School Form 1 (SF 1) School Register

(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)

School ID 416501 Region II Division Quirino

Grade
School Name Maddela Marvelous Grace Christian School Inc. School Year 2018 - 2019 Grade 10 Section HONESTY
Level
GUARDIAN
AGE ADDRESS PARENTS Contact
(if Not Parent)
as of MOTHER Number

Sex (M/F)
NAME
BIRTH DATE 1st TONGUE IP
RELIGIO Father's Name Mother's
of
LRN (Last Name, First (Grade (Ethnic House #/ Parent
(mm/dd/yyyy) Frida N (Last Name, Maiden Name
Name, Middle Name) 1 to 3 Group) Street/ Municipality Relationsh or
y Only) Sitio/
Barangay
/ City
Province First Name, (Last Name, Name
ip Guardia
June Middle Name) First Name, n
Purok
Middle Name)

List and Code of Indicators under REMARKS column

 REMARKS

(Please refer
to the legend
on last page)
 C Prepared by; Certified Correct:
o Cod
Indicator Required Information Indicator Required Information REGISTERED BoSY EoSY
d e
e
Transfered Out T Name of Public (P) Private (PR) CCT Receipient CCT CCT Control/reference number & STIHL QUIOCHO JUANITO
/ School & Effectivity Date Effectivity Date
O Balik Aral B/A
Transfered In Name of Public (P) Private (PR) Name of school last attended & Year
School & Effectivity Date Learner With LWD
T Disability Specify
Dropped /I Reason and Effectivity Date Accelerated ACL MALE 11
Late Enrollment Reason (Enrollment beyond 1st Specify Level & Effectivity Data
Friday of June)
D
(Signature of School Head over Prin
R
Name)
P
L
E (Signature of Adviser over Printed
Name)

FEMALE 6

BoSY Date: EoSY Date:

TOTAL 17

BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Tuesday, August 7, 2018

CHO JUANITO

l Head over Printed

me)

EoSY Date:

d thru LIS