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
