House #/

Street/ Sitio/
Purok
Relationship
M
Christian
ity
M
M
M
M
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Christian
ity
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Christian
ity
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School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School ID 301000 Region III Division Tarlac
School Name Victoria NHS School Year 2014 - 2015 Grade Grade 7 Section CHRONICLES
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 PARENTS
GUARDIAN
(if Not Parent)
Contact
Number of
Parent or
Guardian Barangay
Municipality/
City
Province
Father's Name
(Last Name, First
Name, Middle
Name)
Mother's Maiden
Name (Last Name,
First Name,
Middle
106784070001.
AFABLE, MIKE ANGELO
MENDOZA
04-23-2002 12. Iloko BALAYANG VICTORIA TARLAC
106793070001. AQUINO, EDMUNDO MANILA 01-15-2002 12.
Name
ROMEO
AQUINO
, MENDOZA
ANABELLE
AFABLE
106784070003. BACTAD, JERICO DOMINGO 10-18-2002 11. BALAYANG VICTORIA TARLAC
BALAYANG
106784070007.
BALTAZAR, JAMES NORLAN
BICERA
07-11-2002 11.
VICTORIA TARLAC ,
FELICITAS
MANILA
MELANIO
BALTAZAR
, DOMINGO
SATURNINO
BACTAD
106791070006.
CALINGACION, RITCHIE
APOLONIO
07-02-2000 13. LALAPAC VICTORIA TARLAC
BALAYANG
106793060008. CASTILLO, ARIEL RAMONES 08-04-2000 13.
VICTORIA TARLAC , BICERA
GIL CASTILLO
, APOLONIO
JENNY
APOLONIO
106793070010. CATABAY, JULIUS FERNANDEZ 12-03-2001 12.
PALACPALA
C
VICTORIA TARLAC
PALACPALA
C
106784070016.
CORTEZ, KARL VINCENT
CAPULONG
09-22-2000 13.
VICTORIA TARLAC , RAMONES
VICTOR
CORTEZ
,
MYLA
FERNANDEZ
DOLORES
CATABAY
106786070008.
GABAON, GERALD IAN
ANTALAN
06-01-2002 12.
BATANGBAT
ANG
VICTORIA TARLAC
BALAYANG
301000110274.
GABRIEL, CHRISTIAN JOSEPH
VICENTE
02-04-2000 14.
VICTORIA TARLAC , CAPULONG
LUCENA
GABRIEL
, A
ANA HAZEL
GABAON
106784070035. GAMENG, VIRON BAON 04-14-2000 14. BALAYANG VICTORIA TARLAC
CABULUAN
106784070038. GAPINGAN, JOSHUA OCAMPO 06-30-2002 11.
VICTORIA TARLAC ,
JERRY
GAPINGAN
, GABAON
VICTORINO
GAMENG SR
106784070039.
GATMIN, MARK LAURENCE
GARNADOZO
05-31-2002 12. BALAYANG VICTORIA TARLAC
BALAYANG
106784070048. QUIJANO, JAY CARLO VALDEZ 10-22-2000 13.
VICTORIA TARLAC , OCAMPO
JUDY QUIJANO
, GARNADOZO
LAUDENCIO
GATMIN
106784070051. RAGMA, ASPER GABRIEL 11-13-2001 12. BALAYANG VICTORIA TARLAC
BALAYANG
106664070033. ROSETE, BRIAN JAY PERALTA 09-13-2001 12. Iloko
VICTORIA TARLAC , V
JOCELYN
ROSETE
, G
BRAULIO
RAGMA
106793070028.
SACATANI, JAYSON
FRANCISCO
06-19-2000 13.
PALACPALA
C
VICTORIA TARLAC
BALAYANG
106784070059.
SAGUN, JOHN LLOYD
MARCELO
10-07-2001 12.
VICTORIA TARLAC ,
JOCELYN
PERALTA
JONATHAN
SAGUN
,
MARIVIC
FRANCISCO
MELENCIO
SACATANI
106786120029. SOLIVEN, JHEROME GABAON 09-22-2002 11. Iloko
BATANGBAT
ANG
VICTORIA TARLAC
BALAYANG
106784070068.
VALDOZ, JONATHAN
FERNANDEZ
11-12-2001 12.
VICTORIA TARLAC , MARCELO
SATURNINO
VALDOZ
, A
DONALD
SOLIVEN
20 <=== TOTAL MALE
BALAYANG VICTORIA TARLAC , F
School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
CHRONICLES
REMARKS
(Please refer to
the legend on last
page)
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
Indicator Code BoSY
20.
17
37
106788070002. BALANA, DENISE GAMIDO 07-01-2002 11.
MARILYN
BALANA
106793070003. BALBIN, MARJERRY POLIDO 08-22-2001 12. BALAYANG VICTORIA TARLAC
CABULUAN
136213070002. BALBIN, SHARIEL PAWID 02-21-2002 12.
VICTORIA TARLAC ,
MARILYN
GAMIDO
ARIEL BALBIN
,
MARGIE
POLIDO
JERRY BALBIN
106784070011.
BUDANIO, MARY HEART
BARROGA
02-14-2002 12. BALAYANG VICTORIA TARLAC
BALAYANG
106784070014.
CORDOBA, ANGELICA
RAMONES
09-26-1999 14.
VICTORIA TARLAC ,
SHARON
CANAYON
PAWID
MARITES
CORDOBA
, BARROGA
MARLON
BUDANIO
106784070017. DE GUZMAN, RUTH YUZON 01-26-2000 14. BALAYANG VICTORIA TARLAC
BALAYANG
106793070011. DONES, JAZEL ANNE VALDOZ 02-10-2002 12.
VICTORIA TARLAC , RAMONES
MARIA
TERESA
POLIDO
, YUZON
MERCIDITA DE
GUZMAN
106791070018.
MAGBALITA, CHERRYLYN
AQUINO
12-06-2001 12. LALAPAC VICTORIA TARLAC
PALACPALA
C
106784120138. MANZANO, JOURNEY CALICA 11-29-2001 12.
VICTORIA TARLAC ,
MARITES
VALDOZ
JESUS
MANZANO
, AQUINO
MARVIN
MAGBALITA
106784070044.
PANGALIMAN, KRISTINE
MENDOZA
12-02-2001 12. BALAYANG VICTORIA TARLAC
BALAYANG
106784070047. PASTIDIO, TRICIA SALOMATAR 07-26-2002 11.
VICTORIA TARLAC , CALICA
ANATALIO
PASTIDIO
, MENDOZA
MYRNA
PANGALIMAN
106784070056. RENOJO, JANILLE NACENO 01-08-2002 12. BALAYANG VICTORIA TARLAC
BALAYANG
106793070030. SACATANI, MARILYN ALZAGA 01-01-2002 12.
VICTORIA TARLAC , SALOMATAR
AILYN
SACATANI
, NACENO
JANET
NACENO
106793070032. SERRANO, JOELLA LEONA 11-21-2001 12. BALAYANG VICTORIA TARLAC
PALACPALA
C
106788070026.
SUBAYNO, KATHRYN JOY
ESQUILLO
11-29-2001 12.
VICTORIA TARLAC , AILYN ALZAGA
ROMMEL L
SUBAYNO
,
JONNY
SERRANO
106784070065. TORRES, ALONA SELA OROSA 09-25-1999 14. BALAYANG VICTORIA TARLAC
CABULUAN
105479120077.
VELUZ, MARY ROSE
REVOLLEDO
06-26-2002 11.
VICTORIA TARLAC , ESQUILLO
MELODY R
VELUZ
, OROSA
ALBINO
TORRES
17 <=== TOTAL FEMALE
37 <=== COMBINED
LICAB NUEVA ECIJA ,
MELODY R
VELUZ
List and Code of Indicators under REMARKS column
Code Required Information Indicator Required Information REGISTERED
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
TOTAL
EoSY
Prepared by; Certified Correct:
MELODY LACAYANGA MEJIA LUZ GACUTAN TRINIDAD
FEMALE
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
Revision 3
BoSY Date: EoSY Date: BoSY Date: EoSY Date:
Generated on: Monday, July 21, 2014
CCT Control/reference number & Effectivity Date
Name of school last attended & Year
Specify
Specify Level & Effectivity Data
MALE
Certified Correct:
LUZ GACUTAN TRINIDAD
(Signature of School Head over Printed Name)
EoSY Date:
Generated on: Monday, July 21, 2014