School Form 1 (SF 1) School Register

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

School ID 106651 Region III Division Tarlac District San Manuel

Grade
School Name Colubot Elementary School School Year 2018 - 2019 Grade 5 Section 1
Level
GUARDIAN
AGE ADDRESS PARENTS Contact REMARKS
(if Not Parent)
as of MOTHER Number

Sex (M/F)
NAME
BIRTH DATE 1st TONGUE IP
RELIGIO Father's Name Mother's
of
LRN (Last Name, First Name, Middle (Grade (Ethnic House #/ Parent
(mm/dd/yyyy) Frida N (Last Name, Maiden Name (Please refer
Name) 1 to 3 Group) Street/ Municipality Relationsh or
y Only) Sitio/
Barangay
/ City
Province First Name, (Last Name, Name
ip Guardia to the legend
June Middle Name) First Name, n on last page)
Purok
Middle Name)

CARITATIVO,S
BALDONADO,DENMARK, Christia SAN BALDONADO,
106651130060 M 05-03-2008 10 Ilocano COLUBOT TARLAC ARIAN,CUEVA
CARITATIVO nity MANUEL ALEX VIERNES
S,

CRISOSTOMO,
CRISOSTOMO,ILDEFONSO, Christia KAYBUTO CARTAS,ROSIE
109515130014 M 01-22-2008 10 Tagalog TANAY RIZAL REDENTOR
CARTAS nity (POB.) ,SAPELINO,
TICA

DALIGDIG,
DALIGDIG,EARL DWAYNE LEE, Christia SAN BALDONADO,J
106651130029 M 11-19-2007 10 Ilocano COLUBOT TARLAC CHRISTOPHER
BALDONADO nity MANUEL ANICE,CAYME,
LEE NAVARRO

BALDONADO,
DONA,JAIROH GLENN, Christia SAN DONA, JIMMY
106651130035 M 11-25-2007 10 Ilocano COLUBOT TARLAC GLENDA,NAVA
BALDONADO nity MANUEL OLPINDO
RRO,

ESCAURIAGA, PARONG,CAR
ESCAURIAGA,RODRIGO, III Christia SAN
106652140017 M 04-20-2008 10 Tagalog LANAT TARLAC RODRIGO MELA,CARCHA
PARONG nity MANUEL
FUNTANAR JR ,

FONTANILLA,AJ NATHANIEL, Christia SAN FONTANILLA,A

106651130059 M 07-05-2008 9 Ilocano COLUBOT TARLAC
MOTEA nity MANUEL NNIE,MOTEA,

Christia SAN FONTANILLA, QUITAN,STELL

106651130042 FONTANILLA,GERALD, QUITAN M 04-30-2005 13 Ilocano COLUBOT TARLAC
nity MANUEL JULIO DONA A,NARTINES,

GODOY,
GODOY,VINCENT JAMES, Christia SAN SAGUN,ROSIT
106651130043 M 05-25-2008 10 Ilocano COLUBOT TARLAC BENIGNO
SAGUN nity MANUEL A,MENDIOLA,
GONZALES
NAVARRO, TORRES,MARI
NAVARRO,BENJ ZYRELLE, Christia SAN
106538130018 M 10-17-2008 9 Ilocano COLUBOT TARLAC PEPITO TESS,ADSUAR
TORRES nity MANUEL
SAPELINO RA,

RUBANG, BALDONADO,J
RUBANG,LLOYD KRISTOFF, Christia SAN
106651130030 M 12-11-2007 10 Ilocano COLUBOT TARLAC RANDE IMMALYN,CAY
BALDONADO nity MANUEL
GASMIN ME,

10 <=== TOTAL MALE

Christia SAN ANDAL, FELIX GASMIN,VICKY

106651130038 ANDAL,GRACE, GASMIN F 06-10-2008 9 Ilocano COLUBOT TARLAC
nity MANUEL CARANDANG ,NAVARRO,

BALDONADO,
BALDONADO,KIMBERLY, Christia SAN RUIZO,ANDRE
106651140032 F 11-04-2007 10 Ilocano COLUBOT TARLAC ROLANDO
RUIZO nity MANUEL A,GASMIN,
NAVARRO
 PAGALA,ANTO
CAPIENDO,IRISH ANNE, Christia SAN CAPIENDO,
106661130050 F 02-10-2008 10 Ilocano COLUBOT TARLAC NETTE,SOLIVE
PAGALA nity MANUEL ROMY PANELO
N,
CAYME, BOGAOAN,DAI
CAYME,MA CASSANDRA Christia SAN
106651130039 F 02-16-2008 10 Ilocano COLUBOT TARLAC RAYMON SYRL,NAVARR
LORRAINE, BOGAOAN nity MANUEL
SELGA O,
DALIGDIG,
DALIGDIG,MEKCHELLE BHING, Christia SAN NAVARRO,MEL
106651130061 F 12-31-2008 9 Ilocano COLUBOT TARLAC ROMEO DEL
NAVARRO nity MANUEL ITA,PEPITO,
CARMEN
GOMBIO, FERNANDEZ,Y
GOMBIO,ALTHEA NICOLE, Christia SAN
106651130058 F 06-09-2008 9 Ilocano COLUBOT TARLAC BENEDICT ORADYL,SAPE
FERNANDEZ nity MANUEL
ALBINA LINO,
MANGAOANG,
MANGAOANG,APRIL JOY, Christia SAN NOGALES,JUD
106651130040 F 04-01-2008 10 Ilocano COLUBOT TARLAC RODEL
NOGALES nity MANUEL Y,IGLESIAS,
ACOSTA

OAING,
Christia SAN TIMAGOS,AILE
106651130037 OAING,DIMPLE, TIMAGOS F 11-08-2007 10 Ilocano COLUBOT TARLAC JONARD
nity MANUEL EN,TUSI,
MANGAOANG

UBALDO,
Christia SAN PINTO,DAISY,B
106651130036 UBALDO,DESYBELLE, PINTO F 07-01-2008 9 Ilocano COLUBOT TARLAC DANILO
nity MANUEL ALDONADO,
FERNANDO

9 <=== TOTAL FEMALE

19 <=== COMBINED

List and Code of Indicators under REMARKS column

Cod Cod Prepared by; Certified Correct:
Indicator Required Information Indicator Required Information REGISTERED BoSY EoSY
e e
Transfered Out T/O Name of Public (P) Private (PR) School & CCT Receipient CCT CCT Control/reference number & ARTBIE A SAMSON
Effectivity Date Effectivity Date MALE 10
Balik Aral B/A SHARON AURELY MERCADO PERALTA (Signature of School Head over Printed
Transfered In T/I Name of Public (P) Private (PR) School & Name of school last attended & Year Name)
(Signature of Adviser over Printed
Effectivity Date Learner With LWD FEMALE 9 Name)
Disability Specify
Dropped DRP Reason and Effectivity Date Accelerated ACL BoSY Date: EoSY Date:
Late LE Reason (Enrollment beyond 1st Friday of Specify Level & Effectivity Data TOTAL 19
Enrollment June) BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Monday, January 21, 2019