Professional Documents
Culture Documents
School Form 1 (SF 1)
School Form 1 (SF 1)
School Form 1 (SF 1)
School Name Milibili NHS School ID 302760 District Roxas City District II Division Roxa
Semester First Semester School Year 2019 - 2020 Grade Level Grade 11 Track and Strand
Sex (M/F)
NAME BIRTH DATE 1st Mother's Ma
LRN Religious Affilication
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy) Frida Father's Name (Last Name (La
House #/ Street/ Sitio/ Municipality/
y Purok
Barangay
City
Province Name, First Name, Name, Fir
June Middle Name) Name, Mid
Name)
PUNSALAN,M
ROXAS CITY
117666080047 BACOMO,PETERSON BERMUDO M 02/20/2002 16 Christianity BANICA CAPIZ ILAGROSA,B
(Capital)
UDO
DELATINA,G
119988070066 DELATINA,MACKO BORNALES M 04/30/2002 16 Christianity SALGAN MA-AYON CAPIZ
BORNALES,
GUARDIAN
TS (if learner is not Living with REMARKS
Parent) Contact
Number
Mother's Maiden of Parent
Name
Name (Last or (Please refer to
(Last Name, First
Name, First Relationship Guardian the legend on last
Name, Name
Name, Middle page)
Extension, Middle
Name)
ANOT,SANDRITA
PARENT
CERNAL,
ALEJAGA,MAE,R
PARENT
ODRIGUEZ,
PUNSALAN,MA,M
LAGROSA,BERM PARENT
UDO
EVANGELISTA,E
PARENT
MY,BUNDA,
MAGALONG,LEA
H,,
BORRES,MARY
PARENT
GRACE,LABA,
BILLANO,HELEN,
PARENT
TORRE,CHARLYN
PARENT
-,
DELATINA,GINA,
PARENT Pending TI
BORNALES,
MAGASPAR,RAQ
PARENT
UEL,,
DEVELA,RAYMU
PARENT
NDA,C,
SAMPIOR,EVELY
N,ALTONINO,
ANOCHE,VILLA,D
PARENT
ADIVAS,
ROXAS CITY VILLASIS, GOMEZ,MAR
117669080113 VILLASIS,ALLAN GOMEZ M 09/11/2002 15 Christianity MILIBILI CAPIZ
(Capital) NORBERTO JOCSON ,TOMOTOP,
DELLOTA,
PUNTA ROXAS CITY ANDRADA,G
302391130258 DELLOTA,GLYDEL ANDRADA F 10/24/1999 18 Christianity CAPIZ EDMUNDO DELA
TABUC (Capital) ENE,BENGAN
CRUZ
ROXAS CITY GEVERO, ARNEL
117669120184 GEVERO,JENIFER MESA F 07/15/2002 15 Christianity MILIBILI CAPIZ MESA,MARIC
(Capital) GAYAGAYA
ROXAS CITY HUERGOLA,S
117669080096 LUGTU,GLAIZA HUERGOLA F 12/16/2001 16 Christianity MILIBILI CAPIZ LUGTU, GLEN
(Capital) RON,,
CELMAR,MA
MEJORADA, PEDRO
118656080058 MEJORADA,MERRIE GRACE CELMAR F 02/15/2003 15 Christianity POBLACION SAN MIGUEL BOHOL LIANA,LOGR
TUBAL JR
,
ROXAS CITY MARTINEZ,M
117669080098 MISA,MA. ABIGAIL MARTINEZ F 11/20/2002 15 Christianity MILIBILI CAPIZ MISA, MANUEL
(Capital) TES,,
ALMODIENTE
ROXAS CITY
117685080123 ROBIS,MARRY ANN GUILLERMO F 08/23/2001 16 Christianity LAWA-AN CAPIZ ROBIS, MABINI FATIMA,,GUI
(Capital)
MO
27 <=== COMBINED
Transfered Out T/O CCT Receipient CCT CCT Control/reference number &
Effectivity Date MALE 15
Name of School, Date of 1st Attendance and Balik Aral B/A Name of school last attended & Year (Signat
Date of Last Attendance if Transferred Out
Transfered In T/I Learner With LWE Specify Exceptionality of the Learner FEMALE 12
Exceptionality Beginning of the Semester
Accelerated ACL Specify Level & Effectivity Date Date:
TOTAL 27
2019-06-03
ESTACION,LILY
PARENT
BELL,TABANO,
TANELON,ELIZA
PARENT
BETH,,
BILLONES,ROSA
PARENT
LIE,LEONOR,
ACEPCION,IMEL
PARENT
DA,,
DALINOG,AVE,, PARENT
ANDRADA,GINAL
ENE,BENGAN,
MESA,MARICEL,, PARENT
HUERGOLA,SHA
RELATIVE
RON,,
CELMAR,MAXIMI
LIANA,LOGRONO
MARTINEZ,MARI
PARENT
TES,,
ALMODIENTE,MA
FATIMA,,GUILLER PARENT
MO
2019-10-31