House #/

Street/ Sitio/
Purok
Relationship
M
Christiani
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M
Christiani
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M
Christiani
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M
Christiani
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M
Christiani
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M
Christiani
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M
Christiani
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M
Christiani
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M
Christiani
ty
M
Christiani
ty
M
Christiani
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M
Christiani
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M
Christiani
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M
Christiani
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M
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School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School ID 120637 Region VII Division Negros Oriental District Vallehermoso
School Name Pinucauan ES School Year 2014 - 2015 Grade Grade 3 Section MELON
LRN
NAME
(Last Name, First Name, Middle Name)
S
e
x

(
M
/
F
)
BIRTH DATE
(mm/dd/yyyy)
AGE
as of
1st
Friday
June
MOTHER
TONGUE
(Grade 1
to 3 Only)
IP
(Ethnic
Group)
RELIGION
ADDRESS PARENTS
GUARDIAN
(if Not Parent)
Contact
Number of
Parent or
Guardian
REMARKS
Barangay
Municipality/
City
Province
Father's Name
(Last Name, First
Name, Middle
Name)
Mother's Maiden
Name (Last Name,
First Name,
Middle
(Please refer to
the legend on last
page)
120637100005. ALVAREZ, LITO GUARIN 09-06-2004 9. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
120637110008.
BARIAN, JUSTINE
GIMARANGAN
10-07-2006 7. Cebuano
Name
BARIAN
ANTONIO L
ALVAREZ,
TODEL ALBIAR
PERRY
CAPARIDA
GUARIN
TODEL A
ALVAREZ
120637120013.
CANONAYON, GEORGE
PAARES
04-02-2003 11. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
PINOCAWA
N
120637100019. CASIPONG, JIBBY PASAGDAN 02-28-2004 10. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
BARINAN,
ANTONIO LIGO
FRANCISCA
ALBENDO
GIMARANGAN
MORITO
CASIPONG
CANONAYON,
CELSO
VILLAJUAN
CECILIA STA
ANA PANARES
CECILIA STA
ANA PANARES
120637100021.
CONCEPCION, RODERICK
NAVALES
07-18-2005 8. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120637100029. ENTIENZA, ERICSON SALCEDO 08-02-2005 8. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
CASIPONG,
MORETO
MAHINAY
FELOMINA
BARCENAL
PASAGDAN
ERNESTO C
ENTIENZA
CONCEPTION,
FLORENCIO
MARTINEZ
GABRIELA
CONCEPTION
NAVALES
FLORENCIO
CONCEPCION
120637110018. FAJARDO, DEXTER JAY GABO 05-06-2006 8. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
PINOCAWA
N
120637120098.
GIMARANGAN, MELCHOR
VILLASENIOR
02-03-2004 10. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
ENTIENZA,
ERNESTO
CAPARIDA
MARICEL
NAVALES
SALCEDO
ROBERTO
GIMARANGAN
FAJARDO,
TEDDY DUCA
JOCELYN
BLANCO GABO
FAJARDO
JOCELYN
GABO
120637120038. LAOJAN, ROBERTO ALBINDO 07-17-2005 8. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
PINOCAWA
N
120637120015. LASCOA, LORENZO PITULAN 07-23-2006 7.
VALLEHERM
OSO
NEGROS
ORIENTAL
GIMARANGAN,
ROBERTO
LAIASAN
ENILIANA
VILLASENIOR
LUCIO
LASCOA
LANOJAN,
VICTORIANO
MAQUIPOTEN
LOLITA
REMACHO
ALBINDO
VICTORIANO M
LAOJAN
120637120018. MOSQUIDA, IAN TANO 08-17-2005 8. Cebuano ULAY
VALLEHERM
OSO
NEGROS
ORIENTAL
120637100063.
NAVALES, MIGUELITO
VILLARASA
04-22-2005 9. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
LACONA,
LUCIO AMANTE
JUANITA
SORENO
PITULAN
AMELIA
NAVALES
, LYDIA TANO
TELESPORO
MOSQUIDA
120637120019.
NAVARRO, CELEDONIO
CORDOVA JR
02-12-2006 8. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
PINOCAWA
N
120637120039.
NAVARRO, TERESITO
ABADANO JR
06-06-2005 9. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
NAVALES,
RONALDO
BORNEA
DOLOROSA
BANTOY
VILLARASA
TERISITO P
NAVARRO SR
NAVARRO,
CELEDONIO
EBORAS
AMELITA
VILLACAMPO
CORDOVA
CELEDONIO
SR NAVARRO
120637110042. PITULAN, JEMAR TUMACMOL 05-06-2006 8. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
PINOCAWA
N
120637090067. REDUCTO, JAYMAR DORIMON 11-09-2003 10. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
NAVARRO,
TERESITO
PANTILANAN
ROSALINDA
TANESA
ABADANO
JESUS O
REDUCTO
PITULAN, FELIX
MAYONILA
GORGONIA
CALAGO
TUMACMOL
FELIX
120637100085. REVILLA, NIO RODREGUEZ 08-18-2002 11. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
PINOCAWA
N
120637090075.
SARONA, CLENTH JOHNSON
ZABALA
02-16-2004 10. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
REDUCTO,
JESUS ONDING
MARIANNE
ESTRADA
DORIMON
ROBERTO P
SARONA
Revilla, Teodosio
EVANGELINE
RODREQUEZ
MODESTA
REVILLA
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
SARONA,
ROBERTO
PANSOY
IRISH ZABALA
M
Christiani
ty
M
Christiani
ty
M
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
Indicator Code BoSY
21.
16
120637100093. TAO, EFREN HILARDEZ 04-16-2005 9. Cebuano ULAY
VALLEHERM
OSO
NEGROS
ORIENTAL
120637120021. TAO, JHONNY CANOY 06-17-2006 7. Cebuano
DIONESIO D
TAO
TAO,
PONCIANO
CANOY
BONIFACIA
SOTERIO
HILARDEZ
PONCIANO C
TAO
120637100100. TRAYA, ROBERT AMOSCO 09-13-2005 8. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
ULAY
21 <=== TOTAL MALE
VALLEHERM
OSO
NEGROS
ORIENTAL
TAO,
DIONESIO
BASILISA
CERVAN
CANOY
TRAYA,
ROBERTO
CAPARIDA
CELIA
ENTIENZA
AMOSCO
ROBERTO C
TRAYA
120637100011.
BACQUIANO, ROSLYN
BACQUIANO
09-02-2004 9. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
120637110011. CANDIA, ANGELA GUARIN 12-18-2005 8. Cebuano
ROSALINDA G
CANDIA
DAGLE,
ERNESTO
MEJERES
EVANGELINE
OLAGADA
BACQUIANO
ERNESTO
ENGUE
120637110013.
CASIPONG, MAILENE
PASAGDAN
11-27-2005 8. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
PINOCAWA
N
120637100030.
EPANTO, CATHERINE
OBEDENCIO
11-25-2004 9. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
,
ROSALINDA
TRIBUCIO
GUARIN
FRANCISCO
EPANTO
,
FELOMINA B
PASAGDAN
MORITO M
CASIPONG
120637110015. ERAN, MARLENE BABOR 07-03-2006 7. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
ULAY
120637110025. LASPONIA, GERAMIE AMANCIA 11-07-2005 8. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
EPANTO,
FRANCISCO
RIVERA
JULIANA
VILLEGAS
OBEDENCIO
DEMLO
ERAN,
MARCELINO
CUEVAS
LILIA CARALDE
BABOR
MARCELINO
120637110026. LASPONIA, MARYROSE BAYA 11-23-2005 8. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
PINOCAWA
N
120641110029. MALINAO, RICHELE ACOSTA 12-30-2005 8. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
,
ELVIRA BABOR
AMANCIA
RENATO P
MALINAO
LASPONIA,
CERILO
ABADANO
MA RANELINA
ONGRIA BAYA
RANELINA B
LASPONIA
120637110030.
MANOLONG, JONALYN
SAYSON
05-05-2006 8. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
PINOCAWA
N
120641110035. NAVALES, DIANNE SOTERIO 05-06-2006 8. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
MALINAO,
RENATO
PANSOY
JOAN ACOSTA
RONDIO C
NAVALES
MANOLONG,
FULGENCIO
ELLARDO
MARILYN
CALAGO
SAYSON
FULGENCIO
120637110035.
NAVALES, MARIA LOTA
VILLARASA
06-23-2006 7. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
ULAY
120637100066. PAARES, KAREN QUIRABO 12-03-2004 9. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
NAVALES,
RONDIO
CAPARIDA
LILI SOTERIO
ALEJANDRO S
PANARES
NAVALES,
RONALDO
BORNEA
DOLOROSA
BANTOY
VILLARASA
RONALDO B
NAVALES
120637110039. PASCO, MARYJANE LAPIS 03-27-2006 8. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
PINOCAWA
N
120637100076. PLACER, ROSELYN ALBIAR 01-11-2005 9. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
,
CRESENCIA
GENERALAO
QUIRABO
LETTY
ESPARGOSA
PLACER
,
AVELINA
CONCEPCION
LAPIS
CEASARIO A
PASCO
120637120044.
STA ANA, DAISY MAE
ARQUISAL
12-27-2004 9. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
PINOCAWA
N
120637100099. TRAYA, MICHELLE AMOSCO 05-09-2004 10. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
,
LETTY
ESPARGOSA
PLACER
ROBERTO C
TRAYA
, JOSE
BUSTAMANTE
PAULINA
HEMINA
ARQUISAL
JOSE B STA
ANA
16 <=== TOTAL FEMALE
PINOCAWA
N
37 <=== COMBINED
VALLEHERM
OSO
NEGROS
ORIENTAL
TRAYA,
ROBERTO
CAPARIDA
CELIA
ENTIENZA
AMOSCO
List and Code of Indicators under REMARKS column
Code Required Information Indicator Required Information REGISTERED
Transfered Out
Transfered In
Dropped
T/O
T/I
DRP
LE
Name of Public (P) Private (PR) School &
Effectivity Date
Name of Public (P) Private (PR) School &
Effectivity Date
Reason and Effectivity Date
Reason (Enrollment beyond 1st Friday of
CCT Receipient
Balik Aral
Learner With
Disability
Accelerated
CCT
B/A
LWD
ACL
EoSY
Prepared by; Certified Correct:
EDA DENAPO GENTILES MARIA THERESA M. ARRIETA
FEMALE
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
CCT Control/reference number & Effectivity Date
Name of school last attended & Year
Specify
Specify Level & Effectivity Data
MALE
37
Transfered Out
Transfered In
Dropped
T/O
T/I
DRP
LE
Name of Public (P) Private (PR) School &
Effectivity Date
Name of Public (P) Private (PR) School &
Effectivity Date
Reason and Effectivity Date
Reason (Enrollment beyond 1st Friday of
CCT Receipient
Balik Aral
Learner With
Disability
Accelerated
CCT
B/A
LWD
ACL TOTAL
Revision 4
BoSY Date: EoSY Date: BoSY Date: EoSY Date:
Generated on: Wednesday, August 13, 2014 1:37:50 PM
CCT Control/reference number & Effectivity Date
Name of school last attended & Year
Specify
Specify Level & Effectivity Data