School Form 1 (SF 1) School Register

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

School ID 300168 Region I Division Pangasinan I, Lingayen

School Name Bayambang NHS (Bayambang) School Year 2018-2019 Grade Grade 7 Section

GUARDIAN Contact
ADDRESS PARENTS REMARKS
Age MOTHER (if Not Parent) Number

Sex (M/F)
NAME as of TONGUE IP of
BIRTH DATE RELIGIO Father's Name Mother's
LRN (Last Name, First Name, Middle
(mm/dd/yyyy)
Aug (Grade (Ethnic N House #/ Parent
Name) 1 to 3 Group) (Last Name, Maiden Name or (Please refer to
ust Street/ Municipality Relationsh
Only) Barangay Province First Name, (Last Name, Name Guardia the legend on
31st Sitio/ / City
Middle Name) First Name,
ip
last page)
Purok n
Middle
 List and Code of Indicators under REMARKS column
Cod Prepared by; Certified Correct:
Indicator Code Required Information Indicator Required Information REGISTERED BoSY EoSY
e
Transfered Out T/O Name of Public (P) Private (PR) School & CCT Receipient CCT CCT Control/reference number &
Effectivity Date Effectivity Date MALE
Balik Aral B/A
Transfered In T/I Name of Public (P) Private (PR) School & Name of school last attended & Year
(Signature of Adviser over Printed (Signature of School Head over Printed
Effectivity Date Learner With LWD FEMALE Name) Name)
Disability Specify
Dropped DRP Reason and Effectivity Date Accelerated ACL
LE Reason (Enrollment beyond 1st Friday of Specify Level & Effectivity Data TOTAL
BoSY Date: EoSY Date: BoSY Date: EoSY Date: