School Form 1 (SF 1)
School Form 1 (SF 1)
School Form 1 (SF 1)
School Name Dupax del Sur NHS School ID 300628 District Dupax del Sur Division Nueva
Semester First Semester School Year 2019 - 2020 Grade Level Grade 11 Track and Strand
Sex (M/F)
as of
NAME BIRTH DATE
LRN
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy) 1st Religious Affilication Mother's Maid
Frida Father's Name (Last
Name (Last Na
House #/ Street/ Sitio/ Purok Barangay Municipality/ City Province Name, First Name, Middle
y June Name)
First Name, Mi
Name)
GUARDIAN
TS REMARKS
(if learner is not Living with Parent)
Contact
Number of
Mother's Maiden Parent or
Name
Name (Last Name, Guardian (Please refer to the
(Last Name, First Name, Relationship
First Name, Middle legend on last page)
Name Extension, Middle
Name)
BATACAN,LIEZE
L,,
BAGSO,ADELA,A
RELATIVE T/I DATE:2019-06-03
QUINO,
LINGCASO,REBE
CCA,SEVILLA,
ELIGADO,PRECY,
DINOPOL,ANGEL
ES,OLVINAR,
GUZMAN,ARLYN,
PARENT
GUZMAN,
BARROGA,ANAL
PARENT
YN,C,
MANGAOANG,LI
LIA,LAPLANO,
PREGILLANA,MA
RY JANE,PADDIT,
ABIJAY,REGINA,
YARANON,
SAGARIO,JULIET,
SOLANZO,
BATUYONG,SYL
VIA,BALTAZAR,
AMADOR,EVELY
PARENT
N,PUDIQUET,
DUPAX DEL NUEVA BALBAGUEN, GAVINA,FLOR
103915080010 BALBAGUEN,LOREIN GAVINA F 11/27/2002 16 Christianity DOPAJ
SUR VIZCAYA MAXIMO G CE,,
DUPAX DEL NUEVA CASTANEDA,
104066080009 CASTILLO,CHYNEE YVON CASTANEDA F 05/02/2003 16 Christianity DOPAJ CASTILLO, MARLON
SUR VIZCAYA LYN,,
DUPAX DEL NUEVA CEREZO, RAZEL BANG-
104061080009 CEREZO,PAULINE BANG-AG F 07/27/2003 15 Christianity DOPAJ
SUR VIZCAYA RODRIGUEZ AG,YOLANDA
SANTA DUPAX DEL NUEVA GADO, ELMER
104062140072 CIA,DAZEL JANE SAGARIO F 06/05/2003 16 Christianity CIA,DAISY,,
MARIA SUR VIZCAYA MEDINA
DUPAX DEL NUEVA SAGABAEN,L
104066080016 DOMINGO,ARNELLIE SAGABAEN F 06/06/2003 16 Christianity DOPAJ DOMINGO, ARNOLD
SUR VIZCAYA ,,
GONZALES,
DUPAX DEL NUEVA LARCENA,LA
104062140103 GONZALES,RICA MAE null LARCENA F 03/18/2002 17 Christianity BALSAIN GAUDENCIO
SUR VIZCAYA ITO,
BALMES
31 <=== COMBINED
Transfered Out T/O CCT Receipient CCT CCT Control/reference number &
Effectivity Date MALE 13
Name of School, Date of 1st Attendance and Balik Aral B/A Name of school last attended & Year (Sig
Date of Last Attendance if Transferred Out
Transfered In T/I Learner With LWE Specify Exceptionality of the Learner
FEMALE 18
Exceptionality Beginning of the Semester Date:
Accelerated ACL Specify Level & Effectivity Date
TOTAL 31
GAVINA,FLOREN
PARENT
CE,,
CASTANEDA,EVE
PARENT
LYN,,
BANG-
PARENT
AG,YOLANDA,D,
CIA,DAISY,,
SAGABAEN,LENY
,
SORIANO,LORNA,
PARENT
LIMOS,
LARCENA,LAIZA,
PARENT
TO,
ALIPIO,GLORIA,J
PARENT
ARDIN,
MAEJAN,MARICE
L,,
DELA
CRUZ,MARYJANE
,
DELA
CRUZ,MARYJANE
,
BASILLO,MARLE
NE,PILI,
DUMLAO,EMILY,
GAPUZ,
RODRIGUEZ,ARIE
L,TEMPORAL,
MONTERA,JENAL
PARENT T/I DATE:2019-10-15
N,PEDROSA,
ANDRICOSO,CELI
PARENT
A,C,
VALENCIA,ROSA
RELATIVE
LIE,,
DE
GRACIA,EVANGI PARENT
LINE,DE GRACIA,
TOTAL 31
6/3/19 12:00 AM