School Form 1 (SF 1) School Register

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

School ID 500069 Region II Division Isabela

School Name Sta. Filomena Integrated School School Year 2015 - 2016 Grade Level Grade 9 (Year Section 1

GUARDIAN
AGE ADDRESS PARENTS
(if Not Parent)
as of MOTHER Contact

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

PASTOR,MARR
AGRIPA,MARC GIESTER, Christiani BACNOR AGRIPA, REGIE
103128120727 M 09-05-2000 14 Ilocano BURGOS ISABELA Y GRACE,DEL
PASTOR ty EAST ALUGUDUD
ROSARIO,

CULANNAY, HERNANDEZ,D
CULANNAY,ROGER CHARLES, Christiani SANTA SAN
103744060008 M 10-16-2000 14 Ilocano ISABELA ROGER ARIMA,TABER
HERNANDEZ ty FILOMINA MARIANO
FERNANDEZ NA,
DELA CRUZ,
Christiani SANTA SAN CASTILLO,JON
103744120036 DELA CRUZ,JOVEN, CASTILLO M 02-01-2001 14 Ilocano ISABELA JOVENAL
ty FILOMINA MARIANO ALYN,BAUA,
LIQUIGAN
DIRECTO, GAYAGOY,LUC
Christiani POBLACION SANTA
103847060045 DIRECTO,DANILO, GAYAGOY M 09-11-1999 15 Ilocano ISABELA DANNY RESIA,DAQUIA
ty 3 MARIA
DAGANG G,

Other
Christiani SANTA SAN DIZON, JULIAN,MARIL
103744060009 DIZON,HEINZ LEE, JULIAN M 12-07-2001 13 Filipino ISABELA
ty FILOMINA MARIANO FEDIMAR D OU,G,
Language

FLORES,JENIMAR, Christiani SANTA SAN FLORES, VILLANUEVA,

103744060010 M 06-20-1999 16 Ilocano ISABELA
VILLANUEVA ty FILOMINA MARIANO WILLIAM C. ANALYN,D.,

GALICIA,REYMARK, Christiani SANTA SAN GALICIA, BALMORES,MI

103744060011 M 03-27-2000 15 Iloko ISABELA
BALMORES ty FILOMINA MARIANO SABELO C LAGROS,G,

IGBACOL,MARK MARVIN, Christiani SANTA SAN IGBACOL, REBOLLADO,N

306104130001 M 05-24-2001 14 Ilocano ISABELA
REBOLLEDO ty FILOMINA MARIANO ANACLITO P IDA,FERICO,

Christiani SANTA SAN LOPE, CARLITO ALMAZAN,HEL

108317060060 LOPE,KIT, ALMAZAN M 10-24-2000 14 Ilocano ISABELA
ty FILOMINA MARIANO MONCADA EN,RAMISCAL,

LUMASAC, RIGOR,LACUES
Christiani
102967060016 LUMASAC,HAROLD, LACUESTA M 10-06-2000 14 Iloko PALCA TUAO CAGAYAN ORLINO TA,GERALDINE
ty
ROBLES ,
Christiani SANTA SAN MACUTAY, ALMAZAN,OLI
103744060015 MACUTAY,JASPER, ALMAZAN M 09-15-2000 14 Ilocano ISABELA
ty FILOMINA MARIANO JULIE P. VE,R.,
DELA
NATIVIDAD,IVAN MARFER, Christiani SANTA SAN NATIVIDAD,
103744060017 M 01-08-2001 14 Ilocano ISABELA CRUZ,MINETTE
DELA CRUZ ty FILOMINA MARIANO CELSO BASSIG
,MENDOZA,
SANGCO,
Christiani DISTRICT I BENITO SAGUN,ROWE
103102120153 SAGUN,JOHN RALPH, - M 06-30-2000 15 Ilocano ISABELA MARIO
ty (POB.) SOLIVEN NA,EDILLO,
CELEDON JR.
SIRINGAN, SANTIAGO,MA
SIRINGAN,ANTHONY, Christiani SANTA SAN
103737120157 M 01-28-1998 17 Ilocano ISABELA MARIO RILYN,GABRIE
SANTIAGO ty FILOMINA MARIANO
CARONAN L,
1

REMARKS

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

Modular
(print)

CCT

CCT

CCT

T/I
DATE:2015-
11-16

CCT
 VINARAO,CHRISTIAN DAVE, Christiani SANTA SAN VINARAO, GALASINAO,E
103740060044 M 02-18-2001 14 Ilocano ISABELA
GALASINAO ty FILOMINA MARIANO DOMINGO RLINDA,,

15 <=== TOTAL MALE

ACOBA,
Christiani SANTA SAN ANGELITO IBAY,MADELY
306104130003 ACOBA,MARIA LOURDES, IBAY F 12-31-2000 14 Ilocano ISABELA
ty FILOMINA MARIANO VILLANUEVA N,GAMMAD,
JR
AGUSTIN,ANGELICA, Christiani SANTA SAN AGUSTIN, LABUGUEN,TE
103744060002 F 03-19-2001 14 Ilocano ISABELA
LABUGUEN ty FILOMINA MARIANO ANGELITO RESA,,
Christiani SANTA SAN GUTTIEREZ,OF
306104130004 BADUA,MELANIE, GUTTIEREZ F 01-03-2001 14 Tagalog ISABELA
ty FILOMINA MARIANO ELIA,,
BAUTISTA,
Christiani SANTA SAN LUTAO,NERISA
103744060004 BAUTISTA,ANA AMOR, LUTAO F 10-26-2000 14 Ilocano ISABELA SANTOS
ty FILOMINA MARIANO ,FRANCISCO,
CORPUZ
FROGOSO, CASTILLANES,
FROGOSO,LUZVIMINDA, Christiani SANTA SAN
103737120165 F 08-19-2000 15 Ilocano ISABELA FREDIE MARISSA,UMA
CASTILLANES ty FILOMINA MARIANO
UMACAM CAM,
GUZMAN,
Christiani SANTA SAN TULAB,MARIB
103744060012 GUZMAN,MYRA, TULAB F 02-12-2001 14 Ilocano ISABELA RUDY
ty FILOMINA MARIANO EL,ROMERO,
BAYBADO
GUZMAN,
GUZMAN,PRINCESS MOIRA, Christiani SANTA SAN CIPRIANO,MAR
103744060013 F 08-29-2001 13 Ilocano ISABELA EDGAR
CIPRIANO ty FILOMINA MARIANO ILOU,TUAZON,
DINIEGA

Christiani SANTA SAN JULIAN, JOEL JULIAN,RUBIL

103744060014 JULIAN,JONA, DELOS SANTOS F 02-12-2001 14 Ilocano ISABELA
ty FILOMINA MARIANO ANCHETA YN,VIZCARRA,

MENDOZA,
MENDOZA,EVA
Christiani SANTA SAN MAC-ARTHUR
103744060016 MENDOZA,JULIE ANN, CASTRO F 07-05-2001 14 Ilocano ISABELA NGELINE,CAST
ty FILOMINA MARIANO CABAUATAN
RO,
SR

MIGUEL, DILEMA,CARM
MIGUEL,INAH CARMELA, Christiani SANTA SAN
306104130012 F 12-16-2000 14 Ilocano ISABELA ROBERTO ELITA,NOVELA
DILEMA ty FILOMINA MARIANO
REVILLA ,
PAULINO,
Christiani SANTA SAN NIEBRES,NORA
103744060019 PAULINO,JESSALYN, NIEBRES F 12-04-1998 16 Ilocano ISABELA ROMALITO
ty FILOMINA MARIANO ,BUE,
CORPUZ
PAULINO,
Christiani SANTA SAN NIEBRES,ANNI
103744060020 PAULINO,JESSICA, NIEBRES F 11-14-2000 14 Ilocano ISABELA REYNALDO
ty FILOMINA MARIANO E,BUE,
CORPUZ
POQUIZ,
Christiani SANTA SAN BADUA,MYRN
103744060022 POQUIZ,SHAINA MARIE, BADUA F 10-22-2001 13 Ilocano ISABELA JONATHAN
ty FILOMINA MARIANO A,BAYBADO,
BUGARIN
RAMISCAL, BAYBADO,ROS
RAMISCAL,ALLAINA ROSE, Christiani SANTA SAN
103744060023 F 02-23-2001 14 Ilocano ISABELA ROGELIO EMARY,VIZCA
BAYBADO ty FILOMINA MARIANO
DANCEL RRA,
SALES,
Christiani SAN AMBOC,JOCEL
300519130009 SALES,KAREN JOY, AMBOC F 11-12-1998 16 Iloko CASALA ISABELA LORETO
ty MARIANO YN,DUMAWA,
MANGSER

15 <=== TOTAL FEMALE

30 <=== 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
Date MALE 14
Balik Aral B/A Name of school last attended & Year SHERYL GUMIRAN GUZMAN
Transfered In T/I Name of Public (P) Private (PR) School & Effectivity
 CCT

CCT

Modular
(print)

T/O
DATE:2015/09/
10
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date
Date MALE 14
Balik Aral B/A Name of school last attended & Year SHERYL GUMIRAN GUZMAN (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 15
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 29
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Monday, October 3, 2022

ead over Printed Name)

EoSY Date:

d thru LIS