School Form 1 (SF 1) School Register

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

School ID 303576 Region VIII Division Northern Samar

Grade
School Name San Antonio NHS School Year 2019 - 2020 Grade 10 Section LOYALTY
Level
GUARDIAN
AGE MOTHE ADDRESS PARENTS Contact
(if Not Parent) Number
as of

Sex (M/F)
R
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) Frid (Grade N (Last Name, Maiden Name
Name) Group) Street/ Municipality Relationsh or
ay 1 to 3 Barangay Province First Name, (Last Name, Name
Sitio/ / City ip Guardia
June Only) Purok
Middle Name) First Name, n
Middle Name)

Christia SAN NORTHERN

122798070013 BALASE,JIMMY, A M 02-21-2000 19 Waray BIRI AUSA,F,,
nity ANTONIO SAMAR
BORBON, ORSOLINO,CO
Christia SAN NORTHERN
122798090012 BORBON,REGINALD, OBENZA M 09-10-2003 15 Waray BIRI VELMOR RAZON,ROSIM
nity ANTONIO SAMAR
DUREN A,
CARDONA,
Christia SAN NORTHERN SIXTA,ELIZABE
122794090007 CARDONA,KIM, SIXTA M 01-22-2004 15 Waray BIRI MODESTO
nity ANTONIO SAMAR TH,DE ASAS,
CALINOG

Christia SAN NORTHERN CUYA,PRECILA

122798090017 CUYA,RAZEL, ALBARIO M 10-22-2002 16 Waray BIRI
nity ANTONIO SAMAR ,ALBARIO,

DADIA,
Christia NORTHERN NEBRIDA,ERLI
122794090008 DADIA,ANGELO, NEBRIDA M 05-11-2004 15 Waray SAN PEDRO BIRI LEOPOLDO
nity SAMAR NA,MEJOS,
VIVA

LAORENO,GYN
Christia SAN NORTHERN LOBENARIA,
122798080040 LOBENARIA,JONEL, LAORENO M 06-10-2002 16 Waray BIRI EL,MACAYAYO
nity ANTONIO SAMAR JOVEN TOBES
NG,

PINCA,
PINCA,DOMINADOR, JR Christia SAN NORTHERN MORENO,GINA
122814080088 M 08-02-2001 17 Waray BIRI DOMINADOR
MORINO nity ANTONIO SAMAR ,TORO,
SR

Christia NORTHERN PORTON, BERT PORNIAS,ROS

122794090023 PORTON,NINO, MECA M 12-02-2003 15 Waray SAN PEDRO BIRI
nity SAMAR NEBRIDA A,MECA,

ABCEDE,CHAR
Christia NORTHERN QUIMBO,
127029080062 QUIMBO,DEXTER, ABCEDE M 12-12-2002 16 Waray SAN PEDRO BIRI MA,RESPUEST
nity SAMAR ALLAN BATAL
O,
RONGCALES,
RONGCALES,JOHN MARCO, Christia SAN NORTHERN DARIA,RUTH,A
122798090040 M 10-03-2003 15 Waray BIRI RICKY
DARIA nity ANTONIO SAMAR DEL,
SAMPAYAN
SUMULAT,
Christia NORTHERN ANAVISO,RHO
122794070039 SUMULAT,JEFFKING, ANAVESO M 09-17-2000 18 Waray SAN PEDRO BIRI ROQUE
nity SAMAR DA,PORNIAS,
TURNOS
UNAY,
Christia SORIANO,MER
122798070059 UNAY,ALFREDO, JR SORIANO M 07-23-2000 18 Waray LAMBAKIN MARILAO BULACAN ALFREDO
nity CY,LEDESMA,
FLORES

12 <=== TOTAL MALE

ADTO,
Christia SAN NORTHERN PAGATPAT,JOS
122798090001 ADTO,JUDY ANN, PAGATPAT F 02-09-2003 16 Waray BIRI MARLON
nity ANTONIO SAMAR EPHINE,-,
NUGUIT SR
 REMARKS

(Please refer
to the legend
on last page)

Pending TI
 ADTO, DEMETILLO,HE
Christia SAN NORTHERN
122798090002 ADTO,MARY DEAN, DEMETILLO F 08-13-2004 14 Waray BIRI ORLANDO LEN,SOREGAO
nity ANTONIO SAMAR
SENOBIO ,
PELEMBERGO,
ALLEN,
ALLEN,KIMBERLY, Christia SAN NORTHERN MA
122798080006 F 07-31-2000 18 Waray BIRI THOMAS
PELEMBERGO nity ANTONIO SAMAR BAMBIE,BALA
GIRAY
GOPLO,

Christia NORTHERN BALASE, RAUL BORBON,VIOLI

122794090002 BALASE,CARMEN, BORBON F 05-02-2004 15 Waray SAN PEDRO BIRI
nity SAMAR QUILING TA,PUGNIT,

Christia SAN NORTHERN VILLANUEVA,S

122798090010 BATALLER,SAIRA, VILLANUEVA F 11-30-1999 19 Waray BIRI
nity ANTONIO SAMAR USAN,,
DIAZ,MARY-
Christia NORTHERN BOISER, PABLO
107050090030 BOISER,JHE-ANN, DIAZ F 08-28-2003 15 Waray SAN PEDRO BIRI ANN,PESTANIO
nity SAMAR FERNANDEZ
,
DONCILLO,GR
Christia SAN NORTHERN BORBIN, JOEL
122798080018 BORBON,JOLENA, DONCILLO F 11-16-2001 17 Waray BIRI ACE,RONGCAL
nity ANTONIO SAMAR GALA
ES,
CALAPANO,
Christia SAN NORTHERN BALASE,MARL
122798090015 CALAPANO,RINA, BALASE F 04-23-2003 16 Waray BIRI ROMEO
nity ANTONIO SAMAR Y,DEL VALLE,
BOHOL
DE GUIA, MORALLOS,SU
Christia NORTHERN
122794090010 DE GUIA,GINALYN, MORALLOS F 08-18-2003 15 Waray SAN PEDRO BIRI WILFREDO SANA,BORBON
nity SAMAR
MENGOTE ,

Christia SAN NORTHERN LOBENARIA, ALCERA,IRENE

122798090029 LOBENARIA,JIELAICA, ALCERA F 05-20-2004 15 Waray BIRI
nity ANTONIO SAMAR JUNEL TOBES ,TONIZA,

MARINO,
Christia SAN NORTHERN YRUMA,MARIS
122798080043 MARINO,ELYN MAE, YRUMA F 05-01-2002 17 Waray BIRI EDGAR
nity ANTONIO SAMAR SA,,
CALAPANO

Christia SAN NORTHERN MERALLES, NEBRIDA,EDA,

122798090032 MERALLES,ANABEL, NEBRIDA F 02-23-2004 15 Waray BIRI
nity ANTONIO SAMAR EDWIN ADTO MORTALLA,

MORALITA,
Christia NORTHERN BULAJAN,MARI
122794090014 MORALITA,MARJORIE, BOLAJAN F 06-06-2004 15 Waray SAN PEDRO BIRI JOEL
nity SAMAR ETA,-,
MARTIREZ
PLANA,
Christia NORTHERN
122794090021 PLANA,MARIFE, PETALBO F 09-23-2000 18 Waray SAN PEDRO BIRI FRANCISCO
nity SAMAR
GUIANAN
DULAY, RODRIGUEZ,R
RODRIGUEZ,MA ANGIE, Christia NORTHERN
122794090026 F 12-29-2003 15 Waray SAN PEDRO BIRI ALBERT OCHELLE,BAG
BAGARINO nity SAMAR
EGNEO ARINO,

Christia SAN NORTHERN SIABAL, BILLY NUÑEZ,MARYS

122798090047 SIABAL,ALICIA MAY, NUÑEZ F 05-02-2004 15 Waray BIRI
nity ANTONIO SAMAR TOYCO OL,TAGROS,

SIABAL, SENOBIO,MARI
Christia SAN NORTHERN
107041090439 SIABAL,ALYSA, SENOBIO F 09-22-2003 15 Waray BIRI EDGARDO A,RONGCALES
nity ANTONIO SAMAR
TOYCO ,

MABALACAT TAYCO, SIXTA,ROWEN

106079090060 SIXTA,JOWENA, - F 08-17-2004 14 Filipino Islam MABIGA PAMPANGA
CITY ROBERTO - A,PADORA,

TABUENA, MENOR,LEON
TABUENA,JHOMARIESHEL, Christia NORTHERN
122794090029 F 06-05-2002 17 Waray SAN PEDRO BIRI JONATHAN ORA,MANCERA
MENOR nity SAMAR
ERMEGO ,

TABUENA,MYR
TABUENA,MYRALYN, Christia NORTHERN
122794090030 F 01-12-2004 15 Waray SAN PEDRO BIRI A,CAMPOSAN
CAMPOSANO nity SAMAR
O,
 TOBES,
Christia SAN NORTHERN ARAOJO,CARO
122798090050 TOBES,RICA, ARAOJO F 11-27-2003 15 Waray BIRI REYNALDO
nity ANTONIO SAMAR L,TUBALLAS,
SENOBIO

21 <=== TOTAL FEMALE

33 <=== COMBINED

List and Code of Indicators under REMARKS column

Cod Cod Prepared by; Certified Correct:
Indicator Required Information Indicator Required Information REGISTERED BoSY EoSY
e e
Transfered Out T/O Name of Public (P) Private (PR) School & CCT Receipient CCT CCT Control/reference number & DINO DEL VALLE BALASE
Effectivity Date Effectivity Date MALE 12
Balik Aral B/A LUIGI MAYOR LUCENESIO (Signature of School Head over Prin
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 LW FEMALE 21 Name)
Disability D Specify
Dropped DRP Reason and Effectivity Date Accelerated BoSY Date: EoSY Date:
Late LE Reason (Enrollment beyond 1st Friday of ACL Specify Level & Effectivity Data TOTAL 33
Enrollment June) BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Thursday, July 11, 2019

ALLE BALASE

l Head over Printed

me)

EoSY Date:

d thru LIS