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School Form 1 (SF 1) School Register

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

School ID

109327

School Name

Region IV-A

Division

Juan Sumulong ES

2016 - 2017

Grade

Grade 5

ADDRESS

District

District II-A

Section

ALBATROSS

PARENTS

GUARDIAN
(if Not Parent)

NAME
(Last Name, First Name, Middle
Name)

Sex (M/F)

AGE
MOTHER
as of
TONGUE
BIRTH DATE
1st
(Grade
(mm/dd/yyyy) Frida
1 to 3
y
Only)
June

School Year

Antipolo City

109327110022

AMARILLE, GIEMAR GABINETE

10-09-2005

10

Tagalog

Christia
nity

SAN ROQUE CITY OF


(POB.)
ANTIPOLO

RIZAL

AMARILLE,
MARVIN
RAMOS

109327110026

ANDAYA, RAILEY SUMAYANG

08-14-2005

10

Tagalog

Christia
nity

SAN ROQUE CITY OF


(POB.)
ANTIPOLO

RIZAL

ANDAYA, RICKY SUMAYANG,AN


REDONA
NALYN,,

109327120091

ARIAS, CLAUDE ANDREI ARAO

04-10-2006

10

Tagalog

Christia
nity

SAN ROQUE CITY OF


(POB.)
ANTIPOLO

RIZAL

ARIAS, ROMEL

ARAO,MIRIAM, ARIAS,ROMEL,
RELATIVE
SILVA,
A,

135884120009

BALINON, JIRO BRIBZ


MAZARATE

10-25-2005

10

Tagalog

SAN ISIDRO CITY OF


(POB.)
ANTIPOLO

RIZAL

MASARATE,MA
BALINON,BRIB
RYJANE,DUMA
ERT,,
PI,

109327120259

BARREDO, IVAN BERMUDEZ

01-14-2006

10

Tagalog

Christia
nity

DELA PAZ
(POB.)

CITY OF
ANTIPOLO

RIZAL

BARREDO,
ARMANDO

BERMUDEZ,M
ELISA,,

109327110064

BERCES, JOHN ROVIC CLEOFE

09-26-2005

10

Tagalog

Christia
nity

SANTA
CRUZ

CITY OF
ANTIPOLO

RIZAL

BERCES,
VICTOR
TERRAZOLA

CLEOFE,MAYL
EN,CORNELIO,

109327110083

BRUTAS, CARL VINCENT OLIVO M

01-31-2006

10

Tagalog

Christia
nity

DELA PAZ
(POB.)

CITY OF
ANTIPOLO

RIZAL

BRUTAS,
FREDDIE
MORES

OLIVO,CALING
CION,RITCHEL,

136773120603

CAA, ROYZ VILLACRUZ

07-03-2006

Tagalog

Christia
nity

B. F.
NCR
INTERNATIO CITY OF LAS
FOURTH
NAL
PIAS
DISTRICT
VILLAGE

CAA, RINGO
RELANO

VILLACRUZ,N
VILLACRUZ,NE
ESEIL,BAAD
SIEL,,
ERA,

107963110032

CARIGMA, MARK JIERUH


CANDAZA

10-08-2006

Hiligayn
on

Christia
nity

MOLO
BOULEVAR
D

CANDAZA,
MARK LOUIE
LOBATON

CANDAZA,EVA
,MORIN,

109327110138

CORONADO, CESAR
ALEJANDRO JR

02-24-2006

10

Tagalog

Christia
nity

SAN ROQUE CITY OF


(POB.)
ANTIPOLO

RIZAL

CORONADO,
CESAR
AQUINO

109327120097

DEL BARRIO, DANTE CARIZO

04-04-2004

12

Tagalog

Christia
nity

SAN ROQUE CITY OF


(POB.)
ANTIPOLO

RIZAL

DEL BARRIO,
RODANTE
PAET

ALEJANDRO,R
OSE
MAE,DELA
ROSA,
CARIZO,MARI
CAR,COLORIC
O,

109327121019

ECO, CHARLES CEDRICK


PEREZ

09-22-2006

Tagalog

Christia
nity

DELA PAZ
(POB.)

CITY OF
ANTIPOLO

RIZAL

ECO, ARIEL
PETER

PEREZ,APRIL,J
OY,

109339110065

FAYO, RYAN ALBARACIN

12-30-2006

Tagalog

Christia
nity

SAN ISIDRO CITY OF


(POB.)
ANTIPOLO

RIZAL

ALBARACIN,M
ARIA,FE,

FAYO,RAMON,I
,

112681100111

GERONIMO, CLARENCE JEM


BUENA

06-07-2005

11

Tagalog

Christia
nity

SAN JOSE
(POB.)

CITY OF
ANTIPOLO

RIZAL

BUENA,ESTEL
A,,

BUENA,ESTEL
A,,

109327120734

GONZAGA, ROLANDO KEVIN


PORTEZ

10-29-2005

10

Tagalog

Christia
nity

DELA PAZ
(POB.)

CITY OF
ANTIPOLO

RIZAL

GONZAGA,
ROLANDO
PRESTO

PORTEZ,EVA,M
ENIANO,

LRN

IP
(Ethnic
Group)

RELIGIO
N

House #/
Street/
Sitio/
Purok

Barangay

Municipality
/ City

Province

ILOILO CITY
ILOILO
(Capital)

Father's Name
(Last Name,
First Name,
Middle Name)

Mother's
Maiden Name
(Last Name,
First Name,
Middle

Name

Relationsh
ip

GABINETE,AN
GELITA,CAVITE
,

BARREDO,AR
MANDO,,

ALEJANDRO,R
OSE
MAE,DELA
ROSA,

RELATIVE

Contact
Number
of
Parent
or
Guardia
n

REMARKS

(Please refer
to the legend
on last page)

T/I
DATE:201606-13

T/I
DATE:201606-13

109327122276

JOSE, JUSTIN DAVE BUNCAG

06-12-2005

11

Tagalog

Christia
nity

SAN ROQUE CITY OF


(POB.)
ANTIPOLO

RIZAL

JOSE,
RODRIGO LOR

BUNCAG,TEO
DORA,BAUTIS
TA,

109327110294

LISTANGCO, JIRO CAJURAO

09-01-2006

Tagalog

Christia
nity

SAN ROQUE CITY OF


(POB.)
ANTIPOLO

RIZAL

LISTANGCO,
JOSELITO

CAJURAO,ROS LISTANGCO,JO
ALIA,,
SELITO,,

109327120398

MEDINA, JHON TYRON


BANACIA

11-02-2005

10

Tagalog

Christia
nity

SAN LUIS

CITY OF
ANTIPOLO

RIZAL

MEDINA,
JONATHAN
BONGCAY

HERNARDO,B
BANACIA,MED
RELATIVE
ANACIA,JANITA
INA,JANITA,
,

109327110345

MIRANDA, KERT STEPHEN


JACABAN

02-10-2006

10

Tagalog

Christia
nity

SAN JOSE
(POB.)

CITY OF
ANTIPOLO

RIZAL

MIRANDA,
LESTER JUNIO

JACABAN,DINK MIRANDA,LES
Y,PADRIGO,
TER,JUNIO,

109327120590

NIEVA, JOSHUA MCKENZIE


MANILLA

10-28-2006

Tagalog

Christia
nity

SAN JOSE
(POB.)

CITY OF
ANTIPOLO

RIZAL

NIEVA, JOSE
DOMINGO
NATE

MANILLA,JANE
T,L,

109327101060

PANGANIBAN, ADRIAN LIPIO

12-01-2004

11

Tagalog

Christia
nity

SAN JOSE
(POB.)

CITY OF
ANTIPOLO

RIZAL

,
REPOLONA,NI
LDA,PILLARDA
,

LIPIO,JANET,,

109327140081

PRIAS, JOHN ERIC REPOLONA

04-27-2004

12

Bikol

Christia
nity

DELA PAZ
(POB.)

CITY OF
ANTIPOLO

RIZAL

PRIAS,
FRANCISCO
PRIAS

109340100183

RABULAN, ROBBIE BALADITAN

05-25-2004

12

Tagalog

Christia
nity

SAN ROQUE CITY OF


(POB.)
ANTIPOLO

RIZAL

HERNANDEZ,
ROBERT RYAN

HERNANDEZ,
ANALIZA,BALA
ROBERT,RYAN RELATIVE
DITAN,,
,

109327131098

RENTORIA, DAVE JOSEPH GILE

06-18-2006

Tagalog

Christia
nity

SAN ROQUE CITY OF


(POB.)
ANTIPOLO

RIZAL

RENTORIA,RE
GILE,SHEILA,G
YNALDO,BELA
ESTIADA,
RO,

109327120753

REYES, AUGUSTO GABRIELE


DELA CRUZ

08-27-2005

10

Tagalog

Christia
nity

DELA PAZ
(POB.)

CITY OF
ANTIPOLO

RIZAL

REYES,
AUGUSTO

DELA,ELEANO
REYES,AUGUS
R,ESPARGOZA
RELATIVE
TO,D,
,CRUZ

109327122807

SABANAL, JECY RENIEL


VELASCO

04-14-2006

10

Tagalog

Christia
nity

DELA PAZ
(POB.)

CITY OF
ANTIPOLO

RIZAL

SABANAL,
REYNALDO

VELASCO,RAC SABANAL,REY
RELATIVE
QUEL,,
NALDO,C,

109327120268

SIGUA, VAL RAVEN VARGAS

01-27-2005

11

Tagalog

Christia
nity

SAN JOSE
(POB.)

CITY OF
ANTIPOLO

RIZAL

VARGAS,MESH
A,,

109327140889

VILLON, BRIAN JAMES DELOS


ANGELES

08-10-1998

17

Tagalog

Others

VILLON,
EDWARDO
DILLAPINA

ANGELES,DEL
OS,,

ANGELES,PRE
CY,DELOS,VIL
LON

28 <=== TOTAL MALE

109327120321

ABARQUEZ, ROSEMARIE
GASPADO

09-17-2005

10

Tagalog

Christia
nity

DELA PAZ
(POB.)

CITY OF
ANTIPOLO

RIZAL

ABARQUEZ,
RODOLFO
ONENG

GASPADO,MA ABARQUEZ,R
LOURDES,HAP ODOLFO,ONE
IN,
NG,

109327120682

ASTOR, CAIT LYN VISDA

11-01-2005

10

Tagalog

Christia
nity

DALIG

CITY OF
ANTIPOLO

RIZAL

ASTOR,
AUGUSTO
PONON

VISDA,IMELDA
,BANZUELA,

109342122108

AUSTRIA, PRINCESS GAIL


EBRADA

09-22-2004

11

Tagalog

Others

SANTA
CRUZ

CITY OF
ANTIPOLO

RIZAL

AUSTRIA,
MANOLITO
BIBES

EBRADA,ABEG EBRADA,AUST
RELATIVE
AIL,,
RIA,ABEGAIL,

136669110032

BANICO, ROCHELL
SERRANILLO

07-23-2006

Tagalog

Christia
nity

ADDITION
HILLS

CITY OF
MANDALUY
ONG

NCR
SECOND
DISTRICT

SERRANILLO,
MICHELL,,

109327110061

BAUTISTA, PRECIOUS ANNE


NICOLAS

09-19-2005

10

Tagalog

Christia
nity

SAN ROQUE CITY OF


(POB.)
ANTIPOLO

RIZAL

BAUTISTA,
RONALDO
BAGAPORO

BAUTISTA,RO
NICOLAS,JESU
NALDO,BAGA
SA,GIMPES,
PORO,

109325120388

BUENAFLOR, YVONNE
ANTINGCAY

03-02-2006

10

Tagalog

Christia
nity

PINUGAY

RIZAL

BUENAFLOR,
JESSIE ENOT

ANTINGCAY,Y
OLANDA,PANI
BARAT,

BARAS

RELATIVE

BANICO,MICH
ELL,S,
RELATIVE

T/I
DATE:201606-13

T/I
DATE:201606-13

109327120891

DISCAR, KARYLLE BRIGOLA

05-27-2006

10

Tagalog

Christia
nity

DELA PAZ
(POB.)

CITY OF
ANTIPOLO

RIZAL

DISCAR,
RONALD
DAHONAN

LANI,BRIGOLA
LANI,DISCAR,
,RIA,CONDOVI
RIA,BRIGOLA
LLA

109327142051

EGUIA, ANGEL GUIMOC

03-23-2005

11

Tagalog

Christia
nity

DELA PAZ
(POB.)

CITY OF
ANTIPOLO

RIZAL

EGUIA,
ARTEMIO DAZ

GIMOC,MONA
LIZA,SOGALE,

108997120061

ELLAGA, KHEY BESONA

07-25-2005

10

Tagalog

Christia
nity

DELA PAZ
(POB.)

CITY OF
ANTIPOLO

RIZAL

ELLEGA,
JOSSFEIL
GARCIA

BESONIA,JANE
T,VALLESPIN,

402928150972

EMPILLO, MECHAELA
PELIMIANO

08-26-2003

12

Tagalog

Christia
nity

SAN ROQUE CITY OF


(POB.)
ANTIPOLO

RIZAL

109327121044

FAYO, TRISHA GARBO

11-06-2005

10

Tagalog

Christia
nity

SAN ISIDRO CITY OF


(POB.)
ANTIPOLO

RIZAL

FAYO,
RANULFO
BAUTISTA

GARBO,EVA,,

109327121841

GATLABAYAN, ANALEA
OLIQUINO

06-17-2006

10

Tagalog

Christia
nity

DELA PAZ
(POB.)

CITY OF
ANTIPOLO

RIZAL

GATLABAYAN,
MARCELO

OLIQUINO,LEA
,,

109327120786

ILDEFONSO, ERIKA LICMOAN

06-24-2006

Tagalog

Christia
nity

SAN ROQUE CITY OF


(POB.)
ANTIPOLO

RIZAL

ILDEFONSO,
JERRY
OBENARIO

LICMOAN,MAR ILDEFONSO,JE
ICEL,PACREN, RRY,O,

109327110288

LEIS, JUDY ANN RELOR

12-07-2005

10

Tagalog

Christia
nity

SAN ROQUE CITY OF


(POB.)
ANTIPOLO

RIZAL

LEIS, ARTURO
CARITATIVO

RELOR,BENJIE,
SANTIAGO,

109327121423

LUMAWAG, RAJEN LUMAWAG

05-22-2006

10

Tagalog

Christia
nity

SAN ROQUE CITY OF


(POB.)
ANTIPOLO

RIZAL

LUMAWAG,JEN LUMAWAG,JEN
NIFER,MAYAO, NIFER,M,

109327120991

MASIBAY, HANAVIE ESPENILLA

09-04-2005

10

Tagalog

Christia
nity

SAN ROQUE CITY OF


(POB.)
ANTIPOLO

RIZAL

VIDOR,HYDIE, MASIBAY,VICT
ESPENILLA,
OR,VALLECER,

109327121622

PARADO, JOYCE ANN MINAO

07-29-2005

10

Tagalog

Christia
nity

DELA PAZ
(POB.)

CITY OF
ANTIPOLO

RIZAL

PARADO,
ROLANDO
SAMSON

MINAO,JEAN,L
ACAY,

109538120453

PEPITO, FRANCHESKA LAVINE


AGBUYA

02-20-2006

10

Tagalog

Christia
nity

DOLORES
(POB.)

TAYTAY

RIZAL

AGBUYA,KARE
PEPITO, PHILIP
PEPITO,PHILIP
N,FERNANDEZ
RELATIVE
SABELO
,S,
,

109327110427

QUETUA, DANA ILLIANA


TOLENTINO

03-03-2006

10

Tagalog

Christia
nity

SAN ROQUE CITY OF


(POB.)
ANTIPOLO

RIZAL

QUETUA,
ROBERTO
DELA CRUZ

QUETUA,MARI
TOLENTINO,M
SSA,TOLENTI
ARISSA,RITO,
NO,

109327110447

RELADOR, TANYA ROSE


SIENES

11-13-2005

10

Tagalog

Christia
nity

RELADOR,
REAGAN
PEARANDA

RELADOR,REA
Q,VERONNICA
GAN,PEARA
JOY,SIENES,
NDA,

109327110450

RENDON, YERICA SHAYNE DE


GUZMAN

08-09-2006

Tagalog

Christia
nity

RENDON,
JOHN WIL
MORTE

DE
GUZMAN,JUDI
TH,ESTRADA,

109327121049

RENION, JANE MILDRED ORIEL

06-14-2006

10

Tagalog

Christia
nity

RENION,
FREDDIE
BEROSIL

ORIEL,MELY,M RENION,FRED
ALANUM,
DIE,,

109327110459

RIVERA, MICHELLE MAE


VILLADOS

11-03-2005

10

Tagalog

Christia
nity

DALIG

CITY OF
ANTIPOLO

RIZAL

VILLADOS,MA
RIVERA, MARK
TERESA,BACL
MAURICIO
AO,

109327121941

SEVILLA, DIANA ROSE LORILLA

09-12-2004

11

Tagalog

Christia
nity

DELA PAZ
(POB.)

CITY OF
ANTIPOLO

RIZAL

SEVILLA,
SALOMON
MIRABEL JR

109327142093

SIBAL, ANYKHA LOBELLE


AMPER

04-12-2006

10

Tagalog

Christia
nity

DELA PAZ
(POB.)

CITY OF
ANTIPOLO

RIZAL

SIBAL, MARION AMPER,JOAN,


GEPTE
GALO,

SAN JOSE
(POB.)

CITY OF
ANTIPOLO

RIZAL

LORILLA,MARI
TES,ARGANDA
,

RELATIVE

MINAO,JEAN,L
ACAY,

DE,JUDITH,E,G
UZMAN

T/I
DATE:201606-13

T/I
DATE:201606-13

109327110506

STA MARIA, ASHLEY VICTORIA


ADALLA

12-04-2005

10

Tagalog

Christia
nity

SAN ROQUE CITY OF


(POB.)
ANTIPOLO

RIZAL

STA MARIA,
JEFFREY

402928151114

SUVA, MAICA JANE AUSTRIA

10-18-2005

10

Tagalog

Christia
nity

SAN ROQUE CITY OF


(POB.)
ANTIPOLO

RIZAL

ADALLA,MARI
A,,

27 <=== TOTAL FEMALE


55 <=== COMBINED

List and Code of Indicators under REMARKS column


Indicator
Transfered Out

Cod
Required Information
e
T/O Name of Public (P) Private (PR) School &
Effectivity Date

Indicator
CCT Receipient
Balik Aral

Transfered In
Dropped

T/I

Name of Public (P) Private (PR) School &


Effectivity Date

DRP Reason and Effectivity Date


LE Reason (Enrollment beyond 1st Friday of

Generated on: Sunday, August 21, 2016

Learner With
Disability
Accelerated

Cod
Required Information
e
CCT CCT Control/reference number &
Effectivity Date
B/A
Name of school last attended & Year
LWD
Specify
ACL
Specify Level & Effectivity Data

REGISTERED

BoSY

MALE

28

EoSY

Prepared by;

Certified Correct:

MARIBETH BELLIN ALBURAN


FEMALE

27

TOTAL

55

(Signature of Adviser over Printed


Name)

BoSY Date:

EoSY Date:

FLORA DAIZ CAHAPAY

(Signature of School Head over Pri


Name)

BoSY Date:

EoSY Date:

T/I
DATE:201606-13

Z CAHAPAY

l Head over Printed


me)

EoSY Date:

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