School Form 1 (SF 1) School Register

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

School ID 136780 NCR Division Las Piñas City District Las Piñas City I

School Name PULANGLUPA ELEMENTARY SCHOOL - CAMELLA School Year 2021-2022 Grade Level Grade 3 Section MAKABAYAN

GUARDIAN
ADDRESS PARENTS
(if Not Parent)
Age MOTHER Contact

Sex (M/F)
IP
LRN
NAME BIRTH DATE as of TONGUE (Ethnic
RELIGIO Number of
(Last Name, First Name, Middle Name) (mm/dd/yyyy) Octob (Grade 1 N Mother's Maiden Parent or
Group) House #/ Father's Name (Last
er 31 to 3 Only) Municipality/ Name (Last Name, Guardian
Street/ Sitio/ Barangay Province Name, First Name, Name Relationship
City First Name, Middle
Purok Middle Name)
Name)

NCR ASINTO,
Christiani PULANG CITY OF LAS ASINTO, JOCY,
136780180027 ASINTO, MICHAEL JOHN,CRUZ M 01-15-2013 9 Tagalog FOURTH FRADO.
ty LUPA DOS PIÑAS CRUZ
DISTRICT BENGSON

NCR MANZANO, MANZANO,

MANZANO, MARIJOYCE Christiani PULANG CITY OF LAS
136780180027 F 11/7/2012 9 Tagalog FOURTH MARLON, ANNALIZA,
ANGELIE, ROXAS ty LUPA DOS PIÑAS
DISTRICT DACANAY ROXAS

NCR RAMIREZ, RAMIREZ,

RAMIREZ, JAN LYNNARD, Christiani PULANG CITY OF LAS
136780180027 M 10-07-2012 9 Tagalog FOURTH PAULITO, JOSIELYN,
REBUSIT ty LUPA DOS PIÑAS
DISTRICT DIZON REBUSIT

3 <=== 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 Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date MYLA JENNIE G. TAN
Date MALE 21
Balik Aral B/A Name of school last attended & Year JANNAH LYNNE MAE R. RAMIREZ (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 22
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 43
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Friday, April 15, 2022

as Piñas City I

AKABAYAN

REMARKS

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

Modular
(print)

Modular
(print)

Modular
(print)

NIE G. TAN

ead over Printed Name)

EoSY Date:

d thru LIS