School Form 1 (SF 1) School Register

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

School ID 307005 Region III Division Tarlac

School Name Sta. Juliana High School (O'Donnell HS Annex) School Year 2022 - 2023 Grade Level Grade 9 (Year Section MAPAGMALASAKIT

GUARDIAN
ADDRESS PARENTS REMARKS
(if Not Parent)
Age MOTHER Contact

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

Kapampa Christiani ABOC, DUNGCA,MARI

106387130001 ABOC,RODRIGO, III DUNGCA M 09-29-2008 14 Aeta MARUGLU CAPAS TARLAC Face to Face
ngan ty RODRIGO P JR BETH,VALDEZ,

BONDOC, LAXAMANA,JO NLS

Kapampa Christiani
106387120005 BONDOC,RODELIO, LAXAMANA M 10-08-2005 17 Aeta MARUGLU CAPAS TARLAC ROGELIO VELYN,TARRO Face to Face DATE:2023/01/
ngan ty
CAPIZ ZA, 13
CAPITULO,
Kapampa Christiani SANTA LUNDANG,APR
106389130121 CAPITULO,ARNEL, LUNDANG M 12-23-2006 15 CAPAS TARLAC CONRAD Face to Face
ngan ty JULIANA IL,,
CADIANG

Pampang
an/
Christiani SANTA CATUBIG, ESTRADA,MIR
106389130081 CATUBIG,KOBE, ESTRADA M 08-25-2008 14 Kapampa CAPAS TARLAC Face to Face
ty JULIANA BERNARDO G ASOL,O,
ngan/
Pampan

CELESTINO,
Kapampa Christiani SANTA LIM,EVELYN,B
106389130082 CELESTINO,KEN GIAN, LIM M 03-07-2008 14 CAPAS TARLAC ARIEL Face to Face
ngan ty JULIANA ANAAG,
GUTIERREZ
DAVID,
Kapampa Christiani SANTA VALANTIN,LOT
106389130083 DAVID,GIAN JAMES, VALANTIN M 08-28-2008 14 CAPAS TARLAC HAROLD Face to Face
ngan ty JULIANA LOT,,
CABRERA
GUTIERREZ,JE
Kapampa Christiani SANTA DOLIT, NOEL
106389130122 DOLIT,JIMMUEL, GUTIERREZ M 11-11-2007 14 CAPAS TARLAC NNIFER,SALUN Face to Face
ngan ty JULIANA CELESTINO
SON,
ESPIRITU,
Kapampa Christiani SANTA LAYUG,JOCEL
106389130123 ESPIRITU,ALEXZ JOEH, LAYUG M 04-22-2008 14 CAPAS TARLAC ALEX Face to Face
ngan ty JULIANA YN,SANCHEZ,
LAXAMANA
T/I
DATE:2022-
Christiani SANTA GALANG, FELISMINO,JUL 08-22
160001160058 GALANG,RANIE, FELISMINO M 08-17-2004 18 Sambal Aeta CAPAS TARLAC Face to Face
ty JULIANA RICKY IETA,, NLS
DATE:2023/01/
31
GONZALES, MAGANACA,DI NLS
Kapampa Christiani
160002120072 GONZALES,DIRIS, DELA CRUZ M 06-17-2006 16 Aeta MARUGLU CAPAS TARLAC ROBERT VINA,DELA Face to Face DATE:2023/01/
ngan ty
SANCHEZ CRUZ, 31
GUTIERREZ, DELA
GUTIERREZ,JEFFREY, DELA Kapampa Christiani SANTA
106389120015 M 12-11-2004 17 Abeling CAPAS TARLAC ROMEDES CRUZ,TINA,AT Face to Face
CRUZ ngan ty JULIANA
CAPSIAO ANACIO,

Kapampa Christiani SANTA INFANTE, GUTIERREZ,JE

106389130087 INFANTE,JESTER, GUTIERREZ M 02-03-2008 14 CAPAS TARLAC Face to Face
ngan ty JULIANA JULIUS JUANTA NNY,GALANG,

JIMENEZ, BANAAG,TERE
Kapampa Christiani SANTA
106389130088 JIMENEZ,JACK, BANAAG M 03-25-2008 14 CAPAS TARLAC JOSEFINO SITA,CALUGAY Face to Face
ngan ty JULIANA
MEDINA ,
GUTIERREZ,M NLS
Kapampa Christiani SANTA JUAN, JUNIOR
160016130018 JUAN,JERALD, MARCOLINO M 12-01-2007 14 Abelling CAPAS TARLAC ARCOLINO,MA Face to Face DATE:2022/11/
ngan ty JULIANA PETILO
RIBEL, 23
LAXAMANA, ESTABILLO,MI
LAXAMANA,GERALD, Kapampa Christiani SANTA
106389130089 M 03-04-2008 14 CAPAS TARLAC GILBERT TCHEL,SOLIVE Face to Face
ESTABILLO ngan ty JULIANA
ASTOR N,

Kapampa Christiani LAYUG, EFREN SANCHEZ,KAR

160019130003 LAYUG,ELDRINE, SANCHEZ M 10-17-2008 14 Aeta MARUGLU CAPAS TARLAC Face to Face
ngan ty CAPIZ EN,FAJARDO,

LUNDANG,
LUNDANG,PATRICK, Kapampa Christiani MANALANG,GI
106387130005 M 07-11-2008 14 MARUGLU CAPAS TARLAC ARMANDO Face to Face
MANALANG ngan ty NA,QUILALA,
ABAD
 OCAMPO, NLS
Christiani SANTA HERMOSO,SUS Modular
106389130030 OCAMPO,ARON, HERMOSO M 06-29-2002 20 Sambal Aeta CAPAS TARLAC ARMANDO DATE:2022/10/
ty JULIANA AN,DUABIS, (print)
FRONDA 14
REYES, CELESTINO,MA
REYES,FRANCE HANNIEL, Kapampa Christiani SANTA
106389120110 M 02-12-2007 15 CAPAS TARLAC FRANSISCO RIETTA,GALAN Face to Face
CELESTINO ngan ty JULIANA
CAPITLY G,
SANCHEZ,
Kapampa Christiani FAJARDO,LUIS
106387120059 SANCHEZ,JAYLLO, FAJARDO M 03-21-2005 17 Aeta MARUGLU CAPAS TARLAC JAMBO Face to Face
ngan ty A,TARROZA,
SANTOS
VELASCO,ALDRED JAY, DELA Kapampa Christiani SANTA VELASCO, DELA
106389140055 M 07-18-2008 14 CAPAS TARLAC Face to Face
CRUZ ngan ty JULIANA ALBERT CRUZ,EDNA,,

21 <=== TOTAL MALE

T/I
Sambal, Christiani ATANACIO, DOLANDOLAN,
160515130034 ATANACIO,RICA, GOMEZ F 09-20-2006 16 Aeta VILLAR BOTOLAN ZAMBALES Face to Face DATE:2022-
Botolan ty RICKY DIAGO HILDA,GOMEZ,
08-22
BALAGTAS,
Kapampa Christiani FRONDA,ANNA
106803130040 BALAGTAS,AIESSA, FRONDA F 11-02-2007 14 Aeta MARUGLU CAPAS TARLAC MAXIMO Face to Face
ngan ty BELLE,MORA,
PABLO
BONDOC, LAXAMANA,JO
BONDOC,JOMELYN, Kapampa Christiani
106387130007 F 05-03-2008 14 Aeta MARUGLU CAPAS TARLAC ROGELIO VELYN,TARRO Face to Face
LAXAMANA ngan ty
CAPIZ ZA,
CAPIZ,
Christiani SANTA GONZALES,GIN
106389130068 CAPIZ,GIRLIE, GONZALES F 11-12-2006 15 Sambal Aeta CAPAS TARLAC FREDDIE Face to Face
ty JULIANA A,CAPUAN,
GUTIERREZ
CAPUTOL,
CAPUTOL,MA. KATRINA Kapampa Christiani SANTA LENON,JENNIF
106389130142 F 11-29-2007 14 CAPAS TARLAC ALBERT Face to Face
CAMILLE, LENON ngan ty JULIANA ER,CAPIRAL,
GARCIA
NLS
CORPUZ,SARAH JOY, Kapampa Christiani CORPUZ, RIZAL MANALANG,M
106387130009 F 03-10-2008 14 MARUGLU CAPAS TARLAC Face to Face DATE:2022/12/
MANALANG ngan ty E YRA,QUILALA,
01
DE LEON, ESTRADA,JOSE
Christiani SANTA
160001130051 DE LEON,CRIS JOY, ESTRADA F 01-30-2007 15 Sambal Aeta CAPAS TARLAC CRISANTO PHINE,MENDO Face to Face
ty JULIANA
GAMBOA ZA,
DELA CRUZ,
Christiani SANTA EUGENIO,MARI
106389120042 DELA CRUZ,CRISTINE, EUGENIO F 07-22-2007 15 Sambal Aeta CAPAS TARLAC TINTIN Face to Face
ty JULIANA CRIS,,
OCAMPO
DELA CRUZ, PANGILINAN,M
DELA CRUZ,MARY JANE, Kapampa Christiani SANTA
106389130110 F 07-01-2008 14 CAPAS TARLAC DAVID ARY Face to Face
PANGILINAN ngan ty JULIANA
BAUTISTA ANN,NOYNOY,
CAPSIAO,GUTI
Christiani SANTA DIAZ, ROMY
106389140060 DIAZ,JOANNE, GUTIERREZ F 04-30-1997 25 Sambal Aeta CAPAS TARLAC ERREZ,MERLIT Face to Face
ty JULIANA LACSAMA
A,

Christiani MAKAWAY MARINDUQU FABUL, RAUL RUEDA,ELSA,S

110022130027 FABUL,LYKA, RUEDA F 07-03-2008 14 Tagalog TORRIJOS Face to Face
ty AN E FABRERO ALAZAR,
NLS
Kapampa Christiani GUANLAO,
106387110016 GUANLAO,JENNIFER, CAPIZ F 01-10-2005 17 Aeta MARUGLU CAPAS TARLAC CAPIZ,LINDA,, Face to Face DATE:2023/03/
ngan ty EDGAR
01
Pampang
an/ GUTIERREZ, NLS
GUTIERREZ,TRIXIE JOY, Christiani SANTA LUNDANG,LER
106389130111 F 09-14-2007 15 Kapampa Abelling CAPAS TARLAC CHRISTOPHER Face to Face DATE:2023/01/
LUNDANG ty JULIANA NA,RAZON,
ngan/ GALANG 31
Pampan

JIMENEZ,PRESCILA MAE, Kapampa Christiani SANTA JIMENEZ, ALEX BANAAG,MARI

106389130135 F 08-31-2008 14 Aeta CAPAS TARLAC Face to Face
BANAAG ngan ty JULIANA SISON TA,CALUGAY,

LABONG,GERA
Kapampa Christiani LAYUG, EDGAR
106705130097 LAYUG,ELLA GRACE, LABONG F 09-04-2008 14 Aeta MARUGLU CAPAS TARLAC LDINE,CARREO Face to Face
ngan ty LUAT
N,
LESCANO, BILGERA,MYL
LESCANO,LIYAH NHEL, Kapampa Christiani SANTA
106389130132 F 01-24-2008 14 CAPAS TARLAC NELSON ENE,CELESTIN Face to Face
BILGERA ngan ty JULIANA
MOLINA O,
PANGILINAN,
Kapampa Christiani SANTA MEJIA,TESSIE,R
106389130096 PANGILINAN,DIANA, MEJIA F 09-30-2007 15 CAPAS TARLAC FELICIANO Face to Face
ngan ty JULIANA ETRATO,
PUNTEJA
FELECIANO,M
QUIMENALES,RHIAN, Kapampa Christiani QUIMINALES,
106387130020 F 10-21-2008 14 Aeta MARUGLU CAPAS TARLAC ARY Face to Face
FELECIANO ngan ty RUBEN D
ANN,GARCIA,
Christiani SANTA RAMOS, TAROSA,ELMA,
160001120035 RAMOS,WIENNIE, TAROSA F 05-31-2003 19 Sambal Aeta CAPAS TARLAC Face to Face
ty JULIANA WARTAN ,
 SAMSON,BERL
Kapampa Christiani SANTA REOTRO, JAY-
106389130134 REOTRO,LADY LAINE, SAMSON F 07-10-2008 14 CAPAS TARLAC YN,TAMONDO Face to Face
ngan ty JULIANA AR VERGARA
NG,

Kapampa Christiani SANTA GUTIERREZ,NO

106389130133 REYES,VALERIE, GUTIERREZ F 11-10-2007 14 CAPAS TARLAC REYES, WILSON Face to Face
ngan ty JULIANA RALYN,,

Pampang
an/
Christiani SANTA RUEDA, RAMIL BAUN,ALMA,C
106389140037 RUEDA,SHINE SHANE, BAUN F 09-06-2008 14 Kapampa Aeta CAPAS TARLAC Face to Face
ty JULIANA SALAZAR APIENDO,
ngan/
Pampan

SUMAWANG,
SUMAWANG,CATHERINE, Kapampa Christiani SANCHEZ,BRIN
106387140063 F 09-07-2006 16 Aeta MARUGLU CAPAS TARLAC UTOS Face to Face
SANCHEZ ngan ty GGA,G,
BALINTAY
DELA
TABUNDAY,ANGELICA, DELA Christiani SANTA TABUNDAY,
106389140038 F 07-05-2006 16 Sambal Aeta CAPAS TARLAC CRUZ,MARLYN Face to Face
CRUZ ty JULIANA JOE
,,
VICTORIA, NLS
Kapampa Christiani VICTORIA,ROS
106387130073 VICTORIA,KAYCEE, VITUG F 01-08-2005 17 Aeta MARUGLU CAPAS TARLAC GEORGE Face to Face DATE:2022/11/
ngan ty E,,
VALDES 28
NLS
Kapampa Christiani VITUG, JOEL IGNACIO,BERN
106387130092 VITUG,ANGIE, IGNACIO F 04-28-2008 14 Aeta MARUGLU CAPAS TARLAC Face to Face DATE:2023/03/
ngan ty CABALIC ADETH,CAPIZ,
01

26 <=== TOTAL FEMALE

47 <=== 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 LIEZL M. SANCHEZ
Date MALE 20
Balik Aral B/A Name of school last attended & Year LEA ANGELICA C DIZON (Signature of School Head over Printed Name)
Transfered In T/I Name of Public (P) Private (PR) School & Effectivity
Date Learner With LWD Specify (Signature of Adviser over Printed Name)
FEMALE 26
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 46
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Wednesday, June 14, 2023