207553004-deped-school-forms-1-7.pdf
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School Form 1 (SF 1) School Register (This replace Form 1, Master List & STS Form 2-Family Background and Profile)
Region
School ID
Division
District
School Name
LRN
NAME (Last Name, First Name, Middle Name)
School Year
Sex (M/F)
BIRTH DATE (mm/ dd/yy)
AGE as of 1st Friday of June (nos. of years as per last birthday)
BIRTH PLACE (Province)
MOTHER TONGUE
IP (Specify Ethnic Group)
Grade Level ADDRESS
NAME OF PARENTS
RELIGION House # / Street/Sitio/ Purok
Barangay
Municipality/ City
Section
Province
Father (1st name only if family name identical to learner)
GUARDIAN (If not Parent)
REMARK/S Contact Number (Parent /Guardian)
Mother (Maiden)
Name
Relationsh ip
(Please refer to the legend on last page)
LRN
NAME (Last Name, First Name, Middle Name)
Sex (M/F)
BIRTH DATE (mm/ dd/yy)
AGE as of 1st Friday of June (nos. of years as per last birthday)
BIRTH PLACE (Province)
MOTHER TONGUE
IP (Specify Ethnic Group)
ADDRESS
NAME OF PARENTS
RELIGION House # / Street/Sitio/ Purok
Barangay
Municipality/ City
Province
Father (1st name only if family name identical to learner)
List and code of Indicators under REMARK column Indicator
Code
Required Information
Indicator
Code
Transferred Out
T/O
Name of Public (P) Private (PR) School & Effectivity Date
CCT Recipient
Transferred IN
T/I DRP LE
Name of Public (P) Private (PR) School & Effectivity Date Reason and Effectivity Date Reason (Enrollment beyond 1st Friday of June)
Balik-Aral B/A Learner With DissabilityLWD Accelarated ACL
Dropped Late Enrollment
CCT
Required Information
BoSY
CCT Control/reference number & Effectivity Date
MALE
Name of school last attended & Year Specify Specify Level & Effectivity Data
FEMALE TOTAL
EoSY
GUARDIAN (If not Parent)
REMARK/S Contact Number (Parent /Guardian)
Mother (Maiden)
Name
Relationsh ip
Prepared by:
(Signature of Adviser over Printed Name)
Date:___________________________________
(Please refer to the legend on last page)
Certified Correct:
(Signature of School Head over Printed Name)
Date:__________________________________________________
_______
Region
School ID
Division
District
School Name
LRN
NAME (Last Name, First Name, Middle Name)
School Year
Sex (M/F)
BIRTH DATE (mm/ dd/yy)
AGE as of 1st Friday of June (nos. of years as per last birthday)
BIRTH PLACE (Province)
MOTHER TONGUE
IP (Specify Ethnic Group)
Grade Level ADDRESS
NAME OF PARENTS
RELIGION House # / Street/Sitio/ Purok
Barangay
Municipality/ City
Section
Province
Father (1st name only if family name identical to learner)
GUARDIAN (If not Parent)
REMARK/S Contact Number (Parent /Guardian)
Mother (Maiden)
Name
Relationsh ip
(Please refer to the legend on last page)
LRN
NAME (Last Name, First Name, Middle Name)
Sex (M/F)
BIRTH DATE (mm/ dd/yy)
AGE as of 1st Friday of June (nos. of years as per last birthday)
BIRTH PLACE (Province)
MOTHER TONGUE
IP (Specify Ethnic Group)
ADDRESS
NAME OF PARENTS
RELIGION House # / Street/Sitio/ Purok
Barangay
Municipality/ City
Province
Father (1st name only if family name identical to learner)
List and code of Indicators under REMARK column Indicator
Code
Required Information
Indicator
Code
Transferred Out
T/O
Name of Public (P) Private (PR) School & Effectivity Date
CCT Recipient
Transferred IN
T/I DRP LE
Name of Public (P) Private (PR) School & Effectivity Date Reason and Effectivity Date Reason (Enrollment beyond 1st Friday of June)
Balik-Aral B/A Learner With DissabilityLWD Accelarated ACL
Dropped Late Enrollment
CCT
Required Information
BoSY
CCT Control/reference number & Effectivity Date
MALE
Name of school last attended & Year Specify Specify Level & Effectivity Data
FEMALE TOTAL
EoSY
GUARDIAN (If not Parent)
REMARK/S Contact Number (Parent /Guardian)
Mother (Maiden)
Name
Relationsh ip
Prepared by:
(Signature of Adviser over Printed Name)
Date:___________________________________
(Please refer to the legend on last page)
Certified Correct:
(Signature of School Head over Printed Name)
Date:__________________________________________________
_______
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