School Form 1 (SF 1) School Register

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

School ID 300164 Region I Division Pangasinan I, Lingayen

School Name Bangan-Oda NHS School Year 2021 - 2022 Grade Level Grade 7 (Year Section SAMPAGUITA

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

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

AGTONTON, CABULONG,M
Christiani BANGAN- Modular CCT
101139140001 AGTONTON,CARL, CABULONG M 11-15-2008 12 Iloko AGNO PANGASINAN REYGEL AILEEN,GOCEL
ty ODA (print) Pending TI
CORPUZ A,

BOSEGRO, GABATIN,MARI T/I

BOSEGRO,JOHN MARK, Christiani Modular
101146140002 M 02-24-2009 12 Iloko SAN JUAN AGNO PANGASINAN MARIO TES,PANGALILI DATE:2021-
GABATIN ty (print)
SALVATIERRA NGAN, 09-13

DOLANDOLAN,
DOLANDOLAN,LARRY JIL, JR Abiyan Christiani BANGAN- CONDE,JUDEL Modular
101139140056 M 03-04-2008 13 Iloko AGNO PANGASINAN LARRY Pending TI
CONDE (aeta) ty ODA YN,CARIÑO, (print)
BULATAO
LOZADA,
Christiani BANGAN- NEBRE,MARIB Modular CCT
101139140004 LOZADA,STEPHEN, NEBRE M 05-17-2009 12 Iloko AGNO PANGASINAN CHARLIE
ty ODA EL,NABORA, (print) Pending TI
FLORES

MAURICIO, REYES,JENNIFE
Pangasina Christiani BANGAN- Modular
101746140084 MAURICIO,WINSTON, JR REYES M 05-29-2009 12 AGNO PANGASINAN WINSTON R,BALANLAYO Pending TI
n ty ODA (print)
MEDRANO SR S,

MICOS, BALBALOZA,L T/I

Christiani Modular
101146130005 MICOS,JAMES, BALBALOZA M 10-16-2008 13 Iloko SAN JUAN AGNO PANGASINAN GLINMER ARILYN,NOTA DATE:2021-
ty (print)
ROMERO R, 09-13

NANAT,JOHN LLOYD, Christiani BANGAN- NANAT, SALVADOR,MA Modular

101139140038 M 11-29-2008 12 Iloko AGNO PANGASINAN Pending TI
SALVADOR ty ODA OLIVER IPAN RILOU,SAGUN, (print)

NAVELGAS,
Christiani BANGAN- NAYAN,TERES Modular
101139120021 NAVELGAS,RONNIE, NAYAN M 10-01-2007 14 Iloko AGNO PANGASINAN CONRADO Pending TI
ty ODA A,SAGUN, (print)
NACAR
T/I
CAYUNGNA NERIDA, CALIXTRO,JES Modular
100257140045 NERIDA,JESNEL, CALIXTRO M 04-08-2009 12 Ilocano Others AGNO PANGASINAN DATE:2021-
N RONNEL DAMO SECA,BONA, (print)
09-13
ROMERO, T/I
Christiani ALEJOS,REBEC Modular
101146110016 ROMERO,JUNMARK, ALEJOS M 08-12-2006 15 Iloko SAN JUAN AGNO PANGASINAN ROBERT DATE:2021-
ty CA,BUNAO, (print)
COLCOL 09-13
SALVATIERRA, T/I
SALVATIERRA,JOSH ARIES, Christiani NUÑEZ,TERRY, Modular
101146140010 M 04-03-2009 12 Iloko SAN JUAN AGNO PANGASINAN LARRY DATE:2021-
NUÑEZ ty PALTEP, (print)
NAVIDA 09-13
SUCATAN SR,
Christiani SAN ISIDRO CITY OF HERIDA,GAN,M Modular
109321140463 SUCATAN,SEAN CARL, GAN M 09-16-2008 13 Tagalog RIZAL SONNY Pending TI
ty (POB.) ANTIPOLO ERLISA, (print)
BARANDINO
CITY OF
VILLANUEVA, T/I
TIZON,DENMARK, Christiani SAN TIZON, EDMAR Modular
107188140108 M 06-12-2009 12 Tagalog SAN ISIDRO PAMPANGA DONA,GORTEZ DATE:2021-
VILLANUEVA ty FERNANDO REGUCERA (print)
A, 09-13
(Capital)

13 <=== TOTAL MALE

 CARBON,
Christiani BANGAN- LAZO,SHERYL, Modular
101139140012 CARBON,KC AVEA MAE, LAZO F 05-03-2009 12 Iloko AGNO PANGASINAN JERRY Pending TI
ty ODA CORPUZ, (print)
FRANCISCO

FABRIGAS,ELOISA JANINE, Christiani BANGAN- FABRIGAS, CORTEZ,MILY Modular

101139140017 F 04-30-2009 12 Iloko AGNO PANGASINAN Pending TI
CORTEZ ty ODA JERRY PINEDA N,NACIONAL, (print)

GELIG,
Christiani BANGAN- CACHO,MARIL Modular
101139140045 GELIG,JOANNA MARIE, CACHO F 10-14-2009 12 Iloko AGNO PANGASINAN JONATHAN Pending TI
ty ODA OU,NABORA, (print)
SAGUN
GONZALES,
GONZALES,CHRISTINE NICOLE, Christiani VIADO,ZENILY Modular
101139150009 F 11-22-2008 12 Iloko SAN JUAN AGNO PANGASINAN RICHARD Pending TI
VIADO ty N,REYES, (print)
DEPANAY

RODRIGUEZ
Christiani LABAGUEZ, CORPUZ,MARI Modular
165511140166 LABAGUEZ,ANDREA, CORPUZ F 06-17-2009 12 Tagalog SAN ISIDRO (MONTALBA RIZAL Pending TI
ty ALEX PORBES CRIS,NAYAN, (print)
N)

MATITU,
MATITU,HANNAH KRISTINE, Christiani BANGAN- NAVIDA,CATH Modular
101139140020 F 02-23-2009 12 Iloko AGNO PANGASINAN EDMOND Pending TI
NAVIDA ty ODA ERINE,ROSETE, (print)
ALIPIO
ANAPAO NAPOLITANO,J T/I
MELENDRES,ANGELA MAY, Christiani MELENDRES, Modular
101400140013 F 06-05-2009 12 Iloko (BUR BURGOS PANGASINAN ENYLYN,BAGO DATE:2021-
NAPOLITANO ty JOEY CASTRO (print)
ANAPAC) RIO, 09-13
MENDOZA,
MENDOZA,THAILINE KATE, Christiani ATIENZA,EDLY Modular
101237140060 F 11-11-2008 12 Iloko DACAP SUR BANI PANGASINAN CONSTANTINE Pending TI
ATIENZA ty N,ORTALEZA, (print)
RAFANA
MOLINA,
MOLINA,DHANELA MAE, Christiani BANGAN- SAGUN,MARIC Modular
101139140022 F 05-02-2009 12 Iloko AGNO PANGASINAN NORMAN Pending TI
SAGUN ty ODA EL,NOTARTE, (print)
AYSON
NABORA,
NABORA,RHEAN DENNISE, Christiani NIEVES,CECILI Modular
101139140047 F 05-24-2009 12 Iloko SAN JUAN AGNO PANGASINAN MARLON Pending TI
NIEVES ty A,NAVIDA, (print)
CALIXTRO
NILO, T/I
Christiani ALVAREZ,CAR Modular
101148150016 NILO,ROSELLE MAE, ALVAREZ F 07-15-2009 12 Iloko VIGA AGNO PANGASINAN ROSEBERT DATE:2021-
ty MEN,RESTON, (print)
MIDALLO 09-13
T/I
Christiani OPALEC, ROEL MICOS,VIRGIE, Modular
101139120069 OPALEC,JONA, MICOS F 08-22-2007 14 Iloko SAN JUAN AGNO PANGASINAN DATE:2021-
ty MICOS ROMERO, (print)
09-13

QUEBRAL, RAQUIPISO,RU
QUEBRAL,RHEYIAN, Christiani BANGAN- Modular
101139140025 F 09-05-2009 12 Iloko AGNO PANGASINAN REYNANTE FINA,GUMAYA Pending TI
RAQUIPISO ty ODA (print)
BEGONIA GAY,

NACIONAL,IME
Christiani BANGAN- REYES, RUBEN Modular
101139140050 REYES,JUSTINE JOY, NACIONAL F 09-10-2009 12 Iloko AGNO PANGASINAN LDA,VILIRANN Pending TI
ty ODA LAURENTE (print)
A,
ROSETE,
Christiani BANGAN- BATALLA,JOIC Modular
101139140026 ROSETE,ROMI JOI, BATALLA F 01-31-2009 12 Iloko AGNO PANGASINAN ROMING Pending TI
ty ODA E,BONALOS, (print)
NAVIDA
SALVATIERRA, T/I
SALVATIERRA,KEZIAH MAE, Christiani CASIANO,ROSE
101146140021 F 03-25-2009 12 Iloko SAN JUAN AGNO PANGASINAN DENNIS Blended DATE:2021-
CASIANO ty ANN,AGUILAR,
ESPAÑOL 09-13
T/I
SALVATIERRA,NICOLE JANE, Christiani SALVATIERRA, SEPE,ANALYN, Modular
101146140022 F 11-21-2008 12 Iloko SAN JUAN AGNO PANGASINAN DATE:2021-
SEPE ty JOEL COS ALVAREZ, (print)
09-13
VELORIA, T/I
Christiani LADERAS,ALM
101146140023 VELORIA,SHAINE, LADERAS F 04-28-2009 12 Iloko SAN JUAN AGNO PANGASINAN SIXTO BAUZON Blended DATE:2021-
ty A,COLCOL,
JR 09-13
VIADO, ROQUERO,MAE T/I
Christiani
101146140024 VIADO,RICKA MAE, ROQUERO F 08-09-2009 12 Iloko SAN JUAN AGNO PANGASINAN FREDERICK SHYLL,MARIA Blended DATE:2021-
ty
REYES NO, 09-13

19 <=== TOTAL FEMALE

32 <=== 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 ANGELO NACIONAL ROSETE
Date MALE 13
Balik Aral B/A Name of school last attended & Year RENEBETH FLORES DAMASCO (Signature of School Head over Printed Name)
Transfered In T/I Name of Public (P) Private (PR) School & Effectivity
Date Learner With LWD Specify
Disability
Dropped DRP Reason and Effectivity Date Accelerated ACL Specify Level & Effectivity Data
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June)
Transfered Out T/O Name of Public (P) Private (PR) School & Effectivity CCT Receipient CCT CCT Control/reference number & Effectivity Date
Date
Balik Aral B/A Name of school last attended & Year (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 19
Disability
Dropped DRP Reason and Effectivity Date Accelerated ACL Specify Level & Effectivity Data
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) BoSY Date: EoSY Date:
TOTAL 32
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Monday, October 18, 2021