School Form 1 (SF 1) School Register

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

School ID 403428 Region IV-B Division Occidental Mindoro

School Name San Jose Adventist Academy School Year 2022 - 2023 Grade Level Grade 9 (Year Section ISAIAH

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)

AZNAR,
AZNAR,JHERWAYNE JANN, Christiani OCCIDENTAL DARISAY,ELEA
403428150056 M 12-15-2007 14 Tagalog SAN ROQUE SAN JOSE JOSEPH
DARISAY ty MINDORO NOR,TENORIO,
MANCENIDO
TEMENA,MARI
BERNAL,
BERNAL,MICHAEL ROI, Christiani OCCIDENTAL A
110253130267 M 12-25-2007 14 Tagalog SAN ROQUE SAN JOSE MICHEAL
TEMEÑA ty MINDORO LOURDES,GEN
ANTONIO
EZA,
CAOAGDAN, ACUZAR,GEM
CAOAGDAN,EARL DAVID, Christiani OCCIDENTAL
110254120362 M 05-16-2007 15 Tagalog SAN ROQUE SAN JOSE FERNANDO DE MA,FRANCISC
ACUZAR ty MINDORO
LARA JR O,

CONCEL, BENOZA,SHER
Christiani OCCIDENTAL
403428150061 CONCEL,DWAYNE, BENOZA M 08-22-2007 15 Tagalog SAN ROQUE SAN JOSE JONATHAN RY
ty MINDORO
BALAD-ON ANN,RAMOS,

CURAMMENG, BANGCAYA,IRI
CURAMMENG,SAMUEL, Christiani OCCIDENTAL
403428150062 M 07-29-2007 15 Tagalog SAN ROQUE SAN JOSE DENNIS SH
BANGCAYA ty MINDORO
JARAVATA JANE,LAGYO,

EGAÑA,EARL ZHEAN, Christiani LABANGAN OCCIDENTAL EGANA, EARL GABANAN,HAZ

110252120085 M 03-22-2008 14 Tagalog SAN JOSE
GABANAN ty POBLACION MINDORO REYES EL,AMAR,

GUERRERO,CA
GUERRERO,JOHANN CARL, Christiani BARANGAY OCCIDENTAL
110253140546 M 09-26-2008 14 Tagalog SAN JOSE MILLE,PANOPI
PANOPIO ty 5 (POB.) MINDORO
O,
ITURIAGA, GUMBOC,MAR
ITURIAGA,LIAM CLARK, Christiani OCCIDENTAL
403428150068 M 10-06-2007 15 Tagalog SAN ROQUE SAN JOSE RAMCHAN Y
GUMBOC ty MINDORO
BAYANI JEAN,JIMENEZ,
MINA, DON
Christiani OCCIDENTAL CARIDAD,MAR
403428150069 MINA,JUAN MIGUEL, CARIDAD M 01-03-2008 14 Tagalog SAN ROQUE SAN JOSE MICHAEL
ty MINDORO ICEL,CORPUZ,
CEREZO

OPERIANO,KYLE ZEDRICH, Christiani OCCIDENTAL OPERIANO, PASCUA,MYRE

110272130052 M 08-02-2008 14 Tagalog SAN ISIDRO SAN JOSE
PASCUA ty MINDORO RUEL MAAT N,MONTERO,

ORTEGA,ANNI
Christiani ILING OCCIDENTAL PERIA, JAPHET
110290130014 PERIA,JAMES ALLEN, ORTEGA M 01-25-2008 14 Tagalog SAN JOSE E,MAGALLANE
ty PROPER MINDORO SERNA
S,

FADRI,AIKHO
REYES,CHAZZ KREDRICK, Christiani OCCIDENTAL REYES, ROWEL
403422150064 M 10-18-2008 14 Tagalog MABINI SAN JOSE JANE,VERANQ
FADRI ty MINDORO FORDAN
UE,
ROMERO, PANGANIBAN,
ROMERO,RANCE LOUISE, Christiani OCCIDENTAL
110253140078 M 06-02-2008 14 Tagalog PAG-ASA SAN JOSE RAFAEL AMALISA,PERI
PANGANIBAN ty MINDORO
ALMADIN OLIN,
ISAIAH

REMARKS

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

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T/I
Blended DATE:2022-
08-22

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 ROXAS,PRINCE HARVEY, Christiani OCCIDENTAL ROXAS, MAGAT,MELO
110250100169 M 05-04-2005 17 Tagalog BUBOG SAN JOSE
MAGAT ty MINDORO FRANCIS B DY,M,
LESCANO,ELGI
SAMANTE,KING RANZ, Christiani OCCIDENTAL SAMANTE, E
110253140079 M 12-05-2007 14 Tagalog CAMINAWIT SAN JOSE
LESCANO ty MINDORO FRANCIS ABIS ROSE,COMEDI
A,
ULAYAO,
Christiani LABANGAN OCCIDENTAL OCA,MARIENIZ
403422150065 ULAYAO,RENZ SERGEI, OCA M 04-27-2008 14 Tagalog SAN JOSE SERGIO
ty POBLACION MINDORO A,PASILAO,
GARILLO

16 <=== TOTAL MALE

GREGORIO,JEL
AMERILA,SHAQUENA MAE, Christiani LABANGAN OCCIDENTAL AMERILA, LY
429502150332 F 11-11-2007 14 Tagalog SAN JOSE
GREGORIO ty POBLACION MINDORO RYAN ANN,VILLARA
M,
AMPOLOQUIO,
Christiani OCCIDENTAL
136853120678 AMPOLOQUIO,LOUISE ANN, - F 04-16-2007 15 Tagalog SAN ROQUE SAN JOSE MARY
ty MINDORO
JOY,CASTRO,
CARREON,
CARREON,CHRISTINE MHEL, Christiani OCCIDENTAL DINGLE,MELO
110092130034 F 06-21-2008 14 Tagalog SAN ROQUE SAN JOSE FEDIL
DINGLE ty MINDORO DIE,PANUGAO,
BONGULAN

CORPUZ,ANGELIQUE Christiani OCCIDENTAL CORPUZ, ALFEROS,ESTH

600047150052 F 12-12-2007 14 Tagalog SAN ROQUE SAN JOSE
TRIZSHANE, ALFEROS ty MINDORO WILLIE NAOE ER,PALABAY,

Christiani OCCIDENTAL DE PEDRO, AWIT,JHOY,BA

110253140082 DE PEDRO,RHIANNE, AWIT F 10-24-2007 15 Tagalog SAN ROQUE SAN JOSE
ty MINDORO RYAN CORTEL UTISTA,

DELA ROCA, MONDING,NER

DELA ROCA,JAMEILLA KYLLE, Christiani BARANGAY OCCIDENTAL
403428150081 F 03-07-2007 15 Tagalog SAN JOSE JOSEPH MEISSAN,SUN
MONDING ty 6 (POB.) MINDORO
SORISANTOS GA,
EMBANECIDO,
EMBANECIDO,MILES RIANE, Christiani OCCIDENTAL VARONA,MEL
110304130025 F 11-10-2007 14 Tagalog MANGARIN SAN JOSE MICHAEL IAN
VARONA ty MINDORO ANIE,AMAR,
ARCIAGA
FUENTES,
FUENTES,VIVIENNE JEN, Christiani OCCIDENTAL JIMENEZ,JENNI
110253130560 F 12-23-2007 14 Tagalog MANGARIN SAN JOSE VIVENCIO
JIMENEZ ty MINDORO FER,DE LARA,
AGUILAR JR

GAMIT,JIEHANVINNICE, Christiani MAMBURAO OCCIDENTAL GAMIT, ACE ALBARRACIN,

110210140039 F 09-01-2008 14 Tagalog PAYOMPON
ALBARRACIN ty (Capital) MINDORO JAY GADIANO MYKA,CHING,

ISTURIS,ELLAIZAH NICOLE, OCCIDENTAL ANGELES,CAR

110282130210 F 04-17-2008 14 Tagalog Others CAMINAWIT SAN JOSE
ANGELES MINDORO LOTA,T,

JARDINEZ,
JARDINEZ,CLARISSE JASMINE, Christiani BAGONG OCCIDENTAL DIAZ,NOEMEL
110249130067 F 01-16-2008 14 Tagalog SAN JOSE JIMMY
DIAZ ty SIKAT MINDORO YN,FELICIANO,
RABAYA
LOZARES,
Christiani OCCIDENTAL RAMIREZ,JEZZ
110253130438 LOZARES,JUSTINE, RAMIREZ F 03-02-2008 14 Tagalog SAN ROQUE SAN JOSE ANDRES
ty MINDORO A,GONZALES,
BAJAMUNDI
MACARAIG, AGUILAR,DYE
MACARAIG,MEYNNE DYELL, Christiani OCCIDENTAL
110253130496 F 10-04-2008 14 Tagalog PAG-ASA SAN JOSE ROMMEL SELYNNE,TUA
AGUILAR ty MINDORO
FELICES SON,

OBRA,
Christiani OCCIDENTAL POBLETE,LOTI
110253140084 OBRA,LYKA FAITH, POBLETE F 05-23-2008 14 Tagalog PAG-ASA SAN JOSE FLOREJOY
ty MINDORO S,LASTIMOSO,
PANGANIBAN

ORDANES,
ORDANES,SOPHIA JHANNE, Christiani OCCIDENTAL ASIS,JOVELYN,
110254140164 F 08-17-2008 14 Tagalog SAN ROQUE SAN JOSE GAUDIOSO
ASIS ty MINDORO FERRER,
VIERNES
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08-22

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08-22
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08-22

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 PLAZARAS,CHAZLYNE MEI, Christiani OCCIDENTAL PLAZARAS,IME
429502150339 F 05-09-2008 14 Tagalog Tagalog SAN ROQUE SAN JOSE
MENDOZA ty MINDORO E,MENDOZA,

MHANA, LUMABAN,RIZ
SAMER MHANA,KASANDRA, Christiani OCCIDENTAL
110251140038 F 12-03-2006 15 Tagalog BUBOG SAN JOSE SAMER ZA,PARAGUYA
LUMABAN ty MINDORO
MOHAMED ,

SAULONG, DELA
SAULONG,CAMILLE, DELA Christiani LABANGAN OCCIDENTAL
429502150344 F 03-15-2007 15 Tagalog SAN JOSE RAMIL TORRE,DORIE,
TORRE ty POBLACION MINDORO
CLEMENTE AQUINO,

TORRELIZA,
TORRELIZA,NICOLE ANDREI, Christiani OCCIDENTAL CARLOS,SALL
110253140087 F 11-13-2007 14 Tagalog MABINI SAN JOSE EDMAR
CARLOS ty MINDORO Y,AMBAY,
LEGASPI

Cebuano
/ UMANITO,
UMANITO,FIONA DOMINIQUE, Christiani OCCIDENTAL ORENDAIN,NIK
470013150191 F 06-08-2008 14 Sinugbua PAG-ASA SAN JOSE DOMINADOR
ORENDAIN ty MINDORO IE JILL,BACEA,
nong JR MENOR
Binisay

OCCIDENTAL VIDIELLA, ELOI MARTINO,CRIS

488093150078 VIDIELLA,JUDIT, MARTINO F 11-23-2007 14 Tagalog Others SAN ROQUE SAN JOSE
MINDORO RENARD TY,GASPADO,

21 <=== TOTAL FEMALE

37 <=== 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 GEDION FAMARIN FAMERONAG
Date MALE 16
Balik Aral B/A Name of school last attended & Year (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 21
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 37
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Saturday, November 12, 2022

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WFO
T/I
Blended
DATE:2022-
08-22

Blended

IN FAMERONAG

ead over Printed Name)

EoSY Date:

d thru LIS