Sf1_2016_pre-kindergarten - No Section.xls

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

School ID

411566

School Name

Region I

Division

Brilliant Achievers Learning Center

School Year

2016 - 2017

Grade

Pre-

ADDRESS

District

Calasiao I

Section

NO SECTION

PARENTS

NAME (Last Name, First Name, Middle Name)

Sex (M/F)

AGE MOTHE as of R BIRTH DATE 1st TONGUE (mm/dd/yyyy) Frida (Grade y 1 to 3 June Only)

Pangasinan I, Lingayen

411566160001

DOMALANTA, FRANZ MARJOHN PEDEGLORIO

M

08-17-2012

3

Pangasi nan

MALABAGO CALASIAO

411566160003

ESCUBIO, CLINT ANDREW DM RAMIREZ

M

01-19-2013

3

Pangasi nan

LUCAO

DAGUPAN CITY

ESCUBIO, PANGASINAN ERICSON MALIKSI

411566160004

ESCUBIO, CLYDE ANDREI DM RAMIREZ

M

01-19-2013

3

Pangasi nan

LUCAO

DAGUPAN CITY

ESCUBIO, PANGASINAN ERICSON MALIKSI

ESCUBIO,GLE NDA,RAMIREZ,

411566160005

GARCIA, JANRHEY PAGALA

M

02-07-2012

4

Pangasi nan

MALABAGO CALASIAO

GARCIA, PANGASINAN RAYMOND QUEÑANO

GARCIA,JANET, PAGALA,

411566160006

GARCIA, JOHN RONMAR GABRIEL

M

06-01-2012

4

Pangasi nan

NAGSAING

GARCIA, PANGASINAN RONALD MACARAEG

GARCIA,MARIA EN,GABRIEL,

411566160009

MAMARADLO, RANZ MICKO CORPUZ

M

05-13-2013

3

Pangasi nan

MALABAGO CALASIAO

MAMARADLO, PANGASINAN RANDY BALLESTEROS

MAMARADLO, MERCEDITA,C ORPUZ,

411566160008

PANCHO, XHENIELLE ANDRIE DE VERA

M

01-03-2013

3

Pangasi nan

LONGOS

PANGASINAN ,

LRN

IP (Ethnic Group)

RELIGIO N

House #/ Street/ Sitio/ Purok

Barangay

Municipality / City

CALASIAO

CALASIAO

Province

Father's Name (Last Name, First Name, Middle Name)

DOMALANTA, PANGASINAN MARJOHN MENOR

Mother's Maiden Name (Last Name, First Name, Middle

GUARDIAN (if Not Parent)

Name

Relationsh ip

Contact Number of Parent or Guardia n

PEDEGLORIO,F ALE AMIS,DOMAGA S, ESCUBIO,GLE NDA,RAMIREZ,

7 <=== TOTAL MALE

411566160002

EMPIMANO, KHRISTINE ALEXI ABALOS

F

12-26-2012

3

Pangasi nan

MALABAGO CALASIAO

PANGASINAN

411566160007

MAMINTA, RHYCEL FAYE OSUNA

F

01-27-2012

4

Pangasi nan

MALABAGO CALASIAO

MAMINTA, PANGASINAN ARSENIO BALLESTEROS

411566160010

SORIANO, SAAB CARMELLA SAPLAN

F

12-29-2012

3

Pangasi nan

DOYONG

PANGASINAN

CALASIAO

EMPIMANO, JONAS JANDA

SORIANO, NELSON DENSIS DE VERA

ABALOS,ANNA MARIE,OFGUA R, MAMINTA,LOW ELA,OSUNA, SORIANO,JEAN NEROSE,SAPL AN,

3 <=== TOTAL FEMALE 10 <=== COMBINED

List and Code of Indicators under REMARKS column Indicator

Cod Required Information e

Indicator

Cod Required Information e

REGISTERED

BoSY

EoSY

Prepared by;

Certified Correct:

N REMARKS

(Please refer to the legend on last page)

Transfered Out Transfered In Dropped

T/O Name of Public (P) Private (PR) School & Effectivity Date T/I

Name of Public (P) Private (PR) School & Effectivity Date

DRP Reason and Effectivity Date LE Reason (Enrollment beyond 1st Friday of

CCT Receipient CCT CCT Control/reference number & Effectivity Date Balik Aral B/A Name of school last attended & Year Learner With LW Disability D Specify Accelerated ACL Specify Level & Effectivity Data

MALE

7

BRILLIANT ACHIEVERS LEARNING CENT FEMALE

3

TOTAL

10

(Signature of Adviser over Printed Name)

BoSY Date:

Generated on: Friday, April 7, 2017

EoSY Date:

(Signature of School Head over Prin Name)

BoSY Date:

EoSY Date:

S LEARNING CENTER

l Head over Printed me)

EoSY Date: