School Form 1 (SF 1) School Register

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

School ID 131745 CARAGA Division Agusan del Sur District Loreto North

School Name Sto. Tomas Elementary School School Year 2022 - 2023 Grade Level Grade 1 Section OKRA

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 Father's Name Mother's Maiden Parent or
Group) House #/
er 31 to 3 Only) Municipality/ (Last Name, First Name (Last Name, Guardian
Street/ Sitio/ Barangay Province Name Relationship
City Name, Middle First Name, Middle
Purok
Name) Name)

BADAO, LAPNO,ARLYN,
Manobo Christiani SANTO AGUSAN DEL
131745210008 BADAO,ARNOLD JHON, LAPNO M 08-06-2013 9 Manobo LORETO ROGER MANGUINIMB
Agusan ty TOMAS SUR
TAWIDE A,

BADAO, LAPNO,ARLYN,
Manobo Christiani SANTO AGUSAN DEL
131745190076 BADAO,COVI, PASTOR M 06-17-2011 11 Manobo LORETO ROGER MANGUINIMB
Agusan ty TOMAS SUR
TAWIDE A,

ESPINOSA,RIC
CRISALDO,
CRISALDO,CHRISTIAN, Christiani AGUSAN DEL A
131721210003 M 06-22-2016 6 Cebuano Manobo WALOE LORETO JONIEL JOSEPH
ESPINOSA ty SUR JOY,CANAVER
CABOGO
AL,

Cebuano
/ ESPAÑA,
Christiani SANTO AGUSAN DEL BADAO,RAQUE
131745210076 ESPAÑA,GABRIEL, BADAO M 09-20-2016 6 Sinugbua LORETO RONDY
ty TOMAS SUR L,S,
nong ENDRIO
Binisay

Cebuano
/ EULLONE,CAR
MAGADAN,CJ CARL ISRAEL, Christiani SANTO AGUSAN DEL MAGADAN,
131745210037 M 05-23-2016 6 Sinugbua Manobo LORETO LITA,PERAMID
EULLONE ty TOMAS SUR JESSIE OROCIO
nong E,
Binisay

Manobo Christiani SANTO AGUSAN DEL MONTADAS, TAWIDE,MELA

131745210060 MONTADAZ,ANDRO, TAWIDE M 11-02-2015 6 Manobo LORETO
Agusan ty TOMAS SUR ROLDAN UTAG NIE,SANGGOD,

MONZO, ABUNDA,EVAN
Manobo Christiani SANTO AGUSAN DEL
131745190074 MONZO,ETHAN, ABUNDA M 06-15-2013 9 Manobo LORETO ROLANDO GELINE,CORTE
Agusan ty TOMAS SUR
PRAJES Z,
MONZO,
Manobo Christiani SANTO AGUSAN DEL
131745210062 MONZO,JUNRICK, MANLANGIT M 08-20-2015 7 Manobo LORETO RONNIE
Agusan ty TOMAS SUR
PRAJES

8 <=== TOTAL MALE

Cebuano
/
Christiani SANTO AGUSAN DEL ACERO,
131745210020 ACERO,JELEAN, UTAG F 11-04-2015 6 Sinugbua Manobo LORETO UTAG,DIVINA,,
ty TOMAS SUR RONNIE
nong
Binisay

BADAO, LAPNO,ARLYN,
Manobo Christiani SANTO AGUSAN DEL
131745210055 BADAO,ASHLEY, LAPNO F 03-10-2013 9 Manobo LORETO ROGER MANGUINIMB
Agusan ty TOMAS SUR
TAWIDE A,
Loreto North

OKRA

REMARKS

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

Blended

Blended

T/I
Modular
DATE:2022-
(print)
08-22

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular LWD
(print)

Modular
(print)

Modular
(print)
 CASTRO,
CASTRO,MARIA CRISSEL, Manobo Christiani SANTO AGUSAN DEL DOLORES,GIN
131745210044 F 06-13-2016 6 Manobo LORETO PABLITO
DOLORES Agusan ty TOMAS SUR A,SUBLA,
DOGMOCAN

Cebuano
/ GONZALES,MA
Christiani SANTO AGUSAN DEL CAYLO, JIMMY
131745210019 CAYLO,JENNY, GONZALES F 07-14-2016 6 Sinugbua Manobo LORETO RY
ty TOMAS SUR MARAVILLA
nong JANE,MONZO,
Binisay

CAYLO,
Manobo Christiani SANTO AGUSAN DEL ILANAN,ANALI
131745210047 CAYLO,MAY ANGEL, ILANAN F 05-23-2016 6 Manobo LORETO EDMUND
Agusan ty TOMAS SUR ZA,M,
MARAVILLA

Cebuano
/ GONZALES,
Christiani SANTO AGUSAN DEL MONZO,MARIS
131745210023 GONZALES,MYCAH, MONSO F 11-04-2014 7 Sinugbua Manobo LORETO DARMIE
ty TOMAS SUR SA,ADOLFO,
nong PASTOR
Binisay

Cebuano
/ JUNSAY,
Christiani SANTO AGUSAN DEL RULIDA,JENAF
131745210022 JUNSAY,JAYRENIA, RULIDA F 06-04-2016 6 Sinugbua Manobo LORETO JENNY
ty TOMAS SUR E,TESADO,
nong PESCUELA
Binisay

Manobo Christiani SANTO AGUSAN DEL LINDAHAY,JE-

131745210050 LINDAHAY,ANNIE ROSE, - F 08-30-2016 6 Manobo LORETO
Agusan ty TOMAS SUR ANN,TORRES,

Manobo Christiani SANTO AGUSAN DEL MARAVILLA,M

131745190059 MARAVILLA,MAVELYN, - F 08-10-2013 9 Manobo LORETO
Agusan ty TOMAS SUR ARIVIC,SUBLA,

MONTADAZ,CINDY MAE, Christiani AGUSAN DEL MONTADAS, TAWIDE,MELA

131745210054 F 05-01-2016 6 Manobo Manobo MAGAUD LORETO
TAWIDE ty SUR ROLDAN UTAG NIE,SANGGOD,

RUELO, MORGADEZ,M
Manobo Christiani SANTO AGUSAN DEL
131745210073 RUELO,ANNALIZA, MORGADEZ F 12-26-2012 9 Manobo LORETO RICARDO ARICEL,LINDA
Agusan ty TOMAS SUR
YUNGCO HAY,

11 <=== TOTAL FEMALE

19 <=== 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 BENJAMIN ODTUHAN GETUBIG
Date MALE 8
Balik Aral B/A Name of school last attended & Year LUZLY BISMAR UDTOJAN (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 11
Disability
Dropped DRP Reason and Effectivity Date Accelerated ACL Specify Level & Effectivity Data
Late Enrollment LE Reason (Enrollment beyond 1st Friday of SY) BoSY Date: EoSY Date:
TOTAL 19
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Thursday, June 8, 2023

 Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular
(print)

Modular LWD
(print)

Modular
(print)

Modular
(print)

Modular
(print)

UHAN GETUBIG

ead over Printed Name)

EoSY Date:

d thru LIS