sf1 2014 Kinder - Section 3

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House #/

Street/ Sitio/
Purok
Relationship
M
Christiani
ty
M
Christiani
ty
M
Christiani
ty
M
Christiani
ty
M
Christiani
ty
M
Christiani
ty
M
Christiani
ty
M
Christiani
ty
M
Christiani
ty
M
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
F
Christiani
ty
School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School ID 120637 Region VII Division Negros Oriental District Vallehermoso
School Name Pinucauan ES School Year 2014 - 2015 Grade Kinder Section SECTION 3
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
REMARKS
Barangay
Municipality/
City
Province
Father's Name
(Last Name, First
Name, Middle
Name)
Mother's Maiden
Name (Last Name,
First Name,
Middle
(Please refer to
the legend on last
page)
120637140070. DAMASOLE, ARJEY LABRADOR 03-09-2009 5. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
120637130107. GABRENA, RAPIE ELLANES 11-19-2008 5. Cebuano
Name
DAMASOLE,
LUCIO
PARADERO
LABRADOR,
ADELA
DELACRUZ
120637140071.
MABATED, FRANCIS JAY STA
ANA
01-06-2009 5. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
PINOCAWA
N
120637140072. MOSQUEDA, RYAN YANGYANG 09-29-2009 4. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
GABRENA,
ROLANDO
TALARA
ESTER C
ELLANES
MABATED,
FRANCISCO
ESGUERRA
STA ANA
ADELAIDANAV
ARRO
120637140073. ONDING, ROGER LASPONIA 06-07-2009 4. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
PINOCAWA
N
120637140074. SANDOT, JEVIE PITULAN 11-29-2008 5. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
MOSQUEDA,
CRISANTO
TAO
YANGYANG,
FORTUNATA
PANTILANAN
ONDING,
ROBERTO
SABELLANO
LASPONIA, MA
CHONA
AMANCIA
120637140075.
SIBAY, VICTORIANO
CANONAYON
11-29-2008 5. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
PINOCAWA
N
120637140076. SOGANOB, MARVIN ONDING 07-20-2009 4. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
SANDOT,
JUANITO
BAYNO
PITULAN,
MAXIMA
SORENIO
SIBAY, ROQUE
ABADANO
CANONAYON,
CERILA
PAARES
120637140077. STA ANA, JOEFER ARQUISAL 11-11-2008 5. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
PINOCAWA
N
120637140078.
TUMULAK, WENDEL JAY
ABADIANO
01-06-2009 5. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
SOGANOB,
ELVIN PIATOR
ONDING,
MARGIE
SABELLANO
STA ANA, JOSE
BUSTAMANTE
ARQUISAL,
PAULINA
GEMINA
10 <=== TOTAL MALE
120637140079.
BRIONES, REENALIZA
DALANGIN
04-19-2009 5. Cebuano
,
TUMULAK,
EMELITA
ABADIANO
120637140080. COBOL, JOCELYN TRAYA 06-19-2009 4. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
120637140081.
ONDING, MARY CLAIRE
NAVARRO
01-05-2009 5. Cebuano
BRIONES,
ROMEO
ENTRINA SR
DALANGIN,
ZENAIDA
HIBAYA
COBOL,
EUFEMIO
ARCALA
TRAYA,
DEMOSTHENS
A ABADANO
120637140082. PAARES, IRENE QUIRABO 10-19-2009 4. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
PINOCAWA
N
120637140083. STA ANA, JEY-RICA QUIRABO 12-05-2008 5. Cebuano
VALLEHERM
OSO
NEGROS
ORIENTAL
ONDING,
ROLLY GASITA
NAVARRO,
EUFEMIA
YANGYANG
PAARES,
ALEJANDRO
STA ANA
QUIRABO,
CRESENCIA
GENERALAO
120637140085. STA ANA, TERESITA QUIRABO 10-02-2009 4. Cebuano
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
PINOCAWA
N
VALLEHERM
OSO
NEGROS
ORIENTAL
STA ANA,
VIRGELIO
NAVARRO
QUIRABO,
REBECCA
CABANSAG
STA ANA,
NARCISO
BUSTAMANTE
QUIRABO,
VICENTA
GENERALAO
F
Christiani
ty
Indicator Code BoSY
10.
7
17
120637140084. TAO, JELIAN HELARDEZ 07-07-2009 4. Cebuano
7 <=== TOTAL FEMALE
PINOCAWA
N
17 <=== COMBINED
VALLEHERM
OSO
NEGROS
ORIENTAL
TAO,
PONCIANO
CANOY
HELARDEZ,
BONIFACIA
SOTERIO
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:
MARIA THERESA MARIANO ARRIETA MARIA THERESA M. ARRIETA
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: Wednesday, August 13, 2014 5:32:05 PM
CCT Control/reference number & Effectivity Date
Name of school last attended & Year
Specify
Specify Level & Effectivity Data
MALE

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