School Form 1 (SF 1) School Register

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

School ID 307005 Region III Division Tarlac

School Name Sta. Juliana High School (O'Donnell HS Annex) School Year 2022 - 2023 Grade Level Grade 8 (Year Section MAPANUPAYA

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

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

ABENDAN,FLO
Kapampa Christiani ALA, MANNY CCT
106387140018 ALA,RAILEY, ABENDAN M 04-26-2009 13 Aeta MARUGLU CAPAS TARLAC RENTINA,SALA Face to Face
ngan ty ORTILYO
ZAR,

Christiani SANTA BASA, ADJONG CANDULI,BER

160001140044 BASA,MANDY, CANDULI M 02-03-2008 14 Sambal Aeta CAPAS TARLAC Face to Face
ty JULIANA COSME NALIN,-,

BILGERA,
BILGERA,MARK VINCENT, Kapampa Christiani SANTA QUIPAY,RONA,
135029140004 M 04-09-2009 13 CAPAS TARLAC MARCELO Face to Face
QUIPAY ngan ty JULIANA BLANZA,
BUENTIPO
CAPITLY,
CAPITLY,ELMIER JOSH, Kapampa Christiani SANTA AGUILAR,JUDI CCT
106768130017 M 06-26-2008 14 Zambal CAPAS TARLAC ELMER Face to Face
AGUILAR ngan ty JULIANA TH,ROMERO,
LUNDANG

LAXAMANA,ST
CREUS,CHRISTIAN MARK Kapampa Christiani SANTA CREUS, MARK
106389140114 M 12-07-2008 13 CAPAS TARLAC EPHANIE,ASTO Face to Face
ANDREI, LAXAMANA ngan ty JULIANA ANDREW KHO
R,

DAVID, NLS
Kapampa Christiani BALINTAY,IRM
106387140046 DAVID,RAYMOND, BALINTAY M 08-26-2005 17 Aeta MARUGLU CAPAS TARLAC REYNALDO Face to Face DATE:2023/03/
ngan ty A,VITUG,
VALDEZ 01
DUMULOT,
Kapampa Christiani SANTA CAPIT,MARITE CCT
106389140073 DUMULOT,JULIUS, CAPIT M 06-18-2009 13 CAPAS TARLAC JERRY Face to Face
ngan ty JULIANA S,ROSARIO,
CELESTINO
ESPINOSA,
Kapampa Christiani SANTA RAMOS,MARIC
106389140092 ESPINOSA,ALJUR, RAMOS M 09-08-2009 13 CAPAS TARLAC CHARLIE Face to Face
ngan ty JULIANA EL,CAPIRAL,
MERCADO
GARCIA, NLS
Kapampa Christiani REMIGIO,CRIST
106387140039 GARCIA,CHRISVIEN, REMIGIO M 10-13-2009 13 MARUGLU CAPAS TARLAC BENITO Face to Face DATE:2023/03/
ngan ty INA,SURLA,
SOLIMAN 01
DUMULOT,RO
GARCIA,CLARENCE JIE, Kapampa Christiani GARCIA, REGIE
106387140027 M 10-06-2009 13 Aeta MARUGLU CAPAS TARLAC WENA,SOLIMA Face to Face
DUMULOT ngan ty BENAURO
N,
Christiani SANTA LAXAMANA, CABALIC,LILIB
106767150221 LAXAMANA,EDREY, CABALIC M 05-30-2009 13 Sambal Aeta CAPAS TARLAC Face to Face
ty JULIANA REY ETH,,
MANALO,
Christiani SANTA BASA,JOSEPHI
160001130005 MANALO,CRIS, BASA M 11-02-2005 16 Sambal Aeta CAPAS TARLAC JESUS Face to Face Pending TI
ty JULIANA NE,-,
MIRANDA
MAYUYU,
Kapampa Christiani SANTA DAVID,RODAL
106389130104 MAYUYU,RAINIER, DAVID M 05-18-2008 14 Aeta CAPAS TARLAC RODRIGO Face to Face
ngan ty JULIANA YN,RAZON,
GUTIERREZ
REYES,
REYES,NATHAN EZEKIEL, Kapampa Christiani SANTA CADIANG,GINA
106389140120 M 04-10-2009 13 CAPAS TARLAC RONALD Face to Face
CADIANG ngan ty JULIANA ,SARMIENTO,
CELESTINO
RONQUILLO,
Kapampa Christiani SANTA MANALO,JENIF
106389140078 RONQUILLO,JENBERT, MANALO M 05-17-2009 13 CAPAS TARLAC GILBERT Face to Face
ngan ty JULIANA ER,DAVID,
INFANTE
SARMIENTO,
SARMIENTO,NEIL DOMINIC, Kapampa Christiani SANTA RAMOS,DONN CCT
106389140096 M 12-04-2008 13 CAPAS TARLAC NELSON Face to Face
RAMOS ngan ty JULIANA A,RAZON,
CANLAS
ESTABILLO,ES
Christiani SANTA SIBAL, VICTOR CCT
106389130036 SIBAL,JESSIE, ESTABILLO M 02-06-2005 17 Sambal Aeta CAPAS TARLAC TELITA,YAMSO Face to Face
ty JULIANA COSME
N,

Christiani SANTA SIBUG, EDWIN GALANG,ANAL CCT

160001140024 SIBUG,ERROLL JAMES, GALANG M 12-14-2008 13 Sambal Aeta CAPAS TARLAC Face to Face
ty JULIANA DELA CRUZ YN,FELISMINO,
 18 <=== TOTAL MALE

AGUINALDO,
AGUINALDO,ARABELLA AINA, Kapampa Christiani SANTA YAMSON,EUNI
106389140122 F 02-17-2009 13 CAPAS TARLAC LEONEL Face to Face
YAMSON ngan ty JULIANA CE,RAMOS,
REGASA

Kapampa Christiani SANTA AUSTRIA, GUTIERREZ,JO CCT

106389140081 AUSTRIA,JAMAICA, GUTIERREZ F 09-27-2009 13 CAPAS TARLAC Face to Face
ngan ty JULIANA ROMMEL G VELIEN,DOLIT,

T/I
BANGAYAN, DELA DATE:2022-
BANGAYAN,PRINCESS HAIFFA, Kapampa Christiani
106367140033 F 01-22-2008 14 ANUPUL BAMBAN TARLAC ELECSIS CRUZ,ROWENA Face to Face 09-14T/O
DELA CRUZ ngan ty
TUANGCO ,BAQUILAR, DATE:2023/03/
09

VALANTIN,MA
Kapampa Christiani SANTA BIAG, ENRIQUE
160016130011 BIAG,ELIAZA, VALANTIN F 05-27-2008 14 Abelling CAPAS TARLAC RITESS,LUNDA Face to Face
ngan ty JULIANA GUIANG
NG,
LAXAMANA,G T/I
CANLAS,RIHANNA LEWIS, Kapampa Christiani SANTA CANLAS,
106389140103 F 12-20-2008 13 CAPAS TARLAC LORIA,GALAN Face to Face DATE:2022-
LAXAMANA ngan ty JULIANA RALPH PAUL V
G, 08-22

Kapampa Christiani SAN CABALIC,ANA

106621120025 CAPUAN,ANNA, CABALIC F 08-05-2007 15 TARLAC Face to Face
ngan ty CLEMENTE LYN,,

CAYANAN,AYOLA JANE, Kapampa Christiani CAYANAN, DELA

160019140029 F 09-13-2008 14 Aeta MARUGLU CAPAS TARLAC Face to Face
DELACRUZ ngan ty ROBERT CRUZ,GERLIE,,
DELA CRUZ, LUNDANG,MA
DELA CRUZ,MIKAELA, Kapampa Christiani SANTA
106389140125 F 03-02-2009 13 CAPAS TARLAC MICHAEL RLYN,PETCHA Face to Face
LUNDANG ngan ty JULIANA
RONQUILLO LIN,

Kapampa Christiani DELA CRUZ, IGNACIO,NELI

160526140049 DELA CRUZ,NICHOLE, IGNACIO F 11-02-2007 14 Aeta MARUGLU CAPAS TARLAC Face to Face
ngan ty ROMEO RAMOS A,GUTIERREZ,

SALAZAR,CAR
Kapampa Christiani SANTA DELA CRUZ,
106389140141 DELA CRUZ,RICA, SALAZAR F 12-12-2008 13 CAPAS TARLAC MELITA,CAPIT Face to Face
ngan ty JULIANA JIMMY C
LY,

DIZON, DELOS T/I

Kapampa Christiani SANTA
106389130167 DIZON,SYRAH, DELOS REYES F 11-24-2007 14 CAPAS TARLAC ARMANDO REYES,MARIFE Face to Face DATE:2022-
ngan ty JULIANA
CADIANG ,INONG, 08-22

DUMULOT,
DUMULOT,LYN SHAMAINE, Kapampa Christiani SANTA MERCADO,MA
106389150107 F 09-28-2008 14 CAPAS TARLAC ALLAN Face to Face
MERCADO ngan ty JULIANA RIVIC,,
CELESTINO
MALLARI, ESTRADA,CRIS
Kapampa Christiani SANTA CCT
106389140142 MALLARI,ERICA, ESTRADA F 08-21-2009 13 CAPAS TARLAC ERNESTO TINA,LUNDAN Face to Face
ngan ty JULIANA
PETCHALIN G,
Christiani SANTA OCAMPO, MERCADO,MA
160001130082 OCAMPO,ANDREA, MERCADO F 05-28-2007 15 Sambal Aeta CAPAS TARLAC Face to Face
ty JULIANA BERLAN RICEL,,
OCAMPO, NLS
Kapampa Christiani COSME,CAROL,
160002130062 OCAMPO,CLARIS, COSME F 01-17-2007 15 Aeta MARUGLU CAPAS TARLAC AGUILAR Face to Face DATE:2023/01/
ngan ty GONZALES,
MAGANACA 16
CCT
PELACIO,
Kapampa Christiani CANDULI,VINA T/I
160002130061 PELACIO,MAMING, CANDULI F 09-13-2006 16 Aeta MARUGLU CAPAS TARLAC EDGAR DELA Face to Face
ngan ty ,CAPUAN, DATE:2022-
CRUZ
08-22
REGASA, NLS
Kapampa Christiani SANTA PASION,ANALO
160016140024 REGASA,ALONA, PASION F 12-23-2007 14 Abelling CAPAS TARLAC DOMINADOR Face to Face DATE:2023/03/
ngan ty JULIANA U,BASA,
BIAG 01
REYES,
Kapampa Christiani SANTA LEGASPI,YOLA CCT
106389140105 REYES,REALYN, LEGASPI F 11-17-2008 13 CAPAS TARLAC PONCIANO Face to Face
ngan ty JULIANA NDA,LAGMAN,
SUMAWANG
RICO, MACARAEG,RI
Kapampa Christiani SANTA
106389140089 RICO,KC LYN, MACARAEG F 04-24-2009 13 CAPAS TARLAC EULANDO CHELDA,BATA Face to Face
ngan ty JULIANA
DELA CRUZ LLER,

SAAVEDRA,ASHLEY JOICE, Kapampa Christiani SANTA SAAVEDRA, CASTRO,RODA,

106389140131 F 08-23-2009 13 CAPAS TARLAC Face to Face
CASTRO ngan ty JULIANA ALVIN DISEMA CELESTINO,

SANCHEZ,
Ayta, Christiani CANDULI,BAY CCT
160002140025 SANCHEZ,WENNA, CANDULI F 05-05-2009 13 Aeta MARUGLU CAPAS TARLAC TONY Face to Face
Mag-antsi ty NAY,COSME,
GONZALES
Kapampa Christiani SANTA SIBUG, SUMAWANG,L CCT
160001140038 SIBUG,HAIDEE, SUMAWANG F 12-07-2008 13 CAPAS TARLAC Face to Face
ngan ty JULIANA ARNOLD C YKA,G,

TOBIAS,ANGELICA MAE, Kapampa Christiani SANTA TOBIAS, SANTOS,AGNE

106383130242 F 06-19-2008 14 CAPAS TARLAC Face to Face
SANTOS ngan ty JULIANA ERNESTO A SR S,Z,
 T/I
Kapampa Christiani VICTORIA, FAJARDO,ROSI
160019150002 VICTORIA,ROSAURA, FAJARDO F 01-04-2008 14 Aeta MARUGLU CAPAS TARLAC Face to Face DATE:2022-
ngan ty VICTOR D E,,
08-22
24 <=== TOTAL FEMALE

42 <=== 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 LIEZL M. SANCHEZ
Date MALE 18
Balik Aral B/A Name of school last attended & Year NIKKI MATEO GUTIERREZ (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 23
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 41
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Wednesday, June 14, 2023