House #/

Street/ Sitio/
Purok
Relationship
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
RELATIVE
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 3 Section C
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
120625110011. BALAYONG, JEVEN DIDAL 03-13-2006 8. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
120625100013. BARBON, MARVIN PAHAYAHAY 03-03-2003 11. Cebuano
Name
, LUCIA DIDAL
EMELIA
BALAYONG
120625110013.
BARINQUE, AMELETO
HERAMES
05-11-2006 8. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625100020. BINGAAN, JOHN RICH NA 07-16-2005 8. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
BARBON,
DIOSDADO S
ESPERANZA V
PAHAYAHAY
BARINQUE,
ROMERO
PANSOY
ANITA
PARAGSA
HERAMES
120625100030. CALARDE, RICO PEAFLOR 09-01-2003 10. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625120136. CANOY, ARNIEL ABALLE 04-27-2003 11. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
PANLAAN,
RICARDO E
ROSEMARIE
FREJOLES
BINGAAN
,
ARLYN
PEAFLOR
CALARDE
120625090038. CANOY, CEDRICK NINGASCA 09-03-2003 10. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625100038.
CANOY, JOHN CARLO MAG-
USARA
09-09-2005 8. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
CANOY,
ALBERTO N
ANALIE R
ABALLE
,
ALMA
NINGASCA
CANOY
120625120073. COMA, RAYMUND NA 02-12-2005 9. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625110027.
DAULONG, JOHN LESTER
ESRELLOSO
01-01-2006 8. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
CANOY,
RICARDO G
TERESITA P
MAG-USARA
,
FLORY JANE
LAPERA COMA
TEODORA
LAPERA
120625110034. ELBA, JOHN VIC ROSALES 01-27-2006 8. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625100062.
ESCORIAL, VINCENT JAY
BAYONA
10-07-2004 9. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
,
TERESA
ESRELLOSO
DAULONG
ELBA,
FLORENCIO
MARIVIC
DABAL
ROSALES
120625130058. HERAMES, JONIEL PARAGSA 10-23-1997 16. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625100082.
HERMOSO, MON TERRY
ATANACIO
05-04-2005 9. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
ESCORIAL,
VICENTE L
JELYN T
BAYONA
HERAMES,
JULIETO
CARMEN DAES
PARAGSA
120625100091. LOWAY, CHRISTIAN ABELA 12-23-2004 9. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625090080. LOWAY, JAN NOEL ABELLA 11-21-2003 10. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
HERMOSO,
RAYMUNDO
VILLAJOS
TERESITA
LIBRODO
ATANACIO
LOWAY,
NELSON
MENDOZA
CRISANTA
ABELA
BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
LOWAY,
NELSON
MENDOZA
ABELA,
CRISANTA
SACIL
School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
Vallehermoso
C
REMARKS
(Please refer to
the legend on last
page)
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
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
120625110059. MAGBANUA, CAEJAE PANSOY 08-23-2006 7. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
120625110076. ORNILLO, CRISLOU LAPERA 01-22-2006 8. Cebuano
MAGBANUA,
JULIETO LAPIZ
CARLOTA
PAPASIN
PANSOY
120625120138.
RAOA, CHARLEYMAGNE
TELERON
10-14-2004 9. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625110083.
RECILLA, RICARDO TEOLOGO
JR
07-15-2006 7. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
ORNILLO,
GODOFREDO S
LUVIZMINDA
LAPERA
RAOA,
PHILLIP T
BENJIE
TELERON
120625110084.
ROSARIO, JHOEFE LAURENCE
NA
12-10-2005 8. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625110087.
SECONG, CARL FREDRICH
NAVARRO
01-13-2006 8. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
RECILLA,
RICARDO
BACURNAY SR
LOIDA
PATENIO
TEOLOGO
BAYARCAL,
JHUMADHEL A
MA CHERIE FE
ROSARIO
120625100140.
SIAREZ, ANGELITO HERMOSO
JR
03-13-2004 10. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625110089. SIAREZ, JUSTINE TELERON 09-06-2006 7. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
SECONG,
BERNARDO B
VILMA
RECILLA
NAVARRO
SIAREZ,
ANGELITO T SR
ROSEMARIE
DIAZ
HERMOSO
120625100144. SIAREZ, RAP JOSEPH DIAZ 09-29-2003 10. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625110100. VALDEZ, JIMSON SUMILAO 01-13-2006 8. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
SIAREZ,
JEROME
EMELOU
DELACRUZ
TELERON
SIAREZ,
GERARDO
TORTOR
ELSA
SANCHEZ DIAZ
26 <=== TOTAL MALE
BAGAWINES
120625100002. ALBAY, MARYJANE CALARDE 07-20-2005 8. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
VALDEZ,
SUNNY BOY A
ANITA
SUMILAO
120625100007. ARCONILA, LEA HERMOSO 09-20-2005 8. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625120025.
BARCENAL, RACHEALLE
PATAC
04-25-2006 8. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
ALBAY,
ELIEZAR C
MAMERTA
PEAFLOR
CALARDE
ARCONILLA,
ANTONIETO E
JOSEPHINE
TOHONG
HERMOSO
120625110015.
BAYABADO, CHARLENE
ALBARINA
09-21-2006 7. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625090021. BAYLOSIS, RIA MAE NA 02-11-2002 12. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
BARCENAL,
ROMELITO M
ANTONIA
PATAC
BAYABADO,
REYNALDO E
LUISA
ALBARINA
120625120149.
CANOY, MARY CRISDEL
PATENIO
08-19-2004 9. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625120080. ESCORIAL, JUNALYN BAYONA 06-24-2006 7. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
TELERON,
LEONARDO
FRANCIS C
BAYLOSIS
,
MARIA
PATENIO
CANOY
120625110047.
HERMOSA, HEAVEN GRACE
SIAREZ
01-22-2006 8. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625120082. MUOZ, JENNIFER NA 07-13-2004 9. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
ESCORIAL,
VICENTE L
JELYN
BAYONA
HERMOSA,
ANECITO
YBAEZ
ROSITA
ESCORIAL
SIAREZ
120625120151. SATURE, CONNIE JIMENEZ 08-31-2006 7. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625100148.
SOTOMAYOR, CHARISE
BAYABADO
07-30-2005 8. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
BAROTAG,
ARNEL P
ROSALYN
GADOR
MUOZ
,
MARILYN
JIMENEZ
120625110096. TELERON, JUVELYN BAYLOSIS 07-03-2006 7. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
SOTOMAYOR,
SOCRATES S
MARYJANE
ESTRELLA
BAYABADO
TELERON,
JUBIE E
KAREN
BAYLOSIS
F
Christian
ity
Indicator Code BoSY
26.
13
39
120625110097. TESING, VANESSA MAALA 11-30-2005 8. Cebuano
13 <=== TOTAL FEMALE
BAGAWINES
39 <=== COMBINED
VALLEHERM
OSO
NEGROS
ORIENTAL
TESING,
REYNALDO C
GENELY
YANSON
MAALA
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:
CECILIA LAYAN LOGRONIO LOURDES M. FERNANDEZ
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 1:27:10 PM
CCT Control/reference number & Effectivity Date
Name of school last attended & Year
Specify
Specify Level & Effectivity Data
MALE
Certified Correct:
LOURDES M. FERNANDEZ
(Signature of School Head over Printed Name)
EoSY Date:
Generated on: Tuesday, August 26, 2014 1:27:10 PM