School Form 1 School Register for Senior High School (SF1-SHS)

School Name Nambalan Integrated School School ID 501835 District Mayantoc

Division Tarlac Region Region III

Semester Second Semester School Year 2023 - 2024 Grade Level Grade 11 Track and Strand Academic Track -General Academic Strand

Section Molave Course (for TVL only)

GUARDIAN
COMPLETE ADDRESS PARENTS (if learner is not Living with REMARKS
Age Parent) Contact

Sex (M/F)
as of Number
NAME BIRTH DATE Mother's Maiden Learning
LRN
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy)
Octo Religious Affilication Name of Parent
Modality
ber Father's Name (Last Name (Last or (Please refer to
House #/ Street/ Sitio/ Municipality/ (Last Name, First
Barangay Province Name, First Name, Name, First Relationship Guardian the legend on last
31 Purok City
Middle Name) Name, Middle
Name, Name
page)
Extension, Middle
Name)

BALANAY,
MARIANO,LANNY
106519110002 BALANAY,JOHN LOYD MARIANO M 07/06/2006 17 Christianity NAMBALAN MAYANTOC TARLAC GREGORIO PARENT Face to Face CCT
,VILLANUEVA,
CANDELARIO
BRIONES, VIRGILIO CORPUZ,LOIDA,J
106519100008 BRIONES,JOHN REY CORPUZ M 08/28/2005 18 Christianity NAMBALAN MAYANTOC TARLAC PARENT Face to Face CCT
YADAO OSE,
OLIPAS,WENNIE
BRIONES, ABEL
106519120004 BRIONES,JONBON OLIPAS M 07/31/2007 16 Christianity NAMBALAN MAYANTOC TARLAC ROSE,PASAMON PARENT Face to Face
LAPUZAN
TE,

BRIONES, RONALD AGANON,MARIB

106519120005 BRIONES,JOVEL AGANON M 04/13/2006 17 Christianity NAMBALAN MAYANTOC TARLAC PARENT Face to Face CCT
LAPUSAN EL,REYES,

REYES, NORIE JULIAN,MARY T/I DATE:2024-02-

106519110038 REYES,NORIE DAVE JULIAN M 09/23/2006 17 Christianity NAMBALAN MAYANTOC TARLAC PARENT Face to Face
DANCEL ANN,ORDANZA, 01

TOMAS, ERNESTO RUBENIOS,VILM

106519100042 TOMAS,VINCE JERRIC RUBENIOS M 05/23/2004 19 Christianity NAMBALAN MAYANTOC TARLAC PARENT Face to Face CCT
LINDA A,,

6 <=== TOTAL MALE

BACHO, NORBERTO TOMAS,RIZALIN

106519130017 BACHO,JORICKA TOMAS F 10/05/2007 16 Christianity NAMBALAN MAYANTOC TARLAC PARENT Face to Face CCT
NAVALTA A,PASTOR,

CORPUZ, BALITE,GINALYN
106519100013 CORPUZ,AMELYN BALITE F 08/17/2005 18 Christianity NAMBALAN MAYANTOC TARLAC PARENT Face to Face
ARMANDO ,-,
CORPUZ, ALFREDO BETITA,ARLYN,R
106519120016 CORPUZ,LORIE JOY BETITA F 02/05/2007 16 Christianity NAMBALAN MAYANTOC TARLAC PARENT Face to Face CCT
ULEP ECTO,

MARTIN,MELITA,
106519130021 ESTEBAN,BEA MARTIN F 07/30/2004 19 Christianity NAMBALAN MAYANTOC TARLAC ESTEBAN, ROMEO PARENT Face to Face CCT
MIRANDA,

MARTIN,MELITA,
106519130022 ESTEBAN,ENALYN MARTIN F 10/10/2003 20 Christianity NAMBALAN MAYANTOC TARLAC ESTEBAN, ROMEO PARENT Face to Face CCT
MIRANDA,

PASTOR,GEORGI
102128080056 PASTOR,MONICA JOY - F 11/29/2002 20 Christianity NAMBALAN MAYANTOC TARLAC PARENT Face to Face
NA,-,

6 <=== TOTAL FEMALE

12 <=== COMBINED

Legend: List and Code of Indicators under REMARKS column

Prepared by;
Beginning of the End of the
Indicator Code Required Information Indicator Code Required Information REGISTERED
Semester Semester
IMELDA G. DAVE
Transfered Out T/O CCT Receipient CCT CCT Control/reference number &
Effectivity Date MALE 6 6
Name of School, Date of 1st Attendance and Balik Aral B/A Name of school last attended & Year (Signature of Adviser over Printed Name)
Date of Last Attendance if Transferred Out
Transfered In T/I Special Needs SNED Specify Exceptionality of the Learner FEMALE 6 6
Beginning of the Semester End of the Semester Date:
Education
Accelerated ACL Specify Level & Effectivity Date Date:
TOTAL 12 6
1/31/24 12:00 AM 6/14/24 12:00 AM
Generated on: Thursday, May 16, 2024