School Form 1 (SF 1) School Register

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

School ID 300990 Region III Division Tarlac

School Name San Roque NHS School Year 2014 - 2015 Grade Grade 10 Section ST PAUL

GUARDIAN
ADDRESS PARENTS REMARKS
MOTHER (if Not Parent) Contact

Sex (M/F)
AGE as
NAME BIRTH DATE TONGUE IP Number
of 1st
LRN (Last Name, First Name, Middle (mm/dd/yy (Grade 1 (Ethnic RELIGION Father's Name Mother's Maiden of Parent
Friday House #/ (Please refer to
Name) yy) to 3 Group) Municipality/ (Last Name, First Name (Last Relationshi or
June Street/ Barangay Province Name the legend on
Only) City Name, Middle Name, First p Guardian
Sitio/ Purok last page)
Name) Name, Middle
MADEL
02-01- Christian MADEL RELATIV
300990110027 AÑASCO, ROYDEL - M 15 ANUPUL BAMBAN TARLAC -, - - - SANTOS
1999 ity ANASCO E
ANASCO
ANUNCIACIO AYLO,
02-24- Christian MARY RELATIV
300990110035 ANUNCIACION, RYAN AYLO M 16 ANUPUL BAMBAN TARLAC N, ROMIL MARY
1998 ity GRACE AYLO E
PINEDA GRACE S
BADILLA, PANGCOG PANGCOG
BADILLA, JOHN ALBERT 10-19- Christian RELATIV
300990110047 M 15 ANUPUL BAMBAN TARLAC ANTONINO JOESUSA JOESUSA
PANGCOG 1998 ity E
LOTERO CERNA CERNA
DEXTER
BUENAVENTURA, DEXTER 02-15- Christian BUENAVENT RODRILLO, JOSEPH R RELATIV
300990110076 M 16 ANUPUL BAMBAN TARLAC
REAN RODRILLO 1998 ity URA, DEXTER REA, PENA BUENAVENT E
URA
CABANDUCO CABANDUC
CAPIRAL,
CABANDUCOS, KHIM 05-09- Christian S, OS, RELATIV
300990110083 M 16 ANUPUL BAMBAN TARLAC NATIVIDAD,
CAPIRAL 1998 ity MELQUIADES MELQUIADE E
DOCTOR
CORONEL S CORONEL
VIRGEN
DE LOS
01-20- Christian CANLAS, MOVIDO, JULY Y RELATIV
300990110109 CANLAS, JOSELITO MOVIDO M 16 REMEDIOS BAMBAN TARLAC
1998 ity JULY Y JOSEFINA CANLAS E
(PACALCA
L)
CARDINOZA, FRANCIS 12-28- Christian ROSAN G RELATIV
300990110115 M 15 ANUPUL BAMBAN TARLAC -, - - NONE
KENYKEN - 1998 ity CARDINOZA E
CASTRO, LE DATE:
05-19- Christian SAN MABALAC CASTRO, SAMAR RELATIV
300990110043 CASTRO, ARON SAMAR M 16 PAMPANGA EXCELEDA 2014/06/0
1998 ity JOAQUIN AT ADOR EXCELDA E
SAMAR 9
CAUGUIRAN, SAPNU, CAUGUIRAN
10-08- Christian RELATIV
300990110130 CAUGUIRAN, JAYSON SAPNU M 16 ANUPUL BAMBAN TARLAC DOMINGO LUCILA , DOMINGO
1997 ity E
HALILI MANUIT , HALILI
CORRAL, JOHN MARK 07-21- Christian ANGELES MARIAN L RELATIV
301419110342 M 15 BALIBAGO PAMPANGA , LAUDEREZ
LAWDEREZ 1998 ity CITY CORRAL E
SAN DAVID, DAVID
DAVID, RYAN CHRISTIAN 04-23- Christian VILLARUEL RELATIV
300990100148 M 4 NICOLAS BAMBAN TARLAC DOMINADOR DOMINADO
VILLARUEL 2010 ity RIZA E
(POB.) SANTOS R SANTOS
VIRGEN
DELOS
DE LOS DELOS MANIPON,
DELOS REYES, LIEF LEMUEL 03-24- Christian REYES, RELATIV
300990110200 M 16 REMEDIOS BAMBAN TARLAC REYES, ALICIA,
MANIPON 1998 ity ORLANDO, E
(PACALCA ORLANDO M PINEDA
M
L)
SAN DUENAS,
DUEÑAS, KEN MIGUEL 01-12- Christian LUGTU, LUGTU, RELATIV
300990110213 M 15 NICOLAS BAMBAN TARLAC ALEXANDER
LUGTU 1999 ity ELISA M ELISA, M E
(POB.) G
 GUARDIAN
ADDRESS PARENTS REMARKS
MOTHER (if Not Parent) Contact

Sex (M/F)
AGE as
NAME BIRTH DATE TONGUE IP Number
of 1st
LRN (Last Name, First Name, Middle (mm/dd/yy (Grade 1 (Ethnic RELIGION Father's Name Mother's Maiden of Parent
Friday House #/ (Please refer to
Name) yy) to 3 Group) Municipality/ (Last Name, First Name (Last Relationshi or
June Street/ Barangay Province Name the legend on
Only) City Name, Middle Name, First p Guardian
Sitio/ Purok last page)
Name) Name, Middle
GALANG,
GALANG, MARK 11-03- Christian MALLARI, ALFRED G RELATIV
300990110231 M 15 ANUPUL BAMBAN TARLAC CHRISTOPHE
CHRISTOPHER MALLARI 1998 ity MELISSA CUNANAN E
R
08-16- Christian SAN GARCIA, MANALO, RELATIV
300990120170 GARCIA, CHRISTIAN M M 16 BAMBAN TARLAC MANALO
1997 ity VICENTE CRISANTO S MINDA E
GARCIA, MARVIN 02-03- Christian GARCIA, MANALANG GARCIA, RELATIV
300990110240 M 15 ANUPUL BAMBAN TARLAC
MANALANG 1999 ity ROMEO M ZENAIDA ROMEO M E
GARNODO, ALISON 02-05- Christian GARNODO THELMA RELATIV
300990110023 M 15 LOURDES BAMBAN TARLAC ,
SALVADOR 1999 ity THELMA GARNARDO E
GUECO, CANTOR, GUECO
GUECO, RUSSEL JOHN 07-28- Christian RELATIV
300990110270 M 14 ANUPUL BAMBAN TARLAC ROGELIO LETICIA, ROGELIO
CANTOR 1999 ity E
CAUGUIRAN MANALO CAUGUIRAN
CAMPO,
01-02- Christian INCISO, JOE ROWENA C RELATIV
300990110294 INCISO, ERNIE BOY CAMPO M 15 Iloko ANUPUL BAMBAN TARLAC ROWENA,
1999 ity PAMINTUAN INCISO E
CINDADANE
LLOBRERA,
LLOBRERA, MARK LORENCE 03-08- Christian LAGRANA, LAURA L RELATIV
300990110341 M 15 ANUPUL BAMBAN TARLAC MICHAEL
LAGRANA 1999 ity LAURA LLOBRERA E
ANDREW B
SAN
MENDOZA, MARK FRANCIS 04-27- Christian PANGASIN MENDOZA, JENNIFER MANNY RELATIV
300381110070 M 17 Tagalog NILENTAP CARLOS
CATLI 1997 ity AN MANNY CATLI MENDOZA E
CITY
MULDONG, CHRISTIAN 12-15- Christian MULDONG, GOPEZ, MARLYN RELATIV
300990090338 M 18 ANUPUL BAMBAN TARLAC
GOMEZ 1995 ity LONCING T MARLYN MULDONG E
11-18- Christian POBLACIO MABALAC NUESTRO, NUESTRO LAURIANO RELATIV
300990110437 NUESTRO, JEROME BASCO M 16 PAMPANGA
1997 ity N AT LAURIANO G ROWENA C NUESTRO E
VIRGEN
DE LOS MAGPAYO,
PANLICAN, VINCENT 05-11- Christian PANLICAN, RENATO R RELATIV
300990110456 M 15 REMEDIOS BAMBAN TARLAC RENCY,
MAGPAYO 1999 ity RENATO PANLICAN E
(PACALCA LAXAMANA
L)
PARAS, DE LEON,
01-09- Christian ANDY E RELATIV
300990110458 PARAS, JAYVIE DE LEON M 16 ANUPUL BAMBAN TARLAC ANDY DELAILA
1998 ity PARAS E
EUGENIO TOLENTINO
RAMOS,
RAMOS, JOHN MICHAEL 06-02- Christian MICHAEL S RELATIV
300990110495 M 15 ANUPUL BAMBAN TARLAC MICHAEL PATIO
PATIO 1999 ity RAMOS E
SALVADOR
SALAZAR,
SALAZAR, ROMAR EDMON 11-03- Christian AIDA E RELATIV
300990110547 M 15 ANUPUL BAMBAN TARLAC ROMEO ESPLANA
ESPLANA 1998 ity SALAZAR E
RAMOS
SANTOS, GAVIN,
SANTOS, JAN KENNETH 04-21- Christian NOEL C RELATIV
300990110567 M 15 ANUPUL BAMBAN TARLAC NOEL JESSICA,
GAVIN 1999 ity SANTOS E
CANLAS ESCOTO
DUCUT,
08-24- Christian SERRANO, ROGELIO G RELATIV
300990110534 SERRANO, ROWELL DUCUT M 15 ANUPUL BAMBAN TARLAC TERESITA
1998 ity ROGELIO C TANGLAO E
SANTOS
TAYAG, JOHN ALLAN 09-18- Christian TAYAG, GINA GINA M RELATIV
300990110624 M 15 ANUPUL BAMBAN TARLAC
MORALLOS 1998 ity ALLAN C MORALLOS TAYAG E
TUAZON, JEFFERSON 03-07- Hinduis TUAZON, DACANAY LETICIA D RELATIV
300990110646 M 16 ANUPUL BAMBAN TARLAC
DACANAY 1998 m JOCO M LETICIA TUAZON E
31 <=== TOTAL MALE
SAN BAUTISTA, FELECIDAD
BAUTISTA, ANNALYN 03-01- Christian CAPINPIN, RELATIV
300990100044 F 19 NICOLAS BAMBAN TARLAC RENATO C
CAPINPIN 1995 ity FELICIDAD E
(POB.) SAMSON BAUTISTA
 GUARDIAN
ADDRESS PARENTS REMARKS
MOTHER (if Not Parent) Contact

Sex (M/F)
AGE as
NAME BIRTH DATE TONGUE IP Number
of 1st
LRN (Last Name, First Name, Middle (mm/dd/yy (Grade 1 (Ethnic RELIGION Father's Name Mother's Maiden of Parent
Friday House #/ (Please refer to
Name) yy) to 3 Group) Municipality/ (Last Name, First Name (Last Relationshi or
June Street/ Barangay Province Name the legend on
Only) City Name, Middle Name, First p Guardian
Sitio/ Purok last page)
Name) Name, Middle
JOVELYN C
BUENAVENTURA, EUNICE 04-06- Christian CARVAJAL, RELATIV
300990110077 F 15 ANUPUL BAMBAN TARLAC , BUENAVENT
CARVAJAL 1999 ity JOVELYN E
URA
12-15- Christian CANO, NOEL ACIBAR, NOEL C RELATIV
300990110111 CANO, CAMILLE ACIBAR F 15 LA PAZ BAMBAN TARLAC
1998 ity C DURINDERA CANO E
SAN CASTILLO, MANALO,
CASTILLO, MARRY ROSE 01-26- Christian MA LUISA M RELATIV
300990110118 F 15 NICOLAS BAMBAN TARLAC HENRY MA LUISA,
MANALO 1999 ity CASTILLO E
(POB.) TIONKO CANLS
01-13- Christian DALAS, VICTORIA, BERNARDO RELATIV
300990110158 DALAS, SHERYL VICTORIA F 17 LOURDES BAMBAN TARLAC
1997 ity BERNARDO L ARLENE L DALAS E
DAVID, PEREZ,
10-04- Christian EVELYN P RELATIV
300990110164 DAVID, CHARLENE PEREZ F 15 ANUPUL BAMBAN TARLAC ALBERTO EVELYN
1998 ity DAVID E
RIVERA JR PATIO
DAVID, YAMSON,
04-20- Christian ROSALINA Y
300990110168 DAVID, LENY YAMSON F 18 BAMBAN TARLAC BERNARDO ROSALINA
1996 ity DAVID
DIZON OCAMPO
LE DATE:
2014/06/0
02-07- Christian GANIA, NUCUP, GANIA, 9,T/O
300990090345 GANIA, CAMILLE NUCUP F 18 Tagalog PINUGAY BARAS RIZAL
1996 ity GEORGE C ERLINDA GEORGE, C DATE:
2014/07/2
0
09-14- Christian DELA GARCIA, HELEN L RELATIV
300990110237 GARCIA, ALESA IBE F 15 BAMBAN TARLAC IBE, HELEN
1998 ity CRUZ ANTHONY M GARCIA E
04-30- Christian GATPO, CAMPO, LIZA C RELATIV
300990110248 GATPO, APRIL CAMPO F 15 LOURDES BAMBAN TARLAC
1999 ity ROMEO LIZA GATPO E
01-22- Christian GUECO, IGNACIO, MARIO S RELATIV
300990110407 GUECO, MARY JOY IGNACIO F 14 ANUPUL BAMBAN TARLAC
2000 ity MARIO S JENNIFER GUECO E
10-03- Christian GUIEB, SERAPON, ROGELIO A RELATIV
300990110275 GUIEB, FRIM ROSE SERAPON F 13 ANUPUL BAMBAN TARLAC
2000 ity ROGELIO A NIDA GUIEB E
GUIEB, MANGUERA,
GUIEB, PRINCESS 11-01- Christian SAN PRISCILLA M RELATIV
300990110276 F 15 BAMBAN TARLAC ROMEO PRISCILLA
MANGUERA 1998 ity RAFAEL GUIEB E
MACARAEG MUTUC
IBE,
07-06- Christian SAN BATAN, ANGELITO S RELATIV
300990110289 IBE, ANGELICA BATAN F 14 BAMBAN TARLAC ANGELITO
1999 ity ROQUE ROSANIE IBE E
SANGALANG
TIMOTEO,
MENDOZA,
MENDOZA, MICHAELA 01-11- Christian SANTO MA RODOLFO A RELATIV
300990110416 F 15 BAMBAN TARLAC RODOLFO
TIMOTEO 1999 ity NINO VICTORIA MENDOZA E
ACOSTA
PARAS
MERINO,
MARIA
04-14- Christian MARIA RELATIV
300990120150 MERINO, DANIELLA MAE - F 15 ANUPUL BAMBAN TARLAC , ELENA
1999 ity ELENA, E
MERINO
GABITO
QUIAMBAO,
QUIAMBAO, PRINCESS 11-04- Christian SAN RELATIV
300990110491 F 15 BAMBAN TARLAC DANILO CANLAS, FE CANLAS FE
DIANNE CANLAS 1998 ity ROQUE E
MANDAL
SAN
08-11- Christian MABALAC RELUCIO, CASTILLO, JOSE NOEL RELATIV
300990110502 RELUCIO, JOSEL CASTILLO F 16 FRANCISC PAMPANGA
1997 ity AT JOSE NOEL M MAXIMA M RELUCIO E
O
04-27- Christian DELA RETUTA, SALTA, ROMEO M RELATIV
300990110505 RETUTA, MARIELLA SALTA F 16 BAMBAN TARLAC
1998 ity CRUZ ROPERIO MEDINA GARCIA E
10-05- Christian SABIO, IMPERIAL, MERCY RELATIV LE DATE:
300990140031 SABIO, JERALDINE IMPERIAL F 19 ANUPUL BAMBAN TARLAC
1994 ity VALENTIN P MERCY M SABIO E 2014/06/0
 GUARDIAN
ADDRESS PARENTS REMARKS
MOTHER (if Not Parent) Contact

Sex (M/F)
AGE as
NAME BIRTH DATE TONGUE IP Number
of 1st
LRN (Last Name, First Name, Middle (mm/dd/yy (Grade 1 (Ethnic RELIGION Father's Name Mother's Maiden of Parent
Friday House #/ (Please refer to
Name) yy) to 3 Group) Municipality/ (Last Name, First Name (Last Relationshi or
June Street/ Barangay Province Name the legend on
Only) City Name, Middle Name, First p Guardian
Sitio/ Purok last page)
Name) Name, Middle
10-05- Christian SABIO, IMPERIAL, MERCY RELATIV
F 19 ANUPUL BAMBAN TARLAC 9
1994 ity VALENTIN P MERCY M SABIO E
LE DATE:
11-19- Christian GOMEZ, MARICAR G
300990100479 SALUNGA, JEMARIE GOMEZ F 16 ANUPUL BAMBAN TARLAC , 2014/06/0
1997 ity MARICAR SALUNGA
9
MAKARIDAD
TAGULAO, LUALHATI 10-14- Christian DELA DE VERO, MARISSA M RELATIV
300990110615 F 15 BAMBAN TARLAC , MARISSA
MAKARIDAD 1998 ity CRUZ ARTHUR TAGULAO E
TAGULAO
05-18- Christian DELA TAGULAO, MAURO, BABYLYN M RELATIV
300990110616 TAGULAO, MIKEE MAURO F 15 BAMBAN TARLAC
1999 ity CRUZ ALFREDO R BABYLYN TAGULAO E
UDIONG, ANGELICA 02-09- Christian UDIONG, LACANDOLA ROSEMARIE RELATIV
300990110648 F 17 LOURDES BAMBAN TARLAC
LACANDOLA 1997 ity ANGELO , ALMA L UDIONG E
ALVAREZ,
02-02- Christian GUEVARR VILORIA, ARNEL RELATIV
300966110334 VILORIA, LAARNI ALVAREZ F 16 LA PAZ TARLAC LUCY,
1998 ity A ARNEL VILORIA E
TAYAG
25 <=== TOTAL FEMALE

56 <=== COMBINED

List and Code of Indicators under REMARKS column

Indicator Code Required Information Indicator Code Required Information REGISTERED BoSY EoSY Prepared by; Certified Correct:

Transfered T/O Name of Public (P) Private (PR) School & CCT CCT CCT Control/reference number &
Out Effectivity Date Receipient Effectivity Date MALE 30
B/A LEIRA CATACUTAN BORJA JESUS CORTEZ MERCADO
T/I Name of Public (P) Private (PR) School & Balik Aral Name of school last attended & Year (Signature of Adviser over Printed (Signature of School Head over Printed
Transfered In Effectivity Date LWD FEMALE 22 Name) Name)
Learner With Specify
DRP Reason and Effectivity Date Disability ACL 52
TOTAL
Dropped LE Reason (Enrollment beyond 1st Friday of Accelerated Specify Level & Effectivity Data BoSY Date: EoSY Date: BoSY Date: EoSY Date:

Generated on: Wednesday, September 10, 2014 9:32:13 AM

Revision 4