School Form 1 (SF 1) School Register

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

School ID 220531 CAR Division Tabuk City District Southern Tabuk District

School Name Greenhills Elementary School School Year 2022 - 2023 Grade Level Grade 3 Section A

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)

CITY OF OLYA-
ANNIBAN,HAYDEN SAMUEL, Kalinga, Christiani
136129190003 M 09-04-2013 9 Taloctok TABUK KALINGA ANNIBAN, SAM ON,CYNTHIA,B
OLYA-ON Tanudan ty
(Capital) ANATAO,
CITY OF BAGLINIT,
Kalinga, Christiani BALANSI,DIAN
220531180001 BAGLINIT,JEREMI, BALANSI M 09-19-2012 10 Kalinga BULANAO TABUK KALINGA BANNA
Tanudan ty A,BALUNSIT,
(Capital) TAMANO
CITY OF BAGWAN, ANGNGANAY,
BAGWAN,RODERICK, Christiani
136086190072 M 08-20-2014 8 Ilocano Kalinga BULANAO TABUK KALINGA ROMNICK TIFFANY,ADD
ANGNGANAY ty
(Capital) BALAWAN ONGAN,
BANTOL,
BANTOL,ROVIC KLINTH, Christiani LOWER SALIDA,RONA,
136089190021 M 12-06-2013 8 Ilocano Kalinga TANUDAN KALINGA VICTOR
SALIDA ty LUBO NAGANAG,
LIWAYAN
CITY OF DAGUIO, ALLEG,BERNA
Christiani
136086180224 DAGUIO,RONNIE JUDE, ALLEG M 09-16-2013 9 Iloko Kalinga BULANAO TABUK KALINGA RONALD DETH,OLYA-
ty
(Capital) WAYAGWAG ON,
CITY OF
DAWANGON,JOSHUA, Kalinga, Christiani DAWANGON, DAODAOEN,AB
220531170001 M 09-17-2011 11 Lubo BULANAO TABUK KALINGA
DAODAWEN Tanudan ty ELOR JHUN - IGAIL,-,
(Capital)
CITY OF DUGUIANG, CALING,RENAI
DUGUIANG,JOREN EUN, Christiani
406194190006 M 05-30-2014 8 Ilocano BULANAO TABUK KALINGA JOEL DA,MANGANIP
CALING ty
(Capital) ANDOWAG ,
CITY OF GUMANGOL,
Kalinga, Christiani CAWA,JENELY
480508190024 GUMANGOL,RANDY, JR CAWA M 03-21-2014 8 Kalinga BULANAO TABUK KALINGA RANDY
Tanudan ty N,BAKIRAN,
(Capital) BUCALEN

CITY OF WANGI,JONILY
LINGGAYO,HARVEY JAKE, Kalinga, Christiani LINGGAYO,
220530190002 M 03-01-2014 8 Lubo TABUK KALINGA NE,GUMUWAN
WANGI Tanudan ty SUMAD-EN
(Capital) G,

CITY OF MABILA,
Christiani OYA,BERNADE
220531190002 MABILA,JOHNREIN, OYA M 06-18-2014 8 Ilocano Kalinga BULANAO TABUK KALINGA JOHNWELL
ty TTE,BOSWAY,
(Capital) TANDINGAN
DAO-
MATNAO,
Kalinga, Christiani AYAN,MARY
136089170022 MATNAO,KENJI, DAO-AYAN M 07-16-2012 10 Kalinga BABBANOY TANUDAN KALINGA EMMANUEL
Tanudan ty KNOLL,GACAD
TOMOLNOC
AN,

Other CITY OF
Christiani NALLIW, JULIO ATING,EVELY
136145190007 NALLIW,JAN PAUL, ATING M 01-30-2014 8 Filipino Tinglayan BULANAO TABUK KALINGA
ty A N,ALSIYAO,
Language (Capital)

CITY OF SALEBAD, MABUNOT,MA

Christiani
406194190010 SALEBAD,HOSEA, MABUNOT M 11-22-2013 8 Ilocano BULANAO TABUK KALINGA ARNOLD LIM RY
ty
(Capital) BANATAO PEE,PARTIDA,
rn Tabuk District I

REMARKS

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

Face to Face

Face to Face

T/I
Face to Face DATE:2022-
08-22
T/I
Face to Face DATE:2022-
11-28
T/I
Face to Face DATE:2022-
09-06
NLS
Face to Face DATE:2022/11/
04
T/O
Face to Face DATE:2023/02/
01

Face to Face

Face to Face

Face to Face

T/O
Face to Face DATE:2022/10/
11

T/I
Face to Face DATE:2023-
03-20

Face to Face
 CITY OF TABBANG,
Christiani OLLIN,NELIA,B
220531190003 TABBANG,ANDI, OLLIN M 06-12-2014 8 Ilocano Lubo BULANAO TABUK KALINGA AMADO
ty ALLOG,
(Capital) MALAWIS

14 <=== TOTAL MALE

CITY OF AGAGON, WACKISAN,CH

Christiani
220531190004 AGAGON,ANITA, WACKISAN F 02-25-2014 8 Ilocano Lubo BULANAO TABUK KALINGA JULIAN JR ARETH,BALAIS
ty
(Capital) BAWANTA ,

CITY OF AQUINO,
Christiani ANGNAS,BELLI
136086190021 AQUINO,JANE, ANGNAS F 01-27-2014 8 Iloko Kalinga BULANAO TABUK KALINGA LORENZO
ty A,OLYA-ON,
(Capital) RAGUINDIN JR

BALDO, MACASADDOG
BALDO,JOHANA, Christiani SAN RIZAL
136078190007 F 06-07-2014 8 Iloko Kalinga KALINGA DEXTER ,ANALIZA,GUZ
MACASADDOG ty FRANCISCO (LIWAN)
SORAD MAN,

CITY OF DAO-AYAN, GUMANGOL,FL

Christiani
136086190163 DAO-AYAN,JOFRIL, GUMANGOL F 11-22-2013 8 Ilocano Kalinga BULANAO TABUK KALINGA JOHN ORIDA,BUCAL
ty
(Capital) GACADAN EN,
CITY OF ETONG,
Kalinga, Christiani BANGAYAN,IR
136158190010 ETONG,JORHINE, BANGAYAN F 02-12-2014 8 Kalinga BALAWAG TABUK KALINGA CADATAL
Southern ty ENIA,SEYAO,
(Capital) JOKER
CITY OF MABILA,
Christiani DILLAGA,JENN
220531190005 MABILA,ROGIELYN, DILLAGA F 06-18-2014 8 Ilocano Lubo BULANAO TABUK KALINGA ROMEO
ty Y,BALICAO,
(Capital) TANDINGAN

CITY OF MALAWIS, BATOY,DHIOL

Christiani
136089190031 MALAWIS,CLAINA, BATOY F 07-22-2014 8 Ilocano Kalinga TABUK KALINGA CHRISTIAN LA,TALLONGO
ty
(Capital) LOUIE MALASI N,

CITY OF MALAWIS,
MALAWIS,PSYCHIE MYR, Christiani DAMMAY,SAN
136089180092 F 02-01-2013 9 Ilocano Kalinga TABUK KALINGA CLANDY
DAMMAY ty DRA,OLLASIC,
(Capital) MALASI

8 <=== TOTAL FEMALE

22 <=== 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 JOAN MUNDA DALILIS
Date MALE 12
Balik Aral B/A Name of school last attended & Year JELINE SALITAN BADING (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 8
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 20
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Friday, July 7, 2023

 Face to Face

Face to Face

T/I
Face to Face DATE:2022-
08-22

T/I
DATE:2022-
Face to Face 08-22T/O
DATE:2023/01/
04

Face to Face

T/I
Face to Face DATE:2022-
08-22

Face to Face

Face to Face

T/I
Face to Face DATE:2022-
08-22

DA DALILIS

ead over Printed Name)

EoSY Date:

d thru LIS