School Form 1 (SF 1) School Register

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

School ID 303704 Region IX Division Zamboanga del Norte

School Name La Libertad National High School School Year 2023 - 2024 Grade Level Non-Graded Section NON-GRADED

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)

Christiani NEW LA ZAMBOANGA CAGAANAN, SEBIAL,DIONIS LWD

124403140012 CAGA-ANAN,JANDIL, SEBIAL M 05-16-2007 16 Cebuano Cebuano Blended
ty CARCAR LIBERTAD DEL NORTE RUDY IA,,

1 <=== TOTAL MALE

Cebuano
/ PATRIA, FLORIG,JOSEP
PATRIA,KASSANDRA LOUIES, Christiani LA ZAMBOANGA Modular LWD
104958130047 F 06-20-2008 15 Sinugbua EL PARAISO HONEY HINE,HANGCA
FLORIG ty LIBERTAD DEL NORTE (print)
nong CARPENTERO N,
Binisay

1 <=== TOTAL FEMALE

2 <=== 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 REY CALASANG BAGALANON
Date MALE 1
Balik Aral B/A Name of school last attended & Year JERALDEN MAQUILING DALMAN (Signature of School Head over Printed Name)
Transfered In T/I Name of Public (P) Private (PR) School & Effectivity
Date Special Needs SNE Specify (Signature of Adviser over Printed Name)
FEMALE 1
Education D
Dropped DRP Reason and Effectivity Date Accelerated Specify Level & Effectivity Data
Late Enrollment LE Reason (Enrollment beyond 1st Friday of SY) ACL BoSY Date: EoSY Date:
TOTAL 2
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Wednesday, April 17, 2024