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 10 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)

Christiani SANTA SAN BAYBADO, ADENA,EUGEN

103744050002 BAYBADO,CHARLES, ADENA M 03-13-2000 15 Iloko ISABELA
ty FILOMINA MARIANO DANTE IA,,

BARANGAY BLANCA,
Christiani MAYDOLON EASTERN LIRA,PROCERF
103744050006 BLANCA,AARON DARYL, LIRA M 08-12-1999 16 Iloko POBLACION EMMANUEL
ty G SAMAR INA,YAPE,
6 BRASOS

MACUTAY,ROS
Christiani SANTA SAN CALAUTIT,
103744050007 CALAUTIT,ROLDAN, MACUTAY M 12-03-2000 14 Iloko Ilocano ISABELA ALINDA,PARA
ty FILOMINA MARIANO DANTE JULIAN
DO,

DAUAG,MOISES MARI, JR Christiani SANTA SAN MAGAT,MARIL

103744050008 M 09-24-2000 14 Iloko ISABELA
MAGAT ty FILOMINA MARIANO OU,BERAN,

MALLARE, DIZON,FLORDE
DIZON,MARC ANGEL, Christiani SANTA SAN
103744050009 M 11-11-1999 15 Iloko ISABELA JOSE LIZA,BAUTIST
BAUTISTA ty FILOMINA MARIANO
ESTABILLO A,
CRUZ,FELISA
LACISTE,JAYDEE BOY, DELA Christiani SANTA SAN
103744050017 M 07-19-2000 15 Iloko ISABELA DE
CRUZ ty FILOMINA MARIANO
LEON,DELA,
MAGARU, DELA
MAGARU,JHON ALLEN, DELA Christiani SANTA SAN
103744050018 M 07-24-2000 15 Iloko ISABELA ROMEL CRUZ,ROSEMA
CRUZ ty FILOMINA MARIANO
AGGARAO RIE,DE LEON,
MERTO,
Christiani SANTA SAN OLOG,LEVERIZ
103744050021 MERTO,JONATHAN, OLOG M 09-18-1999 15 Iloko ISABELA MARLON
ty FILOMINA MARIANO A,MARCOS,
TAPIC
PASCUA, GONZALES,RU
Christiani SANTA SAN
306104100023 PASCUA,JOMAR, GONZALES M 11-07-1998 16 Iloko ISABELA VIRGILIO FINA,BELARMI
ty FILOMINA MARIANO
ALMONTE NO,
SORIANO,
Christiani SANTA SAN
306104120009 SORIANO,FREDERICK, JR NAMA M 12-23-1998 16 Iloko ISABELA JOHNY
ty FILOMINA MARIANO
BAYBADO
VALIENTE,
Christiani SANTA SAN BALAO,VALEN
103744050026 VALIENTE,BEN JUN, BALAO M 08-05-1999 16 Iloko ISABELA RICARDO
ty FILOMINA MARIANO TINA,,
CORPUZ

11 <=== TOTAL MALE

APOSTOL,
Christiani SANTA OBAR,LOURDE
102913050002 APOSTOL,JESSABEL, OBAR F 12-12-1999 15 Iloko SANTA ANA CAGAYAN ISABELO
ty CLARA S,,
ALANG

BAYBADO,CRISTEL JOY, Christiani SANTA SAN BAYBADO, AGBULIG,ESTE

103744050003 F 02-15-2000 15 Iloko ISABELA
AGBULIG ty FILOMINA MARIANO JULIUS ADENA LA,CALPITO,
1

REMARKS

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

T/I
DATE:2015-
11-02

CCT

CCT
 DELA,GENILD
Christiani SANTA SAN
103744050004 BAYBADO,JANICE, DELA CRUZ F 05-29-2000 15 Iloko ISABELA A,GUZMAN,CR
ty FILOMINA MARIANO
UZ

DOMINGO, YADAO,EMERE
Christiani SAN
103744050010 DOMINGO,RHEA, YADAO F 10-03-1999 15 Iloko Ilocano GANGALAN ISABELA TOMAS NCIANA,TANU
ty MARIANO
MARTINEZ DRA,

DUARTE,
Christiani SANTA SAN RAMIREZ,RAQ
103744050011 DUARTE,UNIQUE, RAMIREZ F 09-20-2000 14 Ibanag ISABELA MELANIO
ty FILOMINA MARIANO UEL,BOBAR,
SANOTS
BAUTISTA, VALIENTE,EST
Christiani SANTA SAN
103744050012 ESPINAS,APRIL, VALIENTE F 04-12-2000 15 Iloko ISABELA ELEGIO EFANIA,BAUTI
ty FILOMINA MARIANO
BACTOL STA,

Christiani SANTA SAN RIO, TRIPON ALMAZAN,DAI

136862050202 RIO,DESIREE, ALMAZAN F 05-02-2000 15 Iloko ISABELA
ty FILOMINA MARIANO TIMONIO SY,CALAUTIT,

SANTIAGO,ROS
SANTIAGO,RONALYN, Christiani SAN
306104130005 F 04-09-1999 16 Iloko Ibanag IBUJAN ISABELA ALIE,BAGAOIS
BAGAOISAN ty MARIANO
AN,

8 <=== TOTAL FEMALE

19 <=== 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 10
Balik Aral B/A Name of school last attended & Year BYRON CULANNAY DIZON (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 8
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 18
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Monday, October 3, 2022

 CCT

CCT

ead over Printed Name)

EoSY Date:

d thru LIS