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 MAPIBABATA

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)

ARCILLA, GUTIERREZ,M
ARCILLA,JAN PATRICK, Kapampa Christiani SANTA
106389140134 M 08-06-2009 13 CAPAS TARLAC DENNIS ARILOU,TAMO Face to Face
GUTIERREZ ngan ty JULIANA
MUNOS NDONG,

MERCADO,TER
Kapampa Christiani SANTA BIAG, AMADO
160016130001 BIAG,JERIC, MERCADO M 03-15-2008 14 Abelling CAPAS TARLAC ESITA,VALANT Face to Face
ngan ty JULIANA MORALES
IN,

Pampang
an/
Christiani SANTA BONDOC, BONDOC,WILM Modular
106389140005 BONDOC,REYNOLD, CADIANG M 04-01-2008 14 Kapampa Abelling CAPAS TARLAC
ty JULIANA REYNALDO A,C, (print)
ngan/
Pampan

DELA NLS
Kapampa Christiani SANTA BRUNO, MAX
160016130003 BRUNO,AMIRO, DELA CRUZ M 01-21-2008 14 Aeta CAPAS TARLAC CRUZ,ROSIFIN Face to Face DATE:2022/11/
ngan ty JULIANA JACINTO
A,CULLIADO, 07

T/I
SANCHEZ,MON DATE:2022-
Ayta, Christiani CANDULI,
160010140021 CANDULI,JOMARY, SANCHEZ M 08-19-2005 17 Aeta SANTO NINO BAMBAN TARLAC ETH,LUNDANG Face to Face 08-22NLS
Mag-antsi ty JONAR COSME
, DATE:2022/11/
07

T/I
Kapampa Christiani DUMLAO, ERIC SALAZAR,REY
106387140024 DUMLAO,RICHARD, SALAZAR M 05-04-2009 13 O'DONNELL CAPAS TARLAC Face to Face DATE:2022-
ngan ty MANGACU MAR,DAVID,
08-22
EVARETA,
Kapampa Christiani CAPITLY,PINK
160019130001 EVARETA,DARWIN, CAPITLY M 06-28-2009 13 Aeta MARUGLU CAPAS TARLAC ERWIN Face to Face
ngan ty Y,SURLA,
MANGUAN
FERRER, T/I
FERRER,MARK ANDRIE, Christiani LUNDANG,MER
106460140088 M 02-01-2009 13 Ilocano TAGUMBAO GERONA TARLAC AUGUSTO Face to Face DATE:2023-
LUNDANG ty ILYN,MARTIN,
CELESTINO 02-23

Kapampa Christiani GUTIERREZ, BACLAS,JELYN

106387140028 GUTIERREZ,DANIEL, BACLAS M 03-20-2009 13 Aeta MARUGLU CAPAS TARLAC Face to Face
ngan ty LITO OCAMPO ,BERNAL,

GUTIERREZ,
Christiani SANTA DIAZ,ELVIE,LA
106389120065 GUTIERREZ,JOSEPH, DIAZ M 10-16-2004 18 Sambal Aeta CAPAS TARLAC PACIFICO Face to Face Pending TI
ty JULIANA XAMANA,
DACAPIAS
GUTIERREZ, DELA NLS
GUTIERREZ,SORIANO, DELA Christiani SANTA
106389120173 M 06-18-2002 20 Sambal Aeta CAPAS TARLAC BENEDICTO CRUZ,VICKY,B Face to Face DATE:2022/11/
CRUZ ty JULIANA
RAZON AUTISTA, 07

GUTLAY, DE
Kapampa Christiani Modular
160019150006 GUTLAY,JOMAR, DE GUZMAN M 04-11-2009 13 Aeta MARUGLU CAPAS TARLAC JERRY GUZMAN,MAY
ngan ty (print)
VICTORIA LIN,SURLA,

KIMAYONG, ABANCE,PRES T/I

KIMAYONG,CHRISTOPHER JR, Christiani
109599150188 M 05-01-2009 13 Tagalog MABINI LIPA CITY BATANGAS CHRISTOPHER CILLA,MAWIN Face to Face DATE:2022-
ABANCE ty
BANTIYAN E, 08-22

Kapampa Christiani SANTA LABASAN, REYES,MARIA

106389140075 LABASAN,ALJUR, REYES M 09-26-2009 13 CAPAS TARLAC Face to Face
ngan ty JULIANA RAFAEL N,,
LAGO,
LAGO,HOPE LAWRENCE, Kapampa Christiani BACTONG,MAE
106387140017 M 10-17-2009 13 MARUGLU CAPAS TARLAC ROBERTO Face to Face
BACTONG ngan ty ,MATANOY,
TULOL
LUNDANG,
Kapampa Christiani SANTA IGNACIO,JENE
106389130125 LUNDANG,VINCENT, IGNACIO M 10-18-2008 14 CAPAS TARLAC LEONARDO Face to Face
ngan ty JULIANA LEN,SICAT,
MARTIN
 PANGILINAN, NOYNOY,NOR
PANGILINAN,EDGAR, JR Kapampa Christiani SANTA
106389140118 M 10-05-2009 13 CAPAS TARLAC EDGAR SR MA,PURGANA Face to Face
NOYNOY ngan ty JULIANA
PONTECHA N,

Christiani SANTA RAMOS, JESSIE MERCADO,MA

160001140022 RAMOS,JAYMAR, MERCADO M 12-01-2008 13 Sambal Aeta CAPAS TARLAC Face to Face
ty JULIANA MANALO RISSA,,

Kapampa Christiani SALAS, BERNIE GAWAT,ILUMI

106387140032 SALAS,JONATHAN, GAWAT M 11-24-2009 12 Aeta MARUGLU CAPAS TARLAC Face to Face
ngan ty MALLARI NADA,SURLA,

SOLIMAN, CELESTINO,MA
SOLIMAN,DENVERSON, Kapampa Christiani
106383140362 M 12-02-2008 13 CRISTO REY CAPAS TARLAC ERICKSON RIE Face to Face
CELESTINO ngan ty
TUBIG ANN,GALANG,
QUIAMBAO,SA
Kapampa Christiani SANTA VALANTIN, Modular
160016140020 VALANTIN,VINCENT, SALAZAR M 01-21-2008 14 Abelling CAPAS TARLAC LAZAR,SHELL
ngan ty JULIANA VICTOR BASA (print)
A,

Kapampa Christiani SANTA VALITE, TENORIO,MICH

106389140080 VALITE,JEFFERSON, TENORIO M 07-20-2009 13 CAPAS TARLAC Face to Face
ngan ty JULIANA JAYSON DAVID ELLE,ACIO,

VALITE, BAUTISTA,ARC
Kapampa Christiani
106387140035 VALITE,RICHEAN, BAUTISTA M 03-17-2009 13 MARUGLU CAPAS TARLAC REYNOLD HIE,GONZALES Face to Face
ngan ty
COLLADO ,
VISTAN,
VISTAN,PRINCE KHIAN, Kapampa Christiani SANTA CADIANG,ARL
106389140138 M 08-29-2009 13 CAPAS TARLAC JAYSON Face to Face
CADIANG ngan ty JULIANA YN,PARAS,
MORALES

24 <=== TOTAL MALE

Kapampa Christiani SANTA APOSTOL, VALANTIN,MY

160016130010 APOSTOL,ALYANA, VALANTIN F 02-15-2009 13 Abelling CAPAS TARLAC Face to Face
ngan ty JULIANA JIMMY RNA,,

Christiani BLANCO, BLANCO,REILE

106389140123 BLANCO,ROSE JOY, REYES F 12-13-2008 13 Ilocano Abelling MAAMOT SAN JOSE TARLAC Face to Face
ty JERALD B NE,REYES,

CITY OF CAMACHO, BENTULAN,AD

CAMACHO,SARAH GRACE, Christiani SAPANG
106747140041 F 03-04-2009 13 Tagalog TARLAC TARLAC FERNANDO ELAIDA,LIBAN Face to Face
BENTULAN ty TAGALOG
(Capital) MAGTANGOB O,

CAPSIAO, GUTIERREZ,NE
Christiani SANTA
106389140058 CAPSIAO,LINA, GUTIERREZ F 06-30-2006 16 Sambal Aeta CAPAS TARLAC DIONISIO NITA,DELA Face to Face
ty JULIANA
MAYUYU CRUZ,
T/I
Kapampa Christiani CUTCUT CAPUAN, PUTO OCAMPO,TISSA
106369140036 CAPUAN,KIKAY, OCAMPO F 08-02-2006 16 Aeta CAPAS TARLAC Face to Face DATE:2022-
ngan ty 2ND GONZALES ,GONZALES,
08-22

Kapampa Christiani CORPUZ, RIZAL MANALANG,M

106387140008 CORPUZ,MYRNA, MANALANG F 05-26-2009 13 MARUGLU CAPAS TARLAC Face to Face
ngan ty EVES YRA,QUILALA,

LE
COSME,SHEILA MAE, Christiani SAN TAMUNDAY,R
106621130040 F 08-13-2008 14 Sambal Aeta MAASIN TARLAC COSME, JAY-AR Face to Face DATE:2022/08/
TAMUNDAY ty CLEMENTE OSIE,,
22
DE VERA, CORPUZ,CRISZ
DE VERA,CRISTINE JOY, Kapampa Christiani
106387130010 F 02-27-2008 14 Aeta MARUGLU CAPAS TARLAC MELECIO ALBE,FAJARDO Face to Face Pending TI
CORPUZ ngan ty
GARCIA JR ,
DELA CRUZ,
Kapampa Christiani BACSA,DAISY,
106387140004 DELA CRUZ,CHRISTINA, BACSA F 03-04-2009 13 Aeta MARUGLU CAPAS TARLAC ALBERTO Face to Face
ngan ty DUNGCA,
GARCIA
DELA
EVANGELISTA,RABIYA KEY, Christiani SANTA EVANGELISTA, CRUZ,ROSY,BA
106389140029 F 02-18-2007 15 Sambal Aeta CAPAS TARLAC Face to Face
DELA CRUZ ty JULIANA REY CAPITLY UTISTA,BAUTI
STA
GONZALES,JOV NLS
GALANG,MARGARETT, Ayta, Christiani GALANG,
160002130052 F 05-22-2008 14 Aeta MARUGLU CAPAS TARLAC ELYN,MAGAN Face to Face DATE:2022/11/
GONZALES Mag-antsi ty GARRY CAPIZ
ACA, 07
MEDINA, BALINGIT,VICT
Kapampa Christiani SANTA
106389140147 MEDINA,KAREN JOY, BALINGIT F 11-25-2008 13 CAPAS TARLAC RANDY ORIA,MENDOZ Face to Face
ngan ty JULIANA
DEVOTA A,
MERCADO,
MERCADO,JESSIBEL, Christiani SANTA GUTIERREZ,JES
160001140032 F 11-09-2008 13 Sambal Aeta CAPAS TARLAC GILBERT Face to Face
GUTIERREZ ty JULIANA SICA,GALANG,
PASION
MITHALICOP,
MITHALICOP,SOHAILAH, Kapampa Christiani SANTA INFANTE,LIEZE
106389140150 F 03-20-2009 13 CAPAS TARLAC HAMZA Face to Face
INFANTE ngan ty JULIANA L,SALAZAR,
SULTAN
 REYES, MARK
Kapampa Christiani SANTA PETCHALIN,RE
106389140129 REYES,ASHLEY, PETCHALIN F 04-22-2009 13 CAPAS TARLAC OLIVER Face to Face
ngan ty JULIANA GINE,SAMSON,
CELESTINO
SALAZAR, MARIANO,LOR
SALAZAR,RHODALINE, Kapampa Christiani SANTA
106389140106 F 06-07-2009 13 CAPAS TARLAC RICHARD NA,DE Face to Face
MARIANO ngan ty JULIANA
BALAGTAS GUZMAN,
SOLIMAN,
SOLIMAN,HANNA NICOLE, Kapampa Christiani LABONG,ALMA
106387140005 F 10-12-2009 13 Aeta MARUGLU CAPAS TARLAC MARLON Face to Face
LABONG ngan ty ,CARREON,
CALIZAR
SURLA,
Kapampa Christiani REYES,MANIL
106387140006 SURLA,REYNALYN, REYES F 04-23-2009 13 Aeta MARUGLU CAPAS TARLAC MARLON Face to Face
ngan ty YN,CAPITLY,
DOMINGO

Kapampa Christiani SANTA YAMSON, YAMSON,WILM

106389140146 YAMSON,CHARISSE, REYES F 11-17-2008 13 CAPAS TARLAC Face to Face
ngan ty JULIANA CHARISSE A,REYES,

19 <=== TOTAL FEMALE

43 <=== 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 23
Balik Aral B/A Name of school last attended & Year JINKY JULIAN LUNDANG (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 17
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 40
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Wednesday, June 14, 2023