School Form 1 (SF 1) School Register

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

School ID

122858

School Name

LRN

122858090002

ALEJANDRO, JOHN PAUL

FLANDEZ

122858090004

ATENCIO, RIO UMANGA

122858140012

BIADO, SEVERINO
CAHUSAY

122858090010

CARPIO, JOMARIE MEJICA

122858090012

CENTINO, GAVE TIDO

122858120031

CONGAYAO, JETRO
SARONIAS

122858080020

CUANICO, JULIUS INFANTE

122858140011

DE PEDRO, JR SAYDE

122858070012

FLANDEZ, RODNEY
CAHUSAY

122858090017

LAMBERTE, ARNEL
OPENIANO

122858090018

SALDO, RIEL JUMADIAO

11

Division

Liberty Elementary School

Sex (M/F)

NAME
(Last Name, First Name, Middle
Name)

Region VIII

BIRTH DATE
(mm/dd/yyyy
)

03-15-2004
09-10-2003
02-23-2003
07-15-2003
04-13-2003
11-24-2002
07-31-2002
06-06-1990
04-17-2000
08-15-2002
01-14-2004

Northern Samar

School Year

MOTHER
AGE as
TONGUE
IP
of 1st
(Grade 1 (Ethnic RELIGION
Friday
House #/
to 3 Only) Group)
June
Street/ Sitio/
Purok

2014 - 2015

Barangay

Municipality/
City

Waray

Christiani
ty

LIBERTY

CATARMA
N (Capital)

10

Waray

Christiani
ty

LIBERTY

CATARMA
N (Capital)

LIBERTY

CATARMA
N (Capital)

10

Waray

Christiani
ty

LIBERTY

CATARMA
N (Capital)

11

Waray

Christiani
ty

LIBERTY

CATARMA
N (Capital)

11

Waray

Christiani
ty

LIBERTY

CATARMA
N (Capital)

LIBERTY

CATARMA
N (Capital)

11

Grade 5

ADDRESS

10

11

Grade

24

Waray

Christiani
ty

14

Waray

Christiani
ty

LIBERTY

CATARMA
N (Capital)

11

Waray

Christiani
ty

LIBERTY

CATARMA
N (Capital)

10

Waray

Christiani
ty

LIBERTY

CATARMA
N (Capital)

Waray

Christiani
ty

LIBERTY

CATARMA
N (Capital)

Waray

Christiani
ty

LIBERTY

CATARMA
N (Capital)

Waray

Christiani
ty

LIBERTY

CATARMA
N (Capital)

District

Catarman I

Section

SATURN

PARENTS

Province

Father's Name Mother's Maiden

(Last Name, First
Name (Last
Name, Middle
Name, First
Name)
Name, Middle

GUARDIAN
(if Not Parent)

Name

NORTHER
N SAMAR

VIOLETA
FLANDEZ

ZALDY
ALEJANDR

NORTHER
N SAMAR

CARMEN
UMANGA

CARMEN
ATENCIO

NORTHER
N SAMAR

LORENA
CAHUSAY

BIADO,LOR
ENA,CAHUS
AY

NORTHER
N SAMAR

DOLORES
MEJICA

DOLORES
CARPIO

NORTHER
N SAMAR

ELSA TIDO

ELSA
CENTINO

NORTHER
N SAMAR

ANALYN
SARONIAS

JERRY
CONGAYAO

NORTHER
N SAMAR

JUBY I
CUANICO

JUBY I
CUANICO

DE PEDRO,
LEOPOLDO

VIRGINIA
SAYDE

DE
PEDRO,LEO

NORTHER
N SAMAR

GEMMA
CAHUSAY

GEMMA C
FLANDEZ

NORTHER
N SAMAR

LINDA
OPENIANO

LINDA
LAMBERTE

NORTHER
N SAMAR

ETHYL
JUMADIAO

ROLLY C
SALDO

NORTHER
N SAMAR

GEMMA
SALILING

GEMMA
ATENCIO

NORTHER
N SAMAR

ROSALINDA
CAHUSAY

NILO
BASIERTO

NORTHER
N SAMAR

PACITA
CAYAS

PACITA
BASIERTO

NORTHER
N SAMAR

MARLITA
JUMADIAO

CARPIO,MA
RLITA,

REMARKS
Contact
Number of
Parent or
(Please refer to
Relationship Guardian
the legend on
last page)

RELATIV
E

RELATIV
E

<=== TOTAL MALE

122858090003

ATENCIO, JANICE SALILING

122858090006

BASIERTO, NENELYN
CAHUSAY

122858090007

BASIERTO, WENDYL CAYAS

122858140013

CARPIO, JENNY ROSE

JUMADIAO

12-04-2004
11-19-2004
09-01-2004
04-19-2000

14

LIBERTY

CATARMA
N

RELATIV
E

LRN

Sex (M/F)

NAME
(Last Name, First Name, Middle
Name)

F
122858090011

CARPIO, ROSE ANN MEJICA

122858090013

CENTINO, LAY ANN

CAGURONG

122858090014

CUANICO, MARICHO
INFANTE

122858090015

LACAA, MARY JOY

BRENZUELA

122858090019

SARONIAS, ZYRA
TRONGCOSO

9
20

BIRTH DATE
(mm/dd/yyyy
)

04-19-2000
07-15-2004
10-24-2004
03-24-2004
05-04-2004
09-02-2004

MOTHER
AGE as
TONGUE
IP
of 1st
(Grade 1 (Ethnic RELIGION
Friday
House #/
to 3 Only) Group)
June
Street/ Sitio/
Purok

14

ADDRESS

Barangay

Municipality/
City

LIBERTY

(Capital)

Waray

Christiani
ty

LIBERTY

CATARMA
N (Capital)

Waray

Christiani
ty

LIBERTY

CATARMA
N (Capital)

10

Waray

Christiani
ty

LIBERTY

CATARMA
N (Capital)

10

Waray

Buddhis
m

LIBERTY

CATARMA
N (Capital)

Waray

Christiani
ty

CATARMA
N (Capital)

GUARDIAN
(if Not Parent)

PARENTS

Province

Father's Name Mother's Maiden

(Last Name, First
Name (Last
Name, Middle
Name, First
Name)
Name, Middle

REMARKS
Contact
Number of
Parent or
(Please refer to
Relationship Guardian
the legend on
last page)

Name

NORTHER
N SAMAR

MARLITA
JUMADIAO

JUMADIAO

RELATIV
E

NORTHER
N SAMAR

DOLORES
MEJICA

DOLORES
CARPIO

NORTHER
N SAMAR

EVANGELIN
E

EVANGELIN
E CENTINO

NORTHER
N SAMAR

JUVY
INFANTE

JOSEPH
CUANICO

NORTHER
N SAMAR

BERNADETH
BRENZUELA

WILSON
LACAA

NORTHER
N SAMAR

PATRICIA
TRONGCOS
O

LEONARDO
SARONIAS

<=== TOTAL FEMALE

<=== COMBINED

List and Code of Indicators under REMARKS column

Indicator
Transfered Out

Code Required Information

T/O

Name of Public (P) Private (PR) School &

Effectivity Date

Indicator

Code Required Information

CCT
Receipient

CCT

CCT Control/reference number & Effectivity

Date

REGISTERED

BoSY

MALE

11

B/A
Transfered In

Dropped

T/I

DRP
LE

Name of Public (P) Private (PR) School &

Effectivity Date
Reason and Effectivity Date
Reason (Enrollment beyond 1st Friday of

Generated on: Wednesday, April 29, 2015

Balik Aral

Name of school last attended & Year

LWD

Learner With
Disability
Accelerated

FEMALE

TOTAL

20

EoSY

Prepared by;

Certified Correct:

EUNICCA OBEREZ NAZAM

ROSELLER CARIAS DEMOLAR

(Signature of Adviser over Printed Name)

(Signature of School Head over Printed

Name)

Specify
ACL
Specify Level & Effectivity Data

BoSY Date:

EoSY Date:

BoSY Date:

EoSY Date: