School Form 1 School Register for Senior High School (SF1-SH

School Name Romualdo T. Vicencio National High School School ID 313619 District Las Navas II
Division Northe

Semester Second Semester School Year 2020 - 2021 Grade Level Grade 12 Track and Strand

Section A Course (for TVL only) Horticulture (NC II)

COMPLETE ADDRESS PARENTS

AGE

Sex (M/F)
as of
NAME BIRTH DATE
LRN
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy) 1st Religious Affilication Mother's Maid
Frida Father's Name (Last
Name (Last Na
House #/ Street/ Sitio/ Purok Barangay Municipality/ City Province Name, First Name, Middle
y June Name)
First Name, Mi
Name)

NORTHERN EMPON,MARI
123010080001 ABLAZO,MARLON EMPON M 04/30/2002 18 Christianity LAS NAVAS ABLASO, AGOSTO
SAMAR ,,
NORTHERN AMBON, JOEL
123010080008 AMBON,JOHN REY COLAPO M 11/01/2002 17 Christianity LAS NAVAS COLAPO,ALD
SAMAR TAPONG

NORTHERN DELA,TETCHI
123011070003 ASINAS,JOHN JERELL DELA CRUZ M 04/29/2001 19 Christianity DEL PILAR LAS NAVAS
SAMAR CRUZ

NORTHERN ASINAS, ARCHIE PAJUELAS,MA

123011080007 ASINAS,MARNEL PAJUELAS M 07/27/2003 16 Christianity DEL PILAR LAS NAVAS
SAMAR ACUIN ES,PAJAC,

NORTHERN CHEQUITO, NERINO SUNGALIA,LO

123010080017 CHEQUITO,NELSON SUNGALIA M 11/06/2002 17 Christianity LAS NAVAS
SAMAR PAJANTOY A,,

NORTHERN MOCLON,ELV
123010080021 DOCARNOY,JERICO MOCLON M 03/21/2002 18 Christianity LAS NAVAS DOCARNOY, JULIO
SAMAR ,,
NORTHERN
123014080002 GOLONDRINA,EL JOSEPH EMPON M 05/22/2003 17 Christianity EPAW LAS NAVAS EMPON,ELVIE
SAMAR
NORTHERN
123014080003 GOLONDRINA,MIGUEL ASIS M 02/03/2002 18 Christianity EPAW LAS NAVAS ASIS,ANICIA,,
SAMAR
CITY OF PALMONES,G
123010080028 GURPIDO,JAKE PALMORES M 06/06/2002 17 Christianity PUNTA LAGUNA GURPIDO, JUN
CALAMBA ,
NORTHERN
123010080031 GUTABA,JERSON DULA M 01/09/2003 17 Christianity LAS NAVAS GUTABA, ISAIYAS DULA,CECEL
SAMAR
NORTHERN SALAJENDO,N
123014080006 ORSOLINO,NEL SALAJENDO M 05/05/2003 17 Christianity EPAW LAS NAVAS
SAMAR E,,
NORTHERN PAJANTOY, DOCARNOY,M
123010080042 PAJANTOY,ARJAN DOCARNOY M 05/31/2002 18 Christianity LAS NAVAS
SAMAR ALBERTO IE,,
NORTHERN PAJANTOY,CL
123010080043 PAJANTOY,ARVIN PATRICK CABALLA M 10/08/2002 17 Christianity LAS NAVAS PAJANTOY, ENER
SAMAR A,,
NORTHERN PAJENADO,W
123014070016 PAJENADO,CARLITO JR YANAY M 12/19/2000 19 Christianity SAN JOSE LAS NAVAS
SAMAR NIE,,
NORTHERN DOCARNOY,N
123014070020 PAJENADO,ROMNICK DOCARNOY M 01/06/2000 20 Christianity DAPDAP LAS NAVAS PAJENADO, ROQUE
SAMAR A,,

NORTHERN TAPONG, ALFREDO OPENION,MA

123010080055 TAPONG,MIKE SHERWIN OPENION M 08/16/2001 18 Christianity LAS NAVAS
SAMAR REBADULLA A,,
F1-SHS)

Northern Samar Region Region VIII

Technical-Vocational-Livelihood Track

GUARDIAN
TS REMARKS
(if learner is not Living with Parent)
Contact
Number of Learning
Mother's Maiden Parent or Modality
Name
Name (Last Name, Guardian (Please refer to the
(Last Name, First Name, Relationship
First Name, Middle legend on last page)
Name Extension, Middle
Name)

EMPON,MARILYN
RELATIVE Modular (print)
,

COLAPO,ALDA,, RELATIVE Modular (print)

DELA,TETCHIE,P,
PARENT Modular (print)
CRUZ

PAJUELAS,MARIT
Modular (print)
ES,PAJAC,

SUNGALIA,LORN
RELATIVE Modular (print)
A,,

MOCLON,ELVIRA
RELATIVE Modular (print)
,

EMPON,ELVIE,, PARENT Modular (print)

ASIS,ANICIA,, PARENT Modular (print)

PALMONES,GINA,
RELATIVE Modular (print)

DULA,CECELIA,, RELATIVE Modular (print)

SALAJENDO,NERI
PARENT Modular (print)
E,,
DOCARNOY,MAR
RELATIVE Modular (print)
E,,
PAJANTOY,CLAR
RELATIVE Modular (print)
A,,
PAJENADO,WEN
PARENT Modular (print)
NIE,,
DOCARNOY,NOR
RELATIVE Modular (print)
A,,

OPENION,MARIL
RELATIVE Modular (print)
A,,
 NORTHERN TENEDERO, JOSEPH MUNCADA,M
123010080059 TENEDERO,JOHN MIKE MUNCADA M 01/09/2003 17 Christianity LAS NAVAS
SAMAR PAJENADO GIE,,

NORTHERN PAJENADO,VI
123010070058 TUCA,BENJIE PAJENADO M 02/06/2002 18 Christianity LAS NAVAS
SAMAR Y,,
NORTHERN POMAREJOS,G
123010080068 YRUMA,GERALD POMAREJOS M 01/24/2003 17 Christianity LAS NAVAS YRUMA, JHONY
SAMAR ALDEN,,

19 <=== TOTAL MALE

NORTHERN SULAYAN,VIC
123010080002 ACO,MIKA ANN SULAYAO F 07/20/2003 16 Christianity LAS NAVAS ACO, NICOLAS
SAMAR ,,
NCR
ALVAREZ, MARLO
122865080015 ALVAREZ,ELLA MAE PAJAC F 02/02/2002 18 Christianity PINAGSAMA TAGUIG CITY FOURTH PAJAC,LITA,,
DINEROS
DISTRICT

NORTHERN AMBON, MICHAEL DIANITO,VIOL

123010080009 AMBON,MERLY DIANITO F 03/20/2003 17 Christianity LAS NAVAS
SAMAR TAPONG A,,

NORTHERN BALDOSTAMO,
123010070004 BALDOSTAMO,ERIKA YRUMA F 12/02/2002 17 Christianity LAS NAVAS YRUMA,ANGG
SAMAR ARNIE
NORTHERN PULGA,LOPED
123010080012 CABE,ANA MARIE PULGA F 09/25/2002 17 Christianity LAS NAVAS CABE, AUDIE SR
SAMAR NA,,
NORTHERN DOCARNOY,M
123010080015 CABENIAN,JASMINE DOCARNOY F 05/31/2003 17 Christianity LAS NAVAS CABENIAN, JONIE
SAMAR IA,,
NORTHERN COLANGAN, GUDGAD,GIL
123011080016 COLANGAN,MERY GIN GUDGAD F 02/08/2002 18 Christianity DEL PILAR LAS NAVAS
SAMAR MICHAEL ASINAS CREDO,
NORTHERN CONSTANTINO, PAJANTOY,CI
123010080018 CONSTANTINO,IVY CLAIRE PAJANTOY F 06/27/2003 16 Christianity LAS NAVAS
SAMAR EDWIN Y,,
NORTHERN TENDIDO,ELD
123011070017 GURPIDO,JERALYN TENDIDO F 03/29/2001 19 Christianity DEL PILAR LAS NAVAS GURPIDO, JOSE G
SAMAR ,
NORTHERN JUGAL, RAQUEL REBATO,CEC
303579140024 JUGAL,RACILLE REBATO F 11/01/2001 18 Christianity SAN ISIDRO LAS NAVAS
SAMAR MERCADER N,,
NORTHERN TAPONG,LUS
123010080037 PAJAC,JOVELYN LUSANTA F 04/15/2002 18 Christianity LAS NAVAS PAJAC, JUAN
SAMAR A,,
NORTHERN
123010080038 PAJAC,JOYCE ANN ORTEA F 12/21/2003 16 Christianity LAS NAVAS ORTEA, JOSE ORTEA,ANAL
SAMAR
NORTHERN TAFALLA,RO
123010080041 PAJAC,RECHIEL TAFALLA F 05/10/2002 18 Christianity LAS NAVAS PAJAC, RODOLFO
SAMAR ARIE,,

NORTHERN PAJANTOY, TOLING,ROSE

123010080044 PAJANTOY,CHRISTEL TOLING F 10/12/2000 19 Christianity DAPDAP LAS NAVAS
SAMAR DOMINGO ACUIN ,ORSOLINO,

NORTHERN PAJANTOY,
123010080045 PAJANTOY,MEA JEAN PIALAGO F 01/03/2003 17 Christianity LAS NAVAS PIALAGO,MA
SAMAR ALFREDO
NORTHERN PAJANTOY,
123010070039 PAJANTOY,MYRALYN CABE F 12/12/2001 18 Christianity LAS NAVAS CABE,MARILY
SAMAR BENIETO SR
NORTHERN MUNCADA,LU
123010080047 PAJANTOY,SHIRLY MUNCADA F 01/22/2003 17 Christianity LAS NAVAS PAJANTOY, ZOSIMO
SAMAR ANA,,
NORTHERN PAJENADO, JULIO BAYABAY,AN
123010080050 PAJENADO,JOAN BAYABAY F 07/21/2003 16 Christianity LAS NAVAS
SAMAR NORCIO LIE,,
NORTHERN GURPIDO,MA
123010080052 PIALAGO,ANNA CLARISSE GURPIDO F 05/20/2003 17 Christianity LAS NAVAS PIALAGO, ANITO
SAMAR N,,

NORTHERN PIALAGAO, TAFALLA,LEO

123011080038 PIALAGO,DIZZA TAFALLA F 07/28/2002 17 Christianity DEL PILAR LAS NAVAS
SAMAR DOMINGGO DE ASIS RA,A,

NORTHERN ALATA,ALMIN
123010080053 PIALAGO,SAIROS ALATA F 06/04/2002 18 Christianity LAS NAVAS ALATA, GUILLERMO
SAMAR ,,
NORTHERN CABALLA,MA
123010080054 PONCE,AILYN CABALLA F 06/29/2003 16 Christianity LAS NAVAS PONCE, SANTOS
SAMAR ,,
MUNCADA,MAR
RELATIVE Modular (print)
GIE,,

PAJENADO,VICK
PARENT Modular (print)
Y,,
POMAREJOS,GER
RELATIVE Modular (print)
ALDEN,,

SULAYAN,VICKY
RELATIVE Modular (print)
,

PAJAC,LITA,, PARENT Modular (print)

DIANITO,VIOLET
RELATIVE Modular (print)
A,,

YRUMA,ANGGIE,, RELATIVE Modular (print)

PULGA,LOPEDIVI
RELATIVE Modular (print)
NA,,
DOCARNOY,MAR
RELATIVE Modular (print)
A,,
GUDGAD,GILDA,
Modular (print)
CREDO,
PAJANTOY,CIND
RELATIVE Modular (print)
Y,,
TENDIDO,ELDA,P
PARENT Modular (print)

REBATO,CECILY
Modular (print)
N,,
TAPONG,LUSANT
RELATIVE Modular (print)
A,,

ORTEA,ANALYN,, PARENT Modular (print)

TAFALLA,ROSEM
RELATIVE Modular (print)
ARIE,,

TOLING,ROSETEL
Modular (print)
ORSOLINO,

PIALAGO,MAYE,, RELATIVE Modular (print)

CABE,MARILYN,, RELATIVE Modular (print)

MUNCADA,LUCI
RELATIVE Modular (print)
ANA,,
BAYABAY,ANGE
RELATIVE Modular (print)
LIE,,
GURPIDO,MARLY
RELATIVE Modular (print)
N,,

TAFALLA,LEONO
Modular (print)
RA,A,

ALATA,ALMINDA
RELATIVE Modular (print)
,
CABALLA,MARIA
RELATIVE Modular (print)
,
 NORTHERN TAPONG, ENRIQUE MOCLON,ARL
123010080056 TAPONG,ROBELYN MOCLON F 06/19/2002 17 Christianity LAS NAVAS
SAMAR SACAY E,,
NORTHERN TENEDERO,
123010080057 TENEDERO,ALIAH MEA GACITA F 04/08/2003 17 Christianity LAS NAVAS GOSITA,AILY
SAMAR ALBERTO

24 <=== TOTAL FEMALE

43 <=== COMBINED

Legend: List and Code of Indicators under REMARKS column

Prepared by;
Beginning of the End of the
Indicator Code Required Information Indicator Code Required Information REGISTERED
Semester Semester

Transfered Out T/O CCT Receipient CCT CCT Control/reference number &
Effectivity Date MALE 19
Name of School, Date of 1st Attendance and Balik Aral B/A Name of school last attended & Year
Date of Last Attendance if Transferred Out
Transfered In T/I Learner With LWE Specify Exceptionality of the Learner
FEMALE 24
Exceptionality Beginning of the Semeste
Accelerated ACL Specify Level & Effectivity Date

TOTAL 43
2/15/21 12:00 AM

Generated on: Friday, March 26, 2021

MOCLON,ARLEN
RELATIVE Modular (print)
E,,

GOSITA,AILYN,, RELATIVE Modular (print)

d by;

CATHERINE CALOT CAPATE

(Signature of Adviser over Printed Name)

ng of the Semester Date: End of the Semester Date:

1 12:00 AM 6/5/21 12:00 AM