School Form 1 (SF 1) School Register

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

San Jacinto NHS 2016-2017 X1 STEM B

School ID Region VIII Division District

School NameSchoolYearGradeLevelSection
ADDRESS PARENTS GUARDIAN
(If not
AGE
NAME BIRTH Parent)
as of IP
(Last Name, First Sex DATE MOTHER Mother's Maiden
LRN 1st (Ethnic RELIGION House #/ Father's Name
Name, Middle (M/F) (mm/dd/ TONGUE Name (Last
Friday Group) Street/ Municipality/ (Last Name, Relation-
Name) yyyy) Barangay Province Name, First Name
June Sitio/ City First Name, ship
Name, Middle
Purok Middle Name)
Name)
113900050004 Adiaton, Paolo M 4/19/99 18 Masbateo Roman Letada St District 3 San Jacinto Adiaton, Rey, Constantino,
Masbate
Miguel, Constantino Catholic Villahermosa Alma, Bartolay
113900050005 M 18 Masbateo Balintong District 3 San Jacinto Barrun,
Albacite, Ralph Roman Albacite, Rey,
St. Masbate Mercedes,
Emerson, Barrun Catholic Espaol
Delavin
113900050014 M 1/29/99 18 Masbateo Balcavem District 2 San Jacinto Almodal,
Almodal, Jose Roman Letada, Manilyn,
St. Masbate Jamerson,
Federico, Letada Catholic Coloso
Almoete
113900050022 M 8/11/99 17 Masbateo Alicante District 4 San Jacinto Almoguerra,
Almoguerra, Steven Roman Barsaga, Karina,
St. Masbate Norberto,
Claude, Barsaga Catholic Almiana
Almodal
113900050023 M 1/16/00 17 Masbateo Altarejos District 3 San Jacinto Delariarte,
Almojuela, John Roman
St. Masbate Corazon,
Erick, Delariarte Catholic
Bartolay
113900050031 M 7/16/99 16 Masbateo Santa Rosa San Jacinto Anonuevo,
Aonuevo, Christian Roman Estor, Angie,
Masbate Rommel,
Mel, Estor Catholic Maravilla
Viajedor
113900050033 Aton, Frank Gerald, M 11/17/99 17 Masbateo Roman KI. Matilde Mabini San Jacinto Aton, Gerald,
Masbate
Tarucan Catholic Alanis
113900050052 Bartolay, Daniel, M 3/23/99 18 Masbateo Roman Moyot St. District 4 San Jacinto Bartolay, Edison, Cantoria, Letty,
Masbate
Cantoria Catholic A. A.
113900050054 Bartolay, Kerby, M 5/21/99 18 Masbateo Roman Lique St. District 3 San Jacinto Bartolay, Marlon, Maravilla, Jane,
Masbate
Maravilla Catholic Tormo Dejino
113900050047 Bartolata, John M 1/9/00 17 Masbateo Roman Bartolay District 4 San Jacinto Bartolata, Ben, De los Santos.
Masbate
Bench, De los Santos Catholic St. Cantoria Jenny, Escorel
30216712001 Borjal, Dan Paule, M 1/30/00 17 Masbateo Roman Lique St. District 3 San Jacinto Borjal, Danilo, Bartolay, Leny,
Masbate
Bartolay Catholic Balbin Barrun
113863050016 M 09/08/1998 17 Masbateo Roman Buyo San Fernando
Cardino, John Well D. Masbate Cardino, Joel C. Dapadap, Rosie
Catholic
113900050074 Dejumo, Jefferson, M 12/6/98 18 Masbateo Roman Jones St. District 2 San Jacinto Dejumo, Sanny, Tena, Melcy,
Masbate
Tena Catholic Almie Francia
113900050081 Dilao, Peter Jude, M 1/15/00 17 Masbateo Roman Lique St. District 1 San Jacinto Dilao, Petronio Chan, Salvacion,
Masbate
Chan Catholic Jr., Delavin Espaol
113900050090 M 1/17/99 18 Masbateo Bartolay District 3 San Jacinto Espinosa,
Espinosa, Kurt Jason, Roman Almooete,
St. Masbate Fitzgerald,
Almoete Catholic Nanette, Cantoria
Espenilla
113900050099 Gobangco, Amiel, M 5/8/99 18 Masbateo Roman Esparrago District 2 San Jacinto Gobangco, Cantoria, Glenda,
Masbate
Cantoria Catholic St. Amadeo, Torres Dilao
113900050115 Lambojo, John Ricarl, M 12/12/99 17 Masbateo Roman Bailon St. District 1 San Jacinto Lambojo, Grafilo, Jane,
Masbate
Grafilo Catholic Antonio, Salaver Sulat
113900050121 Lumberio, Bernard M 3/10/99 18 Masbateo Alicante District 2 San Jacinto
Roman Lumberio, Espares, Belinda,
Brylle Anthony, St. Masbate
Catholic Baldwin, Dejumo Bartolata
Espares
113900050152 M 9/7/99 17 Masbateo Gutierrez District 2 San Jacinto Villamor,
Villamor, John Roman Espaol,
St. Masbate Manuel,
Manuel, Espaol Catholic Daisy,Almie
Magdaraog
ADDRESS PARENTS GUARDIAN
(If not
AGE
NAME BIRTH Parent)
as of IP
(Last Name, First Sex DATE MOTHER Mother's Maiden
LRN 1st (Ethnic RELIGION House #/ Father's Name
Name, Middle (M/F) (mm/dd/ TONGUE Name (Last
Friday Group) Street/ Municipality/ (Last Name, Relation-
Name) yyyy) Barangay Province Name, First Name
June Sitio/ City First Name, ship
Name, Middle
Purok Middle Name)
Name)
113900050011 Almie, Joyce, F 4/28/00 17 Masbateo Roman Letada St District 3 San Jacinto Masbate Almie, Rogelio, Villamor, Maricel,
Villamor Catholic Trinidad Bartolay
1139000500018 Almodiel, Nadine, F 10/5/99 17 Masbateo Roman Esparrago District 4 San Jacinto Masbate Almodiel, Jessie, Villahermosa,
113900050018 Villahermosa Catholic St. Bartolata Imelda, Letada
113900050020 Almoete, Krystle Kay, F 1/6/00 17 Masbateo Bartolabac District 1 San Jacinto Masbate Almoete, Lumberio, Janice,
Roman
Lumberio St. Florante, Pujol
Catholic
Bartolay
113900050037 Ballesteros, Irene, F 3/9/99 18 Masbateo Roman Bartolabac District 1 San Jacinto Masbate Ballesteros, Tugbo, Evelyn,
Tugbo Catholic St. Irene, Bise Bartolay
113900050040 Barrun, Angela F 8/25/99 17 Masbateo Roman Altarejos District 3 San Jacinto Masbate Barrun, Rolly, Garamay, Vera,
Micah, Garamay Catholic St. Espenilla Altarejos
113900050042 Barrun, Christine F 3/16/00 17 Masbateo Roman Gutierrez District 1 San Jacinto Masbate Barrun, Ruth, Nicol,Floserfida,
Mae, Nicol Catholic St. Repeneo M.
113900050046 Bartolata, Eulaine, F 10/11/99 17 Masbateo Roman Esparrago District 2 San Jacinto Masbate Bartolata, Delariarte, Lony,
Delariarte Catholic St. Euselai, Almonte Almosara
113900050048 Bartolata, Judy Ann, F 11/14/98 18 Masbateo Roman Cagas Calipat-an San Jacinto Masbate Bartolata, Noel, Leyco, Vilma,
Leyco Catholic Espaola Bartolay
113894050019 Bartolata, Mary Joy, F 6/18/99 18 Masbateo Roman Jones St. District 2 San Jacinto Masbate Bartolata, Ben, Bartolay, Margie,
Bartolay Catholic Lique Esparrago
113900050055 Bartolay, Nica, F 1/10/99 18 Masbateo Alicante District 4 San Jacinto Masbate Bartolay, Almosara, Rosie,
Roman
Almosara St. Rustom, Cantoria
Catholic
Bartolata
113900050056 Basa, Richelle F 9/16/99 17 Masbateo Roman Lique St. District 4 San Jacinto Masbate Basas, Richard, Espares, Rusiel,
Rosette, Espares Catholic Cantela Dolendo
114601050037 Bragais, Antonette, F 6/13/00 17 Masbateo Lique St. District 4 San Jacinto Masbate Bragais, Abella, Janet,
Roman
Abella Roderick, Gebilaguin
Catholic
Vejerano
113894050037 Cantoria, Mary Rose, F 8/2/00 16 Masbateo Roman Talaba Burgos San Jacinto Masbate Cantoria, Larry, Perez, Mary
Perez Catholic Leonor Jane, Hamito
113900050088 De los Santos, Rose F 2/20/99 18 Masbateo Roman Esparrago District 2 San Jacinto Masbate Delos Santos, Gersalia, Rosel,
Error-not enrol Edrienne, Gersalia Catholic St. Eddie, Sola Dejumo
113900050077 Delavin, Arrah Mae F 11/16/99 17 Masbateo Roman Moyot St. District 2 San Jacinto Masbate Delavin, Rian,
113900050077 Catholic Mortiga
113900050082 Duran, Kristel, F 8/22/99 17 Masbateo Roman Moyot St. District 2 San Jacinto Masbate Duran, Antonio, Bartolabac, Nena,
Bartolabac Catholic L. Cabiles
113900050094 Flores, Denise Marie, F 2/29/00 17 Masbateo Roman Balintong District 3 San Jacinto Masbate Flores, Mario
Y. Catholic St.
113900050103 Gulmatico, Maria F 3/3/99 18 Masbateo Lique St. District 1 San Jacinto Masbate Gulmatico, Merillo, Edith,
Roman
Edith, Merillo Gomer, Rejuso
Catholic
Espaola
113900050112 Labastida, Mary Joy, F 5/14/99 18 Masbateo Roman Balcavem District 2 San Jacinto Masbate Labastida, Jose, Dejumo, Maricel,
Dejumo Catholic St. Rejuso Baldovino
113769050033 Lazarte, Monaliza, F 9/8/99 17 Masbateo Roman Flores St. District 3 San Jacinto Masbate Lazarte,Norlito Mendeoro, Divina
Mendeoro Catholic
113903050020 Letada, Joanna, F 11/15/99 17 Masbateo Roman WashingtonSan Jacinto Masbate Letada, Joseph, Barrun, Angelina,
Barrun Catholic Bravante Recaa
113900050114 Laila, Christine, F 8/1/99 17 Masbateo Roman Rejuso St. District 2 San Jacinto Masbate Laila, Dante, Espinosa,
Espinosa Catholic Espaola Melinda, Bartolay
113900050123 Lumberio, Jholyn, F 11/13/99 17 Masbateo Bagahanglad San Jacinto Masbate Lumberio, Winny, Almojuela,
Roman
Almojuela Tagalog, Jr. Angelina,
Catholic
Gutierrez
302167130007 Luna, Kaila Andrea, F 2/15/00 17 Masbateo Roman Jones St. District 2 San Jacinto Masbate Luna, Rolanda, Delavin, Maricar,
Delavin Catholic Arana Jr. Mortiga
113477050065 Oliva, Aubrey, A. F 8/14/00 16 Masbateo Roman Batuan San Jacinto Masbate
Catholic
302167120097 Ng, Ana Marie, F 3/2/99 18 Masbateo Roman Tacdugan Bagahanglad San Jacinto Masbate Ng, Richard, Maosa, Mary
302167120092 Maosa Catholic Marcos Ann, Gustilo

List and Code of Indicators under REMARKS column

Prepared by:
 ADDRESS PARENTS GUARDIAN
(If not
AGE
BIRTH Parent)
NAME as of IP
Sex DATE MOTHER House Mother's Maiden
LRN (Last Name, First 1st (Ethnic RELIGION Father's Name
(M/F) (mm/dd/ TONGUE #/ Name (Last
Name, Middle Name) Friday Group) Municipality/ (Last Name, Relation-
yyyy) Street/ Barangay Province Name, First Name
June City First Name, ship
Sitio/ Name, Middle
Middle Name)
Purok Name)
Indicator Code Required Information Code Required Information REGISTERED BoSY EoSY Prepared by:
Name of Public (P) Private (PR) MALE
School & Effectivity Date
CCT Control/reference number & Effectivity FEMALE (Signature of Adviser over
Transferred Out T/O Name of Public (P) Private (PR) CCT Date
School & Effectivity Date Printed Name)
Transferred IN T/I Reason and Effectivity Date B/A Name of school last attended & Year
TOTAL
Dropped DRP Reason (Enrollment beyond 1st Friday LWD Specify BoSY Date: EoSYDate:
Late Enrollment LE of June) ACL Specify Level & Effectivity Data
 REMARKS
Contact
Number (Please
of Parent refer to
or the legend
Guardian on last
page)

CCT
 CCT

REMARKS
Contact
Number (Please
of Parent refer to
or the legend
Guardian on last
page)
T/I

CCT

CCT
 CCT

T/I

CCT

Certified Correct:

REMARKS
Contact
Number (Please
of Parent refer to
or the legend
Guardian on last
page)
Certified Correct:

(Signature of School

Head over Printed Name)

BoSY Date:

EoSYDate: