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
RELATIVE
M
Christian
ity
MARABILLO,
EXEQUIEL T
DELA CRUZ
EDNA LARIOSA
120625090087.
MARABILLO, EXEQUIEL FRED
DELA CRUZ
06-08-2004 9. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
Mancelita,
Harold Villarino
MAHINAY
EVELYN
GARCIA
MAHINAY,
AQUILISHA
GARCIIA
GADOR,
CAROLITO
DELA CRUZ
LAPORE
SUSANA JAO
120625090082. MAHINAY, CHAD ZYNIE GARCIA 01-09-2004 10. Cebuano
120625090074. JAO, RONALD VINCENT NA 11-10-2002 11. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
HIMONGALA,
CLAUDIO
LABRADOR
BUSTILLO,JUDI
THA ROMANO
HERMOSO,
VENANCIO
DIAZ
TEOLOGO
ROSEVILLA
JEREZ
120625120165.
HIMONGALA, CARL JOSHUA
BUSTILLO
04-02-2000 14. Cebuano
120625090072.
HERMOSO, RHANIER JOHN
TEOLOGO
04-17-2004 10. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
HERMOSO,
EDGARDO
VILLAJOS SR
FRANCISCO
IMELDA
LINDAYAO
GADOR,
CARLITO DELA
CRUZ
JAO SUSANA
LAPURI
120625090070.
HERMOSO, EDGARDO
FRANCISCO JR
07-02-2004 9. Cebuano
120625080065. GADOR, ROWELL JAO 09-21-2000 13. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
GADAYAN,
RUEL BAYOT
TAWAS,
FERLIN
PAGNANAWON
DINI-AY,
FERNANDO
YBANEZ
ABONDIENTE ,
MARILYN
ORALDE
120625090065. GADAYAN, JERALD TAWAS 03-23-2004 10. Cebuano
120625090051. DINI-AY, JOVAN ABONDIENTE 12-01-2003 10. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
DIASNEZ,
NOVENEIL
QUINIO
FRANCISCO,
JOSEPHINE
LINDAYAO
DENI-AY, WILLY
SORENO
ROSARITO
EDITHA
MORERA
120625090049.
DIASNEZ, VENJONEIL
FRANCISCO
07-17-2003 10. Cebuano
120625090047. DENI-AY, JANIBOY ROSARITO 06-24-1999 14. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
DENI-AY, WILLY
SORENO
ROSARITO
EDITHA
MORERA
Dayoha,
Jonathan
Balayong
ANOG,
ANABELLA
PARA
120625090046. DENI-AY, DELMAR ROSARITO 12-15-2000 13. Cebuano
120625090044. DAYOHA, JAMES ANOG 11-20-2003 10. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
LABIS, TOMMY
SALAC
CANOY
BELINDA
COTEJO
CANOY,
NORMA
COTEJO
Canonigo,
Justino
Fernandez
DATOR,
MARILYN
AGUILAR
120625090039. CANOY, JOHN PRIZY COTEJO 05-18-2004 10. Cebuano
Name
136805090048.
CANONIGO, MILES JOSHUA
DATOR
09-11-2003 10. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
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
Section A
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
School Name Don Vicente Lopez, Sr. MS (Bagawines ES) School Year 2014 - 2015 Grade Grade 5
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
(Please refer to
the legend on last
page)
REMARKS
A
School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
Vallehermoso
M
Christian
ity
M
Christian
ity
M
Christian
ity
M
Christian
ity
RELATIVE
M
Christian
ity
RELATIVE
M
Christian
ity
M
Christian
ity
RELATIVE
M
Christian
ity
F
Christian
ity
F
Christian
ity
RELATIVE
F
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
MALABAGO,
HERMINIANO
OPSIMAR
SILABAY NELIA
D DELA CERNA
HERMOSO,
RAYMUNDO
VILLAJOS
ATANACIO
TERESITAL
LIBRODO
120625090084. MALABAGO, JENNEL SILABAY 09-19-2003 10. Cebuano
120625090071.
HERMOSO, MONA NYE LOUISE
ATANACIO
11-21-2003 10. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
EWAYAN,
ANTONIO
SALDUA
ARILE JUSTINA
DESAMPARAD
O
EWAYAN,
JOLITO ALOTA
ABADINGO,LO
RNA
ESTILLORE
120625090060. EWAYAN, MARINEA ARELI 03-18-2004 10. Cebuano
120625090058. EWAYAN, JOLINA ABADINGO 01-28-2004 10. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
POBLACION
VALLEHERM
OSO
NEGROS
ORIENTAL
ENDAB, JESUS
CARREON SR
CABUROG
MARCIANA
LACORITA
DESAMPARAD
O, JOSE
HENRY
ALORAN
DAMANDAMAN
, ROSELYN
BARICUATRO
120625090053. ENDAB, JINKY CABUROG 10-12-2002 11. Cebuano
120625090048.
DESAMPARADO, ROSEVIC
DAMANDAMAN
06-15-2002 11. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
CALIMPAS,
JARRY MESA
NAVALEZ
ANALYN LAPIZ
JARRY M
CALIMPAS
CABALLERO,
DEMETRIO C
TELERON
NADGIE VILIAN
DEMETRIO C
CABALLERO
120625090034. CALIMPAS, JARELYN NAVALEZ 11-29-2003 10. Cebuano
120625090030.
CABALLERO, JOVELYN
TELERON
11-09-2003 10. BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
, NA
CABALLERO,
NARCISA
OBLIGANA
BLANCIA
ROGELIO
YANSON
BAYOT,
WILFREDO
MONTEMAYOR
ALMODIEN
GERALDINE
DESPI
120625090029.
CABALLERO, JAIRAH
OBLIGANA
11-25-2003 10. Cebuano
120625090023.
BAYOT, KRISHA ANN
ALMODIEN
12-22-2003 10. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
VILLO,
DIONESIO
ARTALLA
BEBELONE,
CONCHITA
MESA
23 <=== TOTAL MALE
120625090167. VILLO, EDEL MARK BEBELONE 11-28-2003 10. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
Teja, Benjamin
Gallardo Jr
PEREZ LIWAYA
SABROSO
PEREZ,
FLORDELIZA
SABROSO
TAMBIGA,
TAMIE
TANGAYAN
MARTINEZ
JOVITA CANO
MARTINEZ,
CANDIDA
CANO
120625090155. TEJA, BEN LAURENCE PEREZ 07-22-2004 9. Cebuano
120625090148.
TAMBIGA, JOSE TOM JOVIT
MARTINEZ
04-29-2004 10. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
,
SABANDO
ALMIRA DUPIO
SABANDO,
CRISTITA
DUPIO
RANOA,
PHILLIP T
TELERON
BENJIE
ESCORIAL
TELERON,
JOSELITO
ESCORIAL
120642090102. SABANDO, CHEJAY NA 07-15-2004 9. Cebuano
120625090130. RAOA, JHON MARK TELERON 01-15-2003 11. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
PASQUIL,
DENNIS
CABRISTANTE
FEROLINO
ELIDIZA
ESCORIAL
PASAGDAN,
ABONDIO
Barcenal
MALLOSA NITA
CADUSALE
120625090120. PASQUIL, TYRON FEROLINO 05-31-2004 10. Cebuano
120637090062.
PASAGDAN, JERRY BOY
MALLOSA
02-23-2004 10. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
PALALON,
CARLITO B
NUEVO
SALVACION
CABABA
120625090106. PALALON, MARLON NUEVO 03-30-2004 10. Cebuano
F
Christian
ity
F
Christian
ity
F
Christian
ity
RELATIVE
F
Christian
ity
F
Christian
ity
F
Christian
ity
RELATIVE
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
RELATIVE
Indicator Code BoSY
23.
20
43
Revision 4
BoSY Date: EoSY Date: BoSY Date: EoSY Date:
Generated on: Tuesday, August 26, 2014 1:29:07 PM
CCT Control/reference number & Effectivity Date
Name of school last attended & Year
Specify
Specify Level & Effectivity Data
MALE
MERCEDA REFUELA LIBRADILLA
FEMALE
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
TOTAL
EoSY
Prepared by; Certified Correct:
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
List and Code of Indicators under REMARKS column
Code Required Information Indicator Required Information REGISTERED
43 <=== COMBINED
20 <=== TOTAL FEMALE
BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
Tachado, Hietler
Estrada
ROSELYN
DAYOHA
TAMBIGA
TAMBIGA,
LYNDISA
DAYOHA
Silva, Carlos
Cabatuan
PASIGNASIGN
A, NESTY
RONE
120625090147. TACHADO, QUENNIE TAMBIGA 09-05-2003 10. Cebuano
120625090141.
SILVA, PRINCESS
PASIGNASIGNA
10-10-2003 10. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
Siarez, Angelito
Turtur
HERMOSO,RO
SEMARIE DIAZ
, NA
MARIVIC
DDABAL
ROSALES
ROSALES,MAR
IVIC DABAL
120625090138.
SIAREZ, ANGEL ROSE
HERMOSO
04-29-2003 11. Cebuano
120625090133. ROSALES, MARICAR DABAL 11-11-2003 10. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
Rafallo, Sonny
Ranada
DUMASIG,
EROLYN
LARIOSA
DUMASIG,
JULIANA
LARIOSA
Quio, Eulalio
Calimpas
DIOG, MERIAM
FERNANDEZ
120625090129. RAFALLO, JOY MIE DUMASIG 06-23-2003 10. Cebuano
120625090128. QUIO, IRISH MARIE DIOG 12-04-2003 10. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
PRIMOR,
ANECITO
ABELLANA
OBESO
MARCIANA
COMERIS
Paclibar, Danny
Ballon
MAGALSO
ROSENDA
CALAGO
120625090127.
PRIMOR, CHELSEE MAY
OBESO
05-26-2004 10. Cebuano
120625090102.
PACLIBAR, DIAZYRE JOY
MAGALSO
12-02-2003 10. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
MARTINEZ,
ALLADIN CANO
ERONICO
AVELINA
GARCIA
MALABAGO,
ALFREDO
PATENO SR
YGOT ROSITA
CUYOS
120625090088.
MARTINEZ, HEZIAH HANNIEL
ERONICO
04-16-2003 11. Cebuano
120625090086. MALABAGO, MAURENE YGOT 08-04-2004 9. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
EoSY Date:
Generated on: Tuesday, August 26, 2014 1:29:07 PM
(Signature of School Head over Printed Name)
Certified Correct: