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
RELATIVE
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 5 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
120625090008. ALOTA, CHRISTIAN OBIEDO 11-24-2003 10. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
120625120158.
BARNAYHA, RONNIE
ULBENARIO
10-26-1998 15. Cebuano
Name
TARSILA
ALIGADA
ALOTA,
DIOSDADO
GUANZON
IRENE
BIARCAL
OBIEDO
120625090024.
BEARCAL, JOHNDEL
PASAGDAN
10-17-2004 9. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625090026.
BELBESTRE, JURRY
MALABAGO
03-15-2004 10. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
,
MACARIA
MAHINAY
ULBENARIO
BEARCAL,
DIONESIO P
ELIZABETH B
PASAGDAN
120625090031. CABALLERO, LEVY BOY ANOG 01-21-2003 11. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625090033. CALARDE, ARNEL MALABAGO 12-05-2001 12. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
BELBESTRE,
LEONARDO
FEROLINO
FELISA
CASIPONG
MALABAGO
CABALLERO,
ALFREDO
LABRADOR
LILIBETH
PLACER ANOG
120625090035.
CAMPAA, CELSO
REBUSQUILLO JR
05-10-2002 12. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625090036. CAETE, ROMMEL MALABAGO 10-16-2002 11. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
CALARDE,
CIRILO
PENAFLOR
ANDREA L
MALABAGO
,
ROSELYN
DAULONG
REBUSQUILLO
120625080059. ESPINAS, ARJUNE PATEO 07-13-2001 12. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625090055. ESTRADA, LOUIE ESCORA 07-16-2001 12. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
Caete, elpidio
Tulib
FELISA
MAGALSO
MALABAGO
Espinas, Allan
NA
ARLENE
DAGING
PATENIO
120625090077. LAYAN, LYCO VILLARANTE 04-04-2004 10. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625090083. MAHINAY, RACKY MONTECILLO 09-26-2004 9. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
Estrada, Manuel
L
ELIZABETH
ALBIAR
ESCORA
Layanl, Meliton
Opsimar
IMELDA
GARSON
VILLARANTE
120625090022. MESA, JASON BELBELONE 12-04-2003 10. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625090091. MESA, RAINIER SANCHEZ 05-25-2004 10. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
Mahinay, Rafael
F
VERONICA
ABAD
MONTECILLO
Mesa, Isidro M
MARINA
BEBELONI
BAYOT
ANALISA M
BAYOT
120625090094. MUOZ, CLARENZ FEROLINO 09-17-2002 11. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
Mesa, Edelberto
B
MARINA
BAYARCAL
SANCHEZ
,
ELSIE
ESCORIAL
FEROLINO
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
M
Christian
ity
M
Christian
ity
M
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
RELATIVE
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
120625080089. OSORIO, JUNCEL MAGTAGAD 06-03-2001 13. Cebuano
120625090110.
PANLAAN, HERNAN
PAHAYAHAY
01-29-2004 10. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625090122. PITOS, JEOR JHON DINGCONG 12-05-2002 11. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
osorio, Lucrisio
MAGTAGAD,
CRISELDA
Panlaan, Miguel
Tolintin
EMELIA
PAHAYAHAY
120625090132. ROA, MARK NIO PITULAN 01-25-2004 10. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625090139. SILABAY, NIO PANSOY 12-27-2001 12. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
Pitos, Benidicto
Election
JUANITA
MAALA
DINGCONG
Roa, Medardo
Facultad
MAE C
PITULAN
LILIBETH F
ROA
120625090145.
SOTOMAYOR, ZOREN
BAYABADO
08-25-2001 12. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625090154. TANGAYAN, RAMIL MEDES 10-15-2003 10. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
,
LOURDES
PANSOY
SILABAY
Sotomayor,
SOcrates
MARY JANE
BAYABADO
120625090165.
VILLACAMPO, ANGELITO
PANARES JR
07-31-2000 13. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
23 <=== TOTAL MALE
VALLEHERM
OSO
NEGROS
ORIENTAL
Tangayan,
Joeramil E
LITA MEDES
VILLACAMPO,
ANGELITO
MAKSAMOLO
SR
JOSEPHINE
PARAN
PANARES
120625090003. ALBARINA, JONA MAE TECSON 10-14-2003 10. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
120625090020. BAYABADAO, DONNAH OGANG 11-16-2003 10. Cebuano
ALBARINA,
EDGAR BACUS
JULIETA
VILLAR
TECSON
120625090027. BERK, MARY JANE GARING 12-06-2003 10. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625090032.
CALARDE, ANABELLE
MALABAGO
12-15-2003 10. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
bayabado,
roselio degenion
RAMONA EON
OGANG
,
DIVINA
GARING
FRUCTUSA
GARING
120625090043.
DAYOHA, FREANNE MAY
CATIPAY
07-17-2004 9. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625090052. ELBA, DANIELA CARILLO 11-01-2002 11. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
CALARDE,
CIRILO
PEAFLOR
ANDRIA L
MALABAGO
dayoha,
ALFREDO
damandaman JR
ANALIZ C
CATIPAY
120625090054. ENTANES, JESSIL ESCORIAL 05-04-2003 11. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625090063. EWAYAN, NOELYN ALOTA 09-10-2003 10. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
ELBA, DANILO
COSTANILLA
ERLINDA
CANETE
CARILLO
calumba,
Reynaldo sta
ana
BENEDICTA
ESCORIAL
120625090067. GEORPE, THELMA AVILA 02-02-2004 10. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625090081. MAGALSO, LIEZEL ESCABAS 06-14-2004 9. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
Ewayan, Noel
bacus
EVANGELYN
GUANZON
ALOTA
Georpe,
Bonifacio
Escribano
MARIA
THERESA P
AVILA
120625090089.
MARTINEZ, MICHAELA BETH
ROA
03-26-2004 10. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625090096. OBESO, CRISTEN MAE LAPIS 12-14-2003 10. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
Magalso,
Joselito Oficiar
ERMALINE
ESTILLORE
ESCABAS
Martinez,
Michael Sinoy
PATRIBETH F
ROA
BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
Obeso, Tito
Casipong
TERESITA
DEMOL LAPIS
LE
DATE:2014/07/
02
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
F
Christian
ity
Indicator Code BoSY
23.
19
42
120625090098. OPSIMA, EVA MARIE SIAREZ 04-24-2001 13. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
120625080103. PITOS, MARYROSE ESGUERRA 11-06-2003 10. Cebuano
Opsima,
Ephraim
Gaudiano
FELICITAS T
TANGAYAN
SIAREZ
120625090124. PLACER, CHERRY MAGON 09-21-2003 10. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625090136. SATURE, GERLYN DAYON 09-22-2003 10. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
Pitos, Romulo
Elecion
AGRIFINA T
ESGUERRA
Placer,
Geronimo
Psignasigna
BERNADETH
NOBLE
MAGON
120625090140. SILABAY, ROWENA ROMANO 05-10-2003 11. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625090144.
SOTOMAYOR, CLARISAVELL
BAYABADO
10-31-2002 11. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
Sature, German
Guanzon
BEBERLYN J
DAYON
Silabay, Renato
Canoy
ROBELITA
VILLAMERO
ROMANO
120625090161. TESING, APRILYN MAGALSO 04-09-2004 10. Cebuano BAGAWINES
VALLEHERM
OSO
NEGROS
ORIENTAL
BAGAWINES
120625090166.
VILLACAMPO, JOLINA
PANARES
04-10-2002 12. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
Sotomayor,
Socrates Siarez
MARY JANE
STRELLA
BAYABADO
Tesing, Mariano
Samillano
MILAGROS F
MAGALSO
20 <=== TOTAL FEMALE
BAGAWINES
43 <=== COMBINED
VALLEHERM
OSO
NEGROS
ORIENTAL
Villacampo,
Angelito
Cabugnason
JOSEPHINE
PARAN
PANARES
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:
DEBBIE ROSALIA VAILOCES
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: Monday, July 28, 2014 2:52:11 PM
CCT Control/reference number & Effectivity Date
Name of school last attended & Year
Specify
Specify Level & Effectivity Data
MALE
Certified Correct:
(Signature of School Head over Printed Name)
EoSY Date:
Generated on: Monday, July 28, 2014 2:52:11 PM