School Form 1 (SF 1) School Register

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

School ID 501293 CARAGA Division Surigao del Sur

School Name Pamian Integrated School School Year 2022 - 2023 Grade Level Grade 9 (Year Section NEWTON

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)

Christiani SURIGAO DEL GUMINANG, CAUYAN,MARI Modular

214505130022 GUMINANG,REMARK, CAUYAN M 04-10-2006 16 Cebuano BOGAK LINGIG
ty SUR GENEROSO A LOU,T, (print)

Cebuano /
ALEJANDRA HOTAHOT,
Sinugbua Christiani DAVAO DAVAO DEL DOMINGO,AM Modular
129652100121 HOTAHOT,JERECHO, DOMINGO M 12-27-2004 17 NAVARRO CRISPIN
nong ty CITY SUR Y,UDTOHAN, (print)
(LASANG) PARCONETE JR
Binisay

MAGLASANG, TANGOG,MERA
Kinamay Christiani SURIGAO DEL Modular
132796110094 MAGLASANG,ALL, TANGOG M 12-24-2005 16 Kamayo POBLACION LINGIG ALBERTO FLOR,BALINGA
o ty SUR (print)
LOCUB N,
QUIGOD, DAY-
Christiani SURIGAO DEL Modular
214505120022 QUIGOD,KENJE, DAY-ONAN M 09-21-2007 15 Cebuano BOGAK LINGIG EDWIN ONAN,EMMAL
ty SUR (print)
MASAYANG YN,TAGUE,
Christiani SURIGAO DEL REVAS, GUTONG,MARI Modular
214505140019 REVAS,JB, GOTONG M 10-20-2008 14 Cebuano BOGAK LINGIG
ty SUR RECELDIAN BEL,C, (print)

Cebuano /
TICAL,
Sinugbua Christiani CITY OF SURIGAO DEL SUGABO,NANC Modular
214505130017 TICAL JR.,ELIEZER, SUGABO M 07-26-2008 14 TABON ELIEZER
nong ty BISLIG SUR Y,RIVAS, (print)
AGUILAR SR
Binisay

6 <=== TOTAL MALE

Christiani SURIGAO DEL ANDAMON,EL Modular

214505120001 ANDAMON,ANGELICA, BACOR F 11-29-2006 15 Manobo BOGAK LINGIG
ty SUR MA,BACOR, (print)

ANDAMON, T/O
ANDAMON,DORENA, Christiani SURIGAO DEL GUMINANG,EL Modular
214505130001 F 12-24-2007 14 Cebuano BOGAK LINGIG ANTONIO DATE:2022/11/
GUMINANG ty SUR VINA,ANGYAS, (print)
RUFINO 16
ANGYAS, GUMINANG,M
Christiani SURIGAO DEL Modular
214505140021 ANGYAS,LYCA, GUMINANG F 04-25-2008 14 Manobo BOGAK LINGIG DANTE PISLAN ARISSA,SAWA
ty SUR (print)
SR N,
ANGYAS, GUMINANG,M
Christiani SURIGAO DEL Modular
214505140022 ANGYAS,LYZA, GUMINANG F 04-25-2008 14 Manobo BOGAK LINGIG DANTE PISLAN ARISSA,SAWA
ty SUR (print)
SR N,
Christiani SURIGAO DEL BAGUIO, PUNLA,JESSEL, Modular
214505120005 BAGUIO,DASSEL, PUNLA F 08-15-2007 15 Manobo BOGAK LINGIG
ty SUR DAVID B A, (print)
RAJAH CAUYAN, T/I
Christiani SURIGAO DEL OSMAN,MARIA Modular
132802130004 CAUYAN,CARLA, OSMAN F 08-01-2007 15 Manobo CABUNGSO- LINGIG ERENEO DATE:2022-08-
ty SUR ,SEDOT, (print)
AN CORAS 22
Christiani SURIGAO DEL DAY-ONAN, ELAC,EMMA,G Modular
214505140024 DAY-ONAN,SHEILA MAE, ELAC F 09-20-2008 14 Manobo BOGAK LINGIG
ty SUR ERIC UILLE, (print)
Christiani SURIGAO DEL ANGYAS,JENA Modular
214505130010 ELAC,MARIMAR, ANGYAS F 11-24-2007 14 Kamayo BOGAK LINGIG ELAC, JOEL
ty SUR LYN,, (print)
MAPULA,CELLY JANE, Christiani SURIGAO DEL MAPULA, TALLEDO,JOCE Modular
214505140027 F 02-24-2008 14 Cebuano BOGAK LINGIG
TALLEDO ty SUR JENIFER A LYN,A, (print)

Christiani SURIGAO DEL PADAL, CANONIGO,AN Modular

214505130028 PADAL,SHYRA, CARONIGO F 09-04-2007 15 Manobo BOGAK LINGIG
ty SUR VICTORIANO C NABELLE,N, (print)

10 <=== TOTAL FEMALE

16 <=== 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 CHANIELOU JAVIER MARTINEZ
Date MALE 6
Balik Aral B/A Name of school last attended & Year MICHELLE MARIE DOTAROT GUANGCO (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 10
Disability
Dropped DRP Reason and Effectivity Date Accelerated ACL Specify Level & Effectivity Data
Late Enrollment LE Reason (Enrollment beyond 1st Friday of SY) BoSY Date: EoSY Date:
TOTAL 16
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Sunday, April 16, 2023