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 9 (Year Section MAPANYAWUP

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)

ANDAYA,CARL JOSHUA, Kapampa Christiani ANDAYA, GUANLAO,ARL

106387130029 M 11-24-2007 14 MARUGLU CAPAS TARLAC Face to Face
GUANLAO ngan ty ALBERTO S ENE,SOLIMAN,

LE
Kapampa Christiani SANTA APOSTOL, FERIA,MERLYN
106389120119 APOSTOL,WALTER, FERIA M 04-16-2006 16 Aeta CAPAS TARLAC Face to Face DATE:2022/08/
ngan ty JULIANA WILLY GARCIA ,RAMOS,
30

Pampang
an/
Christiani SANTA BRONGAN, LUNDANG,LEO
106389130117 BRONGAN,ELEAZAR, LUNDANG M 04-26-2008 14 Kapampa CAPAS TARLAC Face to Face
ty JULIANA EDGARDO B NORA,S,
ngan/
Pampan

Pampang
an/
CALZADO,KERT BRYAN, Christiani CALZADO, SALAZAR,IMEL
106387120003 M 01-02-2006 16 Kapampa Aeta MARUGLU CAPAS TARLAC Face to Face
SALAZAR ty ESCO PADILLA DA,FAILMA,
ngan/
Pampan

CAPITLY, NLS
Christiani SANTA RAMOS,AURIN
106389120010 CAPITLY,DARRYL, RAMOS M 12-14-2006 15 Sambal Aeta CAPAS TARLAC FERNANDO Face to Face DATE:2023/03/
ty JULIANA G,PELACIO,
SURLA 14
DACANAY,
Kapampa Christiani SANTA RAMOS,MARL
106383130212 DACANAY,MARK LUIS, RAMOS M 07-24-2008 14 CAPAS TARLAC LOUIE Face to Face
ngan ty JULIANA YN,PRETISTA,
CAGUIOA
NLS
Christiani DELA CRUZ, IGNACIO,NELI
160526140081 DELA CRUZ,ARJAY, IGNACIO M 12-30-2006 15 Sambal Aeta POONBATO BOTOLAN ZAMBALES Face to Face DATE:2023/02/
ty ROMEO RAMOS A,GUTIERREZ,
27
MANALANSAN,
Kapampa Christiani SANTA DOLIT, ROLLY Modular
106389140041 DOLIT,HARKY, MANALANSAN M 12-10-2007 14 CAPAS TARLAC MARIAN,VIRA
ngan ty JULIANA CELESTINO (print)
Y,
DUMULOT, MALABANAN,L
Kapampa Christiani SANTA
106389130084 DUMULOT,JARED, MALABANAN M 08-13-2008 14 CAPAS TARLAC JAYSON AILA,MAGSIPO Face to Face
ngan ty JULIANA
CELESTINO C,
GUTIERREZ, DELA
GUTIERREZ,ANDREW, DELA Christiani SANTA
106389130099 M 11-08-2007 14 Sambal Aeta CAPAS TARLAC EDUARDO CRUZ,SOLEDA Face to Face
CRUZ ty JULIANA
REYES D,SIBAL,
GUTIERREZ,
Christiani SANTA DATIJAN,MERA
106389130053 GUTIERREZ,FROILAN, DATIJAN M 10-07-2005 17 Sambal Aeta CAPAS TARLAC FERDINAND Face to Face
ty JULIANA Y,BULATAO,
SALAZAR
GUTIERREZ, NLS
Ayta, Christiani VITUG,LHET,F
106387120023 GUTIERREZ,JHON PAUL, VITUG M 06-19-2006 16 Mag-antsi MARUGLU CAPAS TARLAC ORLANDO Face to Face DATE:2023/01/
Mag-antsi ty AJARDO,
CABALIC 13

Kapampa Christiani SANTA LIM, EDDIE NODESCA,MEL

106389130101 LIM,EDU, NODESCA M 04-13-2008 14 CAPAS TARLAC Face to Face
ngan ty JULIANA BANAAG ODY,CELSO,

Kapampa Christiani SANTA LUNDANG, GALANG,LOLIT

106389130102 LUNDANG,JANUS, GALANG M 03-13-2008 14 Abelling CAPAS TARLAC Face to Face
ngan ty JULIANA LONOUIS A,,
MANIS,
MANIS,GEOFF CHARLES, Kapampa Christiani SANTA SUMIRA,CORA
106389120027 M 12-18-2007 14 CAPAS TARLAC GEORGE Face to Face
SUMIRA ngan ty JULIANA ZON,DAVID,
CASILLAN
MANUEL,
Kapampa Christiani SANTA CAUGUIRAN,R
106389120124 MANUEL,ALLEN, CAUGUIRAN M 10-08-2004 18 CAPAS TARLAC ROMEO Face to Face
ngan ty JULIANA OTEZA,,
GUTIERREZ

Kapampa Christiani SANTA MORALES, GARIDAN,CHE

106389130091 MORALES,ERWIN, GARIDAN M 08-06-2008 14 CAPAS TARLAC Face to Face
ngan ty JULIANA ERBEN GARCIA RRILYN,,
 PERALTA, NLS
Christiani SANTA BALINTAY,TER
106389140053 PERALTA,ROBERT, BALINTAY M 11-06-2005 16 Sambal Aeta CAPAS TARLAC RAFAEL Face to Face DATE:2022/12/
ty JULIANA ESITA,RAMOS,
COSME 16
RAMOS, PANGILINAN,L
RAMOS,JAMES CLIFTRED, Kapampa Christiani SANTA
106389130106 M 10-23-2007 15 CAPAS TARLAC MARINO ENI,CUARESM Face to Face
PANGILINAN ngan ty JULIANA
PRETISTA III A,

Pampang
an/ REYES, NLS
Christiani SANTA LEGASPI,YOLA
106389140022 REYES,ANGELO, LEGASPI M 12-25-2006 15 Kapampa CAPAS TARLAC PONCIANO Face to Face DATE:2023/02/
ty JULIANA NDA,LAGMAN,
ngan/ SUMAWANG 01
Pampan

Kapampa Christiani SANTA RODEGERO, PANLICAN,LUC

106389120115 RODEGERO,LIMUEL, PANLICAN M 09-05-2007 15 CAPAS TARLAC Face to Face
ngan ty JULIANA ROEL RAMOS ILA,AGUILAR,

21 <=== TOTAL MALE

CABALIC, CARSIDO,FELO NLS

CABALIC,MARGARITA, Kapampa Christiani
106387140050 F 10-28-2007 15 Aeta MARUGLU CAPAS TARLAC ANDRES MENA,CARRID Face to Face DATE:2022/10/
CARSIDO ngan ty
FELACIO O, 21
CAPCIAO, NLS
Kapampa Christiani SANTA CABALIC,MARI
106389130066 CAPCIAO,ELENA, CABALIC F 02-05-2006 16 Aeta CAPAS TARLAC ELLER Face to Face DATE:2022/10/
ngan ty JULIANA CEL,CARSIDO,
GUTIERREZ 21
CAPITLY,
Kapampa Christiani SANTA RAMOS,AURIN
106389130154 CAPITLY,KATRINE, RAMOS F 08-25-2008 14 Aeta CAPAS TARLAC FERNANDO Face to Face
ngan ty JULIANA G,PELACIO,
SURLA
BULATAO,
DATIJAN,MARRY GRACE, Kapampa Christiani CONCEPCIO MARCOLINO,M
106426140103 F 12-02-2007 14 SANTA RITA TARLAC ORLANDO Face to Face
MARCOLINO ngan ty N YRA LUZ,,
DATIJAN

DELA CRUZ, MERCADO,CON

DELA CRUZ,MELANIE, Kapampa Christiani SANTA
160016130017 F 02-15-2006 16 Abelling CAPAS TARLAC RUDY CHITA,EVANG Face to Face
MERCADO ngan ty JULIANA
PONTECHA ELISTA,

GOMEZ, COSME,JACQU
Sambal, Christiani SANTA
160515130063 GOMEZ,RUTH, COSME F 02-03-2007 15 Aeta CAPAS TARLAC ROBERT ELINE,TABILO Face to Face
Botolan ty JULIANA
DOLANDOLAN G,

GUDOY, NLS
Kapampa Christiani CABALIC,MARI
106387140058 GUDOY,NORMA, CABALIC F 05-08-2006 16 Aeta MARUGLU CAPAS TARLAC PETRON Face to Face DATE:2022/10/
ngan ty NA,CARSIDO,
IGNACIO 21

GUTIERREZ,
Kapampa Christiani SANTA ESPINOSA,JOSI
106389130130 GUTIERREZ,KEA, ESPINOSA F 08-28-2008 14 CAPAS TARLAC RODEL Face to Face
ngan ty JULIANA E,DOLIT,
TAMONDONG

GUTIERREZ,
Kapampa Christiani SANTA AGUSTIN,MARI
106389130131 GUTIERREZ,MARIAN, AGUSTIN F 08-18-2008 14 CAPAS TARLAC LARRY JR Face to Face
ngan ty JULIANA CEL,CAPITLY,
YAMSON
GUTIERREZ, DONGALLO,RO
GUTIERREZ,RHONA MAE, Kapampa Christiani SANTA
122769110029 F 12-06-2006 15 CAPAS TARLAC RODOLFO WENA,PINAND Face to Face
DONGALLO ngan ty JULIANA
MENDOZA O,

Christiani SANTA LOPEZ, TIRSO RIVERA,LESLIE

106389140032 LOPEZ,JOY, RIVERA F 10-07-2006 16 Sambal Aeta CAPAS TARLAC Face to Face
ty JULIANA MAYUYU ,DELA CRUZ,

MADARANG, SANCHEZ,MAR
MADARANG,CATHLEEN, Kapampa Christiani
106387130019 F 09-24-2008 14 Aeta MARUGLU CAPAS TARLAC ROGELIO GIE,FELICIANO Face to Face
SANCHEZ ngan ty
ABUYAN ,
MANALO, DELA
Christiani SANTA
160001130079 MANALO,MARGIE, DELA CRUZ F 02-20-2007 15 Sambal Aeta CAPAS TARLAC GASPAR CRUZ,MIRINDA Face to Face
ty JULIANA
CANDULI ,-,
NOYNOY,
Kapampa Christiani SANTA REGASA,JOCEL
106389130095 NOYNOY,JANE, REGASA F 08-22-2007 15 Aeta CAPAS TARLAC LEONARDO Face to Face
ngan ty JULIANA YN,BANAAG,
PORGANON

PANGUELO, SANCHEZ,DAY
Kapampa Christiani CUTCUT
106369140024 PANGUELO,TRIXCY, SANCHEZ F 11-03-2006 15 CAPAS TARLAC EUGENE HOPE LIN,FELICIANO Face to Face
ngan ty 2ND
VICTORIA ,

PATDO,
Kapampa Christiani WAJE,ANNABE
106387130042 PATDO,ANGELINE, WAJE F 11-21-2007 14 MARUGLU CAPAS TARLAC ANTONINO Face to Face
ngan ty LLE,RIVERA,
GUANLAO
RUBIO,
RUBIO,ALOJA QUEEN Christiani SANTA ACEJO,CAPIRA
136816140751 F 09-01-2008 14 Tagalog CAPAS TARLAC REXTHER Face to Face
RHEABELLE, CAPIRAL ty JULIANA L,ANABELLE,
TOMBOC
 SALAZAR, TAROZA,CAUG
SALAZAR,MYLENE, Kapampa Christiani SANTA
106389140068 F 03-10-2007 15 CAPAS TARLAC ANTONIO UIRAN,MARITE Face to Face
CAUGUIRAN ngan ty JULIANA
BALAGTAS JR S,
CARIAGA,MER
Kapampa Christiani SANTA SIERRA, JIMMY
106389130097 SIERRA,ANGEL, CARIAGA F 12-17-2007 14 Abelling CAPAS TARLAC LINDA,FROND Face to Face
ngan ty JULIANA CANDO
A,

SOTERA, JOMENTO,ANA
Kapampa Christiani
106387130022 SOTERA,ANA MARIE, JOMENTO F 02-20-2008 14 MARUGLU CAPAS TARLAC ORLANDO LIE,DAKINGKI Face to Face
ngan ty
ROSALES SR NG,

Christiani SANTA VALITE, RAMIL FERRER,IRENE,

107156120060 VALITE,CRYSTAL, FERRER F 11-14-2006 15 Tagalog CAPAS TARLAC Face to Face
ty JULIANA KULLADO FERRER,

Kapampa Christiani VICTORIA, LOU

160019130009 VICTORIA,LOIDA, BAKLAY F 05-08-2005 17 Aeta MARUGLU CAPAS TARLAC Face to Face
ngan ty GALINGAN

Kapampa Christiani VITUG, ERNIE FAJARDO,RITA,

106387120064 VITUG,REYNICA, FAJARDO F 10-29-2006 16 Aeta MARUGLU CAPAS TARLAC Face to Face
ngan ty SALAZAR DALIS,

Kapampa Christiani WAJE, NASER MANALANG,A

106387130053 WAJE,JESSA, MANALANG F 06-06-2009 13 Aeta MARUGLU CAPAS TARLAC Face to Face
ngan ty RIVERA RMILY,LAYUG,

YALUNG, BALUYUT,CRIS
Kapampa Christiani SANTA
106389130116 YALUNG,KIMBERLY, BALUYUT F 08-09-2008 14 CAPAS TARLAC FRIDAY TINA,PANGILIN Face to Face
ngan ty JULIANA
MENDOZA AN,

25 <=== TOTAL FEMALE

46 <=== 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 20
Balik Aral B/A Name of school last attended & Year DYANNE BUNDALIAN MENDOZA (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 25
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 45
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Wednesday, June 14, 2023