School Form 1 (SF 1) School Register

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

School ID 307005 Region III Division Tarlac

School Name Sta. Juliana High School (O'Donnell HS Annex) School Year 2022 - 2023 Grade Level Grade 7 (Year Section MAABILIDAD

GUARDIAN
ADDRESS PARENTS REMARKS
(if Not Parent)
Age MOTHER Contact

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

Pampang
an/ BILGERA, T/I
Christiani SANTA REYES,WILPRE
106389150002 BILGERA,JOHN ALEX, REYES M 04-15-2010 12 Kapampa CAPAS TARLAC ALVIN Face to Face DATE:2022-
ty JULIANA S,AUSTRIA,
ngan/ CELESTINO 08-22
Pampan

T/I
Kapampa Christiani SANTA CABUAG, MERCADO,REB
160016150014 CABUAG,ROMEL, MERCADO M 08-19-2010 12 Abelling CAPAS TARLAC Face to Face DATE:2022-
ngan ty JULIANA ROMEO BIAG ECCA,RIVERA,
08-22

Pampang
an/ CASTRO, T/I
CASTRO,STEPHEN EURI, Christiani SANTA GUTIERREZ,EL
106389150038 M 04-19-2010 12 Kapampa CAPAS TARLAC WILLARD Face to Face DATE:2022-
GUTIERREZ ty JULIANA MIRA,OLALIA,
ngan/ PADILLA 08-22
Pampan
T/I
Kapampa Christiani YAMSON,RHO
106389150031 CORA,JUNIOR, YAMSON M 07-30-2008 14 Aeta CAPAS TARLAC CORA, JESSIE S Face to Face DATE:2022-
ngan ty DA,,
08-22
T/I
DE LEON,EHROLL JOSH, Christiani SANTA DE LEON, GUTIERREZ,RI
160001150002 M 02-22-2010 12 Sambal Aeta CAPAS TARLAC Face to Face DATE:2022-
GUTIERREZ ty JULIANA EMERITO - NA,-,
08-22
DELA CRUZ, BANGAYAN,JA T/I
DELA CRUZ,ABRAHAM, Kapampa Christiani SANTA
106370150113 M 05-04-2010 12 CAPAS TARLAC JENNIFER CKIELOU,TUA Face to Face DATE:2022-
BANGAYAN ngan ty JULIANA
PALARCA NGCO, 08-22

GALANG, SARAH,MANAL T/I

GALANG,EDGAR, JR. Kapampa Christiani SANTA
106389140093 M 02-15-2009 13 Aeta CAPAS TARLAC EDGAR AYSAY,DELA Face to Face DATE:2022-
MANALAYSAY ngan ty JULIANA
GUTIERREZ SR CRUZ, 08-22
T/I
JUANTA,HANIELLE QUENO, Kapampa Christiani JUANTA, PETCHALIN,JA Modular
106389150004 M 10-16-2008 14 O'DONNELL CAPAS TARLAC DATE:2022-
PETCHALIN ngan ty SALVINO A YLYN,C, (print)
08-22
LAXAMANA, T/I
Kapampa Christiani SANTA LENON,JINGLE, Modular
106389150085 LAXAMANA,DAVIEN, LENON M 02-23-2010 12 CAPAS TARLAC DANNY DATE:2022-
ngan ty JULIANA SUMAOANG, (print)
GALANG 08-22

Pampang
an/
SANTA LUNDANG, AUSTRIA,ARCE
106389130103 LUNDANG,JUSTIN, AUSTRIA M 07-28-2008 14 Kapampa Abelling Others CAPAS TARLAC Face to Face Pending TI
JULIANA LINO R LI,M,
ngan/
Pampan

MANUEL, T/I
Kapampa Christiani SANTA GUTIERREZ,M
106389140095 MANUEL,ARIES, GUTIERREZ M 10-20-2009 13 CAPAS TARLAC ARNEL Face to Face DATE:2022-
ngan ty JULIANA ARITES,REYES,
SALAZAR 08-22
MORALES, MARISA,DELA, T/I
Christiani SANTA
106389140016 MORALES,HENRY, DELA CRUZ M 03-29-2007 15 Sambal Aeta CAPAS TARLAC DANTE CRUZ,BAUTIST Face to Face DATE:2022-
ty JULIANA
MANUEL A 08-22
PASION, T/I
Kapampa Christiani SANTA GUTIERREZ,AN
106389150048 PASION,JOSHUA, GUTIERREZ M 07-13-2010 12 Aeta CAPAS TARLAC JOSEPH Face to Face DATE:2022-
ngan ty JULIANA GELA,ABAD,
GUTIERREZ 08-22
T/I
PETCHALIN,RICHARDSON, Kapampa Christiani SANTA PETCHALIN, GARCIA,RHOD
106387150012 M 10-28-2008 14 CAPAS TARLAC Face to Face DATE:2022-
GARCIA ngan ty JULIANA GILBERT C ORA,B,
08-22
Pampang
an/ T/I
Christiani SANTA RAZON, CAPIZ,MARICE
106389150072 RAZON,QUERUBIN, CAPIZ M 02-05-2010 12 Kapampa CAPAS TARLAC Face to Face DATE:2022-
ty JULIANA IGNACIO - L,-,
ngan/ 08-22
Pampan

SAMSON,BERL T/I
REOTRO,CLOUD EZICKEL, Kapampa Christiani SANTA REOTRO, JAY-
106389150007 M 01-15-2010 12 CAPAS TARLAC YN,TAMONDO Face to Face DATE:2022-
SAMSON ngan ty JULIANA AR VERGARA
NG, 08-22
 ROBINOS, T/I
ROBIÑOS,MARK DENIEL, Christiani SANTA GUTIERREZ,M
106675150004 M 08-14-2010 12 Ilocano CAPAS TARLAC DENNIS Face to Face DATE:2022-
GUTIERREZ ty JULIANA YLA,ABAD,
AQUINO 08-22
RONQUILLO, PANGILINAN,J T/I
RONQUILLO,JOHN MICHAEL, Kapampa Christiani
106387150014 M 08-21-2010 12 Aeta MARUGLU CAPAS TARLAC JHON OCELYN,GAW Face to Face DATE:2022-
PANGILINAN ngan ty
BALAGTAS AT, 08-22

Pampang
an/ SIBAL, T/I
Christiani SANTA FAILMA,CARMI
106389150090 SIBAL,ANDREI, FAILMA M 04-08-2010 12 Kapampa CAPAS TARLAC ADRIANO Face to Face DATE:2022-
ty JULIANA NA,BANSIL,
ngan/ CATAMORA 08-22
Pampan

SOTERA, JOMENTO,ANA T/I

SOTERA,ORLANDO, JR Kapampa Christiani
106387150015 M 01-25-2010 12 MARUGLU CAPAS TARLAC ORLANDO LIE,DAKINGKI Face to Face DATE:2022-
JOMENTO ngan ty
ROSALES NG, 08-22

20 <=== TOTAL MALE

BLANQUERA, T/I
BLANQUERA,HERZIELYNNE, Christiani SAPANGBA ANGELES DOLDOL,JONA
161001150061 F 08-09-2010 12 Tagalog PAMPANGA HEDISON Face to Face DATE:2022-
DOLDOL ty TO CITY LYN,SELIM,
ESTOPO 08-22

Kapampa Christiani ANGELES CANLAS, ESTRADA,SHE

264501140018 CANLAS,RACHEL, ESTRADA F 05-26-2009 13 CUTUD PAMPANGA Face to Face
ngan ty CITY ROGER NUÑEZ RLY,OLALIA,

Pampang
an/ CANTOMAYOR, T/I
CANTOMAYOR,JONALYN, Christiani SANTA IGNACIO,ANAL
106389150012 F 10-10-2008 14 Kapampa CAPAS TARLAC ANECITO Face to Face DATE:2022-
IGNACIO ty JULIANA YN,BANSIL,
ngan/ CATAHUM 08-22
Pampan

CASTILLO, T/I
Kapampa Christiani SANTA VELASCO,BAB
160016140027 CASTILLO,JOANA, VELASCO F 06-07-2009 13 Abeling CAPAS TARLAC MICHAEL Face to Face DATE:2022-
ngan ty JULIANA YDOLL,CASAL,
VALANTIN 09-03
T/I
Kapampa Christiani SANTA YAMSON,RHO
106389150110 CORA,ROCHELL, YAMSON F 09-17-2010 12 Aeta CAPAS TARLAC CORA, JESSIE Face to Face DATE:2022-
ngan ty JULIANA DA,,
08-22
DELA T/I
Christiani SANTA DELA CRUZ,
160001150013 DELA CRUZ,REA-AN, TIAGO F 05-06-2010 12 Sambal Abelling CAPAS TARLAC CRUZ,MIRIAM,- Face to Face DATE:2022-
ty JULIANA EFREN -
, 08-22
MANALANSAN, T/I
DOLIT,MARRY JOY, Kapampa Christiani SANTA DOLIT, ROLLY
106389150055 F 12-18-2009 12 CAPAS TARLAC MARIAN,VIRA Face to Face DATE:2022-
MANALANSAN ngan ty JULIANA CELESTINO
Y, 08-22
Kapampa Christiani SANTA DUMLAO, DOLFO,JENNET
106389150115 DUMLAO,GEMMA ROSE, DOLDO F 01-24-2008 14 Aeta CAPAS TARLAC Face to Face Pending TI
ngan ty JULIANA RANDY H,,

GUTIERREZ, T/I
Kapampa Christiani SANTA GUERRERO,JEN
106389150057 GUTIERREZ,KIMMY, GUERRERO F 08-02-2010 12 CAPAS TARLAC RONALD Face to Face DATE:2022-
ngan ty JULIANA NIE,YAMSON,
TAMONDONG 08-22

GUTIERREZ, T/I
GUTIERREZ,MALAICA, Kapampa Christiani SANTA ALCANTARA,S
106389150017 F 04-08-2010 12 CAPAS TARLAC ROGER Face to Face DATE:2022-
ALCANTARA ngan ty JULIANA AHARA,REYES,
GUIANG 08-22
GUTIERREZ, ESPINOZA,JEN
Kapampa Christiani SANTA
160016130027 GUTIERREZ,MIAN, ESPINOZA F 05-04-2009 13 Abelling CAPAS TARLAC MANUEL DELA ALYN,AGUSTI Face to Face Pending TI
ngan ty JULIANA
CRUZ N,
GUTIERREZ, T/I
Kapampa Christiani SANTA
106389130144 GUTIERREZ,MICHELLE, COSME F 05-16-2008 14 Aeta CAPAS TARLAC ROBERTO COSME,LIZA,-, Face to Face DATE:2022-
ngan ty JULIANA
GALANG 08-22
T/I
Kapampa Christiani SANTA IGNACIO, JAY- FRAYNA,MYRN
106389150058 IGNACIO,AIRA LYN, FRAYNA F 10-28-2010 12 Abelling CAPAS TARLAC Face to Face DATE:2022-
ngan ty JULIANA AR GUTIERREZ A,CRUZ,
08-22
LABONG,GERA T/I
Kapampa Christiani LAYUG, EDGAR
106387150023 LAYUG,ASHLEY, LABONG F 12-08-2009 12 MARUGLU CAPAS TARLAC LDINE,CARREO Face to Face DATE:2022-
ngan ty LUAT
N, 08-22
MANALANG, T/I
Kapampa Christiani MIRANDA,MAR Modular
160010150030 MANALANG,JOANA, MIRANDA F 08-09-2010 12 Aeta SANTO NINO BAMBAN TARLAC JOSEPH DATE:2022-
ngan ty ICAL,SIBAL, Digital
BALATAO 08-22
T/I
Kapampa Christiani SANTA MUGAO, JOEL CAPIT,MARISE
106389150020 MUGAO,MARJORIE, CAPIT F 04-03-2010 12 CAPAS TARLAC Face to Face DATE:2022-
ngan ty JULIANA BARROS L,OSORIO,
08-22
PATDO, T/I
PATDO,ALLYANA NICOLE, Kapampa Christiani WAJE,ANABEL,
106387150027 F 07-23-2010 12 MARUGLU CAPAS TARLAC ANTONINO Face to Face DATE:2022-
WAJE ngan ty RIVERA,
GUANLAO 08-22
T/I
Christiani EASTERN PINANDO, REYES,GLORY,
122769140079 PINANDO,ROCHELLE, REYES F 01-08-2010 12 Waray MANTANG TAFT Face to Face DATE:2022-
ty SAMAR ROGER BIATO RODRIGUEZ,
08-22
 ADUAS JIMENEZ,FEBE T/I
Kapampa Christiani CABANATU RAMOS, ADOR
106389150021 RAMOS,LYKA MARIE, JIMENEZ F 11-14-2009 12 CENTRO NUEVA ECIJA LYN,MEDRANO Face to Face DATE:2022-
ngan ty AN CITY FRONDA
(ADUAS) , 08-22
T/I
REYES,CHRISSEA JADE, Kapampa Christiani SANTA REYES, ROGER CELESTINO,JA
106389150022 F 11-05-2009 12 CAPAS TARLAC Face to Face DATE:2022-
CELESTINO ngan ty JULIANA TACLINA NE,GALANG,
08-22
REYES, CELESTINO,MA T/I
REYES,FRANCES MAIEL, Kapampa Christiani SANTA
106389150100 F 04-25-2010 12 CAPAS TARLAC FRANCISCO RIETTA,GALAN Face to Face DATE:2022-
CELESTINO ngan ty JULIANA
CAPITLY G, 08-22
MACSINO,CHA T/I
RODRIGUEZ,SHANELLE Kapampa Christiani SANTA RODRIGUEZ,
106389150081 F 02-19-2010 12 CAPAS TARLAC RMIE,PETCHAL Face to Face DATE:2022-
LORRAINE, MACSINO ngan ty JULIANA JAY-AR POZON
IN, 08-22
T/I
SAMSON,SABINNAH MIKYLA, Kapampa Christiani SANTA SAMSON, BEGONIA,MAE
106389150023 F 05-09-2010 12 CAPAS TARLAC Face to Face DATE:2022-
BEGONIA ngan ty JULIANA ALBERT VIRAY ANNE,TULIO,
08-22
SANCHEZ, T/I
Ayta, Christiani MANALO,LITA,
160002150025 SANCHEZ,AIAI, MANALO F 02-04-2005 17 Aeta MARUGLU CAPAS TARLAC ROLLY Face to Face DATE:2022-
Mag-antsi ty GUTIERREZ,
CANDULI 08-22
DE
SILVANO, T/I
SILVANO,ERICA ANNE, DE Kapampa Christiani SANTA GUZMAN,ROSE
106389150024 F 06-15-2010 12 CAPAS TARLAC ERICSON Face to Face DATE:2022-
GUZMAN ngan ty JULIANA ANN,LUMANL
CABUAG 08-22
AN,
SALAZAR,JENA T/I
Kapampa Christiani SANTA TORIO, ALVIN
106389150025 TORIO,IVY, SALAZAR F 06-24-2010 12 CAPAS TARLAC LYN,BALAGTA Face to Face DATE:2022-
ngan ty JULIANA INONG
S, 08-22

YALUNG, BALUYUT,CRIS T/I

Kapampa Christiani SANTA
106389150060 YALUNG,KYLIE, BALUYUT F 08-31-2010 12 CAPAS TARLAC FRIDAY TINA,PANGILIN Face to Face DATE:2022-
ngan ty JULIANA
MENDOZA AN, 08-22

27 <=== TOTAL FEMALE

47 <=== 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 LIEZL M. SANCHEZ
Date MALE 20
Balik Aral B/A Name of school last attended & Year CRISELL RAMOS SARMIENTO (Signature of School Head over Printed Name)
Transfered In T/I Name of Public (P) Private (PR) School & Effectivity
Date Learner With LWD Specify (Signature of Adviser over Printed Name)
FEMALE 26
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 46
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Wednesday, June 14, 2023