House #/

Street/ Sitio/
Purok
Relationship
M
Christian
ity
M
Christian
ity
RELATIVE
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School ID 120625 Region VII Division Negros Oriental District Vallehermoso
School Name Don Vicente Lopez, Sr. MS (Bagawines ES) School Year 2014 - 2015 Grade Grade 2 Section B
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
120625120086.
ALINGASA, JOHN LLOYD
PROVITSO
11-19-2006 7. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
120625120088. AMBAG, FRANCE TELERON 07-02-2007 6. Cebuano
Name
ERLINDA
TELERON
AMBAG
ALINGASA,
DARIO FAT
VIRGILIA
CABUROG
ALINGASA
120625120049. CAETE, EMMANUEL SANCHEZ 11-06-2006 7. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625120004. CANONIGO, ANGELO ALAJEO 01-05-2007 7. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
,
MICHELLE
TELERON
AMBAG
CAETE,
EUGENIO ELBA
ELMA
COMPAY
SANCHEZ
ELEZABETH S
ELBA
120625120090. CANOY, ALDRIN YBAEZ 07-09-2007 6. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625110020.
CANOY, RALPH CHRISTIAN
OBESO
07-23-2006 7. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
CANONIGO,
EXEQUIL
FERNANDES
JOCELYN
PASUMILAO
ALAJENO
CANOY,
ANTONIETTO
NINGASCA
VIRGINIA
VIRAN YBAEZ
120625120167.
CASIPONG, IAN DAVE
VISITACION
12-23-2006 7. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
120625130101. DIVIBAR, JETLYN OLVIDADO 09-06-2004 9. Cebuano
CANOY, JUAN
CABALLERO
RHODA
GENOLOS
OBESO
CASIPONG,
RONALDO
SILABAY
ROSIEBEL
JANDAYAN
VISITACION
120625140137. DIVIBAR, JIVJIV OLVIDADO 10-16-2001 12. Cebuano
BAGAWINES
120625120051. ESCORIAL, JM PAMOR 07-01-2007 6. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
, PATRICIO
MONDARTE
DIVIBAR
LOURDES
VILLO
OLVIDADO
DIVIBAR,
PATRICIO
MONDARTE
LOURDES
VILLO
OLVIDADO
120625120117. ESCORIAL, ROLLY CADIENTE 07-06-2007 6. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625120053.
FERNANDEZ, ANGELOU
SIAREZ
08-07-2007 6. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
ESCORIAL,
JESUS
SECONG
MARILOU
TEMPERATUR
A PAMOR
ESCORIAL,
RONNIE
ESLIBONA
LIGAYA
CORDOVA
CADIENTE
120625120122. LIMPANGOG, IAN ESGUERRA 07-31-2007 6. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625120010. MAQUILAN, KELVIN DEVIBAR 01-27-2007 7. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
FERNANDEZ,
PIO ESTANIEL
EMALYN
OBRERO
SIAREZ
LIMPANGOG,
ABEL
SUMALINOG
JOSELLE
ACABAL
ESGUERRA
LUZVIMINDA A
ESGUERRA
120625130146. NUEZ, VICTOR BELBELONI JR 08-30-2007 6. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
MAQUILAN,
VICENTE
FEROLINO
CARMEL
CABRISTANTE
DEVIBAR
NUEZ,
VICENTE
TALISIK SR
FLORA LAPIS
BELBELONE
School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
Vallehermoso
B
REMARKS
(Please refer to
the legend on last
page)
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
RELATIVE
M
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
120625120074. SANCHEZ, ARVAN CAUBA 08-06-2007 6. Cebuano
120625100136.
SANTIAGO, RENZ NIO
MAGALSO
09-08-2004 9. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120530120037. SOTEA, ROBIN LASTIMOSA 04-25-2002 12. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
,
VANESSA
CAUBA
SANCHEZ
SANTIAGO,
AGAPITO
MARINES SR
MARITES
ACABO
MAGALSO
120625120163. VALDE, JOSH APRIL CAGANDE 04-12-2007 7. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
ALANGILAN
120625120076.
VILLACAMPO, JULIETO
PAARES
01-17-2007 7. Cebuano
SANTA
CATALINA
NEGROS
ORIENTAL
SOTEA,
RENILLO
QUINTO
CRISTINA
LAGUNA
LASTIMOSA
,
MA LAARNI
CAGANDE
VALDE
WILMA
CAGANDE
20 <=== TOTAL MALE
BAGAWINES
120625120020.
BARTOLOME, MIRACLE
VILLADAR
12-28-2006 7. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
VILLACAMPO,
ANGELO
MARSAMOLO
JOSEPHINE
PARAN
PAARES
LILIBETH V
BARTOLOME
120625120021.
CODILLO, SAMUELA MARIE
DELA CRUZ
11-03-2006 7. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625120130. ESTRADA, CARLA BELBELONE 02-02-2007 7. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
,
JUVELYN
VILLADOR
BARTOLOME
CODILLO,
SAMMY
LAZATIN
MARICEL
REBOSQUILLO
DELA CRUZ
MONSERAT H
DIANO
120625120131. ESTRADA, CAYLA BELBELONE 02-02-2007 7. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625120031.
HERMOSO, REISHA DANE
BAYNOS
10-03-2007 6. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
ESTRADA,
FELECIANO
VILLAN
OFELIA LAPIS
BELBELONE
ESTRADA,
FELECIANO
VILLAN
OFELIA LAPIS
BELBELONE
120625120106. INSIERTO, WENA NAVALES 06-27-2007 6. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625120132. LARIOSA, JEIANNE TESING 07-27-2007 6. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
HERMOSO,
RONALD
DOLINO
JUDITH
LANORIAS
BAYNOS
INSIERTO,
EDWIN
BISANCAY
MAGDALENA
LAPIS
NAVALES
120625130127. LIPALAM, ALSHEL ESCORIAL 04-27-2007 7. Cebuano
BAGAWINES
120625120137.
PANSOY, JINNEY ANN
PARAGSA
03-26-2007 7. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
LARIOSA,
DIONESIO
BASILIOTE
THELMA
MINDO TESING
LIPALAM,
FRESHER
SUSON
MARIA ALMA
ANRAKE
ESCORIAL
120625120139. PANSOY, MICKA DECIPOLO 05-25-2007 7. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625130132. PASAGDAN, BABENA MALLOSA 10-04-2006 7. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
PANSOY,
DIONESIO
DECIPOLO
ANTONIA
BORON
PARAGSA
,
ANDREA
BARICUATRO
DECIPOLO
ANDREA
BARICUATRO
PANSOY
120625130150.
QUIJANO, JENE VIVE NOT
APPLICABLE
02-24-2004 10. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
119791130073. RABANES, RHEA MITCH NA 06-06-2007 7. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
PASAGDAN,
ABUNDIO
BARCENAL SR
ANITA
CADUSALE
MALLOSA
,
JACQUILINE
QUIJANO
120625120114. VARRON, ANGELICA ALBARINA 11-20-2006 7. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
DUMLOG
CITY OF
TALISAY
CEBU
TANGAYAN,
RENANTE
GONZAGA
ELSA BULAK
RABANES
VARRON, FELIX
ANLIQUERA
LORGIE
BACUS
ALBARINA
F
Christian
ity
Indicator Code BoSY
20.
15
35
120625120047. VICUA, JESTALYN BORON 11-20-2006 7. Cebuano
15 <=== TOTAL FEMALE
BAGAWINES
35 <=== COMBINED
VALLEHERM
OSO
NEGROS
ORIENTAL
VICUA,
JOSEPH
SUPEDA
JINKY CANOY
BORON
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:
LORNA BONJIBOD PARCON LOURDES M. FERNANEDEZ
FEMALE
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
Revision 4
BoSY Date: EoSY Date: BoSY Date: EoSY Date:
Generated on: Tuesday, August 26, 2014 1:24:34 PM
CCT Control/reference number & Effectivity Date
Name of school last attended & Year
Specify
Specify Level & Effectivity Data
MALE
Certified Correct:
LOURDES M. FERNANEDEZ
(Signature of School Head over Printed Name)
EoSY Date:
Generated on: Tuesday, August 26, 2014 1:24:34 PM