House #/

Street/ Sitio/
Purok
Relationship
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
PERATER,
BASILIO
ABUNDIENTE
SR
MONDIDO,
EDGAR N-A
VIRGINIA
MACION
ESPAOSA
120634050026.
PERATER, BASILIO DE
GUZMAN JR
09-04-1998 15.
120634070045. MONDIDO, NELSON ESPAOSA 10-05-1998 15. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
N-A, N-A N-A
JOSEFA
MEOZA
MANGYAO,
BARISTO
GALINDO
ERLINDA
ELOM
ROMANO
120634080051. MEOZA, KERK DAREL ESOK 05-27-2003 11. Cebuano
120634080045. MANGYAO, ELMER ROMANO 03-31-2002 12. Cebuano HIBAIYO
CITY OF
GUIHULNGA
N
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
FLORES,
PEDRO M
SERVANA
CALARIANES
ESCORIAL,
ROQUE A
LYDIA
DUMDUM
SEROTSO
120634080033. FLORES, JEROME CALARIANES 09-02-2002 11. Cebuano
120634080032. ESCORIAL, RANIEL SEROTSO 09-16-2002 11. Cebuano TABON
VALLEHERM
OSO
NEGROS
ORIENTAL
TABON
VALLEHERM
OSO
NEGROS
ORIENTAL
ESCORIAL,
ROQUE A
LYDIA
DUMDUM
SEROTSO
danong,
victoriano p
VIRGILIA B YAP
120634080031. ESCORIAL, RAMIL SEROTSO 01-01-2000 14. Cebuano
120634080025. DANONG, REYNALDO YAP 09-23-2001 12. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
catubig, joel o
PABLITA
BERANGBERA
NG MANGYAO
castillano, mario
d
LENETH
CABALO
120634080022. CATUBIG, JOMAR MANGYAO 04-04-2002 12. Cebuano
120634080020.
CASTILLANO, MELCHOR
CABALO
10-18-2001 12. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
caracotdacot,
francisco o
MARGIE
SAYLANON
ANDRAQUE
caracotdacot,
francisco o
MARGELINE A
SAYLANON
120634080019.
CARACOTDACOT, JOEMAR
ANDRAQUE
11-19-1999 14. Cebuano
120634080018.
CARACOTDACOT, JAYSON
SAYLANON
03-14-2001 13. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
caracotdacot,
dionesio o
MERLINDA A
SAYLANON
CARACOTDAC
OT, DIONESIO
O
MERLINDA A
SAYLANON
120634080017.
CARACOTDACOT, GEOVANNIE
SAYLANON
09-16-2002 11. Cebuano
120634070020.
CARACOTDACOT, DIOMEL
SAYLANON
01-22-2001 13. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
CAMINGAO,
SATURNINO P
VIVIANA P
BERANGBERA
NG
ANDRAQUE,
MODESTO N-A
LILIA
CARACOTDAC
OT
120634070018.
CAMINGAO, RANDY
BERANGBERANG
12-13-2001 12. Cebuano
Name
120634080004.
ANDRAQUE, RODELIO
CARACOT DACOT
06-21-2003 10. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
ADDRESS PARENTS
GUARDIAN
(if Not Parent)
Contact
Number of
Parent or
Guardian Barangay
Municipality/
City
Province
Father's Name
(Last Name, First
Name, Middle
Name)
Mother's Maiden
Name (Last Name,
First Name,
Middle
Section BANANA
LRN
NAME
(Last Name, First Name, Middle Name)
S
e
x

(
M
/
F
)
BIRTH DATE
(mm/dd/yyyy)
AGE as
of 1st
Friday
June
MOTHER
TONGUE
(Grade 1
to 3 Only)
IP
(Ethnic
Group)
RELIGION
School Name Malangsa ES School Year 2014 - 2015 Grade Grade 6
School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School ID 120634 Region VII Division Negros Oriental District Vallehermoso
(Please refer to
the legend on last
page)
REMARKS
BANANA
School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
Vallehermoso
M
Christian
ity
M
Christian
ity
M
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
Indicator Code BoSY
19.
Name Noname No
FEMALE
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
Certified Correct:
Transfered Out
Transfered In
Dropped
T/O
T/I
DRP
LE
Name of Public (P) Private (PR) School &
Effectivity Date
Name of Public (P) Private (PR) School &
Effectivity Date
Reason and Effectivity Date
Reason (Enrollment beyond 1st Friday of
CCT Receipient
Balik Aral
Learner With
Disability
Accelerated
CCT
B/A
LWD
ACL
CCT Control/reference number & Effectivity Date
Name of school last attended & Year
Specify
Specify Level & Effectivity Data
MALE
Indicator Required Information REGISTERED EoSY
Prepared by;
ELLYN SALADO YARES
List and Code of Indicators under REMARKS column
Code Required Information
34 <=== COMBINED
SAYLANON,
TIBURCIO
PAUSAL
LYDIA GUARIN
15 <=== TOTAL FEMALE
120634080067.
SAYLANON, GUADALUPE
GUARIN
12-12-2002 11. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
SAROMINES,
ARTEMIO M
MIGUELA
GIMENO
REQUINA,
EDWIN A
MARIA SENINA
120634080066. SAROMINES, MYLENE GEMINO 06-29-2002 11. Cebuano
120634070057. REQUINA, MARY JANE SENINA 12-18-2000 13. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
POGOY, LUIS B ELEGIA B YAP
PATAC,
PRIMITIVO
GIMARANGAN
IMELDA
CARACOTDAC
OT
120634080062. POGOY, JAMAICA YAP 04-26-2002 12. Cebuano
120634080057.
PATAC, EMILY
CARACOTDACOT
10-06-2002 11. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
INODEO,
CARLITO
CATUBIG
RUFINA
ESCORA
GIMARANGAN,
PEDRO
TUBILAN
MA SALOME
ACOSTA
120634080042. INODEO, ILYN ESCORA 11-28-2002 11. Cebuano
120634080037. GIMARANGAN, JESSA ACOSTA 10-17-2002 11. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
GENON,
ELEUTERIO
BLANCA
FLORENCIA
ALCALA
FLORES, VITO
GEMANG
VALERIANA
MAQUE
120634080036. GENON, JEANETTE ARCALA 02-29-2004 10. Cebuano
120634080034. FLORES, ROSELYN MAQUE 01-19-2003 11. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
ESCURA,
LUCIANO S
JUANITA M
ERESIO
DINGCONG,
DONATO N-A
LUCIA
CABALIDA
FEROLINO
120634080029. ESCURA, JUANITA ERESIO 04-11-2002 12. Cebuano
119997060177.
DINGCONG, LEONISA
FEROLINO
12-06-1997 16. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
DINGCONG,
VICENTE N-A
MORITA
MACAPOBRE
CAMINGAO,
SATURNINO P
VIVIANA
BERANGBERA
NG
120634080028.
DINGCONG, JECELLE
MACAPOBRE
05-26-2003 11. Cebuano
120634080014.
CAMINGAO, REZZEL
BERANGBERANG
06-03-2003 11. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
CALARIANES,
DOMINGO
ANDRAQUE
IMELDA
TUBILAN
GIMARANGAN
BLANCA,
SAMUEL YAP
GREGORIA T
TARNATE
120634080012.
CALARIANES, EMILY
GIMARANGAN
01-24-1998 16. Cebuano
120634080008. BLANCA, RHEA GEN TARNATE 08-04-2003 10. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
YAP, DOMINGO
B
MARITES D
ELUM
19 <=== TOTAL MALE
120634080078. YAP, ARMANDO ELUM 07-04-2002 11. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
RICABLANCA,
ALFREDO V
TERESITA P
CALARIANES
PERATER,
ROMEO G
JULIETA
PERATER
120634080063.
RICABLANCA, RANEL
CALARIANES
12-28-2001 12. Cebuano
120634080061.
PERATER, JEROME
CABALLERO
05-13-2002 12. Cebuano MALANGSA
VALLEHERM
OSO
NEGROS
ORIENTAL
Name Noname No
(Signature of School Head over Printed Name)
Certified Correct:
15
34
EoSY Date:
Generated on: Wednesday, August 13, 2014 2:56:40 PM
Revision 4
FEMALE
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
TOTAL
BoSY Date: EoSY Date: BoSY Date:
Transfered Out
Transfered In
Dropped
T/O
T/I
DRP
LE
Name of Public (P) Private (PR) School &
Effectivity Date
Name of Public (P) Private (PR) School &
Effectivity Date
Reason and Effectivity Date
Reason (Enrollment beyond 1st Friday of
CCT Receipient
Balik Aral
Learner With
Disability
Accelerated
CCT
B/A
LWD
ACL
CCT Control/reference number & Effectivity Date
Name of school last attended & Year
Specify
Specify Level & Effectivity Data
EoSY Date:
Generated on: Wednesday, August 13, 2014 2:56:40 PM
(Signature of School Head over Printed Name)