School Form 1 (SF 1) School Register

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

School ID 128668 Region XI Division Davao del Norte District Kapalong East

School Name Sambayon ES School Year 2022 - 2023 Grade Level Grade 5 Section BONIFACIO

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)

Christiani DAVAO DEL AMANTIAD,LI

128668170001 AMANTIAD,DENLEE, - M 10-29-2011 11 Cebuano SUA-ON KAPALONG
ty NORTE AN,LEGALIG,

Cebuano
/ BUGHAO, ANTIPORDA,C
BUGHAO,JHANDER, Christiani DAVAO DEL
128668170004 M 01-10-2012 10 Sinugbua SUA-ON KAPALONG ANGEL JUBAY RISTY
ANTIPORDA ty NORTE
nong JR MAE,ABING,
Binisay

ALIMASAC,MA
Christiani DAVAO DEL DANCEL, RIA
128668170015 DANCEL,DENIEL, ALIMASAC M 04-25-2012 10 Cebuano SUA-ON KAPALONG
ty NORTE ARIEL TITO BELLA,DUPER
A,

Cebuano
/ MANIKI MERCADO, JAMERO,MERR
MERCADO,NASH RULAN, Christiani DAVAO DEL
128668170005 M 05-28-2012 10 Sinugbua (POBLACIO KAPALONG RULAN Y
JAMERO ty NORTE
nong N) MAHUSAY AN,LAURENTE,
Binisay

ELTAGONDE,M
MORALLA,
MORALLA,JAMES BRIAN, Christiani DAVAO DEL AERIE
204520170019 M 07-28-2011 11 Cebuano SUA-ON KAPALONG JAME BOY
ELTAGONDE ty NORTE GRACE,VILLAR
RANALAN
TA,

Cebuano
/ ELTAGONDE,E
NUDALO,CARLSTINE JADE, Christiani DAVAO DEL NUDALO, JUN
128668170007 M 07-16-2012 10 Sinugbua SUA-ON KAPALONG LEN,VILLARTA
ELTAGONDE ty NORTE JUN EBRERA
nong ,
Binisay

Cebuano
/ VILLAFUERTE,
OTCHO,KENT JAMES, Christiani DAVAO DEL OTCHO, MARIO
128668170008 M 10-05-2011 11 Sinugbua SUA-ON KAPALONG MARINA,TIMB
VILLAFUERTE ty NORTE BATINGAL
nong LOR,
Binisay

RODILLAS,PRINCE JOLO, Christiani DAVAO DEL RODILLAS, POLINAR,ANA

128668170009 M 12-01-2011 10 Cebuano SUA-ON KAPALONG
ROLLON ty NORTE JOVER TABAR LOU,ROLLON,

Cebuano
/ SORAYNO,
Christiani DAVAO DEL RESPECIA,MIL
128668170010 SORAYNO,RICSAN, RESPECIA M 01-28-2012 10 Sinugbua SUA-ON KAPALONG PEDRO
ty NORTE AGROS,ABAD,
nong LAMANILAO
Binisay

9 <=== TOTAL MALE

apalong East

BONIFACIO

REMARKS

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

Face to Face

Face to Face

Face to Face

T/O
Face to Face DATE:2022/11/
02

Face to Face

Face to Face

Face to Face

Face to Face

Face to Face
 Cebuano
/ BORDIOS,
Christiani DAVAO DEL MELECIO,MEL
128668170011 BORDIOS,MARILYN, MELECIO F 09-05-2011 11 Sinugbua SUA-ON KAPALONG ANGELITO
ty NORTE VA,BATAC,
nong PACQUIAO
Binisay

CABALQUINTO MORALES,LAB
CABALQUINTO,KATE, Christiani DAVAO DEL
128668170017 F 09-02-2011 11 Cebuano SUA-ON KAPALONG , CARLON ELLA,LEGALIG
MORALES ty NORTE
LANIT ,

Cebuano
/
Christiani DAVAO DEL LOLO, JOEBERT INOCENCIO,GE
128668170018 LOLO,CJANE, INOCENCIO F 02-26-2012 10 Sinugbua SUA-ON KAPALONG
ty NORTE - MMA,-,
nong
Binisay

3 <=== TOTAL FEMALE

12 <=== 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 EFREN VALEROSO JABINES
Date MALE 9
Balik Aral B/A Name of school last attended & Year SHAIRA MUEGO BALDOMAR (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 3
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 12
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Monday, June 26, 2023

 Face to Face

Face to Face

Face to Face

ROSO JABINES

ead over Printed Name)

EoSY Date:

d thru LIS