School Form 1 (SF 1) School Register

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

School ID 300990 Region III Division Tarlac

School Name San Roque NHS School Year 2014 - 2015 Grade Grade 10 Section ST ISIDORE

GUARDIAN
ADDRESS PARENTS REMARKS
MOTHER (if Not Parent) Contact

Sex (M/F)
AGE as
NAME BIRTH DATE TONGUE IP Number
of 1st
LRN (Last Name, First Name, Middle (mm/dd/yy (Grade 1 (Ethnic RELIGION Father's Name Mother's Maiden of Parent
Friday House #/ (Please refer to
Name) yy) to 3 Group) Municipality/ (Last Name, First Name (Last Relationshi or
June Street/ Barangay Province Name the legend on
Only) City Name, Middle Name, First p Guardian
Sitio/ Purok last page)
Name) Name, Middle
SAN BALILO, RIVERA, RIVERA,
01-28- Kapamp Christian RELATIV
300990130028 BALILO, HAROLD RIVERA M 15 NICOLAS BAMBAN TARLAC RENATO MERLITA MERLITA
1999 angan ity E
(POB.) GUERERO CORTEZ CORTEZ
BERNALDEZ, MARY ANN
07-03- Christian DELA RELATIV
300990110065 BERNALDEZ, CYRUS PARANE M 16 BAMBAN TARLAC -, - - MARY ANN P
1997 ity CRUZ E
PARANE BERNALDEZ
VIRGEN
DE LOS CADIANG, PANLICAN, PANLICAN,
CADIANG, JOSHUA 10-15- Christian RELATIV
300990120101 M 15 REMEDIOS BAMBAN TARLAC VICTOR MERCEDITA MERCEDITA
PANLICAN 1998 ity E
(PACALCA MONTOYA ROSAL ROSAL
L)
CORPUZ, ESOY,
01-31- Christian TERESITA E RELATIV
300990110144 CORPUZ, JAY-AR ESOY M 15 ANUPUL BAMBAN TARLAC ROLANIX TERESITA
1999 ity CORPUZ E
JESU MAHIAS
09-02- Christian S
DURANA, AGUILAR,HELEN A RELATIV
300990110216 DURANA, JASPER AGUILAR M 16 ANUPUL BAMBAN TARLAC
1997 ity ARMANDO B MELEN D DURANA E
08-16- Christian SAN REYES, MYRNA M RELATIV
300990110223 ESPEJO, CHRISTIAN REYES M 16 BAMBAN TARLAC -, - -
1997 ity ROQUE MYRNA REYES E
FIGUEROA, RANIER 06-21- Christian FIGUEROA, BARREDO,BARREDO, RELATIV
300990110227 M 15 ANUPUL BAMBAN TARLAC
BARREDO 1998 ity EDUARDO T ROWENA EROWENA E E
FLORES, CATACUTAN
CATACUTA
FLORES, F T JHENDERSON 04-29- Christian RELATIV
300990110228 M 15 ANUPUL BAMBAN TARLAC OSCAR , LAILA N, LAILA
CATACUTAN 1999 ity E
SANCHEZ TUMANG TUMANG
GOMEZ, MARK RALPH 03-17- Christian GOMEZ, ESCALANTE,
ESCALANTE, RELATIV
300990110260 M 15 ANUPUL BAMBAN TARLAC
ESCALANTE 1999 ity RODOLFO C MARIVIC R
MARIVIC R E
CORTEZ,
07-26- Christian SAN GOMEZ, CORTEZ, RELATIV
300990110259 GOMEZ, MARVIN CORTES M 15 BAMBAN TARLAC MARIBELLE
1998 ity VICENTE ALVIN D MARIBELLE S E
S
GONZALES, JONAS 09-28- Christian SANTIAG CONCEPCI GONZALES, MELCHOR, MONALIZA RELATIV
300990130026 M 15 TARLAC
MELCHOR 1998 ity O ON JESSIE MONALIZA P P MELCHOR E
S MELCHOR,
GONZALES, JOSHUA 09-28- Christian SANTIAG CONCEPCI GONZALES, MELCHOR, RELATIV
300951110519 M 15 TARLAC MONALIZA
MELCHOR 1998 ity O ON JESSIE MONALIZA P E
S P
SAN HERMOGENE BALILO, BALILO,
10-07- Christian RELATIV
300990110056 HERMOGENES, RYAN BALILO M 15 NICOLAS BAMBAN TARLAC S, RICARDO ROWENA ROWENA
1998 ity E
(POB.) DAIRO SANDICO SANDICO
LAPINA, LUGTU,
LAPIÑA, PAULO GENE 08-03- Christian CUTCUT MARIBEL RELATIV
300990120159 M 16 CAPAS TARLAC BENJAMIN DE MARIBEL
LUGTU 1997 ity 1ST LAPIÑA E
JESU PABRIGAS
S
LAVARIAS, YUMUL,
LAVARIAS, ERICKSON 09-17- Christian ROSITA M RELATIV
300990110324 M 15 ANUPUL BAMBAN TARLAC EDWIN ROSITA
YUMUL 1998 ity LAVARIAS E
BAUTISTA HELLORIN
LISING, SERGIO NIKKO 10-05- Christian LISING, QUIAMBAO, QUIAMBAO, RELATIV
300990090252 M 15 ANUPUL BAMBAN TARLAC
QUIAMBAO 1998 ity SALVADOR VIOLETA VIOLETA E
 GUARDIAN
ADDRESS PARENTS REMARKS
MOTHER (if Not Parent) Contact

Sex (M/F)
AGE as
NAME BIRTH DATE TONGUE IP Number
of 1st
LRN (Last Name, First Name, Middle (mm/dd/yy (Grade 1 (Ethnic RELIGION Father's Name Mother's Maiden of Parent
Friday House #/ (Please refer to
Name) yy) to 3 Group) Municipality/ (Last Name, First Name (Last Relationshi or
June Street/ Barangay Province Name the legend on
Only) City Name, Middle Name, First p Guardian
Sitio/ Purok last page)
Name) Name, Middle
10-05- Christian RELATIV
M 15 ANUPUL BAMBAN TARLAC SANGALANG MANIPON MANIPON
1998 ity E
LIMIO, LILIO,
MARIMLA, JOHN ROBIN 06-07- Christian SAN MARIMLA, RELATIV
300990100322 M 16 BAMBAN TARLAC EVANGELINE EVANGELINE
LIMIO 1997 ity VICENTE ROLLY L E
C C
MARISTELA, INCISO, GUADALUPE
MARISTELA, VINCE 06-10- Christian RELATIV
300990110401 M 14 ANUPUL BAMBAN TARLAC ALFREDO GUADALUPE, P
ANTHONY INCISO 1999 ity E
SANTOS JR PAMINTUAN MARISTELA
MATCHADO, SAN DIEGO, SAN DIEGO,
MATCHADO, RICARDO SAN 02-28- Kapamp Christian RELATIV
300990120265 M 19 LOURDES BAMBAN TARLAC REYNALDO MELDA MELDA
DIEGO 1995 angan ity E
CAUGUIRAN QUIJANO QUIJANO
SANTO MENDOZA, PINEDA, PINEDA,
MENDOZA, RICO NERI 11-16- Christian RELATIV
306801120230 M 16 DOMINGO CAPAS TARLAC RICHARD NORA NORA
PINEDA 1997 ity E
2ND AGONCILLO ALFONSO ALFONSO
LE DATE:
09-10- Christian NAPILOT, TONGOL, TONGOL, RELATIV
300962100376 NAPILOT, NIKKO TONGOL M 16 BANGCU BAMBAN TARLAC 2014/06/1
1997 ity RONALD B MYRA I MYRA I E
0
AGUILAR,
NUCUM, AGUILAR
09-30- Christian MARLENE RELATIV
300990110436 NUCUM, ANGEL AGUILAR M 15 BANGCU BAMBAN TARLAC BENIGNO MARLENE
1998 ity CATACUTA E
MALLARI CATACUTAN
N
TOLENTINO, TOLENTINO,
PUNO, EMERSON 01-20- Christian PUNO, RELATIV
300990110487 M 14 ANUPUL BAMBAN TARLAC ROSALIE ROSALIE
TOLENTINO 2000 ity EDGAR SIBAL E
BALUYOT BALUYOT
RONQUILLO, ROI XAVIER 08-15- Christian RONQUILLO, LUGTU, LUGTU, RELATIV
300990110530 M 15 ANUPUL BAMBAN TARLAC
FERNANDEZ 1998 ity RODEL M MILDRED F MILDRED F E
ALDANA, ALDANA,
09-24- Christian SANTO SABELA, LUIS RELATIV
300990110535 SABELA, RYAN ALDANA M 15 CAPAS TARLAC YVONNE YVONNE
1998 ity ROSARIO DEL PUERTO E
CAYADO CAYADO
GUILLERMO, GUILLERMO,
SALAZAR,
SALAZAR, JOMAR 02-13- Christian MARILYN MARILYN RELATIV
300990110545 M 16 ANUPUL BAMBAN TARLAC MARIO
GUILLERMO 1998 ity DEL DEL E
RAMOS
ROSARIO ROSARIO
SARMIENTO, TOLENTINO, TOLENTINO,
SARMIENTO, EMMANUEL 12-13- Christian RELATIV
300990110575 M 15 ANUPUL BAMBAN TARLAC MANUEL DOLORES DOLORES
TOLENTINO 1998 ity E
MESA ADRIANO ADRIANO
SESE, YUMANG, YUMANG,
11-19- Christian CUTCUT RELATIV
300990110583 SESE, KENNETH LAXAMANA M 17 CAPAS TARLAC LODEGARIO IMELDA IMELDA
1996 ity 2ND E
MANIEGO ESBERTO ESBERTO
SAN TUAZON, MANZO, MANZO, LE DATE:
TUAZON, CHRISTOPHER 06-07- Kapamp Christian RELATIV
300990110644 M 9 NICOLAS BAMBAN TARLAC FERNANDO GERALDINE GERALDINE 2014/07/0
MANZO 2004 angan ity E
(POB.) G T T 5
VIDAD, CADIANG, CADIANG,
05-05- Christian CUTCUT RELATIV
300990110659 VIDAD, ROMMEL CADIANG M 17 CAPAS TARLAC ISRAEL GRACE GRACE
1997 ity 1ST E
DUPITAS MANABAT MANABAT
VITUG,
NAGUIT, NAQUIT,
VITUG, MARK ANTHONY 09-28- Christian REYNALDO RELATIV
300990110664 M 15 LA PAZ BAMBAN TARLAC MARITES MARITES
NAGUIT 1998 ity ANUNCIACIO E
PINGOL PINGOL
N
31 <=== TOTAL MALE
BALBOA, VINUYA, VINUYA,
BALBOA, JUBILEE ALONA 01-18- Christian RELATIV
300990130030 F 15 ANUPUL BAMBAN TARLAC HERNANDO GERALDINE GERALDINE
VINUYA 1999 ity E
CABRIAS MANALUZ MANALUZ
 GUARDIAN
ADDRESS PARENTS REMARKS
MOTHER (if Not Parent) Contact

Sex (M/F)
AGE as
NAME BIRTH DATE TONGUE IP Number
of 1st
LRN (Last Name, First Name, Middle (mm/dd/yy (Grade 1 (Ethnic RELIGION Father's Name Mother's Maiden of Parent
Friday House #/ (Please refer to
Name) yy) to 3 Group) Municipality/ (Last Name, First Name (Last Relationshi or
June Street/ Barangay Province Name the legend on
Only) City Name, Middle Name, First p Guardian
Sitio/ Purok last page)
Name) Name, Middle
SAN BALINGIT,
BALINGIT, NICHOLE 12-20- Christian SERRANO, SERRANO, RELATIV
300990110057 F 15 NICOLAS BAMBAN TARLAC BENIGNO B
SERRANO 1998 ity SHARON P SHARON P E
(POB.) J
R
CABRERA, DE LAPAZ, DELA PAZ
CABRERA, ELISHA MAE DE 01-13- Christian RELATIV
300990110086 F 15 ANUPUL BAMBAN TARLAC FERDINAND GIRLIE MAE GIRLIE MAE
LAPAZ 1999 ity E
NARCISO DEGUIDOY DEGUIDOY
Catacutan, CATACUTAN LE DATE:
CATACUTAN, JENNYROSE 12-10- Christian CATACUTA RELATIV
300990140041 F 16 ANUPUL BAMBAN TARLAC Dominador , GEMMA 2014/07/0
ALCANTARA 1997 ity N, GEMMA E
Tumang DELA CRUZ 2
CATLI, SIMON, SIMON,
09-18- Christian SAN RELATIV
300990110129 CATLI, ARLA SIMON F 15 BAMBAN TARLAC ARMANDO MANUELA MANUELA
1998 ity VICENTE E
GOMEZ ASUNCION ASUNCION
CUENCA, MARIA CRISTINA 05-29- Christian MABALAC CUENCA, BAYLAN, BAYLAN, RELATIV
300990110148 F 16 TABUN PAMPANGA
BAYLAN 1998 ity AT MARLON T MYLENE A MYLENE A E
CUENGCO, KIMBERLY 12-06- Christian CUENGCO, CUENGCO, RELATIV
300990120134 F 15 BANABA BAMBAN TARLAC CANDELARIA
CANDELARIA 1998 ity CRAYMOND IRENE E
DATU, SIBAL, SIBAL,
10-08- Christian RELATIV
300990110160 DATU, ANGELICA JOY SIBAL F 15 ANUPUL BAMBAN TARLAC ALEXANDER ANGELITA ANGELITA
1998 ity E
JIMENEZ ARANAS ARANAS
DELOS
TONGOL, TONGOL,
DELOS REYES, RONA 12-02- Christian REYES, RELATIV
300990110201 F 16 ANUPUL BAMBAN TARLAC MARICEL MARICEL
TONGOL 1997 ity RAMOLITO E
SAIN SAIN
BIE
CASTRO, NON- LE DATE:
DIZON, JAMIMAH AIRA 05-02- Kapamp Christian SAN DIZON, JOEL ALBERT
300990140040 F 16 BAMBAN TARLAC ROSALIE RELATIV 2014/06/0
CASTRO 1998 angan ity ROQUE DE LARA SOLIMAN
SALUNGA E 9
DUMLAO, GUEVARRA, GUEVARRA,
DUMLAO, MARIANNE 08-29- Christian SANTIAG CONCEPCI RELATIV
300990110215 F 15 TARLAC SANTIAGO LUCIA LUCIA
GUEVARRA 1998 ity O ON E
TAGURA BALILO BALILO
SAN ESCOBEDO, ESCOBEDO,
01-28- Christian MALLARI, RELATIV
300990140042 ESCOBEDO, REGIELYN - F 15 NICOLAS BAMBAN TARLAC ANGELEFA ANGELEFA
1999 ity RICARDO - E
(POB.) MORANTE MORANTE
FAUSTO,
FAUSTO, REYGINE MAE 03-15- Christian CUTCUT MASULIT, MASULIT, RELATIV
301462100195 F 19 CAPAS TARLAC REYNALDO
MASULIT 1995 ity 1ST GINA DADIA GINA DADIA E
GOMEZ
02-03- Christian CAMACHI MABALAC GARCIA, ROSALES, ROSALES, RELATIV
300990130012 GARCIA, JOANNA ROSALES F 18 PAMPANGA
1996 ity LES AT ANTONIO C MARILOU P MARILOU P E
INFANTE, TAN, TAN,
INFANTE, KIMBERLY ANNE 01-31- Christian DELA RELATIV
300990110295 F 15 BAMBAN TARLAC EMMANUEL LADYLYN LADYLYN
TAN 1999 ity CRUZ E
G GOMEZ GOMEZ
LAXAMANA, MARICAR 10-08- Christian DELA LAXAMANA, LISING, LULU LISING, RELATIV
300990110327 F 17 BAMBAN TARLAC
LISING 1996 ity CRUZ REX M N LULU N E
MIRANDA, MIRANDA,
LETADA, CLARISSE 10-07- Christian LETADA, RELATIV
300990110329 F 15 ANUPUL BAMBAN TARLAC LORNA LORNA
MIRANDA 1998 ity RICKY NICOL E
ICBAN ICBAN
SAN
MALLARI, MARIELLE LIWAY 08-24- Christian MALLARI, PUSOD, PUSOD, RELATIV
300990110359 F 16 NICOLAS BAMBAN TARLAC
PUSOD 1997 ity ARTHUR V MAILA C MAILA C E
(POB.)
SANTO MENDOZA, PINEDA, PINEDA,
12-28- Christian RELATIV
301038110718 MENDOZA, RICA PINEDA F 15 DOMINGO CAPAS TARLAC RICHARD NORA NORA
1998 ity E
2ND AGONCILLO ALFONSO ALFONSO
02-13- Christian DELA PORNIAS, LEGASPI, MARY ANN RELATIV
300990120112 PORNIAS, RIZA NONE F 21 BAMBAN TARLAC
1993 ity CRUZ VICTOR - EDITHA P BERNALDEZ E
PRESNIDO, MA THERESA 08-16- Christian CUTCUT PRESNIDO, AGOCMARYJ AGOC, RELATIV
300990110486 F 15 CAPAS TARLAC
AGOC 1998 ity 1ST FERNANDO - ANE MARYJANE E
 GUARDIAN
ADDRESS PARENTS REMARKS
MOTHER (if Not Parent) Contact

Sex (M/F)
AGE as
NAME BIRTH DATE TONGUE IP Number
of 1st
LRN (Last Name, First Name, Middle (mm/dd/yy (Grade 1 (Ethnic RELIGION Father's Name Mother's Maiden of Parent
Friday House #/ (Please refer to
Name) yy) to 3 Group) Municipality/ (Last Name, First Name (Last Relationshi or
June Street/ Barangay Province Name the legend on
Only) City Name, Middle Name, First p Guardian
Sitio/ Purok last page)
Name) Name, Middle
05-20- Christian RIVERA, GOMEZ, GOMEZ, RELATIV
300990110522 RIVERA, MAY ANN GOMEZ F 15 ANUPUL BAMBAN TARLAC
1999 ity RAUL G HERMINIA C HERMINIA C E
RUELA,
RUELA, NICOLE JOYCE 09-17- Christian SANTO GALANG, AURORA, RELATIV
300957100264 F 16 CAPAS TARLAC BENEDICTO
GALANG 1997 ity ROSARIO AURORA GALANG E
-
07-27- Christian SERRANO, DIAMSAY, DIAMSAY, RELATIV
300990110580 SERRANO, ROAN DIAMSAY F 16 ANUPUL BAMBAN TARLAC
1997 ity REMY C NOEMI T NOEMI T E
SAN SINAMBAN, AQUINO, AQUINO,
SINAMBAN, PRINCESS 01-12- Christian RELATIV
300990110601 F 16 NICOLAS BAMBAN TARLAC ALLAN JENNIFER JENNIFER
AQUINO 1998 ity E
(POB.) MAGLAY BARBERO BARBERO
TIMBOL, TIMBOL,
07-28- Christian TONGOL, RELATIV
300990110636 TONGOL, ROSANNA TIMBOL F 15 ANUPUL BAMBAN TARLAC ANN ANN
1998 ity ROLAN SAIN E
OCAMPO OCAMPO
26 <=== TOTAL FEMALE

57 <=== COMBINED

List and Code of Indicators under REMARKS column

Transfered T/O Name of Public (P) Private (PR) School & CCT CCT CCT Control/reference number &
Out Effectivity Date Receipient Effectivity Date MALE 29
B/A MARIDEL BRIONES DELA CRUZ JESUS CORTEZ MERCADO
T/I Name of Public (P) Private (PR) School & Balik Aral Name of school last attended & Year (Signature of Adviser over Printed (Signature of School Head over Printed
Transfered In Effectivity Date LWD FEMALE 24 Name) Name)
Learner With Specify
DRP Reason and Effectivity Date Disability ACL 53
TOTAL
Dropped LE Reason (Enrollment beyond 1st Friday of Accelerated Specify Level & Effectivity Data BoSY Date: EoSY Date: BoSY Date: EoSY Date:

Generated on: Wednesday, September 10, 2014 9:29:08 AM