School Form 1 (SF 1) School Register

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

School ID 303612 Region VIII Division Samar (Western Samar)

School Name Matuguinao National High School School Year 2022 - 2023 Grade Level Grade 10 Section SOCRATES

GUARDIAN
ADDRESS PARENTS
(if Not Parent)
Age MOTHER Contact

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

Christiani SAN SANTO

123549120014 BALDONADO,SEALTIEL, - M 02-23-2006 16 Waray BATANGAS
ty RAFAEL TOMAS
BARRUZ CAGOMOC, DELA
Christiani MATUGUIN WESTERN
123535100008 CAGOMOC,KIM, DELA CRUZ M 01-23-2005 17 Waray (BARANGAY JOLITO NOYA CRUZ,LEONILA
ty AO SAMAR
NO. 1) JR ,BARTOLO,
MABULIGO
DELA CRUZ,
DELA CRUZ,CYRUS, BARTOLO Christiani N POB. MATUGUIN WESTERN SORIO,SHERYL
123549130201 M 09-06-2006 16 Waray ROY
SORIO ty (BARANGAY AO SAMAR ,BARTOLO,
FLOQUENCIO
NO. 2)

MADUROTO BABATIO,MAR
DELACRUZ,
Christiani POB. MATUGUIN WESTERN Y
123549140136 DELA CRUZ,EDRIAN, BABATIO M 05-20-2007 15 Waray ARMANDO
ty (BARANGAY AO SAMAR ANN,ELIZALDE
ALBANA
NO. 3) ,

DELA CRUZ,
Christiani SANTA MATUGUIN WESTERN LEMUEL DIAZ,LOURDES
123549140138 DELA CRUZ,LITO, DIAZ M 12-12-2004 17 Waray
ty CRUZ AO SAMAR OGCHO DELA ,ORQUIN,
CRUZ

Christiani MATUGUIN WESTERN DIAZ, MARLON OBIADO,RUTH

193541120010 DIAZ,MARLOU, OBIADO M 03-20-2006 16 Waray SALVACION
ty AO SAMAR FLOQUENCIO Y,BOLLER,

DULMAN, FLOQUENCIO,
DULMAN,JOHN REY, Christiani MATUGUIN WESTERN
193541120004 M 01-14-2007 15 Waray SALVACION JONIE ANALIZA,OBIA
FLOQUENCIO ty AO SAMAR
FLOQUENCIO DO,

ESTRELLES,SONNY BOY, Christiani SAN WESTERN TABUSO,LIND

123524120143 M 03-11-2007 15 Waray GANDARA
TABUSO ty ANTONIO SAMAR A,MORALES,

MABULIGO
JAGONOB, ESTRELLES,MA
Christiani N POB. MATUGUIN WESTERN
123549130048 JAGONOB,JOVAN, ESTRELLES M 09-09-2007 15 Waray JOHN ELLY RILYN,BALING
ty (BARANGAY AO SAMAR
DELA CRUZ BINGAN,
NO. 2)

BARRUZ LABALAN, DACLES,NICE,

Christiani MATUGUIN WESTERN
123535080017 LABALAN,ROMMEL, DACLES M 05-29-2000 22 Waray (BARANGAY ARTEMIO BALINGNINGA
ty AO SAMAR
NO. 1) ERILLA N,

LAOYON, FLOQUENCIO,F
Christiani MATUGUIN WESTERN
193541120012 LAOYON,NOEL, FLOQUENCIO M 07-09-2005 17 Waray SALVACION ISTANISLAO LORA,SUARIN
ty AO SAMAR
SALAS O,
SOCRATES

REMARKS

Learning
Modality (Please refer to
the legend on last
page)

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22

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T/I
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08-22

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 MADUROTO
LUCBAN, DELA
Christiani POB. MATUGUIN WESTERN
123549120016 LUCBAN,JARID, DELA CRUZ M 05-25-2006 16 Waray JUDITO DELA CRUZ,ISABEL,
ty (BARANGAY AO SAMAR
CRUZ OBIADO,
NO. 3)

BARRUZ
Christiani MATUGUIN WESTERN MILKA, EMILIO PACALDO,JOSI
123535120020 MILKA,EMILIO, JR PACALDO M 03-04-2007 15 Waray (BARANGAY
ty AO SAMAR CAGOMOC SR E,JALUAG,
NO. 1)

Christiani SANTA MATUGUIN WESTERN DELA CRUZ, NUEVA,EDEN,

123557120008 NUEVA,EDBOY, - M 09-05-2004 18 Waray
ty CRUZ AO SAMAR EDUARDO VELARDE,

Christiani MATUGUIN WESTERN RAMIREZ, DIAZ,ANELLIE,

124090110005 RAMIREZ,CHRISTIAN, DIAZ M 06-10-2006 16 Waray MAHANUD
ty AO SAMAR ARGIE GABING ERILLA,

SELVESTRE, BARTOLO,COR
Christiani MATUGUIN WESTERN
123549140116 SELVESTRE,JEFREY, BARTOLO M 02-12-2007 15 Waray MAHAYAG ROMUALDO NELIA,OBIADO
ty AO SAMAR
DELA CRUZ ,

16 <=== TOTAL MALE

BARRUZ ARTIZO, CAGOMOC,MA

Christiani MATUGUIN WESTERN
123535120031 ARTIZO,NOREN, CAGOMOC F 12-31-2006 15 Waray (BARANGAY NORWIN RGARITA,NOY
ty AO SAMAR
NO. 1) PALLER A,
BARRUZ BADLONG,
BADLONG,CRIZLYN EUNICE, Christiani MATUGUIN WESTERN DIAZ,CAROL,D
123535120010 F 11-09-2006 15 Waray (BARANGAY REYNALDO
DIAZ ty AO SAMAR ELA CRUZ,
NO. 1) MENDROS
BALDONADO,
BALDONADO,JENNEMEL, Christiani DEL MATUGUIN WESTERN
193502120007 F 08-27-2007 15 Waray ADAN TULING,MILA,,
TOLING ty ROSARIO AO SAMAR
TENEDERO

Christiani MATUGUIN WESTERN EMPON,CELIA,

123557090001 BELINO,MAIMA, EMPON F 01-12-2000 22 Waray SAN ISIDRO
ty AO SAMAR GALIT,

DIAZ,
Christiani MATUGUIN WESTERN EMPON,JOCELI
123557120015 DIAZ,JEN JEN, EMPON F 12-02-2005 16 Waray SAN ISIDRO EDUARDO
ty AO SAMAR A,GALIT,
DIAZ
FLOQUENCIO,
FLOQUENCIO,MARY GRACE, Christiani MATUGUIN WESTERN SUARINO,VER
193541120008 F 12-25-2007 14 Waray SALVACION MARIO
SUARINO ty AO SAMAR GIE,DURIAN,
BANTILO
MABULIGO
Christiani N POB. MATUGUIN WESTERN MATEO, FLORES,ELENA
123549160076 FLORES,MARIEL, DELACRUZ F 07-19-2005 17 Waray
ty (BARANGAY AO SAMAR MARLON ,,
NO. 2)
Christiani MATUGUIN WESTERN DELA
123547140018 MICOL,KATLEA, DELA CRUZ F 02-26-2005 17 Waray MAHANUD MICOL, YULITO
ty AO SAMAR CRUZ,DEDITH,,
MABULIGO
OBIADO,
Christiani N POB. MATUGUIN WESTERN MANOZO,CHO
123549140125 OBIADO,JASMEN, MANOZO F 08-19-2005 17 Waray JASON
ty (BARANGAY AO SAMAR NA,DELACRUZ,
ALEGRIA
NO. 2)

MABULIGO
OBIADO,
Christiani N POB. MATUGUIN WESTERN MANOZO,CHO
123549140126 OBIADO,JUDY -ANN, MAÑOZO F 07-06-2007 15 Waray JASON
ty (BARANGAY AO SAMAR NA,DELACRUZ,
ALEGRIA
NO. 2)

OPENIANO,JANE MERLY, Christiani MATUGUIN WESTERN OPENIANO, TEJANIO,DELW

123540120008 F 06-25-2007 15 Waray DEIT
TEJAÑO ty AO SAMAR JUNJIE RAPIZA ENDA,,

ROYANDOYAN,
Christiani MATUGUIN WESTERN MICOL,LOIDA,
123547100023 ROYANDOYAN,LIEZEL, MICOL F 06-04-2005 17 Waray MAHANUD ROMULO
ty AO SAMAR ALEGRIA,
DUMAYAN
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22

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22

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 ROYANDOYAN,
Christiani MATUGUIN WESTERN MICOL,ADELF
123547100025 ROYANDOYAN,PAMELA, MICOL F 01-16-2005 17 Waray MAHANUD DAN
ty AO SAMAR A,ALEGRIA,
DUMAYAN
SABUCO,
Christiani MATUGUIN WESTERN VELARDE,EDN
123557130001 SABUCO,ALGIN, VELARDE F 05-27-2006 16 Waray SAN ISIDRO CALEB
ty AO SAMAR A,SORIO,
PIAMONTE
MADUROTO
SORIO, ELIZALDE,VIL
Christiani POB. MATUGUIN WESTERN
123549140128 SORIO,VIVIAN, ELIZALDE F 05-19-2007 15 Waray AGUSTIN MA,BALDONA
ty (BARANGAY AO SAMAR
ARANDIA DO,
NO. 3)

DEL MATUGUIN WESTERN TULING, NILO ELIZALDE,CLE

193502120008 TOLING,ZYRA, ELIZALDE F 04-20-2007 15 Waray Others
ROSARIO AO SAMAR OBIADO OFE,,

VELARDE, POJANTE,MYR
Christiani MATUGUIN WESTERN
123549140130 VELARDE,MICHELLE, POJANTE F 02-14-2006 16 Waray SAN ISIDRO GERARDO NA,SALAJEND
ty AO SAMAR
NUEVA O,

17 <=== TOTAL FEMALE

33 <=== 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 GIL VENCIO ABELLANO
Date MALE 11
Balik Aral B/A Name of school last attended & Year REYMART DELA ROSA ROYANDOYAN (Signature of School Head over Printed Nam
Transfered In T/I Name of Public (P) Private (PR) School & Effectivity
Date Learner With LWD Specify (Signature of Adviser over Printed Name)
FEMALE 11
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 22
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Monday, May 8, 2023

 LE
Face to Face DATE:2022/09/
22

Blended

Face to Face

LE
Blended DATE:2022/09/
22

Blended

ABELLANO

ead over Printed Name)

EoSY Date:

d thru LIS