School Form 1 (SF 1) School Register

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

School ID 123833 Region VIII Division Samar (Western Samar) District Tarangnan

School Name Balugo ES School Year 2020 - 2021 Grade Level Grade 6 Section CARINOSA

GUARDIAN
AGE ADDRESS PARENTS
(if Not Parent)
as of MOTHER Contact

Sex (M/F)
IP
LRN
NAME BIRTH DATE 1st TONGUE
(Ethnic
RELIGIO Number of
(Last Name, First Name, Middle Name) (mm/dd/yyyy) Frida (Grade 1 N Father's Name Mother's Maiden Parent or
Group) House #/
y to 3 Only) Municipality/ (Last Name, First Name (Last Name, Guardian
Street/ Sitio/ Barangay Province Name Relationship
City Name, Middle First Name, Middle
June Purok
Name) Name)

ABOGANDA,
Christiani TARANGNA WESTERN ABADIEZ,SUSA
123833150001 ABOGANDA,AJ, ABADIEZ M 03-05-2009 11 Waray BALUGO SAMMY
ty N SAMAR NA,CABATAY,
MABINI
COMONICAL,
COMONICAL,TERRENCE Christiani TARANGNA WESTERN GABON,BEVEL
123833140007 M 11-03-2008 11 Waray BALUGO ROBERTO
VERGEL, GABON ty N SAMAR YN,AVILA,
EREÑO

PEÑARANDA,JOHN CARLO, Christiani TARANGNA WESTERN PEÑARANDA, IBAÑEZ,CLARI

123833150003 M 09-16-2009 10 Waray BALUGO
IBAÑEZ ty N SAMAR NILO LABONG TA,ASIS,

CITY OF TIZON,
TIZON,LEWIS DWYANE, Christiani GUINDAPON WESTERN BACSAL,JOVEL
193540150009 M 04-09-2009 11 Waray CATBALOG JEFFREY
BACSAL ty AN SAMAR YN,EBIAS,
AN (Capital) EDWARD JR

4 <=== TOTAL MALE

ABOGANDA,
ABOGANDA,BEATRIZ, Christiani TARANGNA WESTERN MANLANGIT,IR
123833150004 F 11-10-2008 11 Waray BALUGO AURELIO
MANLANGIT ty N SAMAR ENE,JABIEN,
MABAO
ARAGON, ABOGANDA,LO
ARAGON,ANGELICA MAE, Christiani TARANGNA WESTERN
123833140022 F 03-28-2009 11 Waray BALUGO ROMULO RELYN,LABRA
ABOGANDA ty N SAMAR
MABINI GUE,
Christiani SANTA TARANGNA WESTERN CAILO,MICHEL
123833140023 BOTERO,MERIAM, CAILO F 06-19-2009 10 Waray
ty CRUZ N SAMAR LE,,
Christiani TARANGNA WESTERN MALAGUENIO, IBAÑEZ,ALMA,
123833140021 IBAÑEZ,PRINCESS MAE, ASIS F 06-24-2009 10 Waray BALUGO
ty N SAMAR JULIUS ASIS,

Christiani TARANGNA WESTERN MACANIT, LEANDA,IMEL

123833150008 MACANIT,MANILYN, LEANDA F 09-01-2009 10 Waray BALUGO
ty N SAMAR PEDRO MABINI DA,ERRADO,

Christiani TARANGNA WESTERN PILAPIL, JOSE NONO,CRESTIN

123833150005 PILAPIL,JOANN, NONO F 03-02-2009 11 Waray BALUGO
ty N SAMAR ASIS A,GERENTE,

SALINAS, DELA
SALINAS,MARY GRACE, DELA Christiani SANTA DAVAO DEL
123682130015 F 12-12-2007 12 Waray BATO EFREN CRUZ,GENELY
CRUZ ty CRUZ SUR
COLONDRINA N,BARCOMA,

7 <=== TOTAL FEMALE

11 <=== COMBINED

List and Code of Indicators under REMARKS column

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

CARINOSA

REMARKS

Learning
Modality (Please refer to
the legend on last
page)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)
Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date MARILOU AGUILO BONITA
Date MALE 4
Balik Aral B/A Name of school last attended & Year CAREN LAZARRA MABONGGA (Signature of School Head over Printed Nam
Transfered In T/I Name of Public (P) Private (PR) School & Effectivity
Date Learner With LWD Specify (Signature of Adviser over Printed Name)
FEMALE 7
Disability
Dropped DRP Reason and Effectivity Date Accelerated ACL Specify Level & Effectivity Data
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) BoSY Date: EoSY Date:
TOTAL 11
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Wednesday, November 25, 2020

UILO BONITA

ead over Printed Name)

EoSY Date:

d thru LIS