School Form 1 School Register for Senior High School (SF1-SHS)

School Name Baquiw NHS School ID 303590 District Tagapul-an Division Samar (Western Samar) Region Region VIII

Semester First Semester School Year 2019 - 2020 Grade Level Grade 11 Track and Strand Academic Track -General Academic Strand

Section Einstein Course (for TVL only)

GUARDIAN
COMPLETE ADDRESS PARENTS REMARKS
AGE (if learner is not Living with Parent)
Contact
as of

Sex (M/F)
NAME BIRTH DATE Number of
LRN 1st Religious Affilication
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy) Mother's Maiden Name Name Parent or
Friday Father's Name (Last Name,
Guardian
(Please refer to the legend
House #/ Street/ Sitio/ Purok Barangay Municipality/ City Province (Last Name, First Name, (Last Name, First Name, Relationship
June First Name, Middle Name)
Middle Name) Name Extension, Middle
on last page)

WESTERN AMANIA, ROLLY LUCERO,JOCELYN

123816080003. AMANIA,JOHN FRITZ LUCERO M 12/11/2002 16 Christianity BAGUIW TAGAPUL-AN PARENT
SAMAR OLASIMAN ,CONZON,

WESTERN ARIZALA, JOSE SEVILLA,MARISSA,

123816080004. ARIZALA,JAYPEE SEVILLA M 11/07/2000 18 Christianity BAGUIW TAGAPUL-AN PARENT
SAMAR LUCENECIO LUCERO,

PULANGBAT WESTERN ATANAS, DANIEL CAJOTAY,NEDIE,LI

123825080006. ATANAS,KEVIN CAJOTAY M 04/03/2003 16 Christianity TAGAPUL-AN PARENT
O SAMAR ROSAS PITIN,

PRUDENCIADO,C
BARANGAY NCR THIRD BARBA, ROMEL
136640080110. BARBA,ROMEL JR PRUDENCIADO M 06/08/2002 16 Christianity KALOOKAN CITY ONTESA,ROSALES PARENT
176 DISTRICT ISIDRO
,

WESTERN EULIN, EDWARDO

123816080021. EULIN,MICHAEL MAHINAY M 11/04/2002 16 Christianity BAGUIW TAGAPUL-AN MAHINAY,HAIDE,, PARENT
SAMAR GABUNA

WESTERN JAPAL, JOLITO LUCERO,ALMA,MO

123816080024. JAPAL,GEORGE RYAN LUCERO M 02/23/2003 16 Christianity BAGUIW TAGAPUL-AN PARENT
SAMAR DEBOTA NEBA,

WESTERN LUCENECIO, ROGER MAHINAY,LORNA,B

123816080026. LUCENECIO,JOHN JOSHUA MAHINAY M 05/20/2003 16 Christianity BAGUIW TAGAPUL-AN PARENT
SAMAR BALATUCAN ,

WESTERN MAHINAY, ROEL

123816080031. MAHINAY,ROEL JR YANSON M 05/16/2003 16 Christianity BAGUIW TAGAPUL-AN YANSON,ALICIA,, PARENT
SAMAR SARCO SR
MALOLOY-ON,
WESTERN MAÑANITA,ALICIA,
123816070032. MALOLOY-ON,REYNALDO JR MAÑANITA M 02/12/2001 18 Christianity BAGUIW TAGAPUL-AN REYNALDO LONTABO PARENT
SAMAR OLASIMAN,
SR

WESTERN NUDALO, RENEBOY CALAGO,CHRISTI

123822080013. NUDALO,CHRISTIAN DAVE CALAGO M 03/19/2002 17 Christianity MATALUTO TAGAPUL-AN PARENT
SAMAR BARRA NA,CORSON,

TRECE
PEREZ MACARIO,JACKILE
136438070562. OLASIMAN,JERICHO MACARIO M 07/12/2002 16 Christianity MARTIRES CITY CAVITE OLASIMAN, JERSON - T/I DATE:2019-06-03
(LUCBANAN) NE,,
(Capital)

WESTERN PACLIBAR, MELCHOR LUCERO,LYRA,HIL

136839070405. PACLIBAR,MELJHON LUCERO M 11/26/1999 19 Christianity BAGUIW TAGAPUL-AN RELATIVE
SAMAR PANIZALES ONGO,

PATALINGHOG,
WESTERN TAMIDLES,TESSIE,
123822080015. PATALINGHOG,CARLO TAMIDLES M 05/14/2003 16 Christianity MATALUTO TAGAPUL-AN BERNABE
SAMAR PRUDENCIADO,
FRANCISCO

WESTERN SARCO, PEPITO ARISGADO,JOILYN

123816080054. SARCO,PEPITO JR ARISGADO M 05/07/2003 16 Christianity BAGUIW TAGAPUL-AN PARENT
SAMAR BALERO ,PAULINO,

SAN WESTERN SINGUA, JOEL ZARADOLLA,ILI,ZA

123820070027. SINGUA,JIMWELL ZARADOLLA M 01/22/2002 17 Christianity TAGAPUL-AN PARENT
VICENTE SAMAR MAHINAY QUITA,
WESTERN SOLIBAGA, NOEL CONDEZA,DELIA,A
123816080057. SOLIBAGA,JOHN MARK CONDEZA M 05/20/2003 16 Christianity BAGUIW TAGAPUL-AN PARENT
SAMAR MALNEGRO ,

WESTERN TALON, DAVID MAGLENTE,AILEE

123816080061. TALON,MARK JOHN MAGLENTE M 10/22/2002 16 Christianity BAGUIW TAGAPUL-AN PARENT
SAMAR SUAREZ N,TAMIDLES,

SAN WESTERN VILLAMOR, ALBERT BAQUER,LEIZEL,A

123816080064. VILLAMOR,ALBERT JR BAQUER M 11/30/2002 16 Christianity TAGAPUL-AN PARENT
VICENTE SAMAR TIBALLA RGOMIDO,

18 <=== TOTAL MALE

WESTERN ABIGAN, RUBIE BORINAGA,LESLIE

123816080002. ABIGAN,SHERLY BORINAGA F 07/09/2003 15 Christianity BAGUIW TAGAPUL-AN PARENT
SAMAR AREGLO ,,

WESTERN ABIOG, SALVADOR DALUPAN,VENUS,

123816070002. ABIOG,MARJORIE DALUPAN F 06/16/2002 16 Christianity BAGUIW TAGAPUL-AN
SAMAR EBUENGA MAYPA,

WESTERN
124138080042. ANCERO,SHAIRA MARIE - F 04/05/2003 16 Christianity BAGUIW TAGAPUL-AN PELENIO, JOSE PELENIO,HELEN,,
SAMAR

GUINBARUC WESTERN BASAS, JERRY OLASIMAN,JOVELY

123815080009. BASAS,KHAREIN OLASIMAN F 04/01/2002 17 Christianity TAGAPUL-AN PARENT
AN SAMAR LOGROSA N,OMPAD,

WESTERN BORINAGA, ALLAN VALCONCHA,MAR

123816080010. BORINAGA,ALMARJAY VALCONCHA F 05/23/2002 17 Christianity BAGUIW TAGAPUL-AN PARENT
SAMAR LUCERO Y JANE,,

WESTERN BORINAGA, LEBBY OMPAD,RAQUEL,O

123816080011. BORINAGA,KATHERINE OMPAD F 06/22/2003 15 Christianity BAGUIW TAGAPUL-AN PARENT
SAMAR SOLIBAGA LASIMAN,

302178120134. CEREZA,ROSEMARIE V F 02/08/1996 23 Christianity BAN-AO PLACER MASBATE CEREZA, WILLIAM V,ROSE,, RELATIVE

WESTERN COMEDIA, VICTOR QUILLOPAS,MEDIN

123816070012. COMEDIA,AYA QUILLOPAS F 08/31/2002 16 Christianity BAGUIW TAGAPUL-AN
SAMAR PRUDENCIADO ,MARTINEZ,

WESTERN CUSTODIO, DARWIN PICORRO,CHARIN

123816080019. CUSTODIO,PRINCESS ALLYSA PICORRO F 10/28/2002 16 Christianity BAGUIW TAGAPUL-AN RELATIVE
SAMAR TOBINO A,DATU,

WESTERN EREJER, WILSON

123820080013. EREJER,JAIRAH CANTORIA F 10/22/2002 16 Christianity LUNA TAGAPUL-AN CANTORIA,GINA,, PARENT
SAMAR HERRERO
WESTERN ARPHAD,LOURDE
123816080029. LUCERO,FARLENE ARPAHAD F 02/11/2003 16 Christianity BAGUIW TAGAPUL-AN LUCERO, FRANCO PARENT
SAMAR S,,
WESTERN MADOLARIA,ETHE
123820050018. MADOLARIA,JACKIE BERNALES F 09/23/1999 19 Christianity LUNA TAGAPUL-AN PARENT
SAMAR LYN,,
WESTERN MADOLARIA, BERNALES,ETELY
123820080018. MADOLARIA,JOAN BERNALES F 01/02/2003 16 Christianity LUNA TAGAPUL-AN PARENT
SAMAR GREGORO N,,

WESTERN OMPAD, NESTOR GARCIA,ROSALIE,

123816080037. OMPAD,KRISTINE GARCIA F 06/26/2003 15 Christianity BAGUIW TAGAPUL-AN PARENT
SAMAR SUAREZ MARIN,

SAN WESTERN OMPAD, JOEL AMANIA,LANIE,AR

123816070039. OMPAD,MERALONA AMANIA F 12/31/2001 17 Christianity CALBAYOG CITY RELATIVE T/I DATE:2019-06-03
POLICARPIO SAMAR DALUMPINES ESGADO,

PADERA, RANDY BACOLOD,ANSEL

113842080141. PADERA,RESA BACOLOD F 05/12/2002 17 Christianity PASIAGON PLACER MASBATE RELATIVE
PELLEJERA MA,MANGUBAT,

WESTERN PALONPON, HENRY MENDOZA,RECHIE

123822070015. PALONPON,PREZA MENDOZA F 11/24/2001 17 Christianity MATALUTO TAGAPUL-AN RELATIVE Pending TI
SAMAR MAYPA ,CABATANIA,

WESTERN PATALINGHUG, AVELINA,NAIRE,B

123823080031. PATALINGHUG,JANELA NAIRE F 09/04/2001 17 Christianity NIPA TAGAPUL-AN PARENT
SAMAR MERLITO FRANCISCO AQUER,

PICORRO,MA
WESTERN
123816080041. PICORRO,KATE ASHLEY NICOLE - F 05/25/2003 16 Christianity BAGUIW TAGAPUL-AN CHERRIE,VERAN RELATIVE
SAMAR
O,
WESTERN DEL ROSARIO, TAYTAYAN,CHONA,
123816080049. ROSARIO,JANETH TAYTAYAN F 11/14/2002 16 Christianity BAGUIW TAGAPUL-AN PARENT
SAMAR ROMULO H ROJAS,

WESTERN SALIPOT, ILUMINADO REPALDA,MARILY

113949070057. SALIPOT,MARY JOY REPALDA F 11/20/2000 18 Christianity BAGUIW TAGAPUL-AN PARENT
SAMAR EPIL N,RAAGAS,

SAN WESTERN SINGUA, JOEL ZARADOLLA,ELI,Z

123820080030. SINGUA,JIVELYN ZARADOLLA F 04/26/2003 16 Christianity TAGAPUL-AN PARENT
VICENTE SAMAR MAHINAY AQUITA,

PULANGBAT WESTERN TAYACTAC, RACKIE OLASIMAN,GEMMA

123825070021. TAYACTAC,JIJI OLASIMAN F 04/26/2001 18 Christianity TAGAPUL-AN PARENT
O SAMAR PRUDENCIADO ,,

WESTERN SOLIBAGA,ELVISA,
123816080062. TOBINO,RONA SOLIBAGA F 07/01/2003 15 Christianity BAGUIW TAGAPUL-AN TOBINO, ENRICO I SR PARENT
SAMAR OMPAD,

24 <=== TOTAL FEMALE

42 <=== COMBINED

Legend: List and Code of Indicators under REMARKS column

Prepared by;
Beginning of the End of the
Indicator Code Required Information Indicator Code Required Information REGISTERED
Semester Semester
JUDITH SALUBRE MAYPA
Transfered Out T/O CCT Receipient CCT CCT Control/reference number &
Effectivity Date MALE 18
(Signature of Adviser over Printed Name)
Name of School, Date of 1st Attendance and Balik Aral B/A Name of school last attended & Year
Date of Last Attendance if Transferred Out
Transfered In T/I Learner With Exceptionality LWE Specify Exceptionality of the Learner FEMALE 24 Beginning of the Semester Date: End of the Semester Date:
Accelerated
ACL Specify Level & Effectivity Date
TOTAL 42
6/3/19 12:00 AM 10/31/19 12:00 AM

Generated on: Wednesday, November 27, 2019