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 MABINI

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)

BALONGGO,
Davawen Christiani DAVAO DEL ORO,GINA,BAN
128651200015 BALONGGO,KYLE, ORO M 07-23-2015 8 FLORIDA KAPALONG MODESTO
yo ty NORTE AIS,
TIPDAS

Cebuano
/
CALAMBA,NHURJIHAD, Christiani DAVAO DEL CALAMBA, PANGANTIHON
128651200042 M 12-31-2014 8 Sinugbua FLORIDA KAPALONG
PANGANTIHON ty NORTE ALFIE YONAT ,RHEA,PALA,
nong
Binisay

CARLOS,JHON-MICHAEL, Davawen Christiani DAVAO DEL CARLOS, FAUSTO,SHAIR

128651200022 M 03-25-2015 8 Blaan FLORIDA KAPALONG
FAUSTO yo ty NORTE JEFFREY NICER A,BANGI,

Cebuano
/ MAYANGOS,C
CORRO,ERL TERRENCE, Christiani DAVAO DEL CORRO, ERNIE
128651200034 M 04-23-2015 8 Sinugbua FLORIDA KAPALONG HERRY
MAYANGOS ty NORTE ONO-ON
nong LYN,DARONG,
Binisay

ENOROBA,
ENOROBA,RENCIE NATHAN, Davawen Christiani DAVAO DEL ALANES,IRENE
128651200021 M 05-16-2015 8 FLORIDA KAPALONG ARCIE
ALANES yo ty NORTE ,CAMACHO,
MAGDOZA SR

GARBOSA,
Davawen Christiani DAVAO DEL GARBOSA,JOVI
128651200013 GARBOSA,LANCE, GICOLE M 09-16-2014 9 FLORIDA KAPALONG DIOSDADO
yo ty NORTE ,GICOLE,
CASTILLON

Cebuano
/ DECANO,MAYS
Christiani DAVAO DEL GATAN,
128651200030 GATAN,MARTIN, DECANO M 02-15-2015 8 Sinugbua FLORIDA KAPALONG EL,DELACERN
ty NORTE MARVIN MALSI
nong A,
Binisay

GEOLAGON,KENT GABRIEL, Davawen Christiani DAVAO DEL GEOLAGON, CATUA,RUBEL

128651200052 M 08-04-2015 8 FLORIDA KAPALONG
CATUA yo ty NORTE JOEL DINOY YN,DIANSAY,

QUIMADO,ANGELOW, Davawen Christiani DAVAO DEL QUIMADO, AMONCIO,ANG

128651200023 M 12-08-2014 8 FLORIDA KAPALONG
AMONCIO yo ty NORTE LINO LANTEN ENITH,VINA,

Cebuano/
Kana/ Christiani DAVAO DEL RADA,JESZA
128651200059 RADA,CEDRICK JESS, - M 07-16-2015 8 FLORIDA KAPALONG
Sinugboa ty NORTE NOVA,BALITE,
nong Bini
ROBLES, ROBLES,ALJEA
Davawen Christiani DAVAO DEL
128651200016 ROBLES,AERON JOHN, PELAEZ M 07-22-2015 8 FLORIDA KAPALONG RONALDO N
yo ty NORTE
AMACNA MAY,PELAEZ,
apalong East

MABINI

REMARKS

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

Blended

Blended

Face to Face

Face to Face

Face to Face

Face to Face

Blended

Face to Face

Blended

Blended

Blended
 TECSON,JENEL
Davawen Christiani DAVAO DEL TECSON,
128651200026 TECSON,JOEL, MAMBURAO M 08-26-2015 8 FLORIDA KAPALONG YN,MAMBURA
yo ty NORTE JOSELITO RIGA
O,

12 <=== TOTAL MALE

ABULOC, MANGARING,G
ABULOC,EHLIZE DOLORE, Davawen Christiani DAVAO DEL
128651200062 F 08-10-2015 8 FLORIDA KAPALONG ERNESTO HERLIE,ROBLE
MANGARING yo ty NORTE
MANIEGO S,

Cebuano
/ AMACNA, BUSTILLOS,MA
AMACNA,ROSE JEAN, Christiani CAGANGOH CITY OF DAVAO DEL
128651190042 F 02-04-2014 9 Sinugbua JEMILITO RIAPE,VIAJAN
BUSTILLOS ty AN PANABO NORTE
nong BALICOCO TE,
Binisay

ASEQUIA,
Ata- Christiani DAVAO DEL MAUGTAL,AIZ
128651190018 ASEQUIA,QUIANA, MAUGTAL F 07-10-2014 9 Cebuano FLORIDA KAPALONG JONELO
Manobo ty NORTE A,-,
PANGANORON

BATO,
BATO,BRENNA ALEXA, Davawen Christiani DAVAO DEL BATO,ARCILIE,
128651200004 F 03-23-2015 8 FLORIDA KAPALONG BALDOMAR
MANOYA yo ty NORTE MANOYA,
VELARDE
MAGALASIN,K
BOSTON,
BOSTON,KEENDRA ROVYLLE, Davawen Christiani DAVAO DEL ERSSEY
128651200007 F 09-11-2014 9 FLORIDA KAPALONG NERTON
MAGALASIN yo ty NORTE MAE,BINASBA
MAÑIGO
S,

Cebuano
/
CEJAS,LYKA CASSANDRA, Christiani DAVAO DEL CEJAS, ALDRIN DUARTE,RIZA,
128651200043 F 05-06-2015 8 Sinugbua FLORIDA KAPALONG
DUARTE ty NORTE PEDROSO BOTE,
nong
Binisay

Cebuano
/
Ata- Christiani AGUSAN DEL REDUCTO, CONSON,JONJI
131960200002 CONSON,CRELYN, REDUCTO F 01-10-2014 9 Sinugbua POLICARPO SAN LUIS
Manobo ty SUR JISPER OMAR E,DONOR,
nong
Binisay

Cebuano
/ FORTUNA, CANSANCIO,IV
Christiani DAVAO DEL
128651200044 FORTUNA,JULLIA, CANSANCIO F 03-06-2015 8 Sinugbua FLORIDA KAPALONG FROILAN Y
ty NORTE
nong VELCHEZ JANE,AMBAG,
Binisay

MARABULAS,
Davawen Christiani DAVAO DEL GARMA,MARI,
128651200018 MARABULAS,MABELL, GARMA F 08-07-2014 9 FLORIDA KAPALONG BENEDICTO
yo ty NORTE ZAMORA,
URAY
OMANTOD,PRECIOUS ANGEL, Davawen Christiani DAVAO DEL OMANTOD, BALONG,JESSA
128651200005 F 05-05-2015 8 FLORIDA KAPALONG
BALONG yo ty NORTE JONATHAN ,DAHI,

Cebuano
PADAMA,
/
PADAMA,ALEXA RHYNE, Christiani DAVAO DEL MARIO BALONG,JENNI
128651200038 F 01-04-2015 8 Sinugbua FLORIDA KAPALONG
BALONG ty NORTE SENEDO FER,DAHI,
nong
JUNIOR
Binisay

Cebuano
/
PAEMALAN,JENNIFER, Christiani DAVAO DEL PAEMALAN, ESTURMINO,GI
128651200039 F 07-25-2015 8 Sinugbua FLORIDA KAPALONG
ESTURMINO ty NORTE JOWEL PONSO NA,BACUS,
nong
Binisay

ROBLES,ANGE
Davawen Christiani DAVAO DEL ROBLES, JESSIE
128651200041 ROBLES,AIZEL JOIE, ARAT F 10-30-2015 8 FLORIDA KAPALONG LITA,REMOTE
yo ty NORTE LUZON
GUE,
Blended

Blended

T/I
Blended DATE:2023-
08-29

Blended

Blended

Blended

Blended

Blended

T/I
Blended DATE:2023-
10-02

Blended

Blended

Blended

Blended

Blended
 SURALTA,
SURALTA,PRINCESS MIEL, Davawen Christiani DAVAO DEL PAGALAN,MAR
128651200003 F 09-01-2014 9 FLORIDA KAPALONG MELCHIZIDEK
PAGALAN yo ty NORTE IEM,,
ANG

Cebuano
/
TURQUEZA,PRINCESS Christiani DAVAO DEL TURQUEZA, GERGA,HARLI
128651200037 F 10-31-2014 9 Sinugbua FLORIDA KAPALONG
GWYNETH, GERGA ty NORTE VENZER CEJAS NE,BORDIOS,
nong
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 DOLORES TUD QUIROS (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

 Blended

Blended

ASION CUBAR

ead over Printed Name)

EoSY Date:

d thru LIS