School Form 1 (SF 1) School Register

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

School ID 317504 CARAGA Division Butuan City

Grade Grade 7
School Name Mahay Integrated Secondary School School Year 2019-2020 Section TULIP
Level (Year
GUARDIAN
AGE ADDRESS PARENTS Contact REMARKS
(if Not Parent) Number
as of MOTHER

Sex (M/F)
NAME IP of
BIRTH DATE 1st TONGUE RELIGIO Father's Name Mother's
LRN (Last Name, First Name, Middle (Ethnic House #/ Parent
(mm/dd/yyyy) Frida (Grade 1 N (Last Name, Maiden Name (Please refer
Name) Group) Street/ Municipality Relationsh or
y to 3 Only) Barangay Province First Name, (Last Name, Name to the legend
Sitio/ / City ip Guardia
June Middle Name) First Name, n on last page)
Purok
Middle Name)

BUTUAN
LOS AGUSAN DEL ABREA,,MARC DOLERA, T/I DATE: O6-
132076120080 ABREA,ROSEMARC,DOLERA M 2/13/2007 11 Cebuano IFI CITY
ANGELES NORTE OS CASTILLO ROSLIN YAKIT 03 2019
(Capital)

BUTUAN
BASINANG, JHON CLARK ANTHONY Christia AGUSAN DEL BASINANG, BULAKENA, T/I DATE: O6-
132070120004 M 1/17/2007 11 Cebuano MAHAY CITY
BULA nity
(Capital)
NORTE JOSEPH JUDYLYN 03 2019
Cebuano
/ BUTUAN BRIGOLE,
BRIGOLE, CHRISTIAN Christia AGUSAN DEL T/I DATE: O6-
132078120003 M 12/24/2007 10 Sinugbua TAGABACA CITY NISSAN
ANGELOU nity NORTE 03 2019
nong
Cebuano (Capital) VISCARA
Binisay
/ BUTUAN DANGAN,
Christia AGUSAN DEL T/I DATE: O6-
132070110013 DANGAN, TROY M 3/22/2005 13 Sinugbua MAHAY CITY ROCQUELYN
nity NORTE 03 2019
nong
Cebuano (Capital) BILLOTE
Binisay
/ BUTUAN EVA, GUDES,
Christia AGUSAN DEL T/I DATE: O6-
132070120015 EVA, DANIIEL GUDES M 3/31/2006 11 Sinugbua TAGABACA CITY ADAMSON RAMELYN
nity NORTE 03 2019
nong
Cebuano (Capital) PASCUAL ELLASO
Binisay
/ BUTUAN EVA, GUDES,
Christia AGUSAN DEL T/I DATE: O6-
132070120048 EVA, ADAMSON JR., GUDES M 12/8/2005 12 Sinugbua TAGABACA CITY ADAMSON RAMELYN
nity NORTE 03 2019
nong (Capital) PASCUAL ELLASO
Binisay
BUTUAN
Christia CABADBAR AGUSAN DEL NAIBE, FLOR T/I DATE: O6-
132076120085 LAGOD, WALTER NAIBE M 2/13/2007 11 Cebuano CITY LAGOD,ALGEN
nity AN NORTE DELIGIRO 03 2019
(Capital)

BUTUAN
Christia AGUSAN DEL LATAWAN, T/I DATE: O6-
120899120026 LATAWAN, EIRSON JOHN M 8/9/2006 11 Cebuano MAHAY CITY
nity NORTE NORIE CASA 03 2019
(Capital)
BUTUAN
Christia AGUSAN DEL LOPEZ, RUDA, T/I DATE: O6-
132070120020 LOPEZ, JAY LORD R. M 1/10/2007 11 Cebuano MAHAY CITY
nity NORTE MARINO EVANGELINE 03 2019
(Capital)

BUTUAN
Christia AGUSAN DEL MADELO, DANGAN,ROB T/I DATE: O6-
132107110083 MADELO, JAY R DANGAN M 3/22/2005 15 Cebuano MAHAY CITY
nity NORTE ROGELIO ELYN BELLOTE 03 2019
(Capital)

BUTUAN
Christia AGUSAN DEL MAITIM, FRANCISCO, T/I DATE: O6-
132076120098 MAITIM, JELBOY M 6/8/2006 12 Cebuano MAHAY CITY
nity NORTE JULIMAR MARITES 03 2019
(Capital)

BUTUAN
Christia AGUSAN DEL MARQUEZ, ASA, T/I DATE: O6-
132076130011 MARQUEZ, LOUIE ASA M 1/6/2007 11 Cebuano MAHAY CITY
nity NORTE MARVIN ROSEMARIE T. 03 2019
(Capital)
BUTUAN MASAYON, PINEDA,
Christia AGUSAN DEL T/I DATE: O6-
132017120044 MASAYON, HARYL PINEDA M 8/25/2006 11 Cebuano TAGABACA CITY JOEL JANICE
nity NORTE 03 2019
(Capital) BERBANIA LAROSA
 BUTUAN
OCAMPO, LAWRENCE Christia AGUSAN DEL OCAMPO, LIBRANDO, T/I DATE: O6-
132076120089 M 3/31/2007 11 Cebuano MAHAY CITY
LIBRANDO nity NORTE ANTHONY M. LORENA S. 03 2019
(Capital)

BUTUAN
Christia AGUSAN DEL PAGARAN, CULLANTES, T/I DATE: O6-
PAGARAN, BERNARDO M 5/20/2005 13 Cebuano MAHAY CITY
nity NORTE BALONG ANNIE CRIS 03 2019
(Capital)

BUTUAN
Christia AGUSAN DEL BACOR, T/I DATE: O6-
132060120078 PELAEZ,ROGELIO JR. BACOR M 11/15/2007 10 Cebuano MAHAY CITY
nity NORTE MARITES 03 2019
(Capital)

BUTUAN PERALTA, VARGAS,

Christia AGUSAN DEL T/I DATE: O6-
132076120093 PERALTA, JEROME VARGAS M 10/28/2005 12 Cebuano MAHAY CITY RONALD.ANDR JOSEPHINE
nity NORTE 03 2019
(Capital) ADE GARAY
Cebuano
/ BUTUAN
Christia AGUSAN DEL RADAZA, MACUA, T/I DATE: O6-
132065110098 RADAZA,MARK REYVIN MACUA M 11 Sinugbua MAHAY CITY
nity NORTE TERESO FELOMINA 03 2019
nong
Cebuano (Capital)
Binisay
/ BUTUAN
Christia AGUSAN DEL SEFE, BULAY,ROSALI T/I DATE: O6-
132076110052 SEFE, MICHAEL VENCE M 4/1/2007 11 Sinugbua MAHAY CITY
nity NORTE JOSSYDEB Z. NDA C. 03 2019
nong
Cebuano (Capital)
Binisay
/ BUTUAN
Christia AGUSAN DEL DACOCO, T/I DATE: O6-
132076110051 SEFE, JOVANI M 1/25/2007 12 Sinugbua MAHAY CITY SEFE, ARIEL
nity NORTE CRISELDA 03 2019
nong
Cebuano (Capital)
Binisay
/ BUTUAN
Christia AGUSAN DEL TAGAPULOT, CONA D.DO, T/I DATE: O6-
132076110056 TAGAPULOT, ALGEN C. M 3/13/2006 12 Sinugbua MAHAY CITY
nity NORTE ALBERTO L. JOCELIN 03 2019
nong (Capital)
Binisay
21 <=== TOTAL MALE

BUTUAN
Christia AGUSAN DEL ACERO, PABICA, T/I DATE: O6-
132076120099 ACERO, DEMPLE PABICA F 9/5/2007 10 Cebuano MAHAY CITY
nity NORTE RODOLFO LORWENA 03 2019
(Capital)
BUTUAN
Christia AGUSAN DEL AGCOL, CUBILLAS, T/I DATE: O6-
132076140005 AGCOL, LEONIE C. F 1/30/2004 14 Cebuano MAHAY CITY
nity NORTE LEONIE GINA RAYPON 03 2019
(Capital)
BUTUAN ALCOBER,
Christia AGUSAN DEL AVENIDO,ANN T/I DATE: O6-
136897120061 ALCOBER,SHEENA, AVENIDO F 8/4/2007 10 Tagalog MAHAY CITY MARCOS
nity NORTE ALYN,-, 03 2019
(Capital) VILLANUEVA
BUTUAN
Christia AGUSAN DEL BAJA, T/I DATE: O6-
BANZON, AILYN F 9/11/2006 10 Cebuano MAHAY CITY BANZON, ALEX
nity NORTE LOURDES. 03 2019
(Capital)
BUTUAN
BARNESO, PRINCESS CLAIRE Christia AGUSAN DEL BARNESO, BILLONES,RUT T/I DATE: O6-
132076120101 F 10/4/2007 10 Cebuano MAHAY CITY
B. nity NORTE EDGAR CHEL 03 2019
(Capital)
BUTUAN BERMOY,JULIU REJAS,
Christia AGUSAN DEL T/I DATE: O6-
132076110012 BERMOY, JAMALYN REJAS F 12/6/2005 13 Cebuano MAHAY CITY S, MARISSA
nity NORTE 03 2019
(Capital) AMPOLOQUID FURTONA
BUHANGIN BUTUAN
Christia AGUSAN DEL HIMO, LICASAN,LAUR T/I DATE: O6-
132065130156 HIMO,JAIRA MAE F 8/15,2006 11 Cebuano POB. (BGY. CITY
nity NORTE RONQUILLO A 03 2019
19) (Capital)

BUTUAN
MACATUAL, ALIZA KHATE Christia AGUSAN DEL MACATUAL, VERGARA, T/I DATE: O6-
114299130041 F 9/6/2007 11 Cebuano MAHAY CITY
VERGARA nity NORTE RONQUILLO LIZA 03 2019
(Capital)

BUTUAN
Christia AGUSAN DEL CULLANTES, T/I DATE: O6-
132076130005 PAGARAN, MARY CRIS F 8/9/2007 Cebuano MAHAY CITY
nity NORTE ANNIE CRIS 03 2019
(Capital)

BUTUAN
Christia AGUSAN DEL PASIGNA, PALLAN, T/I DATE: O6-
132076120117 PASIGNA, MYLYN PALLAN F 5/8/2007 10 Cebuano MAHAY CITY
nity NORTE MAXIMINO MANILYN 03 2019
(Capital)
 BUTUAN
Christia AGUSAN DEL PLATEL,MARIT T/I DATE: O6-
1320761001104 PLATEL, EKKA MAE F 11/29/2004 10 Cebuano MAHAY CITY
nity NORTE ES 03 2019
(Capital)

BUHANGIN BUTUAN
Christia AGUSAN DEL BERGILDO, T/I DATE: O6-
131456120027 POL, EVA FLOR B. F 9/2/2007 13 Cebuano POB. (BGY. CITY POL, JOSELITO
nity NORTE IVYMOREZ 03 2019
19) (Capital)
BUTUAN BERBANA,
Christia AGUSAN DEL REBALDE,RICA T/I DATE: O6-
132070140032 REBALDE, WENDY F 12/25/2006 10 Cebuano MAHAY CITY ARLYN
nity NORTE RTE SANCHEZ 03 2019
(Capital) VILLANUEVA

BUTUAN
Christia AGUSAN DEL BUSQUE,MARI T/I DATE: O6-
132076120118 TABIAN, MARY GRACE BUSQUE F 12/25/2006 11 Cebuano MAHAY CITY TABIAN, JOSE
nity NORTE FE 03 2019
(Capital)

BUTUAN
Christia AGUSAN DEL UGSID,WELSO MOSE, GLORY T/I DATE: O6-
132076120121 UGSID, MARIA MOSE F 2/14/2007 13 Cebuano MAHAY CITY
nity NORTE N TAGLINAO VE JASMIN 03 2019
(Capital)

15 <=== TOTAL FEMALE

35 <=== COMBINED

List and Code of Indicators under REMARKS column

Cod Prepared by; Certified Correct:
Indicator Required Information Indicator Code Required Information REGISTERED BoSY EoSY
e
Transfered Out T/O Name of Public (P) Private (PR) School & CCT Receipient CCT CCT Control/reference number & MERLINDA LUCERO BOLLOZOS
Effectivity Date Effectivity Date MALE 19
Balik Aral B/A MARY JEAN D. VILLAMOR (Signature of School Head over Printed
Transfered In T/I Name of Public (P) Private (PR) School & Name of school last attended & Year Name)
(Signature of Adviser over Printed
Effectivity Date Learner With LWD FEMALE 15 Name)
Disability Specify BoSY
Dropped DRP Reason and Effectivity Date Accelerated ACL Date:06/03/19 EoSY Date:
Late LE Reason (Enrollment beyond 1st Friday of Specify Level & Effectivity Data TOTAL 34 BoSY EoSY
Enrollment June) Date:06/04/18 Date:04/05/19

Generated thru LIS

 4P's Balik-aral
132076120080 ABREA,ROSEMARC,DOLERA 4P's Recepient No
132070120004 BASINANG, JHON CLARK ANTHONY BULA No
132078120003 BRIGOLE, CHRISTIAN ANGELOU No
132070110013 DANGAN, TROY No
132070120015 EVA, DANIIEL GUDES 4P's Recepient No
132070120048 EVA, ADAMSON JR., GUDES 4P's Recepient No
132076120085 LAGOD, WALTER NAIBE No
120899120026 LATAWAN, EIRSON JOHN No
132070120020 LOPEZ, JAY LORD R. No
132107110083 MADELO, JAY R DANGAN No
132076120098 MAITIM, JELBOY 4P's Recepient No
132076130011 MARQUEZ, LOUIE ASA 4P's Recepient No
132017120044 MASAYON, HARYL PINEDA No
132076120089 OCAMPO, LAWRENCE LIBRANDO 4P's Recepient No
PAGARAN, BERNARDO No
132060120078 PELAEZ,ROGELIO JR. BACOR No
132076120093 PERALTA, JEROME VARGAS No
132065110098 RADAZA,MARK REYVIN MACUA No
132076110052 SEFE, MICHAEL VENCE 4P's Recepient No
132076110051 SEFE, JOVANI No
132076110056 TAGAPULOT, ALGEN C. 4P's Recepient No
21 <=== TOTAL MALE No
132076120099 ACERO, DEMPLE PABICA No
132076140005 AGCOL, LEONIE C. 4P's Recepient No
136897120061 ALCOBER,SHEENA, AVENIDO No
BANZON, AILYN 4P's Recepient No
132076120101 BARNESO, PRINCESS CLAIRE B. No
132076110012 BERMOY, JAMALYN REJAS 4P's Recepient No
132065130156 HIMO,JAIRA MAE No
114299130041 MACATUAL, ALIZA KHATE VERGARA No
132076130005 PAGARAN, MARY CRIS 4P's Recepient No
132076120117 PASIGNA, MYLYN PALLAN 4P's Recepient No
1320761001104 PLATEL, EKKA MAE 4P's Recepient No
131456120027 POL, EVA FLOR B. 4P's Recepient No
132070140032 REBALDE, WENDY No
132076120118 TABIAN, MARY GRACE BUSQUE No
132076120121 UGSID, MARIA MOSE No
 School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)

School ID 317504 CARAGA Division Butuan City

Grade Grade 7
School Name Mahay Integrated Secondary School School Year 2019-2020 Section TULIP
Level (Year
GUARDIAN
AGE ADDRESS PARENTS Contact REMARKS
(if Not Parent) Number
as of MOTHER

Sex (M/F)
NAME IP of
BIRTH DATE 1st TONGUE RELIGIO Father's Name Mother's
LRN (Last Name, First Name, Middle (Ethnic House #/ Parent
(mm/dd/yyyy) Frida (Grade 1 N (Last Name, Maiden Name (Please refer
Name) Group) Street/ Municipality Relationsh or
to 3 Only)
y Sitio/
Barangay
/ City
Province First Name,
Middle Name)
(Last Name,
First Name,
Name
ip Guardia to the legend
on last page)
4P's
June n
Purok
Middle Name) Recepient Balik-aral
BUTUAN
LOS AGUSAN DEL ABREA,,MARC DOLERA, T/I DATE: O6-
132076120080 ABREA,ROSEMARC,DOLERA M 2/13/2007 11 Cebuano IFI CITY
ANGELES NORTE OS CASTILLO ROSLIN YAKIT 03 2019
(Capital)

BUTUAN
BASINANG, JHON CLARK ANTHONY Christia AGUSAN DEL BASINANG, BULAKENA, T/I DATE: O6-
132070120004 M 1/17/2007 11 Cebuano MAHAY CITY
BULA nity
(Capital)
NORTE JOSEPH JUDYLYN 03 2019
Cebuano
/ BUTUAN BRIGOLE,
BRIGOLE, CHRISTIAN Christia AGUSAN DEL T/I DATE: O6-
132078120003 M 12/24/2007 10 Sinugbua TAGABACA CITY NISSAN
ANGELOU nity NORTE 03 2019
nong
Cebuano (Capital) VISCARA
Binisay
/ BUTUAN DANGAN,
Christia AGUSAN DEL T/I DATE: O6-
132070110013 DANGAN, TROY M 3/22/2005 13 Sinugbua MAHAY CITY ROCQUELYN
nity NORTE 03 2019
nong
Cebuano (Capital) BILLOTE
Binisay
/ BUTUAN EVA, GUDES,
Christia AGUSAN DEL T/I DATE: O6-
132070120015 EVA, DANIIEL GUDES M 3/31/2006 11 Sinugbua TAGABACA CITY ADAMSON RAMELYN
nity NORTE 03 2019
nong
Cebuano (Capital) PASCUAL ELLASO
Binisay
/ BUTUAN EVA, GUDES,
Christia AGUSAN DEL T/I DATE: O6-
132070120048 EVA, ADAMSON JR., GUDES M 12/8/2005 12 Sinugbua TAGABACA CITY ADAMSON RAMELYN
nity NORTE 03 2019
nong (Capital) PASCUAL ELLASO
Binisay
BUTUAN
Christia CABADBAR AGUSAN DEL NAIBE, FLOR T/I DATE: O6-
132076120085 LAGOD, WALTER NAIBE M 2/13/2007 11 Cebuano CITY LAGOD,ALGEN
nity AN NORTE DELIGIRO 03 2019
(Capital)

BUTUAN
Christia AGUSAN DEL LATAWAN, T/I DATE: O6-
120899120026 LATAWAN, EIRSON JOHN M 8/9/2006 11 Cebuano MAHAY CITY
nity NORTE NORIE CASA 03 2019
(Capital)
BUTUAN
Christia AGUSAN DEL LOPEZ, RUDA, T/I DATE: O6-
132070120020 LOPEZ, JAY LORD R. M 1/10/2007 11 Cebuano MAHAY CITY
nity NORTE MARINO EVANGELINE 03 2019
(Capital)

BUTUAN
Christia AGUSAN DEL MADELO, DANGAN,ROB T/I DATE: O6-
132107110083 MADELO, JAY R DANGAN M 3/22/2005 15 Cebuano MAHAY CITY
nity NORTE ROGELIO ELYN BELLOTE 03 2019
(Capital)

BUTUAN
Christia AGUSAN DEL MAITIM, FRANCISCO, T/I DATE: O6-
132076120098 MAITIM, JELBOY M 6/8/2006 12 Cebuano MAHAY CITY
nity NORTE JULIMAR MARITES 03 2019
(Capital)

BUTUAN
Christia AGUSAN DEL MARQUEZ, ASA, T/I DATE: O6-
132076130011 MARQUEZ, LOUIE ASA M 1/6/2007 11 Cebuano MAHAY CITY
nity NORTE MARVIN ROSEMARIE T. 03 2019
(Capital)
BUTUAN MASAYON, PINEDA,
Christia AGUSAN DEL T/I DATE: O6-
132017120044 MASAYON, HARYL PINEDA M 8/25/2006 11 Cebuano TAGABACA CITY JOEL JANICE
nity NORTE 03 2019
(Capital) BERBANIA LAROSA
 BUTUAN
OCAMPO, LAWRENCE Christia AGUSAN DEL OCAMPO, LIBRANDO, T/I DATE: O6-
132076120089 M 3/31/2007 11 Cebuano MAHAY CITY
LIBRANDO nity NORTE ANTHONY M. LORENA S. 03 2019
(Capital)

BUTUAN
Christia AGUSAN DEL PAGARAN, CULLANTES, T/I DATE: O6-
PAGARAN, BERNARDO M 5/20/2005 13 Cebuano MAHAY CITY
nity NORTE BALONG ANNIE CRIS 03 2019
(Capital)

BUTUAN
Christia AGUSAN DEL BACOR, T/I DATE: O6-
132060120078 PELAEZ,ROGELIO JR. BACOR M 11/15/2007 10 Cebuano MAHAY CITY
nity NORTE MARITES 03 2019
(Capital)

BUTUAN PERALTA, VARGAS,

Christia AGUSAN DEL T/I DATE: O6-
132076120093 PERALTA, JEROME VARGAS M 10/28/2005 12 Cebuano MAHAY CITY RONALD.ANDR JOSEPHINE
nity NORTE 03 2019
(Capital) ADE GARAY
Cebuano
/ BUTUAN
Christia AGUSAN DEL RADAZA, MACUA, T/I DATE: O6-
132065110098 RADAZA,MARK REYVIN MACUA M 11 Sinugbua MAHAY CITY
nity NORTE TERESO FELOMINA 03 2019
nong
Cebuano (Capital)
Binisay
/ BUTUAN
Christia AGUSAN DEL SEFE, BULAY,ROSALI T/I DATE: O6-
132076110052 SEFE, MICHAEL VENCE M 4/1/2007 11 Sinugbua MAHAY CITY
nity NORTE JOSSYDEB Z. NDA C. 03 2019
nong
Cebuano (Capital)
Binisay
/ BUTUAN
Christia AGUSAN DEL DACOCO, T/I DATE: O6-
132076110051 SEFE, JOVANI M 1/25/2007 12 Sinugbua MAHAY CITY SEFE, ARIEL
nity NORTE CRISELDA 03 2019
nong
Cebuano (Capital)
Binisay
/ BUTUAN
Christia AGUSAN DEL TAGAPULOT, CONA D.DO, T/I DATE: O6-
132076110056 TAGAPULOT, ALGEN C. M 3/13/2006 12 Sinugbua MAHAY CITY
nity NORTE ALBERTO L. JOCELIN 03 2019
nong (Capital)
Binisay
21 <=== TOTAL MALE

BUTUAN
Christia AGUSAN DEL ACERO, PABICA, T/I DATE: O6-
132076120099 ACERO, DEMPLE PABICA F 9/5/2007 10 Cebuano MAHAY CITY
nity NORTE RODOLFO LORWENA 03 2019
(Capital)
BUTUAN
Christia AGUSAN DEL AGCOL, CUBILLAS, T/I DATE: O6-
132076140005 AGCOL, LEONIE C. F 1/30/2004 14 Cebuano MAHAY CITY
nity NORTE LEONIE GINA RAYPON 03 2019
(Capital)
BUTUAN ALCOBER,
Christia AGUSAN DEL AVENIDO,ANN T/I DATE: O6-
136897120061 ALCOBER,SHEENA, AVENIDO F 8/4/2007 10 Tagalog MAHAY CITY MARCOS
nity NORTE ALYN,-, 03 2019
(Capital) VILLANUEVA
BUTUAN
Christia AGUSAN DEL BAJA, T/I DATE: O6-
BANZON, AILYN F 9/11/2006 10 Cebuano MAHAY CITY BANZON, ALEX
nity NORTE LOURDES. 03 2019
(Capital)
BUTUAN
BARNESO, PRINCESS CLAIRE Christia AGUSAN DEL BARNESO, BILLONES,RUT T/I DATE: O6-
132076120101 F 10/4/2007 10 Cebuano MAHAY CITY
B. nity NORTE EDGAR CHEL 03 2019
(Capital)
BUTUAN BERMOY,JULIU REJAS,
Christia AGUSAN DEL T/I DATE: O6-
132076110012 BERMOY, JAMALYN REJAS F 12/6/2005 13 Cebuano MAHAY CITY S, MARISSA
nity NORTE 03 2019
(Capital) AMPOLOQUID FURTONA
BUHANGIN BUTUAN
Christia AGUSAN DEL HIMO, LICASAN,LAUR T/I DATE: O6-
132065130156 HIMO,JAIRA MAE F 8/15,2006 11 Cebuano POB. (BGY. CITY
nity NORTE RONQUILLO A 03 2019
19) (Capital)

BUTUAN
MACATUAL, ALIZA KHATE Christia AGUSAN DEL MACATUAL, VERGARA, T/I DATE: O6-
114299130041 F 9/6/2007 11 Cebuano MAHAY CITY
VERGARA nity NORTE RONQUILLO LIZA 03 2019
(Capital)

BUTUAN
Christia AGUSAN DEL CULLANTES, T/I DATE: O6-
132076130005 PAGARAN, MARY CRIS F 8/9/2007 Cebuano MAHAY CITY
nity NORTE ANNIE CRIS 03 2019
(Capital)

BUTUAN
Christia AGUSAN DEL PASIGNA, PALLAN, T/I DATE: O6-
132076120117 PASIGNA, MYLYN PALLAN F 5/8/2007 10 Cebuano MAHAY CITY
nity NORTE MAXIMINO MANILYN 03 2019
(Capital)
 BUTUAN
Christia AGUSAN DEL PLATEL,MARIT T/I DATE: O6-
1320761001104 PLATEL, EKKA MAE F 11/29/2004 10 Cebuano MAHAY CITY
nity NORTE ES 03 2019
(Capital)

BUHANGIN BUTUAN
Christia AGUSAN DEL BERGILDO, T/I DATE: O6-
131456120027 POL, EVA FLOR B. F 9/2/2007 13 Cebuano POB. (BGY. CITY POL, JOSELITO
nity NORTE IVYMOREZ 03 2019
19) (Capital)
BUTUAN BERBANA,
Christia AGUSAN DEL REBALDE,RICA T/I DATE: O6-
132070140032 REBALDE, WENDY F 12/25/2006 10 Cebuano MAHAY CITY ARLYN
nity NORTE RTE SANCHEZ 03 2019
(Capital) VILLANUEVA

BUTUAN
Christia AGUSAN DEL BUSQUE,MARI T/I DATE: O6-
132076120118 TABIAN, MARY GRACE BUSQUE F 12/25/2006 11 Cebuano MAHAY CITY TABIAN, JOSE
nity NORTE FE 03 2019
(Capital)

BUTUAN
Christia AGUSAN DEL UGSID,WELSO MOSE, GLORY T/I DATE: O6-
132076120121 UGSID, MARIA MOSE F 2/14/2007 13 Cebuano MAHAY CITY
nity NORTE N TAGLINAO VE JASMIN 03 2019
(Capital)

15 <=== TOTAL FEMALE

35 <=== COMBINED

List and Code of Indicators under REMARKS column

Cod Prepared by; Certified Correct:
Indicator Required Information Indicator Code Required Information REGISTERED BoSY EoSY
e
Transfered Out T/O Name of Public (P) Private (PR) School & CCT Receipient CCT CCT Control/reference number & MERLINDA LUCERO BOLLOZOS
Effectivity Date Effectivity Date MALE 19
Balik Aral B/A MARY JEAN D. VILLAMOR (Signature of School Head over Printed
Transfered In T/I Name of Public (P) Private (PR) School & Name of school last attended & Year Name)
(Signature of Adviser over Printed
Effectivity Date Learner With LWD FEMALE 15 Name)
Disability Specify BoSY
Dropped DRP Reason and Effectivity Date Accelerated ACL Date:06/03/19 EoSY Date:
Late LE Reason (Enrollment beyond 1st Friday of Specify Level & Effectivity Data TOTAL 34 BoSY EoSY
Enrollment June) Date:06/04/18 Date:04/05/19

Generated thru LIS