School Form 1 (SF 1) School Register

(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
Antipolo Elementary School 2014 - 2015
Region VIII
Grade 6
Leyte School ID
Section
120995 District
A
Albuera South
Grade
Division
School Year School Name
LRN
NAME
(Last Name, First Name, Middle
Name)
S
e
x

(
M
/
F
)
BIRTH DATE
(mm/dd/yyyy)
AGE as
of 1st
Friday
June
MOTHER
TONGUE
(Grade 1
to 3 Only)
IP
(Ethnic
Group)
RELIGION
ADDRESS
House #/
Street/ Sitio/
Purok
Barangay
Municipality/
City
Province
PARENTS
Father's Name
(Last Name, First
Name, Middle
Name)
Mother's Maiden
Name (Last Name,
First Name, Middle
Name
Relationship
GUARDIAN
(if Not Parent) Contact
Number of
Parent or
Guardian
REMARKS
(Please refer to
the legend on last
page)
120995080001
12-05-2002
M ALKUINO, DAVE CAYETANO 11 Cebuano
Christiani
ty
ANTIPOL ALBUERA LEYTE CAYETANO
120995080002
11-30-2002
M BIOC, CARLO DALIDA 11 Cebuano
Christiani
ty
ANTIPOL ALBUERA LEYTE DALIDA
120995080008
12-12-2002
M CADIONG, REYGIE 11 Cebuano
Christiani
ty
ANTIPOL ALBUERA LEYTE MALABAT
120995080011
03-10-2003
M
DADIOS, DARREL
BELARMINO
11 Cebuano
Christiani
ty
ANTIPOL ALBUERA LEYTE DADIOS
120995080012
01-05-2003
M
DALMACIO, MARVIN
CAINDOC
11 Cebuano
Christiani
ty
ANTIPOL ALBUERA LEYTE CAINDOC
120995080015
05-13-2002
M
GALANO, CHRISTIAN
BOHOLST
12 Cebuano
Christiani
ty
ANTIPOL ALBUERA LEYTE BOHOLST
120995080016
06-27-1999
M GALANO, RENIE 14 Cebuano
Christiani
ty
ANTIPOL ALBUERA LEYTE CRESTINES
120995080020
05-03-2003
M
ISRAEL, MELTHON JAY
ESPINA
11 Cebuano
Christiani
ty
ANTIPOL ALBUERA LEYTE ESPINA
120995120041
09-27-2002
M
MANAGBANAG, BUENA
VINCE GUBANG
11 Cebuano
Christiani
ty
ANTIPOL ALBUERA LEYTE GUBANG
120998080082
09-05-2002
M NIVERA JR, ERIC PERNITO 11
Christiani
ty
PERNITO
120995080024
09-14-2003
M
ONTING, JAKE ARNEL
ALKUINO
10 Cebuano
Christiani
ty
ANTIPOL ALBUERA LEYTE ALKUINO
120996080077
03-26-2002
M
POLIQUIT JR, REYNALDO
WENCESLAO
12 Cebuano
Christiani
ty
WENCESLA
120995080028
09-13-2002
M TAMBIS, ALVIN ESPERA 11 Cebuano
Christiani
ty
ANTIPOL ALBUERA LEYTE ESPERA
120995080029
01-14-2003
M TAYO, NIO GALANO 11 Cebuano
Christiani
ty
ANTIPOL ALBUERA LEYTE GALANO
<=== TOTAL MALE 14
120995120042
08-17-2003
F
BESTIL, RUBYLJEN DELA
PENA
10 Cebuano
Christiani
ty
ANTIPOL ALBUERA LEYTE DE LA PENA
120995080004
03-19-2003
F BITO-ON, MARICAR RUIZ 11 Cebuano
Christiani
ty
ANTIPOL ALBUERA LEYTE RUIZ
120995080003
02-10-2003
F BITOON, LIZA DINALGO 11 Cebuano
Christiani
ty
ANTIPOL ALBUERA LEYTE DINALGO
120995080006
09-02-2003
F
BLANZA, REYSHELLE
CAINDOC
10 Cebuano
Christiani
ty
ANTIPOL ALBUERA LEYTE CAINDOC
120995080007
11-17-2000
F CADIONG, JESSA POLIQUIT 13 Cebuano
Christiani
ty
ANTIPOL ALBUERA LEYTE POLIQUIT
LRN
NAME
(Last Name, First Name, Middle
Name)
S
e
x

(
M
/
F
)
BIRTH DATE
(mm/dd/yyyy)
AGE as
of 1st
Friday
June
MOTHER
TONGUE
(Grade 1
to 3 Only)
IP
(Ethnic
Group)
RELIGION
ADDRESS
House #/
Street/ Sitio/
Purok
Barangay
Municipality/
City
Province
PARENTS
Father's Name
(Last Name, First
Name, Middle
Name)
Mother's Maiden
Name (Last Name,
First Name, Middle
Name
Relationship
GUARDIAN
(if Not Parent) Contact
Number of
Parent or
Guardian
REMARKS
(Please refer to
the legend on last
page)
120995080009
11-20-2003
F
CAINDOC, CHERRY VIE
GALANO
10 Cebuano
Christiani
ty
ANTIPOL ALBUERA LEYTE GALANO
120995080010
08-03-2003
F CAINDOC, MELYN CARBON 10 Cebuano
Christiani
ty
ANTIPOL ALBUERA LEYTE CARBON
120995080014
12-12-2001
F
FORTUNATO, ELVIE
CAPAROS
12 Cebuano
Christiani
ty
ANTIPOL ALBUERA LEYTE CAPAROS
114533080042
05-21-2003
F
HUBILLA, MARY ANGEL
NOVERO
11 Cebuano
Christiani
ty
ANTIPOL ALBUERA LEYTE NOVERO
120995080017
03-18-2003
F ISRAEL, ERHA WENCESLAO 11 Cebuano
Christiani
ty
ANTIPOL ALBUERA LEYTE WENCESLA
120995080018
05-18-2002
F ISRAEL, JUMALIN GALANO 12 Cebuano
Christiani
ty
ANTIPOL ALBUERA LEYTE GALANO
120995080019
08-30-2002
F ISRAEL, REGINE CAETE 11 Cebuano
Christiani
ty
ANTIPOL ALBUERA LEYTE CANETE
120995080022
03-15-2003
F
JUANILLO, LOVE NELIE
ALKUINO
11 Cebuano
Christiani
ty
ANTIPOL ALBUERA LEYTE ALKUINO
124198080060
01-03-2002
F MERCEDES, ERICA MURING 12 Cebuano
Christiani
ty
ANTIPOL ALBUERA LEYTE MURING
120995080023
06-23-2003
F
MOLERO, HANNAH MAE
DALIDA
10 Cebuano
Christiani
ty
ANTIPOL ALBUERA LEYTE DALIDA
120995080025
07-06-2003
F POGATA, ERICA GALANO 10 Cebuano
Christiani
ty
ANTIPOL ALBUERA LEYTE GALANO
120995080027
07-30-2003
F
SAJONIA, JAMAICA NICOLE
CALVARIO
10 Cebuano
Christiani
ty
ANTIPOL ALBUERA LEYTE CALVARIO
<=== TOTAL FEMALE 17
Indicator Code Required Information Indicator Code Required Information REGISTERED BoSY EoSY
MALE
FEMALE
TOTAL
CCT Control/reference number & Effectivity Date
Name of school last attended & Year
Specify
Specify Level & Effectivity Data
Transfered Out
Transfered In
Dropped
T/O
T/I
DRP
LE
Name of Public (P) Private (PR) School &
Effectivity Date
Name of Public (P) Private (PR) School &
Effectivity Date
Reason and Effectivity Date
Reason (Enrollment beyond 1st Friday of
CCT Receipient
Balik Aral
Learner With
Disability
Accelerated
CCT
B/A
LWD
ACL
Prepared by; Certified Correct:
PAULMAN MANATAD PAULO FELIPA ARQUILLANO ARIAS
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
BoSY Date: EoSY Date: EoSY Date: BoSY Date:
<=== COMBINED 31
List and Code of Indicators under REMARKS column
14
17
31
Generated on: Saturday, June 21, 2014