School Form 1 School Register for Senior High School (SF1-SH

School Name Northern Samar Colleges, Inc. School ID 404756 District Catarman I
Division Northe

Semester Second Semester School Year 2022 - 2023 Grade Level Grade 11 Track and Strand

Section HE Course (for TVL only) Bread and Pastry Production (NC II)

COMPLETE ADDRESS PARENTS

AGE

Sex (M/F)
NAME BIRTH DATE as of
LRN Religious Affilication Mother's Maid
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy) Octob Father's Name (Last
er 31st Name (Last Na
House #/ Street/ Sitio/ Purok Barangay Municipality/ City Province Name, First Name, Middle
First Name, Mi
Name)
Name)

MARINO,DE
WASHINGT CATARMAN NORTHERN CABALES, ROMEO
193002100005 CABALES,ROGEN DE ANTONIO M 05/09/2006 16 Christianity ANTONIO
ON (Capital) SAMAR MENO
MARY,JANE,

1 <=== TOTAL MALE

NCR
CITY OF ATA, JAY CARMELO LUCBAN,MA
136912120756 ATA,PEARL ABEGAIL LUCBAN F 09/26/2006 16 Christianity CUPANG FOURTH
MUNTINLUPA ACUDO RIA,DIAZ,
DISTRICT

POBLACION NORTHERN
508052102496 BANTILO,MARIFE ADARAYAN F 05/22/1990 32 Christianity PAMBUJAN
DISTRICT 1 SAMAR

WASHINGT CATARMAN NORTHERN CABALES, FELIPE DULIN,JUANA

193002100003 CABALES,MICHELLE DULIN F 02/07/2006 16 Christianity
ON (Capital) SAMAR CARANOG SAWAY,
CABALLERO,
AGUADAHA NORTHERN DAYON, ARTHUR
123220110011 DAYON,ARTHEA JANE CABALLERO F 11/18/2006 15 Christianity SAN JOSE NIFER,CABAR
N SAMAR IGNOTE
,

NORTHERN CAPOQUIAN, DURIN,NENIT

122906140093 DURIN,JUNNA - F 06/28/2004 18 Christianity NAGOOCAN CATUBIG
SAMAR NESTOR GOTONERO OLENTINO,

MONTALLAN
NORTHERN ESPONILLA, PIO
122906100009 ESPONILLA,JACKELYN MONTALLANA F 01/26/2006 16 Christianity NAGOOCAN CATUBIG ERESITA,PECZ
SAMAR GODEZ
,

NORTHERN LAGBAS, RODRIGO PLANES,CARO

123128080110 LAGBAS,CLAIRE PLANES F 05/24/2002 20 Christianity IMELDA MONDRAGON
SAMAR ADRAYAN CQUIATAN,

NORTHERN PECSON, HONORIO MUPAS,FLOR

122906100031 PECZON,LYN LYN MUPAS F 04/01/2004 18 Christianity NAGOOCAN CATUBIG
SAMAR DURIN IA,CAPOQUIA

SILVANO,
NORTHERN DURIN,MARIT
122906140092 SILVANO,MARIAN MAY DURIN F 12/25/2005 16 Christianity NAGOOCAN CATUBIG ANTHONY
SAMAR TOLENTINO,
CARAMOL
NORTHERN
122906100036 TEJONES,RONALYN DURIN F 03/05/2006 16 Christianity NAGOOCAN CATUBIG TEJONES, ARTURO C DURIN,LORNA
SAMAR

WASHINGT CATARMAN NORTHERN VALEN, BELLAM CORONG,GIN

122853110060 VALEN,BEA CORONG F 09/08/2005 17 Christianity
ON (Capital) SAMAR DORICO ABALES,
F1-SHS)

Northern Samar Region Region VIII

Technical-Vocational-Livelihood Track

GUARDIAN
TS REMARKS
(if learner is not Living with Parent)
Contact
Number of Learning
Mother's Maiden Parent or Modality
Name
Name (Last Name, Guardian (Please refer to the
(Last Name, First Name, Relationship
First Name, Middle legend on last page)
Name Extension, Middle
Name)

MARINO,DE
ANTONIO PARENT Face to Face T/I DATE:2023-01-04
MARY,JANE,

LUCBAN,MA ANA
PARENT Face to Face T/I DATE:2023-01-04
RIA,DIAZ,

Face to Face

DULIN,JUANA,CA
Face to Face T/I DATE:2023-01-04
SAWAY,
CABALLERO,JEN
NIFER,CABARLES PARENT Face to Face T/I DATE:2023-01-04

DURIN,NENITA,T
Face to Face T/I DATE:2023-01-04
OLENTINO,

MONTALLANA,T
ERESITA,PECZON Face to Face T/I DATE:2023-01-04

PLANES,CAROL,A
Face to Face T/I DATE:2023-01-04
CQUIATAN,

MUPAS,FLORENC
Face to Face T/I DATE:2023-01-04
A,CAPOQUIAN,

DURIN,MARITES,
Face to Face T/I DATE:2023-01-04
TOLENTINO,

DURIN,LORNA,O, Face to Face T/I DATE:2023-01-04

CORONG,GINA,C
Face to Face T/I DATE:2023-01-04
ABALES,
 11 <=== TOTAL FEMALE

12 <=== COMBINED

Legend: List and Code of Indicators under REMARKS column

Prepared by;
Beginning of the End of the
Indicator Code Required Information Indicator Code Required Information REGISTERED
Semester Semester

Transfered Out T/O CCT Receipient CCT CCT Control/reference number &
Effectivity Date MALE 1
Name of School, Date of 1st Attendance and Balik Aral B/A Name of school last attended & Year
Date of Last Attendance if Transferred Out
Transfered In T/I Learner With LWE Specify Exceptionality of the Learner
FEMALE 11
Exceptionality Beginning of the Semeste
Accelerated ACL Specify Level & Effectivity Date

TOTAL 12
1/4/23 12:00 AM

Generated on: Friday, May 26, 2023

d by;

JUVY DE ANTONIO DOROGA

(Signature of Adviser over Printed Name)

ng of the Semester Date: End of the Semester Date:

12:00 AM 6/30/23 12:00 AM