School Form 1 (SF 1) School Register

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

School ID 155012 Region II Division Cagayan District Calayan West

School Name Dilam East PS School Year 2022 - 2023 Grade Level Grade 1 Section NATULNOG

GUARDIAN
ADDRESS PARENTS
(if Not Parent)
Age MOTHER Contact

Sex (M/F)
IP
LRN
NAME BIRTH DATE as of TONGUE (Ethnic
RELIGIO Number of
(Last Name, First Name, Middle Name) (mm/dd/yyyy) Octob (Grade 1 N Father's Name Mother's Maiden Parent or
Group) House #/
er 31 to 3 Only) Municipality/ (Last Name, First Name (Last Name, Guardian
Street/ Sitio/ Barangay Province Name Relationship
City Name, Middle First Name, Middle
Purok
Name) Name)

CALLEJA,
CALLEJA,PRINCE KHYRS Christiani EDMARK ALVIOLA,MELI
102591210017 M 04-30-2016 6 Iloko DILAM CALAYAN CAGAYAN
ZYLVR, ALVIOLA ty ANTHONY ZA,GENOVA,
BERMEJO
DUERO, DUERME,JENNI
Christiani
155012210001 DUERO,ROBERT., JR DUERME M 05-08-2016 6 Ilocano DILAM CALAYAN CAGAYAN ROBERT FER,MENDOZA
ty
CANGAS ,

Christiani SUAREZ,ELIZA
155012210007 GENOVA,GEU, SUAREZ M 04-11-2016 6 Ilocano DILAM CALAYAN CAGAYAN
ty BETH,DUERO,

NAVARRO, BERMEJO,BER
Christiani
155012210002 NAVARRO,RUSSEL, BERMEJO M 07-16-2016 6 Ilocano DILAM CALAYAN CAGAYAN REDENTOR NADETH,ARIR
ty
EREAL AO,

4 <=== TOTAL MALE

FADERO,
Christiani EREAL,MERLIT
155012210003 FADERO,CRISHA LEEN, EREAL F 09-06-2016 6 Ilocano DILAM CALAYAN CAGAYAN WILFREDO
ty A,BERMEJO,
GUTIERREZ
FADERO,
FADERO,MARIA ROSE, Christiani DALUMAY,AN
155012210004 F 10-23-2016 6 Ilocano DILAM CALAYAN CAGAYAN ROBERTO
DALUMAY ty A,BAYARAN,
GUTIERREZ

Christiani GENOVA, LITO RASE,ORLYN,

155012210005 GENOVA,LHEALEEN, RASE F 09-06-2016 6 Ilocano DILAM CALAYAN CAGAYAN
ty CANGAS MAYOR,

NAVARRO, TABIEROS,NE
Christiani
155012210006 NAVARRO,MONICA, TABIEROS F 01-31-2016 6 Ilocano DILAM CALAYAN CAGAYAN RYAN MALYN,DALU
ty
GOROSPE MAY,

4 <=== TOTAL FEMALE

8 <=== COMBINED

List and Code of Indicators under REMARKS column

Indicator Code Required Information Indicator Code Required Information REGISTERED BoSY EoSY Prepared by; Certified Correct:

Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date ANDRES GRANDE TAGALICOD JR
Date MALE 4
Balik Aral B/A Name of school last attended & Year MICHELLE MARIANO NANAY (Signature of School Head over Printed Nam
Transfered In T/I Name of Public (P) Private (PR) School & Effectivity
Date Learner With LWD Specify (Signature of Adviser over Printed Name)
FEMALE 4
Disability
Dropped DRP Reason and Effectivity Date Accelerated ACL Specify Level & Effectivity Data
Late Enrollment LE Reason (Enrollment beyond 1st Friday of SY) BoSY Date: EoSY Date:
TOTAL 8
BoSY Date: EoSY Date:
Calayan West

NATULNOG

REMARKS

Learning
Modality (Please refer to
the legend on last
page)

T/I
Blended DATE:2022-
08-22

Blended

Blended

Face to Face

Blended

Blended

Blended

Blended

E TAGALICOD JR

ead over Printed Name)

EoSY Date:
 Generated thru LIS

Generated on: Monday, November 14, 2022

d thru LIS