School Form 1 (SF 1) School Register

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

School ID 128651 Region XI Division Davao del Norte District Kapalong East

School Name Domingo B. Hain Elementary School School Year 2023 - 2024 Grade Level Grade 3 Section LAPU-LAPU

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)

MARTINEZ,CE
AGUILAR,KHEMMAR, Davawen Christiani DAVAO DEL AGUILAR,
128651200014 M 12-11-2014 8 FLORIDA KAPALONG NVERLY,BEND
MARTINEZ yo ty NORTE KEVIN LINDO
ER,

Cebuano /
ARMASA, SAB,MAY
Sinugbua Christiani DAVAO DEL
128651200036 ARMASA,JOHN MARK, SAB M 09-13-2014 9 FLORIDA KAPALONG REYMARK JERINE,DAPITO
nong ty NORTE
RESOLOTE N,
Binisay

Cebuano /
CEJAS,
CEJAS,BRHIGUS LARK, Sinugbua Christiani DAVAO DEL MANIWANG,RE
128651200032 M 07-10-2015 8 FLORIDA KAPALONG ANTHONY
MANIWANG nong ty NORTE AH MAE,ORO,
AWING
Binisay

Cebuano /
CORPIN,
CORPIN,LYDHEL GREY, Sinugbua Christiani DAVAO DEL SABUDAN,GRA
129779200079 M 05-05-2015 8 Manobo FLORIDA KAPALONG LEONARD
SABUDAN nong ty NORTE CE,OLONG,
JHON -
Binisay

Cebuano /
DEL ROSARIO,
Sinugbua Christiani DAVAO DEL SEGOVIA,SHEE
128651200058 DEL ROSARIO,TOBBY, SEGOVIA M 12-31-2014 8 FLORIDA KAPALONG CHRISTIAN
nong ty NORTE NA,BELLEZA,
BASTIDA
Binisay

Cebuano /
DONASCO,JHON LAWRENCE, Sinugbua Ata- Christiani DAVAO DEL INDAC,LODJEN
128651200046 M 05-04-2015 8 FLORIDA KAPALONG
INDAC nong Manobo ty NORTE ,TUMANGAY,
Binisay

HERMANO,ZAIREL RICH, Davawen Christiani DAVAO DEL HERMANO, VISTAL,HAZEL,

128651200019 M 10-19-2015 8 FLORIDA KAPALONG
VISTAL yo ty NORTE RICHARD ANG GUBAC,

Davawen Christiani DAVAO DEL HERMANO, VISTAL,HAZEL,

128651200020 HERMANO,ZYAN RICH, VISTAL M 10-19-2015 8 FLORIDA KAPALONG
yo ty NORTE RICHARD ANG GUBAC,

Cebuano /
FERNANDEZ,JE
NUCOS,DEAN JEFERSON, Sinugbua Christiani DAVAO DEL NUCOS, RENIE
128651200055 M 11-06-2014 8 FLORIDA KAPALONG NELYN,TAPAY
FERNANDEZ nong ty NORTE CADUNGOG
AN,
Binisay
apalong East

APU-LAPU

REMARKS

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

Blended

Blended

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 Cebuano /
PACHEJO,
Sinugbua Christiani DAVAO DEL OPONG,JULIET,
128651200050 PACHEJO,KEFFERSON, OPONG M 09-08-2014 9 FLORIDA KAPALONG RODERICK
nong ty NORTE SALMINANG,
BALLEZAS
Binisay

Cebuano /
QUIOBE,
QUIOBE,JAIRUS CLARK, Sinugbua Christiani DAVAO DEL MANAPOS,CHE
128651200045 M 02-01-2015 8 FLORIDA KAPALONG JACKSON
MANAPOS nong ty NORTE RYL,MANIBAD,
LOPEZ
Binisay

Cebuano /
TANDUYAN,
TANDUYAN,JAMES XIAN MAR, Sinugbua Christiani DAVAO DEL MIAO,JENNILY
128651200029 M 01-24-2015 8 FLORIDA KAPALONG ANGELMAR
MIAO nong ty NORTE N,TANEZA,
SACIL
Binisay

12 <=== TOTAL MALE

Cebuano / MEJARES,MARI
ALCORIZA,
Sinugbua Christiani DAVAO DEL A
128651200027 ALCORIZA,MARIANE, MEJARES F 10-31-2014 9 FLORIDA KAPALONG RYAN
nong ty NORTE CRISTOBETH,S
BUSTILLOS
Binisay ANTISAS,

Cebuano /
Sinugbua Christiani DAVAO DEL ANTERO,JOY,P
128651200040 ANTERO,KIERA ALMARIE, - F 08-28-2015 8 FLORIDA KAPALONG
nong ty NORTE ENES,
Binisay

Manobo, Ata- Christiani DAVAO DEL BANLAS, BUCAD,VANGE

204511170015 BANLAS,BABY JANE, BUCAD F 07-12-2012 11 FLORIDA KAPALONG
Ata Manobo ty NORTE EDMON LYN,,

Cebuano / TABAT,CHARIT
BINASBAS,
BINASBAS,AYESHA GRACE, Sinugbua Christiani DAVAO DEL Y
128651200028 F 12-25-2014 8 FLORIDA KAPALONG RAFFY
TABAT nong ty NORTE ANN,TEODORO
MALEGRO
Binisay ,

PACHEJO,KARE
CARACOTDAC
CARACOTDACOT,MEKHA, Davawen Christiani DAVAO DEL EN
128651200010 F 09-26-2014 9 FLORIDA KAPALONG OT, MICHAEL
PACHEJO yo ty NORTE JOY,VILLAROJ
RUPUELO
O,

Cebuano /
DAGANSAN,JENALYN, Sinugbua Christiani DAVAO DEL DAGANSAN, FUENTES,GERL
128896190007 F 07-18-2013 10 FLORIDA KAPALONG
FUENTES nong ty NORTE JIMMY JANO IE ROSE,BISEN,
Binisay

TONGGADO,DO
DELAREY,KRISHIA GEL, Davawen Christiani DAVAO DEL DELAREY,
128651200006 F 06-10-2015 8 FLORIDA KAPALONG NALYNE,CASU
TONGGADO yo ty NORTE DENNIS LOPEZ
MANAN,

Cebuano /
DIANSAY,
DIANSAY,PRECIOUS KEREN, Sinugbua Ata- Christiani DAVAO DEL NUDO,GENIVIV
128651200054 F 09-29-2014 9 FLORIDA KAPALONG RONIE
NUDO nong Manobo ty NORTE E,TUNGADO,
MANTOG
Binisay

HAEN,
Davawen Ata- Christiani DAVAO DEL LACAO,NOENA
128651200011 HAEN,NOEMALYN, LACAO F 11-21-2014 8 FLORIDA KAPALONG PANLELIO
yo Manobo ty NORTE ,MARTINEZ,
ALTERADO JR
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T/I
Blended DATE:2023-
10-09

Blended

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Blended
 Cebuano /
LABRILLAZO,J
Sinugbua Christiani DAVAO DEL
128651200031 LABRILLAZO,ANDREA, - F 11-21-2014 8 FLORIDA KAPALONG ENNYBETH,ELI
nong ty NORTE
SAN,
Binisay

Cebuano /
MALEGRO,RAIN ALEXIS, Sinugbua Christiani DAVAO DEL MALEGRO, CAMARILLO,R
128651200035 F 07-28-2015 8 FLORIDA KAPALONG
CAMARILLO nong ty NORTE EDEN LOPEZ OCEL,DALA,
Binisay

Cebuano /
OLONG,
Sinugbua Dibabaw Christiani DAVAO DEL INDAC,DONNA,
128651200033 OLONG,PRINCESS JEAN, INDAC F 09-11-2014 9 FLORIDA KAPALONG RANDY
nong on ty NORTE TUMANGAY,
ONONGAN
Binisay

Cebuano /
SERONAY,JAY
Sinugbua Christiani DAVAO DEL SOLIS, JESSIE
128651200057 SOLIS,NICOLE RYN, SERONAY F 09-29-2015 8 FLORIDA KAPALONG MARIE,PAG-
nong ty NORTE LABALAN JR
ONG,
Binisay

Cebuano /
TABOG,CHLOE NATHALIE, Sinugbua Ata- Christiani DAVAO DEL TABOG, DARIO BALONG,CHAR
465034200009 F 03-21-2015 8 FLORIDA KAPALONG
BALONG nong Manobo ty NORTE CATUA ITY,WARAG,
Binisay

Cebuano /
VELARDE,
VELARDE,KEZIAH KLER, Sinugbua Christiani DAVAO DEL ESCARPE,GERL
128651200053 F 06-06-2015 8 FLORIDA KAPALONG ROLANDO
ESCARPE nong ty NORTE YN,,
MAMBURAO JR
Binisay

15 <=== TOTAL FEMALE

27 <=== 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 LEIGH JAY PASION CUBAR
Date MALE 12
Balik Aral B/A Name of school last attended & Year PINKY GAY HAIN PUPA (Signature of School Head over Printed Nam
Transfered In T/I Name of Public (P) Private (PR) School & Effectivity
Date Special Needs SNE Specify (Signature of Adviser over Printed Name)
FEMALE 15
Education D
Dropped DRP Reason and Effectivity Date Accelerated Specify Level & Effectivity Data
Late Enrollment LE Reason (Enrollment beyond 1st Friday of SY) ACL BoSY Date: EoSY Date:
TOTAL 27
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Wednesday, April 17, 2024

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ASION CUBAR

ead over Printed Name)

EoSY Date:

d thru LIS