School Form 1 (SF 1) School Register

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

School ID

301394

School Name

Region IV-A

Division

San Isidro NHS, Padre Burgos

2015 - 2016

Grade

Grade 7

ADDRESS

Section

PARENTS

AMETHYST
GUARDIAN
(if Not Parent)

NAME
(Last Name, First Name, Middle
Name)

Sex (M/F)

AGE MOTHE
as of
R
BIRTH DATE
1st TONGUE
(mm/dd/yyyy) Frida (Grade
y
1 to 3
June
Only)

School Year

Quezon

108961080008

BALIWAG, ANDRO CASAO

11-30-2001

13

Tagalog

Christia
nity

WALAY

PADRE
BURGOS

QUEZON

BALIWAG,
PABLO S

CASAO,ZENAI
DA,A,

BALIWAG,PAB
LO,S,

108961070026

DE LA CRUZ, ROBERT

11-01-2000

14

Tagalog

Christia
nity

WALAY

PADRE
BURGOS

QUEZON

DELA
CRUZ,MARITE
S,CRUZ,

DELA
CRUZ,MARITE
S,CRUZ,

108961080025

DELGADO, CHESTER ADRIAN -

11-04-2002

12

Tagalog

Christia
nity

SAN ISIDRO

PADRE
BURGOS

QUEZON

DELGADO,
SAMUEL -

DELGADO,ANA DELGADO,SA
LYN,Z,
MUEL,,

108961080029

EROLES, AR JAY CASTRO

10-20-2002

12

Tagalog

Christia
nity

SAN
VICENTE

PADRE
BURGOS

QUEZON

EROLES,
ERNESTO -

CASTRO,CECIL EROLES,ERNE
IA,-,
STO,,

108463070005

EROLES, EDRIAN RABO

07-08-2000

14

Tagalog

Christia
nity

WALAY

PADRE
BURGOS

QUEZON

EROLES,
CONRADO
QUINTO

EROLES,ESTE
R,LAWANG,

109131080019

ESPINOSA, MELCHOR SIPALAY

01-09-2000

15

Tagalog

Christia
nity

HUYONUYON

SAN
FRANCISCO QUEZON
(AURORA)

ESPINOSA,
LEONARDO
DAHONAN

ESPINOSA,LE
SIPALAY,FLORI
ONARDO,DAH
SA,BALCON,
ONAN,

108961120059

HONTIVEROS, ARGIE
INCARNALO

04-17-2003

12

Tagalog

Christia
nity

SAN
VICENTE

PADRE
BURGOS

QUEZON

HONTIVEROS,
GARRY
CASTILLO

INCARNALO,R HONTIVEROS,
EMEDIOS,NOB GARRY,CASTI
LEFRANCA,
LLO,

108960080008

LASHERAS, JUSTINE
ANDALAJAO

08-30-2003

11

Tagalog

Christia
nity

WALAY

PADRE
BURGOS

QUEZON

LASHEAS,
JUDY D

ANDALAJAO,C
LASHERAS,ME
ARINA,PANGILI
RELATIVE
LINDA,,
NAN,

108961080048

LIGANDO, JOHN JETHER

EROLES

02-16-2003

12

Tagalog

Christia
nity

SAN
VICENTE

PADRE
BURGOS

QUEZON

LIGANDO,
RICKY -

EROLES,GERA
LDINE,-,

108961080049

LIHAY-LIHAY, JOHN
CHRISTOPHER DIPASUPIL

10-29-2002

12

Tagalog

Christia
nity

WALAY

PADRE
BURGOS

QUEZON

LIHAY-LIHAY,
ELISEO L

LIHAYDIPASUPIL,FILI
LIHAY,ELISEO,
PINA,R,
L,

109669080160

LOPEZ, JOHN KENNETH DELA

CRUZ

10-07-2002

12

Tagalog

Christia
nity

MARAUOY

LIPA CITY

BATANGAS

DELA
LOPEZ, RUBEN
LOPEZ,RUBEN
CRUZ,GINALYN
M LOPEZ
,M,
,P,

108961120060

MAGNO, GELBERT CIRVANTIS

01-01-2002

13

Tagalog

Christia
nity

YAWE

PADRE
BURGOS

QUEZON

MAGNO,
GLICERIO
ORTEGA

CIRVANTES,EM
MAGNO,GLICE
ELYNDA,SALIVI
RIO,ORTEGA,
O,

108960080010

MANTO, CHRISTIAN DELA

PENA

02-01-2003

12

Tagalog

Christia
nity

WALAY

PADRE
BURGOS

QUEZON

MANTO,NOEMI MANTO,NOEM
,D,
I,D,

108961070057

OCAN, EDWIN PERLADA

04-23-2001

14

Tagalog

Christia
nity

WALAY

PADRE
BURGOS

QUEZON

OCAN,
RICARDO

PERLADA,EME OCAN,RICARD
RITA,,
O,,

108961080067

REGALADO, JOHN ALBERT

CAMBA

02-10-2003

12

Tagalog

Christia
nity

YAWE

PADRE
BURGOS

QUEZON

REGALADO,
ERNESTO
VILLAREAL

REGALADO,E
CAMBA,MARIN
RNESTO,VILL
A,O,
AREAL,

LRN

IP
(Ethnic
Group)

RELIGIO
N

House #/
Street/
Sitio/
Purok

Barangay

Municipality
/ City

Province

Father's Name
(Last Name,
First Name,
Middle Name)

Mother's
Maiden Name
(Last Name,
First Name,
Middle

Name

Relationsh
ip

EROLES,CONR
ADO,QUINTO,

LIGANDO,RIC
KY,,

Contact
Number
of
Parent
or
Guardia
n

REMARKS

(Please refer
to the legend
on last page)

108961080071

ROSELLOSA, JOHN CARLO

PIOL III

04-01-2003

12

Tagalog

Christia
nity

SAN ISIDRO

PADRE
BURGOS

QUEZON

ROSELLOSA,
JONATHAN V

PIOL,CATALIN ROSELLOSA,J
A,C,
ONATHAN,V,

108961070078

YTANG, JORLY URSAL

11-05-1999

15

Tagalog

Christia
nity

SAN ISIDRO

PADRE
BURGOS

QUEZON

YTANG,
ELPIDIO
LEPALAM

URSAL,ELENIT YTANG,ELPIDI
A,NGOHO,
O,LEPALAM,

17 <=== TOTAL MALE

108961070018

CAMBA, ROSALIE LUPERMI

06-03-2001

14

Tagalog

Christia
nity

SAN ISIDRO

PADRE
BURGOS

QUEZON

CAMBA,
RENATO
LACERNA

LUPERMI,MIGU CAMBA,RENA
ELA,LAPUT,
TO,LACERNA,

108961080023

DELA PEA, MARISOL

MANCERAS

08-31-1999

15

Tagalog

Christia
nity

WALAY

PADRE
BURGOS

QUEZON

DELA PEA,
RONALDO A

MANCERAS,M
ARISSA,D,

108960080006

DOMINGO, ANNE CLAIRE

QUINDOZA

05-13-2003

12

Tagalog

Christia
nity

WALAY

PADRE
BURGOS

QUEZON

DOMINGO,
ANACITO
CORONADO

DOMINGO,AN
QUINDOZA,CA
ACITO,CORON
RLOTA,P,
ADO,

108961080040

GLORIOSO, YNA LEI -

05-23-2002

13

Tagalog

Christia
nity

SAN ISIDRO

PADRE
BURGOS

QUEZON

GLORIOSO,JOS GLORIOSO,JO
EPHINE,CESAR SEPHINE,CES
,
AR,

108961080041

GUAB, JASMIN -

08-24-2002

12

Tagalog

Christia
nity

SAN ISIDRO

PADRE
BURGOS

QUEZON

MALINIZA,
RUBEN C

GUAB,ANALIZ
A,C,GUAB

108961080043

HITOSIS, CHARLOTTE IGLIPA

06-20-2003

11

Tagalog

Christia
nity

WALAY

PADRE
BURGOS

QUEZON

HITOSIS,
PEPING -

IGLIPA,MAURE HITOSIS,PEPI
EN,LAWANG,
NG,,

108961080050

MAGNO, JENEFFER DEGRAS

11-08-2002

12

Tagalog

Christia
nity

YAWE

PADRE
BURGOS

QUEZON

MAGNO, RICO
O

DEGRAS,JOSEP MAGNO,RICO,
HINE,E,
O,

108960080011

MONTANTE, MYLENE
SANCHEZ

07-27-2003

11

Tagalog

Christia
nity

WALAY

PADRE
BURGOS

QUEZON

MONTANTE,
MARCELO
EROLES

MONTANTE,M
SANCHEZ,MER
ARCELO,EROL
LY,PANTALLA,
ES,

108961080054

NEPOMUCENO, SHENA
AMANTE

07-30-2002

12

Tagalog

Christia
nity

SAN
VICENTE

PADRE
BURGOS

QUEZON

NEPOMUCENO, AMANTE,ERNA NEPOMUCEN

DIOLITO P
,S,
O,DIOLITO,P,

109131070024

ORCALES, JOBELYN ESPINOSA

05-28-2001

14

Tagalog

Christia
nity

HUYONUYON

SAN
FRANCISCO QUEZON
(AURORA)

ORCALES,
JEREMIAS H

ESPINOSA,AL
MA,S,

ORCALES,JER
EMIAS,H,

108961080065

RED, GINALYN BUISON

12-21-2002

12

Tagalog

Christia
nity

SAN
VICENTE

PADRE
BURGOS

RED, NESTOR
L

BUISON,GENE
LITA,E,

RED,NESTOR,
L,

109131080059

TOLEDO, ANGELINE ESPINOSA

07-15-2003

11

Tagalog

Christia
nity

HUYONUYON

SAN
FRANCISCO QUEZON
(AURORA)

TOLEDO,
ESPINOSA,IRE
CHRISTOPHER
NE,SIPALAY,
ABELLA

TOLEDO,CHRI
STOPHER,ABE
LLA,

108961070077

VILLAREAL, ROSIEL BOLAOS

04-03-2002

13

Tagalog

Christia
nity

SAN
IGNACIO

SAN PABLO
CITY

VILLAREAL,
ROSENDO
RENATO RED

QUEZON

LAGUNA

DELA
PEA,RONAL
DO,A,

MALINIZA,RU
BEN,C,

BOLAOS,ELE VILLAREAL,R
ONOR,PALIGS OSENDO
A,
RENATO,RED,

13 <=== TOTAL FEMALE

30 <=== COMBINED

List and Code of Indicators under REMARKS column

Indicator

Cod
Required Information
e

Transfered Out

T/O Name of Public (P) Private (PR) School &

Effectivity Date

Transfered In

T/I

Dropped

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

Effectivity Date

DRP Reason and Effectivity Date

Indicator

Cod
Required Information
e

CCT Receipient CCT CCT Control/reference number &

Effectivity Date
Balik Aral
B/A
Name of school last attended & Year
Learner With
LW
Disability
D Specify
Accelerated

REGISTERED

BoSY

MALE

17

FEMALE

EoSY

Prepared by;

PRENZESSINE MAY PORTES BUENDIA

(Signature of Adviser over Printed
Name)

Certified Correct:

ELIAS EXCONDE DE CASTRO

(Signature of School Head over Prin

Name)

DE DE CASTRO

l Head over Printed

me)

Transfered Out

T/O Name of Public (P) Private (PR) School &

Effectivity Date

Transfered In

T/I

Dropped

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

Effectivity Date

DRP Reason and Effectivity Date

LE Reason (Enrollment beyond 1st Friday of

CCT Receipient CCT CCT Control/reference number &

Effectivity Date
Balik Aral
B/A
Name of school last attended & Year
Learner With
LW
Disability
D Specify
Accelerated
ACL Specify Level & Effectivity Data

FEMALE

13

TOTAL

30

(Signature of Adviser over Printed

Name)

BoSY Date:

Generated on: Thursday, March 3, 2016

EoSY Date:

(Signature of School Head over Prin

Name)

BoSY Date:

EoSY Date:

EoSY Date: