUISITO VIRTUDAZO,C

118129100058 SEGURA,JESSICA VIRTUDAZO F 08/13/2005 16 Christianity DAVAO CITY
(LICANAN) SUR RAPER PULA,GULDE

15 <=== TOTAL FEMALE

20 <=== 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 5
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 15
Exceptionality Beginning of the Semeste
Accelerated ACL Specify Level & Effectivity Date

TOTAL 20
2/7/22 12:00 AM

Generated on: Sunday, June 5, 2022

ABADAL,MELLY,
RELATIVE Modular (print)
MARAVILLA,

CORAS,LUTGARD
PARENT Modular (print)
A,LATIBAN,

DOMINADOR,ME
PARENT Modular (print)
RILYN,RUALES,

GAY-
OD,LENNY,LING PARENT Modular (print)
AY,

CORTEZ,ENILDA,
RELATIVE Modular (print)
LATIBAN,

DIANSAY,MARIT
Modular (print)
ES,BLANCO,

CABARILLAS,MA
PARENT Modular (print)
RIA,-,

TOMAS,LELIA,CO
PARENT Modular (print)
RTEZ,

VIRTUDAZO,CRIS
PARENT Modular (print)
PULA,GULDE,

d by;

GAUDIOSA LIMOCON ALKUINO

(Signature of Adviser over Printed Name)

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

12:00 AM 6/24/22 12:00 AM