School Form 1 (SF 1) School Register

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

School ID 313806 Region VIII Division Calbayog City

School Name Calbayog City National High School - Carayman School Year 2016 - 2017 Grade Grade 7 Section SANTAN

GUARDIAN Contact
AGE MOTHE ADDRESS PARENTS
(if Not Parent) Number

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

AMPOAN, JOHN CARLO Christia CALBAYOG WESTERN

123991070011 M 01-18-2001 15 Waray CARAYMAN ,
CANAMAN nity CITY SAMAR

AVION, JOHN KEVIN Christia CALBAYOG WESTERN

124099050002 M 04-24-2003 13 Waray CARAYMAN ,
MENDOZA nity CITY SAMAR

Christia CALBAYOG WESTERN

123991090016 BARTOLABAN, JINO CAIGOY M 12-02-2002 13 Waray CARAYMAN ,
nity CITY SAMAR

Christia CALBAYOG WESTERN SAPIOT, JISSIE BEO,LOLITA, BEO,LOLITA,

123991090025 BENO, JESSIE G M 04-19-2002 14 Waray CARAYMAN
nity CITY SAMAR LOMALLO GABRAL, GABRAL,

Christia CALBAYOG WESTERN BERNADIT, YGRUBAY,LES YGRUBAY,LES

123991090023 BERNADIT, JOEL YGRUBAY M 06-30-2003 12 Waray CARAYMAN
nity CITY SAMAR POLY EL,, EL,,

CONSTANTINO, CRIS Christia CALBAYOG WESTERN CONSTANTINO COYO,GRACEL, COYO,GRACEL

123991090044 M 06-11-2003 13 Waray CARAYMAN
ANTHONY COYO nity CITY SAMAR , TONIO , ,,

Christia CALBAYOG WESTERN

123991090051 DOMAYAN, KERBYN CANO M 09-27-2004 11 Waray CARAYMAN ,
nity CITY SAMAR

Christia CALBAYOG WESTERN

123992070009 ESTRERA, LINBOY GALICIA M 07-11-2001 14 Waray NAGA ,
nity CITY SAMAR
GALBAN, MAGANIS,FLO GALBAN,FLOR
GALBAN, JAN VINCENT Christia CALBAYOG WESTERN
100893090046 M 01-17-2003 13 Waray CARAYMAN VIENCENZO RENCE,IDAYAN ENCE,MAGANI
MAGANIS nity CITY SAMAR
DIAZ , S,
MAHAYAG,AM
MAHAYAG, JOHNLEE Christia CALBAYOG WESTERN MAHAYAG, BALASBAS,AM
123996090030 M 06-21-2003 12 Waray NAGA ALIA,BALASB
BALASBAS nity CITY SAMAR LITO ALIA,,
AS,
MARIBOJOC,
Christia CALBAYOG WESTERN QUIZOL,NIMFA MARIBOJOC,NI
123991090098 MARIBOJOC, ARIEL QUIZOL M 03-20-2001 15 Waray BAGACAY ARNEL
nity CITY SAMAR ,LASCAAS, MFA,QUIZOL,
CONTRIDAS

NOSEWORTHY, NOSEWORTH
NOSEWORTHY, MYLES BLAIR Christia CALBAYOG WESTERN OCHEAVA,SHA
123991090108 M 02-07-2003 13 Waray CARAYMAN DAVID BLAIR Y,SHARON,OC
OCHEAVA nity CITY SAMAR RON,NOLLA,
JEFFERIES HEAVA,

RIVERA,
Christia CALBAYOG WESTERN CLORES,ASEL CLORES,ASEL
123991090116 RIVERA, RAFAEL CLORES M 08-03-2004 11 Waray CARAYMAN RODOLFO
nity CITY SAMAR A,ALBEUS, A,ALBEUS,
TRANI
MERSADO,
Christia CALBAYOG WESTERN SOLOMON,MA SOLOMON,MA
123991090120 SALOMON, MARK ENRICO - M 09-28-2002 13 Waray CARAYMAN EDUARDO
nity CITY SAMAR RITES,ROJO, RITES,ROJO,
AMPOAN
TABONES, JHON PAUL Christia CALBAYOG WESTERN
123992080022 M 06-27-2002 13 Waray COGON ,
MONECARIO nity CITY SAMAR
 REMARKS

(Please refer
to the legend
on last page)

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06-13
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06-13
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 Christia CALBAYOG WESTERN
123991080104 TARRAYO, JOHN PAUL A M 10-01-2000 15 Waray CARAYMAN ,
nity CITY SAMAR
VELASCO, VELASCO,ME
Christia CALBAYOG WESTERN BACSAL,MERLI
123991090135 VELASCO, MICO BACSAL M 09-29-2003 12 Waray CARAYMAN ROGELIO RLINDA,BACS
nity CITY SAMAR NDA,MIANO,
CORECHE AL,
BLANCAVER,JI BLANCAVER,JI
ZAFRA, MARK RIVINSON Christia CALBAYOG WESTERN ZAFRA, PEDRO
165511090323 M 01-19-2004 12 Waray CARAYMAN NGKY,SALUGA NGKY,SALUGA
BLANCAVER nity CITY SAMAR BILLATE JR
O, O,

18 <=== TOTAL MALE

Christia CALBAYOG WESTERN

123991080015 ANTOR, RICHELLE MAE - F 05-04-2001 15 Waray CARAYMAN ,
nity CITY SAMAR

BALASBAS, LALLIN CALBAYOG WESTERN BALASBAS, BALASBAS,NO

123996090008 F 07-11-2003 12 Waray NAGA M,NORA,,
MATUGINAS CITY SAMAR AMADO RA,M,

BELLEZA, JENNELYN MAE Christia CALBAYOG WESTERN BELLEZA, MACOROL,MA MACOROL,MA

123991090022 F 05-28-2004 12 Waray CARAYMAN
MACOROL nity CITY SAMAR PETER A THELMA,T, THELMA,T,

Christia CALBAYOG WESTERN RIVERA, BRETENIA,RUF BRETENIA,RU

123991090032 BRETENIA, MIA ROZEL - F 05-04-2004 12 Waray CARAYMAN
nity CITY SAMAR MELCHOR T INA,P, FINA,P,

Christia CALBAYOG WESTERN CAMINOY, LAYSON,ELENI LAYSON,ELENI

123991090036 CAMINOY, JELIAN LAYSON F 07-26-2001 14 Waray CARAYMAN
nity CITY SAMAR FELIMINO TA,, TA,,

Christia CALBAYOG WESTERN BESO, FELIX CAMPO,RAZEL LONGOS,GINA

107870090067 CAMPO, FELICITY BESO F 10-08-2003 12 Waray CARAYMAN RELATIVE
nity CITY SAMAR BAYANI ,ESTOJERO, ,,

DEALAGDON, DEALAGDON,
DEALAGDON, LESLIE Christia CALBAYOG WESTERN CASPILLO,MEL
123996090019 F 10-09-2003 12 Waray NAGA EDGAR MELISA,CASPI
CASPILLO nity CITY SAMAR ISA,LOYOLA,
MANTAL LLO,
DUMAYAN,JOS
Christia CALBAYOG WESTERN DUMAYAN, JALAYAJAY,JOS
123996090025 DUMAYAN, JENNIFER JALAYAJAY F 12-30-2003 12 Waray NAGA EPHINE,JALAY
nity CITY SAMAR FELIPE EPHINE,,
AJAY,
GABRAL,NAN
GABRAL, NORIELLE ANNE Christia CALBAYOG WESTERN GABRAL, JALAYAJAY,NAN
123991090061 F 10-31-2003 12 Waray CARAYMAN ETTE,JALAYAJA
MACY JALAYAJAY nity CITY SAMAR FERNANDO B ETTE,,
Y,

GAYONDATO,
GAYONDATO, MARIA CAELA Christia CALBAYOG WESTERN LEGERA,SHIRL LEGERA,SHIRL
123991090064 F 07-11-2003 12 Waray CARAYMAN FERNANDO
LEGERA nity CITY SAMAR Y,BORDALLO, Y,BORDALLO,
CALAGOS

Christia CALBAYOG WESTERN LIBAO,ANITA,M LIBAO,ANITA,

123996050021 LIBAO, LAICA MAGBUTAY F 02-28-2000 16 Waray NAGA ,
nity CITY SAMAR AGBUTAY, MAGBUTAY,

Christia CALBAYOG WESTERN LOSANDE, TAMAYO,MARL TAMAYO,MARL

123991090084 LOSANDE, LEEANNE - F 01-24-2004 12 Waray CARAYMAN
nity CITY SAMAR ALLAN S YN,R, YN,R,

Christia CALBAYOG WESTERN JALAYAJAY,ELIN LUTOC,ELINA,J

123992090026 LUTOC, GINA JALAYAJAY F 04-24-2004 12 Waray NAGA LUTOC, DANNY
nity CITY SAMAR A,, ALAYAJAY,

NABOR,
Christia CALBAYOG WESTERN DULFO,ALMA, NABOR,ALMA,
123991090106 NABOR, JASMINE ROSE DULFO F 09-01-2003 12 Waray CARAYMAN ALBERTO
nity CITY SAMAR GAMOL, DULFO,
SEVILLANO

Christia CALBAYOG WESTERN DAGOTDOT, TAMIDLES,JEN TAMIDLES,JEN

123991090130 TAMIDLES, REGINE - F 10-28-2002 13 Waray CARAYMAN
nity CITY SAMAR RICHARD A NETH,C, NETH,C,

Christia CALBAYOG WESTERN

123991080110 YBANEZ, ANALYN - F 11-21-2001 14 Waray CARAYMAN ,
nity CITY SAMAR

16 <=== TOTAL FEMALE

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 34 <=== COMBINED

List and Code of Indicators under REMARKS column

Cod Cod Prepared by; Certified Correct:
Indicator Required Information Indicator Required Information REGISTERED BoSY EoSY
e e
Transfered Out T/O Name of Public (P) Private (PR) School & CCT Receipient CCT CCT Control/reference number &
Effectivity Date Effectivity Date MALE 18
Balik Aral B/A RAQUEL AGUILAR ARAZA
Transfered In T/I Name of Public (P) Private (PR) School & Name of school last attended & Year
(Signature of Adviser over Printed (Signature of School Head over Prin
Effectivity Date Learner With LW FEMALE 16 Name) Name)
Disability D Specify
Dropped DRP Reason and Effectivity Date Accelerated
LE Reason (Enrollment beyond 1st Friday of ACL Specify Level & Effectivity Data TOTAL 34
BoSY Date: EoSY Date: BoSY Date: EoSY Date:

Generated on: Wednesday, April 26, 2017

l Head over Printed
me)

EoSY Date: