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

School Name Placer National High School School ID 304837 District Placer I Division Surigao

Semester Second Semester School Year 2019 - 2020 Grade Level Grade 12 Track and Strand

Section EINSTEIN- HUMSS Course (for TVL only)

COMPLETE ADDRESS PARENTS

AGE

Sex (M/F)
as of
NAME BIRTH DATE
LRN
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy) 1st Religious Affilication Mother's Maid
Frida Father's Name (Last
Name (Last Nam
House #/ Street/ Sitio/ Purok Barangay Municipality/ City Province Name, First Name, Middle
y June Name)
First Name, Mid
Name)

SURIGAO DEL
304837140121 ANTIDO,MARICEL TAROG F 10/06/2001 17 Christianity AMOSLOG PLACER ANTIDO, GARY G TAROG,LIEZE
NORTE
SURIGAO DEL DIRIGAY,MAL
132478120308 BALID,MA ISABEL DIRIGAY F 03/27/2002 17 Christianity AMOSLOG PLACER BALID, DANILO C.
NORTE I,M.,

SURIGAO DEL BESING, REYNANTE

132287070049 BESING,REYNA JEAN PIAD F 12/29/2001 17 Christianity SUYOC PLACER PIAD,JENNY,A
NORTE MEDELLEN

MAGSAYSA SURIGAO DEL BALEROS,IME

132479070030 CANONIGO,SHARMEH ANGEL BALEROS F 07/25/2001 17 Christianity PLACER CANONIGO, CESAR
Y (POB.) NORTE A,,

BARANGAY TACLOBAN CARSON, ARTHUR TORRES,ERIK

124231070038 CARSON,TINY TORRES F 07/09/2002 16 Christianity LEYTE
66-A CITY (Capital) GONCER IRANDA,

MAGSAYSA SURIGAO DEL EDAL, NASRODIN SARIP,FARIDA

304837140124 EDAL,HANINA SARIP F 09/16/2000 18 Islam PLACER
Y (POB.) NORTE ANDUWNON OROBONG,

SURIGAO DEL FERRY, RAMIL JAMISOLA,MA

132467070012 FERRY,NELJANE JAMISOLA F 01/20/2002 17 Christianity AMOSLOG PLACER
NORTE LORETO YN,TANDUYA

MAGSAYSA SURIGAO DEL GALAN,ADEL

132479070014 GALAN,RICA MAE - F 10/21/2001 17 Christianity PLACER BACULAO, ROBEL M
Y (POB.) NORTE RNOPIA,

CENTRAL SURIGAO DEL GAMULO, ALLAN TURTOR,GENE

131868070028 GAMULO,LOVELY MAE TURTOR F 06/25/2001 17 Christianity PLACER
(POB.) NORTE CORTES N,TANTOY,

CENTRAL SURIGAO DEL MATIN-AO, NAMILIT,EVE

132479070075 MATIN-AO,NADINE HOPE NAMILIT F 11/05/2001 17 Christianity PLACER
(POB.) NORTE ROGELIO VILLAZON N,ALONTAGA

MAGSAYSA SURIGAO DEL PACULABA, EMILIO ALIPAO,ROSA

132479070087 PACULABA,ROSE MAE ALIPAO F 03/10/2001 18 Christianity PLACER
Y (POB.) NORTE CANTON DA,RAÑO,

MAGSAYSA SURIGAO DEL VICTORIANO, RINCAL,JEMIA

132479070107 VICTORIANO,JASMINE RINCAL F 09/23/2001 17 Christianity PLACER
Y (POB.) NORTE RAMIL PACAYA MATO,

12 <=== TOTAL FEMALE

12 <=== 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
-SHS)

Surigao del Norte Region CARAGA

Academic Track -Humanities and Social Sciences

GUARDIAN
TS REMARKS
(if learner is not Living with Parent)
Contact
Number of
Mother's Maiden Parent or
Name
Name (Last Name, Guardian (Please refer to the
(Last Name, First Name, Relationship
First Name, Middle legend on last page)
Name Extension, Middle
Name)

TAROG,LIEZEL,C,

DIRIGAY,MALUM
PARENT
,M.,

PIAD,JENNY,ALA, PARENT

BALEROS,IMELD
A,,

TORRES,ERIKA,M
RELATIVE CCT
RANDA,

SARIP,FARIDA,C
PARENT CCT
OROBONG,

JAMISOLA,MARIL
PARENT
YN,TANDUYAN,

GALAN,ADELA,O
PARENT CCT
RNOPIA,

TURTOR,GENELY
PARENT
N,TANTOY,

NAMILIT,EVELY
PARENT CCT
N,ALONTAGA,

ALIPAO,ROSALIN
PARENT CCT
DA,RAÑO,

RINCAL,JEMIA,LI
PARENT CCT
MATO,
 Beginning of the End of the
Indicator Code Required Information Indicator Code Required Information REGISTERED
Semester Semester

Transfered Out T/O CCT Receipient CCT CCT Control/reference number &
Effectivity Date MALE 0
Name of School, Date of 1st Attendance and Balik Aral B/A Name of school last attended & Year (Sign
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 Date:
Accelerated ACL Specify Level & Effectivity Date

TOTAL 12
10/28/19 12:00 AM

Generated on: Wednesday, March 18, 2020

 ANTONINO COMANDA EBUÑA

(Signature of Adviser over Printed Name)

: End of the Semester Date:

4/3/20 12:00 AM