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 7 (Year Section MATINU

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)

T/I
Kapampa Christiani SANTA APOSTOL, FERIA,MERLYN
106389150001 APOSTOL,WILNAN, FERIA M 04-29-2009 13 Aeta CAPAS TARLAC Face to Face DATE:2022-
ngan ty JULIANA WILLY GARCIA ,RAMOS,
08-22
BANAAG, FERNANDEZ,VI T/I
Kapampa Christiani SANTA
106389140090 BANAAG,ARJAY, FERNANDEZ M 06-09-2009 13 CAPAS TARLAC EDUARDO LMA,SABLAON Face to Face DATE:2022-
ngan ty JULIANA
BALINDAY JR , 08-22

Kapampa Christiani SANTA BIAG, SANNY PITILO,JANICE,

160016130002 BIAG,JHON LLOYD, PITILO M 01-27-2007 15 Aeta CAPAS TARLAC Face to Face Pending TI
ngan ty JULIANA MERCADO LAPUZ,

BILGERA, T/I
BILGERA,MARK KLEYU, Christiani SANTA QUIPAY,RONA,
106389150036 M 07-03-2010 12 Tagalog CAPAS TARLAC MARCELO Face to Face DATE:2022-
QUIPAY ty JULIANA BLANZA,
BUENTIPO JR 08-22
T/I
BONDOC,JOHN CARLO, Kapampa Christiani SANTA BONDOC, JOEY AVENDAN,ANN
106389140112 M 10-13-2009 13 CAPAS TARLAC Face to Face DATE:2022-
AVENDAN ngan ty JULIANA T ALIZA,S,
08-22
CABALIC, GONZALES,TA T/I
Ayta, Christiani SANTA
160002150008 CABALIC,OMAR, GONZALES M 01-09-2010 12 Aeta CAPAS TARLAC JOMAR NYA,DELA Face to Face DATE:2022-
Mag-antsi ty JULIANA
DUMULOT CRUZ, 08-22

T/I
DATE:2022-
Christiani SANTA GALANG, GALANG,JOY,E
106389150027 CABUAG,JAY BEE, GALANG M 07-25-2008 14 Sambal Aeta CAPAS TARLAC Face to Face 08-22NLS
ty JULIANA EDWAR BIAG SPINOSA,
DATE:2023/04/
20

T/I
Christiani SANTA CANDULI, LITO GUTIERREZ,PI
106389150030 CANDULI,INER, GUTIERREZ M 01-01-2005 17 Sambal Aeta CAPAS TARLAC Face to Face DATE:2022-
ty JULIANA GUTIERREZ NING,RIVERA,
08-22
CANDULI,
Christiani SANTA CANDULI,NENI
160001130020 CANDULI,TITOY, CABALIC M 08-31-2007 15 Sambal Aeta CAPAS TARLAC PATIKTIK Face to Face Pending TI
ty JULIANA TA,,
DULFO
CANONISADO,
Kapampa Christiani SANTA SANTOS,VILM
160016140002 CANONISADO,NOE, SANTOS M 11-28-2008 13 Abelling CAPAS TARLAC MELCHOR Face to Face
ngan ty JULIANA A,TOMAS,
CAPIT
COSME, T/I
Ayta, Christiani GARCIA,CORA,
160002140012 COSME,JULIUS, GARCIA M 03-20-2008 14 Aeta MARUGLU CAPAS TARLAC JOSEPH Face to Face DATE:2022-
Mag-antsi ty CAPUAN,
GONZALES 08-22
TARROZA,EVA T/I
Ayta, Christiani DALIS, BENNY
106390150213 DALIS,KOREANO, TARROZA M 04-17-2007 15 Aeta MARUGLU CAPAS TARLAC NGELINE,CAPU Face to Face DATE:2022-
Mag-antsi ty GONZALES
AN, 08-22
DELA CRUZ, T/I
Christiani SANTA CARINO,LIZA,D
106389150039 DELA CRUZ,JUBAL, CARINO M 09-27-2010 12 Sambal Abelling CAPAS TARLAC JAMES Face to Face DATE:2022-
ty JULIANA UMULOT,
PONTECHA 08-22
DEVERA, T/I
DEVERA,JOHN CRISTAN, Ayta, Christiani CORPUZ,CRIZA
106387150005 M 07-01-2010 12 Aeta MARUGLU CAPAS TARLAC MELECIO Face to Face DATE:2022-
CORPUZ Mag-antsi ty LVE,FAJARDO,
GALANG 08-22
Kapampa Christiani FAJARDO, DALIS,MERSIT
160019140034 FAJARDO,CHRISTIAN, DALIS M 05-28-2006 16 Aeta MARUGLU CAPAS TARLAC Face to Face Pending TI
ngan ty FRANCIN A,,

T/I
FAJARDO, DATE:2022-
Ayta, Christiani SIBAL,MYLIN,T
106390150165 FAJARDO,LAIROSE, SIBAL M 06-01-2005 17 Aeta MARUGLU CAPAS TARLAC RUDITH Face to Face 08-22NLS
Mag-antsi ty ARROZA,
TARROZA DATE:2023/04/
17
 T/I
FAJARDO, DATE:2022-
Ayta, Christiani SIBAL,MAYLIN,
106390150214 FAJARDO,ROMER, SIBAL M 10-15-2008 14 Aeta MARUGLU CAPAS TARLAC RODITH Face to Face 08-22NLS
Mag-antsi ty TARROZA,
TARROZA DATE:2023/04/
17

GALANG, MAGBANUA,N T/I

Christiani SANTA
106389150041 GALANG,CARLO, MAGBANUA M 10-29-2007 15 Sambal Aeta CAPAS TARLAC FERNANDO ERISSA,OCAMP Face to Face DATE:2022-
ty JULIANA
COSME O, 08-22

EVANGELISTA, T/I
GALANG,ROMMEL, Kapampa Christiani SANTA GALANG,
106389150065 M 11-18-2009 12 CAPAS TARLAC BERNADETTE, Face to Face DATE:2022-
EVANGELISTA ngan ty JULIANA ROMY CORPUZ
MAYUYU, 08-22
NLS
Kapampa Christiani SANTA GARIDAN, LOPEZ,LAILA,R
106389140115 GARIDAN,JOHN REY, LOPEZ M 01-26-2009 13 CAPAS TARLAC Face to Face DATE:2022/11/
ngan ty JULIANA JEFFREY S ,
07
GUTIERREZ,ELI
Christiani SANTA GUTIERREZ,
160001140111 GUTIERREZ,JEROME, COSME M 11-02-2007 14 Sambal Aeta CAPAS TARLAC ZABETH,CAND Face to Face Pending TI
ty JULIANA EDGAR BASA
ULI,
GUTIERREZ, DELA T/I
GUTIERREZ,JOSHUA, DELA Kapampa Christiani SANTA
106389150068 M 11-09-2009 12 Abelling CAPAS TARLAC ROMEDES CRUZ,TINA,AT Face to Face DATE:2022-
CRUZ ngan ty JULIANA
CAPSIAO ANACIO, 08-22

T/I
MAYUYU, DATE:2022-
Ayta, Christiani FAJARDO,NENI
106390150238 MAYUYU,WALDO, FAJARDO M 01-06-2005 17 Aeta MARUGLU CAPAS TARLAC MARCIAL Face to Face 08-22NLS
Mag-antsi ty TA,TARROZA,
DALIZ DATE:2023/04/
17

T/I
MERCADO, DATE:2022-
Kapampa Christiani SANTA PITILO,MARICE
160016140013 MERCADO,IVAN, PITILO M 10-18-2008 14 Abelling CAPAS TARLAC CIERLITO Face to Face 08-22NLS
ngan ty JULIANA L,LAPUZ,
VALANTIN DATE:2022/11/
07

T/I
MERCADO, EVANGELISTA, DATE:2022-
MERCADO,KENNETH, Kapampa Christiani SANTA
160016130020 M 12-08-2005 16 Abelling CAPAS TARLAC JOVEN JENALYN,MOR Face to Face 08-22NLS
EVANGELISTA ngan ty JULIANA
CAPIRAL ALES, DATE:2022/11/
07

T/I
MERCADO, DATE:2022-
Kapampa Christiani SANTA PITILO,MARICE
160016120018 MERCADO,MARBOY, PITILO M 06-10-2006 16 Abelling CAPAS TARLAC CIERLITO Face to Face 08-22NLS
ngan ty JULIANA L,LAPUZ,
VALANTIN DATE:2022/11/
07

T/I
MERCADO, EVANGELISTA, DATE:2022-
MERCADO,RAYVEN, Kapampa Christiani SANTA
160016130021 M 12-21-2008 13 Abelling CAPAS TARLAC JOVEN JENALYN,MOR Face to Face 08-22NLS
EVANGELISTA ngan ty JULIANA
CAPIRAL ALES, DATE:2022/11/
07

T/I
Ayta, Christiani NAVARRO, DAVE,CRISTIN
106387150011 NAVARRO,CEEJAY, DAVE M 10-06-2010 12 Aeta MARUGLU CAPAS TARLAC Face to Face DATE:2022-
Mag-antsi ty JOEL NACU A,SALAZAR,
08-22
Christiani SANTA REGASA,
106233100054 REGASA,JERWIN, COSME M 08-19-2005 17 Sambal Aeta CAPAS TARLAC COSME,GINA,, Face to Face Pending TI
ty JULIANA DIEGO
T/I
Christiani SANTA REYES, MAGBANUA,N
106389150073 REYES,JERALD, MAGBANUA M 11-22-2009 12 Sambal Abeling CAPAS TARLAC Face to Face DATE:2022-
ty JULIANA GENESIS ERISSA,,
08-22
T/I
DATE:2022-
Christiani SANTA GALANG,ANNA
160001150008 SIBUG,ADRIAN, GALANG M 04-10-2010 12 Sambal Aeta CAPAS TARLAC SIBUG, EDWIN Face to Face 08-22NLS
ty JULIANA LYN,-,
DATE:2022/11/
07

SUMAOANG, T/I
Ayta, Christiani DIMAL,ORAY,D
106390150218 SUMAOANG,JERWEN, DIMAL M 12-05-2006 15 Aeta MARUGLU CAPAS TARLAC DABLING Face to Face DATE:2022-
Mag-antsi ty ALIS,
CAPIZ 08-22

T/I
DATE:2022-
SUMAOANG,JOHN ALDRIN, Ayta, Christiani SUMAOANG, DALIS,MANILY
106390150220 M 03-10-2008 14 Aeta MARUGLU CAPAS TARLAC Face to Face 08-22NLS
DALIZ Mag-antsi ty DAYET COSME N,FAJARDO,
DATE:2022/11/
07

T/I
DATE:2022-
Ayta, Christiani SUMAOANG, DALIS,MANILY
106390150219 SUMAOANG,JOHN MARK, DALIZ M 12-30-2010 11 Aeta MARUGLU CAPAS TARLAC Face to Face 08-22NLS
Mag-antsi ty DAYET COSME N,FAJARDO,
DATE:2023/04/
17
 T/I
Ayta, Christiani TARROZA, DIMAL,JINKY,D
106390150170 TARROZA,BOY, DIMAL M 07-01-2009 13 Aeta MARUGLU CAPAS TARLAC Face to Face DATE:2022-
Mag-antsi ty JIMMY DALIS ALIS,
08-22
MERCADO,DAI
T/I
Kapampa Christiani SANTA SY
160016150026 TIAGO,ERWIN, MERCADO M 01-20-2010 12 Abelling CAPAS TARLAC TIAGO, EDWIN - Face to Face DATE:2022-
ngan ty JULIANA JANE,CASTILL
08-22
O,
T/I
Kapampa Christiani SANTA VALANTIN, PONTECHA,VIL
160016150024 VALANTIN,ARJAY, PONTECHA M 05-31-2010 12 Abelling CAPAS TARLAC Face to Face DATE:2022-
ngan ty JULIANA ARNEL BASA MA,SEGGUEP,
08-22

T/I
DATE:2022-
Kapampa Christiani VICTORIA, FAJARDO,LILIA
160019150022 VICTORIA,NAMUEL, FAJARDO M 04-07-2009 13 Aeta MARUGLU CAPAS TARLAC Face to Face 08-22NLS
ngan ty NINOY SIBAL ,DALIS,
DATE:2023/04/
17

38 <=== TOTAL MALE

DAYLIG,LAILA
Kapampa Christiani
106387140007 BALINTAY,LYCA, DAYLIG F 08-05-2009 13 Aeta MARUGLU CAPAS TARLAC NIE,DELA Face to Face Pending TI
ngan ty
CRUZ,

T/I
DATE:2022-
Christiani SANTA CANDULI, GUTIERREZ,EL
106389150091 CANDULI,ALMERA, GUTIERREZ F 05-06-2006 16 Sambal Aeta CAPAS TARLAC Face to Face 08-22NLS
ty JULIANA ENRY YAMSON VIE,RIVERA,
DATE:2023/04/
17

T/I
DATE:2022-
Kapampa Christiani SANTA CANDULI, GUTIERREZ,EL
106389150094 CANDULI,VERGIE, GUTIERREZ F 09-11-2005 17 Aeta CAPAS TARLAC Face to Face 08-22NLS
ngan ty JULIANA ENRY Y VIE,,
DATE:2023/03/
30

DAVID, T/I
Kapampa Christiani SANTA REYES,MATET,
106389150096 DAVID,KRISTEL JOY, REYES F 02-07-2010 12 CAPAS TARLAC LUISITO Face to Face DATE:2022-
ngan ty JULIANA MORALES,
CAPIRAL JR 08-22

T/I
DATE:2022-
Ayta, Christiani DELA CRUZ, OCAMPO,MANI
160002150007 DELA CRUZ,JAMILA, OCAMPO F 02-15-2010 12 Aeta MARUGLU CAPAS TARLAC Face to Face 08-22NLS
Mag-antsi ty JOSE CAPIZ LYN,FAJARDO,
DATE:2022/11/
07

T/I
DATE:2022-
Ayta, Christiani DIAZ, LAILO CAPUAN,LOTL
160019140011 DIAZ,LAILYN, CAPUAN F 04-03-2006 16 Aeta MARUGLU CAPAS TARLAC Face to Face 08-22NLS
Mag-antsi ty SUMAOANG OT,TARROZA,
DATE:2022/11/
07

T/I
DATE:2022-
Ayta, Christiani DIAZ, LAYLO CAPUAN,LOTL
106390150178 DIAZ,MERSALYN, CAPUAN F 05-06-2009 13 Aeta MARUGLU CAPAS TARLAC Face to Face 08-22NLS
Mag-antsi ty SUMAOANG OT,TARROZA,
DATE:2022/11/
07
LE
DATE:2022/08/
GUTIERREZ,JO
GONZALES,CATRINE, Kapampa Christiani GONZALES, Modular 22
160002130053 F 10-25-2007 15 Aeta MARUGLU CAPAS TARLAC NALYN,SUMA
GUTIERREZ ngan ty WILSON GALIS (print) NLS
WANG,
DATE:2023/03/
31
T/I
MANUEL,JEMALYN, Kapampa Christiani SANTA MANUEL, CAUGUIRAN,R
106389150113 F 07-05-2008 14 CAPAS TARLAC Face to Face DATE:2022-
CAUGUIRAN ngan ty JULIANA MENG - OTEZA,-,
08-22
PABUSTAN, T/I
PABUSTAN,MICAELLA, Christiani SANTA OCAMPO,MIRA
106389150111 F 02-28-2010 12 Sambal Aeta CAPAS TARLAC RODOLFO Face to Face DATE:2022-
OCAMPO ty JULIANA SOL,HERMOSO,
CAPIT 08-22
T/I
Christiani SANTA PASSION, MANALO,GEDI
160001150036 PASION,KAREN, MANALO F 09-07-2010 12 Sambal Aeta CAPAS TARLAC Face to Face DATE:2022-
ty JULIANA DENNIS - E,-,
08-22
T/I
DATE:2022-
Kapampa Christiani SANTA TIAGO,
160016150029 TIAGO,TILDY, CAPIENDO F 12-23-2006 15 Abelling CAPAS TARLAC TIAGO,PRECY,-, Face to Face 08-22NLS
ngan ty JULIANA CONDRADO -
DATE:2023/02/
13

Kapampa Christiani VITUG, EMIL GALANG,ROCH

106387140011 VITUG,KATLINE, GALANG F 07-20-2009 13 Aeta MARUGLU CAPAS TARLAC Face to Face Pending TI
ngan ty GUDOY ELLE,CAPIZ,

YAMSON, LAXAMANA,M T/I

Christiani SANTA
106389150101 YAMSON,MYCCA, LAXAMANA F 07-04-2008 14 Sambal Aeta CAPAS TARLAC ROMY ELDA,DELA Face to Face DATE:2022-
ty JULIANA
MAYUYO CRUZ, 08-22
 14 <=== TOTAL FEMALE

52 <=== 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 36
Balik Aral B/A Name of school last attended & Year DANAH MEJIA PANGILINAN (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 12
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 48
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Wednesday, June 14, 2023