Sf1_2018_grade-10-year-iv-venus.xls

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

School ID

500646

School Name

Region VIII

Division

Dawahon Integrated School

Grade Level

2018 - 2019

Grade 10

ADDRESS

Section

PARENTS

NAME (Last Name, First Name, Middle Name)

Sex (M/F)

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

School Year

Leyte

121063080004

ALFA,RUSSELL, MABIA

M

02-18-2002

16

Cebuano/ Kana/Sinu gboanong Bini

Christia nity

DAWAHON

BATO

LEYTE

ALFA, RANULFO MENDIDO

MABIA,LUCILA, TABIOLO,

121063070009

ALMACEN,EDDIE, JR LAROZA

M

10-05-2000

17

Cebuano

Christia nity

DAWAHON

BATO

LEYTE

ALMACEN, EDDIE TORREFIEL SR

LAROZA,CHAR LENE,PORTES,

121063080013

BADINAS,JAKE, ABARQUEZ

M

03-08-2000

18

Cebuano/ Kana/Sinu gboanong Bini

Christia nity

DAWAHON

BATO

LEYTE

MORCIA, PONCIANO AUGIS

BADINAS,YOL ANDA,ABARQ UEZ,

121063080021

BERVESADA,PAUL JOHN, TANEO

M

06-04-2001

17

Cebuano/ Kana/Sinu gboanong Bini

Christia nity

DAWAHON

BATO

LEYTE

BERVESADA, ROLAN R

TANEO,MA TERESA,LANO Y,

121063080023

BRIONES,ROBERT, OCHIA

M

01-15-2001

17

Cebuano/ Kana/Sinu gboanong Bini

Christia nity

DAWAHON

BATO

LEYTE

BRIONES, ROMEO MABALATAN

OCHIA,ROSAN NA,BADINAS,

121063070036

BULABOS,MILBERT, TALINGTING

M

07-14-2000

17

Cebuano/ Kana/Sinu gboanong Bini

Christia nity

DAWAHON

BATO

LEYTE

TALINGTING,M ERLINDA,DOC DOC,

121063080027

DAAN,RONILO, JR BARONG

M

06-16-2003

14

Cebuano/ Kana/Sinu gboanong Bini

Christia nity

DAWAHON

BATO

LEYTE

DAAN, RONILO BARONG,VIOL SR ETA,NOTARTE,

121063080032

GALICHA,CHARMEL, INOC

M

07-23-2002

15

Cebuano/ Kana/Sinu gboanong Bini

Christia nity

DAWAHON

BATO

LEYTE

GALICHA, CHARLIE

INOC,MACORA ZON,SARZON A,

121063060031

GUDES,ROLECITO, JR BIBERA

M

01-01-2000

18

Cebuano/ Kana/Sinu gboanong Bini

Christia nity

DAWAHON

BATO

LEYTE

GUDES, ROLECITO SR

BIBERA,MERLY SABLAN,,

121063080002

LABIAGA,BOBBY, ABAYAN

M

07-04-2002

15

Cebuano/ Kana/Sinu gboanong Bini

Christia nity

DAWAHON

BATO

LEYTE

LABIAGA, BOYET MINGUITO

ABAYAN,LUCIL LE,ANOBLING,

121063080046

MERCADER,JAY LEO, ORNIDO

M

04-09-2003

15

Cebuano/ Kana/Sinu gboanong Bini

Christia nity

DAWAHON

BATO

LEYTE

LRN

IP (Ethnic Group)

RELIGIO N

House #/ Street/ Sitio/ Purok

Barangay

Municipality / City

Province

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

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

MERCADER,JE NIFER,ORNIDO ,

VENUS GUARDIAN (if Not Parent)

Name

Relationsh ip

Contact Number of Parent or Guardia n

REMARKS

(Please refer to the legend on last page)

121063080054

OBILLE,ENRIQUE, JR PINOLA

M

08-17-2002

15

Cebuano/ Kana/Sinu gboanong Bini

Christia nity

DAWAHON

BATO

LEYTE

OBELLE, ENRIQUE PAÑARES

121063080067

SARZONA,ROGELIO, JR PEDERE

M

05-30-2000

18

Cebuano/ Kana/Sinu gboanong Bini

Christia nity

DAWAHON

BATO

LEYTE

SARZONA,CAR ABALA, MELITA,PEDER ROGELIO INOC E,

121063080074

VADAL,MAX KERWIN, TAGSIP

M

10-20-2001

16

Cebuano/ Kana/Sinu gboanong Bini

Christia nity

DAWAHON

BATO

LEYTE

VADAL, MAXIMO TANEO

TAGSIP,ROXEN ,CABILLO,

F

05-20-2003

15

Cebuano/ Kana/Sinu gboanong Bini

Christia nity

DAWAHON

BATO

LEYTE

PAQUIBULAN, ESTERLITO LAVINA

ALFREDA,GLO RIA,RAFANAN,

Christia nity

DAWAHON

BATO

LEYTE

COSTILLAS, ORLANDO YARTE

ALORRO,CRIS ELDA,PAGALA N,

PINOLA,LEONI LA,EWAY,

14 <=== TOTAL MALE

121063080006

ALFREDA,GLORY MAE, RAFANAN

121063080008

ALORRO,CHRISTINE, PAGALAN

F

02-06-2003

15

Cebuano / Sinugbua nong Binisay

121063080018

BELTRAN,CHORA MAE, BADAJOS

F

05-29-2003

15

Cebuano/ Kana/Sinu gboanong Bini

Christia nity

DAWAHON

BATO

LEYTE

BELTRAN, SAMUEL SERDAN

BADAJOS,MEL CHORA,BADIN AS,

121063080037

JUGARAP,EVALYN, DUNGOG

F

03-08-2003

15

Cebuano/ Kana/Sinu gboanong Bini

Christia nity

DAWAHON

BATO

LEYTE

JUGARAP, VEVENCIO GOLOSINO

DUNGOG,LELA ,WAHING,

121063080041

LAROZA,WILINDA, VASQUEZ

F

12-06-2002

15

Cebuano/ Kana/Sinu gboanong Bini

Christia nity

DAWAHON

BATO

LEYTE

LAROZA, WILFREDO TERO

VASQUEZ,ERLI NDA,BOCAO,

121063080042

MARIMON,JAMAICA, TAVERA

F

01-04-2002

16

Cebuano/ Kana/Sinu gboanong Bini

Christia nity

DAWAHON

BATO

LEYTE

DEL ROSARIO, MARIMON,DOL VIRGILIO OROSA,TAVER MABIA A,

121063080047

MERCADER,VIRGINIA, VASQUEZ

F

11-20-2000

17

Cebuano/ Kana/Sinu gboanong Bini

Christia nity

DAWAHON

BATO

LEYTE

MERCADER, EMILIANO GOZON

VASQUEZ,ROS ALIE,BUCAO,

121063080049

MILLIANG,LEONORA, II SENITA

F

05-31-2002

16

Cebuano/ Kana/Sinu gboanong Bini

Christia nity

DAWAHON

BATO

LEYTE

FLORES, RODRIGO TANEO

MILLIANG,MAR GIE,SENITA,

121063080062

PINOLA,RHEALYN, DACULLO

F

12-26-2002

15

Cebuano/ Kana/Sinu gboanong Bini

Christia nity

DAWAHON

BATO

LEYTE

PINOLA, RICARDO LONGAKIT

DACULLO,EST RELLA,CASTIL LO,

121063070092

SAMARES,LESLIE, BUCAO

F

11-30-1998

19

Cebuano/ Kana/Sinu gboanong Bini

Christia nity

DAWAHON

BATO

LEYTE

121063080066

SARZONA,MARY SHIMBIE, PIEDAD

F

01-12-2002

16

Cebuano/ Kana/Sinu gboanong Bini

Christia nity

DAWAHON

BATO

LEYTE

VASQUEZ,IRE NE,BUCAO,

SARZONA, PIEDAD,EVELY SAMMER DAAN N,CANTON,

121063080068

TAPAN,ROSALINDA, SARZONA

F

09-24-2000

17

Cebuano/ Kana/Sinu gboanong Bini

Christia nity

DAWAHON

BATO

LEYTE

TAPAN, AGRIPINO SUICO

SARSONA,ERL INDA,BERBES ADA,

121063080073

UDTO,ANNA MARIE, PADA

F

05-04-2002

16

Cebuano/ Kana/Sinu gboanong Bini

Christia nity

DAWAHON

BATO

LEYTE

UDTO, ROBERTO CORTEJOS

PADA,HILDEG UNDA,OBRA,

121063080076

VILLAREAS,GINALY, LABOR

F

05-22-2003

15

Cebuano/ Kana/Sinu gboanong Bini

Christia nity

DAWAHON

BATO

LEYTE

VILLAREAS,RO SALY,LABOR,

14 <=== TOTAL FEMALE 28 <=== COMBINED

List and Code of Indicators under REMARKS column Indicator Transfered Out Transfered In Dropped Late Enrollment

Cod Required Information e 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 June)

Indicator CCT Receipient

Code CCT

Balik Aral

B/A

Learner With Disability Accelerated

LWD ACL

Required Information CCT Control/reference number & Effectivity Date

REGISTERED

BoSY

MALE

14

FEMALE

14

Specify Level & Effectivity Data

TOTAL

28

Prepared by;

Certified Correct: FILOMENO A. RIÑA

SIENA REPIZO SAAVEDRA

Name of school last attended & Year Specify

EoSY

(Signature of Adviser over Printed Name)

(Signature of School Head over Printed Name) BoSY Date:

BoSY Date:

EoSY Date:

EoSY Date: Generated thru LIS

Generated on: Monday, November 12, 2018