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

School Name Sampaguita National High Schools School ID 304733 District Veruela I Division Agus

Semester First Semester School Year 2020 - 2021 Grade Level Grade 11 Track and Strand

Section DEMETER Course (for TVL only) Bread and Pastry Production (NC II), Cookery (NC II), Food

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 Ma
Friday Father's Name (Last
Name (Last N
House #/ Street/ Sitio/ Purok Barangay Municipality/ City Province Name, First Name, Middle
June Name)
First Name, M
Name)

SAMPAGUIT AGUSAN DEL BELLEZA, ZALDE CUDO,SHIRL

131914090026 BELLEZA,JOMARIE CUDO M 09/19/2003 16 Christianity VERUELA
A SUR ESPANOL MPOS,

1 <=== TOTAL MALE

NUMANCIA,
SAMPAGUIT AGUSAN DEL ALBESO, SELVESTRE
131914090007 ALBESO,JUDY NUMANCIA F 06/18/2002 17 Christianity VERUELA MARIE,MAN
A SUR ESTRADA JR
G,

SAMPAGUIT AGUSAN DEL ALBITE,ANT

131914060003 ALBITE,ANGELICA DAGAT F 07/20/2001 18 Christianity VERUELA
A SUR A,DAGAT,

SAMPAGUIT AGUSAN DEL AMONG, ROLLY BABAT,MER

131894090002 AMONG,REGELYN BABAT F 05/20/2004 16 Christianity VERUELA
A SUR BANGONON TINOY,

SAMPAGUIT AGUSAN DEL BACUDAN, JESTONY TINOY,CECIL

131912090004 BACUDAN,JENNYCEL TINOY F 04/05/2004 16 Christianity VERUELA
A SUR DAMA AIDLOS,
SAMPAGUIT AGUSAN DEL BACUDAN, JOLIE TAGUE,ALM
131912130026 BACUDAN,JOLINA TAGUE F 11/30/2004 15 Christianity VERUELA
A SUR DAMA VES,

MAGSAYSA AGUSAN DEL CABAJAGA, ROBERT LOPEZ,NEMI

131911090005 CABAJAGA,LADY ALYANNA LOPEZ F 05/22/2003 17 Christianity VERUELA
Y SUR SY MALLORCA,

SAMPAGUIT AGUSAN DEL CELADES, NOLI UTBO,MARIT

131914090041 CELADES,MARIA KRISTINA CASSANDRA UTBO F 07/21/2003 16 Christianity VERUELA
A SUR COLIS ERIC,

SAMPAGUIT AGUSAN DEL CESAR, JESUS PICORRO,ME

131914090045 CESAR,CRISTINE PICORRO F 01/01/2004 16 Christianity VERUELA
A SUR BALDOS E,KILESTE,

AGUSAN DEL DADONG, EDGAR HINAMPAS,E

131900080009 DADONG,MARY GRACE HINAMPAS F 11/11/2003 16 Christianity CAIGANGAN VERUELA
SUR PASTOR SR A,BUCIO,

SAMPAGUIT AGUSAN DEL DUROJA, CRICENCIO ALBARIDA,L

131914090055 DUROJA,FLORAME ALBARIDA F 11/18/2003 16 Christianity VERUELA
A SUR CALDO ,AUNZO,

AGUSAN DEL ENCALLADO, LIBANON,BE

131900090016 ENCALLADO,JENAMAE LIBANON F 10/06/2004 15 Christianity CAIGANGAN VERUELA
SUR RONALD SALAZAR A,AGUILON,
F1-SHS)

Agusan del Sur Region CARAGA

Technical-Vocational-Livelihood Track

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

CUDO,SHIRLY,CA
PARENT Modular (print)
MPOS,

NUMANCIA,ROSE
MARIE,MANDON PARENT Modular (print)
G,

ALBITE,ANTONIN NLS
Modular (print)
A,DAGAT, DATE:2020/11/15

BABAT,MERLYN,
PARENT Modular (print)
TINOY,

TINOY,CECILE,M
PARENT Modular (print)
AIDLOS,
TAGUE,ALMA,TE
PARENT Modular (print)
VES,

LOPEZ,NEMILYN,
PARENT Modular (print)
MALLORCA,

UTBO,MARITES,T
PARENT Modular (print)
ERIC,

PICORRO,MELAN
PARENT Modular (print)
E,KILESTE,

HINAMPAS,EDITH
Modular (print)
A,BUCIO,

ALBARIDA,LUCIA
PARENT Modular (print)
AUNZO,

LIBANON,BELIND
PARENT Modular (print)
A,AGUILON,
 SAMPAGUIT AGUSAN DEL MANCIA, MIOLE,PAUL
131914090081 MANCIA,NOBY JANE MIOLE F 11/05/2003 16 Christianity VERUELA
A SUR LEONARDO ALGER AYA,

MIBATO,
SAMPAGUIT AGUSAN DEL JOSE,JEANI,D
131894090012 MIBATO,MELJENE JOSE F 08/03/2003 16 Christianity VERUELA CARMELITO
A SUR ESIO,
GUINAREZ

CITY OF TAGUM DAVAO DEL PARAGUA,EV

131914090102 PARAGUA,JENALYN CAMPUS F 08/18/2003 16 Islam SAN ISIDRO ORTIZ, LOPITO
(Capital) NORTE N,CAMPUS,

RUELAN,
AGUSAN DEL TUMULAC,JO
131900090024 RUELAN,JUDELYN YANA F 08/20/2003 16 Christianity CAIGANGAN VERUELA DOMINADOR
SUR YN,YANA,
AQUINO

SAMPAGUIT AGUSAN DEL SENILLO, DIONESIO CERVAÑA,FE

131914090125 SENILLO,DIONAFE B F 11/06/2003 16 Christianity VERUELA
A SUR CORTEZ ZA,DELOS RE

SANTO AGUSAN DEL SERRANO, RENEBOY CALLAO,MA

131914090126 SERRANO,SHEILA GRACE CALLAO F 03/09/2004 16 Christianity LORETO
TOMAS SUR BUTALID NDAJAY,

MAGSAYSA AGUSAN DEL TALON,VILM

131911090027 TALON,MERY GRACE BERMUDEZ F 10/11/2002 17 Christianity VERUELA
Y SUR RMUDEZ,
SAMPAGUIT AGUSAN DEL
131914090131 TANJAY,JEZEL SELLANO F 02/20/2004 16 Christianity VERUELA TANJAY, ROGER SELLANO,NA
A SUR
PAGLINAWA
SAMPAGUIT AGUSAN DEL TERO, CESAR
131914090132 TERO,AILEEN JANE PAGLINAWAN F 07/13/2003 16 Christianity VERUELA ELITA,SUWA
A SUR ETABLE
G,

AGUSAN DEL TOMAS, SANIEL SUAN,CEREL

131900090030 TOMAS,SUNSHI SUAN F 06/13/2003 16 Christianity CAIGANGAN VERUELA
SUR AGUSTIN NAVARRO,

AGUSAN DEL TOMAS, SANIEL SUAN,CEREL

131900090031 TOMAS,SUNSHINE SUAN F 06/13/2003 16 Christianity CAIGANGAN VERUELA
SUR AGUSTIN NAVARRO,

AGUSAN DEL ASUNCION,S

131900090033 UTAG,CHRISTYL JOY ASUNCION F 07/02/2002 17 Christianity CAIGANGAN VERUELA
SUR Y,,

CITY OF AGUSAN DEL VALDUESA, ADLAWON,V

131914090136 VALDUESA,MELANIE JOY ADLAWAN F 02/23/2004 16 Christianity MABUHAY
BAYUGAN SUR ALFONSO RAMOS NIA,MARAV

SAMPAGUIT AGUSAN DEL VIÑAN, ROGELIO CORTEZ,MA

131914090139 VIÑAN,MYRA FLOR CORTEZ F 05/08/2002 18 Christianity VERUELA
A SUR GOMERA SR OTLAG,

25 <=== TOTAL FEMALE

26 <=== 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

Transfered Out T/O CCT Receipient CCT CCT Control/reference number &
Effectivity Date MALE 1
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 LWE Specify Exceptionality of the Learner
Exceptionality FEMALE 25 Beginning of the Semes
Accelerated ACL Specify Level & Effectivity Date

TOTAL 26
8/1/20 12:00 AM

Generated on: Monday, May 3, 2021

MIOLE,PAULINA,J
PARENT Modular (print)
AYA,

OSE,JEANI,DION
PARENT Modular (print)
ESIO,

PARAGUA,EVELY
Modular (print)
N,CAMPUS,

T/I DATE:2020-08-
TUMULAC,JOCEL
Modular (print) 03NLS
YN,YANA,
DATE:2020/12/01

CERVAÑA,FEDELI
PARENT Modular (print)
ZA,DELOS REYES,

CALLAO,MARY,LI
PARENT Modular (print)
NDAJAY,

TALON,VILMA,BE
PARENT Modular (print)
RMUDEZ,

SELLANO,NAME,, Modular (print)

PAGLINAWAN,AM
ELITA,SUWAYAN PARENT Modular (print)
G,

SUAN,CERELINA,
PARENT Modular (print)
NAVARRO,

SUAN,CERELINA,
PARENT Modular (print)
NAVARRO,

ASUNCION,SHERL
PARENT Modular (print) T/I DATE:2020-08-08
Y,,

ADLAWON,VIRGI
RELATIVE Modular (print) T/I DATE:2020-08-03
NIA,MARAVILLA,

CORTEZ,MARITA,
Modular (print)
OTLAG,

d by;

LEONORA MAYO AWI

(Signature of Adviser over Printed Name)

ng of the Semester Date: End of the Semester Date:

12:00 AM 2/5/21 12:00 AM