School Form 1 (SF 1) School Register

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

School ID 105746 Region III Division Nueva Ecija District SANTA ROSA NORTH
Grade
School Name Eulalio N. Adriano Elementary School School Year 2019-2020 Grade 1 Section MASIKAP
Level
GUARDIAN
AGE ADDRESS PARENTS Contact REMARKS
(if Not Parent)
as of MOTHER Number

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

SANTA ADVINCULA, RUEL

105746180002 ADVINCULA,MATTHEW, PALTAO M 02-10-2013 6 Tagalog Christianity RAJAL SUR NUEVA ECIJA PALTAO,NAIDA,PUNZAL,
1 ROSA JIMENEZ
SANTA BACTOL, RAYMOND YACAT,GEMMALYN,LUMB
105746180017 BACTOL,JEROME, YACAT M 11-04-2012 6 Tagalog Christianity RAJAL SUR NUEVA ECIJA
2 ROSA PABLO ANG,
SANTA BAUTISTA, BOBBY LOCSIN,EDRINA,BUGARI
101247170003 BAUTISTA, CLARENCE, LOCSIN M 11/24/2011 7 Tagalog Christianity RAJAL SUR NUEVA ECIJA
3 ROSA OBILLO N,
DE GUZMAN,MARLON, SANTA DE GUZMAN, MARCELO LIMBAGA,LAYDEELYN,PA
105746180032 M 05-05-2013 6 Tagalog Christianity RAJAL SUR NUEVA ECIJA
4 LIMBAGA ROSA RAMIREZ SCUAL,
DELA CRUZ,DENIMER, DE SANTA DELA CRUZ, DENNIS DE GUZMAN,ROSE
105746180074 M 02-23-2013 6 Tagalog Christianity RAJAL SUR NUEVA ECIJA
5 GUZMAN ROSA DELA CRUZ MER,ROQUE,
SANTA DELA CRUZ, JUN BAUTISTA,ANGELINE,TEJ
105746180006 DELA CRUZ,JUNREI, BAUTISTA M 08-08-2013 5 Tagalog Christianity RAJAL SUR NUEVA ECIJA
6 ROSA ROQUE ADA,
DELA CRUZ,RON ONICS, SANTA DELA CRUZ, RONALD
105746180033 M 10-14-2013 5 Tagalog Christianity RAJAL SUR NUEVA ECIJA YACAT,MELANIE,MORTA,
7 YACAT ROSA BAUTISTA
SANTA ECHON, CARLO RAFAEL YACAT,JACKIELOU,JAVAT
105746180068 ECHON,CARL LOUIS, YACAT M 08-22-2013 5 Tagalog Christianity RAJAL SUR NUEVA ECIJA
8 ROSA PAJE E,
SANTA FERNANDO, JOSEPH RIVERA,SARAH
105746180008 FERNANDO,JAIRAH, RIVERA M 05-15-2013 6 Tagalog Christianity RAJAL SUR NUEVA ECIJA
9 ROSA JACINTO JANE,PADILLA,
SANTA CASILAO,CRISELDA,CAJI
105746180010 IGNACIO,JAKE, CASILAO M 12-14-2012 6 Tagalog Christianity RAJAL SUR NUEVA ECIJA IGNACIO, GERRY LOPEZ
10 ROSA PE,
RAJAL SANTA LOZANTA, VICTOR RIVERA,ROCHEL,EDISAN
105746180036 LOZANTA,PRINCE, RIVERA M 08-19-2013 5 Tagalog Christianity NUEVA ECIJA
11 CENTRO ROSA RUBIO ,
MANGAHAS,TERENZ JETHRO, SANTA MANGAHAS, JOSEPH
105746180011 M 08-31-2013 5 Tagalog Christianity RAJAL SUR NUEVA ECIJA RIVERA,MARY ANN,M,
12 RIVERA ROSA FERNANDO
MANINGAS, PRINCE NASH SANTA MANINGAS, FREDERICK
105765180224 M 5/14/2013 6 Tagalog Christianity RAJAL SUR NUEVA ECIJA BONIFACIO, URSULA G.
13 ULRICK, BONIFACIO ROSA S.
DELA
MENDOZA,KURT LHIAM, DELA SANTA MENDOZA, RENZ
105746180012 M 02-07-2013 6 Tagalog Christianity RAJAL SUR NUEVA ECIJA PAZ,RAYSHEL,MACASPA
14 PAZ ROSA KERVIN SANTOS
C,
ORDONIO,FRANCE JOHN SANTA ORDONIO, SONNY FRANCIA,MARILUZ,PABL
105746180020 M 05-26-2013 6 Tagalog Christianity RAJAL SUR NUEVA ECIJA
15 ZIEGFREID, FRANCIA ROSA TAGALISMA O,
SANTA GALANG,MELANIE,REGU
105746180015 PEREZ,JOHN LUCAS, GALANG M 09-22-2012 6 Tagalog Christianity RAJAL SUR NUEVA ECIJA PEREZ, JOEL PABLO
16 ROSA IAL,
SANTA REYES, RAYNOLD CAUYAO,MARY
105746180041 REYES,RAMJEL, CAUYAO M 10-14-2012 6 Tagalog Christianity RAJAL SUR NUEVA ECIJA
17 ROSA PEREZ JANE,BASTE,
SANTA TAGALAG,VIVIAN,LEGAS
105746180014 TAGALAG,MARVIN, - M 03-15-2012 7 Tagalog Christianity RAJAL SUR NUEVA ECIJA
18 ROSA PI,
 SANTA BACTOL, JHON EDMAR ESPAÑO,LENY
105746180022 BACTOL,ALTHEA MAE, ESPAÑO F 05-24-2013 6 Tagalog Christianity RAJAL SUR NUEVA ECIJA
1 ROSA BEGORNIA LYN,FAJARDO,
BUENAVENTURA,APPLE, DELA SANTA BUENAVENTURA, JOHN DELA PAZ,RUBY
105746180045 F 06-06-2013 6 Tagalog Christianity RAJAL SUR NUEVA ECIJA
2 PAZ ROSA PAUL LAZARO ANN,MACASPAC,
CABRAL,CHRISTAL MAE, SANTA CABRAL, MHARK DELA DALERE,NHICKKY
105746180046 F 08-15-2013 5 Tagalog Christianity RAJAL SUR NUEVA ECIJA
3 DALERE ROSA CRUZ ROSE,CRUZ,

107088180014 DA LANA, EMILY VERZO F 8/27/2013 5 Tagalog Christianity

4
ENCARNACION,DANAH MHAY, SANTA ENCARNACION, DENNIS
105746170025 F 05-17-2012 7 Tagalog Christianity RAJAL SUR NUEVA ECIJA YACAT,CHARITO,MORTA,
5 YACAT ROSA PANGILINAN
SANTA FROGOZA, JAY BAUTISTA,JOCELYN,ALB
105746180048 FROGOSA,JAYCEL, BAUTISTA F 09-06-2013 5 Tagalog Christianity RAJAL SUR NUEVA ECIJA
6 ROSA FELICIANO ERTO,
SAN
MACTAL,HANNAH JOY, SAN SANTA MACTAL, DARVIN
105746180051 F 09-29-2012 6 Tagalog Christianity RAJAL SUR NUEVA ECIJA GABRIEL,ROWENA,BAILI
7 GABRIEL ROSA DANTES
G,
MANANGHAYA,FRANSHA SANTA MANANGHAYA, FRANCIS AMOGUIZ,SHADIE,GALI
136643180127 F 09-22-2013 5 Tagalog Christianity RAJAL SUR NUEVA ECIJA
8 FAITH, AMOGUIZ ROSA FERNANDO NG,
SANTA PADILLA, RICHARD STA TADO,MARIE
105746180025 PADILLA,JHANIEN, TADO F 07-30-2013 5 Tagalog Christianity RAJAL SUR NUEVA ECIJA
9 ROSA ANA JANE,LUCAS,
DELA
PERPETUA,CLOUIE ANN, DELA SANTA PERPETUA, JON-JON
105746180026 F 09-14-2012 6 Tagalog Christianity RAJAL SUR NUEVA ECIJA CRUZ,GERALDINE,EUGE
10 CRUZ ROSA DELA CRUZ
NIO,
RAJAL SANTA PALATINO, MICHAEL
105746180054 PALATINO,KYLIE, CATABAS F 12-17-2012 6 Tagalog Christianity NUEVA ECIJA CATABAS,LEA,CORPUZ,
11 CENTRO ROSA REFORMA
PERPETUA,SHANTAL NYN, SANTA PERPETUA, JAYSON PUNZALAN,DANNA,AGU
105746180055 F 01-10-2013 6 Tagalog Christianity RAJAL SUR NUEVA ECIJA
12 PUNZALAN ROSA HIPOLITO STIN,
SANTA SARMIENTO, OLIVER PABLO,LIELILA,MENDOZ
105746180057 SARMIENTO,VERNIS, PABLO F 01-30-2013 6 Tagalog Christianity RAJAL SUR NUEVA ECIJA
13 ROSA LAMSON A,
SOLITARIO,JESSIE MAE, SANTA SOLITARIO, ROBERTO SARMIENTO,MYRA,LAMS
105746180059 F 09-01-2012 6 Tagalog Christianity RAJAL SUR NUEVA ECIJA
14 SARMIENTO ROSA SAN JUAN JR ON,
SOLITARIO,RHEANSHEY, SANTA SOLITARIO, ROBERTO SARMIENTO,MYRA,LAMS
105746180060 F 09-17-2013 5 Tagalog Christianity RAJAL SUR NUEVA ECIJA
15 SARMIENTO ROSA SAN JUAN JR ON,
SANTA VIDANIA, NELSON RIVERA,MARY
105746180065 VIDAÑA,ASHLEY MAE, RIVERA F 05-08-2013 6 Tagalog Christianity RAJAL SUR NUEVA ECIJA
16 ROSA PABLO ANN,VALENCIA,
SANTA
17 1057461700582 BITONG, MAY ANN, FERNANDO F 5/1/2009 10 Tagalog Christianity RAJAL SUR
ROSA
NUEVA ECIJA BITONG, DAVID M. FERNANDO, RIZALINA Certified Correct:
DG.
List and Code of Indicators under REMARKS column JESUSA L. SIGUA
Cod Cod
Indicator Required Information Indicator Required Information REGISTERED BoSY EoSY
Transfered Out e
T/O Name of Public (P) Private (PR) School & CCT Receipient e
CCT CCT Control/reference number & Effectivity Prepared by; (Signature of School Head over Printed
Effectivity Date Date MALE 18 Name)
Balik Aral B/A
Transfered In T/I Name of Public (P) Private (PR) School & Name of school last attended & Year CHERRIE L. LOPEZ
Effectivity Date Learner With LWD (Signature of BoSY Date: EoSY Date:
Disability Specify FEMALE 16 Adviser over
Dropped DRP Reason and Effectivity Date Accelerated ACL Printed Name)
Late LE Reason (Enrollment beyond 1st Friday of Specify Level & Effectivity Data
Enrollment June) EoSY Date:
TOTAL 34
BoSY Date: Generated thru LIS