School Form 1 (SF 1) School Register

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

School ID 106041 Region III Division Pampanga District Lubao West

School Name Balantacan ES School Year 2022 - 2023 Grade Level Grade 5 Section B

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)

Kapampa Christiani SANTA ALMARIO, ELY ALIPIO,REALY

106041170002 ALMARIO,RHEILY, ALIPIO M 04-26-2012 10 LUBAO PAMPANGA
ngan ty CRUZ PELAYO N,SABADO,

Kapampa Christiani BALANTAC ANGA, RULYN DAVID,MERIEL

106041170033 ANGA,NEYO ANDREI, DAVID M 06-20-2012 10 LUBAO PAMPANGA
ngan ty AN BAGUIO ,ALVARO,

DAVID,
Kapampa Christiani BALANTAC ROCERO,MYLE
106041170038 DAVID,CARL, ROCERO M 08-15-2012 10 LUBAO PAMPANGA RICHARD
ngan ty AN NE,REY,
MORALES
DAVID,
Kapampa Christiani BALANTAC ALBERTO,MER
106041170028 DAVID,KELLY, ALBERTO M 10-21-2011 11 LUBAO PAMPANGA ROLANDO
ngan ty AN CY,LOZANO,
REYES
GANTANG, DIMALANTA,A
Kapampa Christiani BALANTAC
106041170047 GANTANG,LEXI, DIMALANTA M 08-12-2012 10 LUBAO PAMPANGA FERNANDINO NGELITA,DIWA
ngan ty AN
YUMUL ,

Kapampa Christiani BALANTAC LUNA,ANNABE

106041170029 LUNA,DARWIN, - M 08-07-2011 11 LUBAO PAMPANGA
ngan ty AN L,PAULE,

MANALANSAN,RHEDS, Kapampa Christiani BALANTAC MANALANSAN, ALMERON,JEN

106041170030 M 12-11-2011 10 LUBAO PAMPANGA
ALMERON ngan ty AN REGIE BANAL ELYN,EMPENO,

MELO, DE
Kapampa Christiani BALANTAC
106041170006 MELO,MELVIN JOHN, DE LEON M 10-07-2011 11 LUBAO PAMPANGA CORNELIO LEON,MELISSA
ngan ty AN
SANTOS ,RODRIGUEZ,
OCAMPO,
Kapampa Christiani BALANTAC DIWA,ANGELI
106041170040 OCAMPO,KEIN JAYZER, DIWA M 04-11-2012 10 LUBAO PAMPANGA NELSON
ngan ty AN NE,ISIP,
CALIWAG
PAULE, AUDITOR,MAR
PAULE,JAZZTINE CLARK, Kapampa Christiani BALANTAC
106041160031 M 12-20-2010 11 LUBAO PAMPANGA EMERSON Y
AUDITOR ngan ty AN
QUINTO ANN,GARCIA,
SABADO,
SABADO,JAY ANDREW, Kapampa Christiani BALANTAC KABILING,JOA
106041170048 M 11-15-2011 10 LUBAO PAMPANGA SALBINO
KABILING ngan ty AN N,CASTRO,
BANAL JR
SALENGA,RON
SERRANO,JOHN LESTER, Kapampa Christiani BALANTAC SERRANO, JON
106041170043 M 10-28-2011 11 LUBAO PAMPANGA ALYN,MORALE
SALENGA ngan ty AN JON SALONGA
S,
SUSA,NATHAN GABRIEL, Christiani BALANTAC SUSA, BRIAN RELACION,ALT
483658170004 M 06-04-2012 10 Tagalog LUBAO PAMPANGA
RELACION ty AN BASCON HESSA,-,
VILLEDO, GUEVARRA,ME
Kapampa Christiani BALANTAC
106041170044 VILLEDO,ELJAY, GUEVARRA M 08-11-2011 11 LUBAO PAMPANGA RODOLFO PIDO RLISSA,MIGUE
ngan ty AN
JR L,

14 <=== TOTAL MALE

Lubao West

REMARKS

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

Face to Face

Face to Face

Face to Face

Face to Face

Face to Face

LE
Face to Face DATE:2022/08/
22

Face to Face

LE
Face to Face DATE:2022/08/
22

Face to Face

Face to Face

Face to Face

Face to Face

T/I
Face to Face DATE:2022-
08-22

Face to Face
 ALMIRON, LARIOZA,GEO
ALMIRON,CRISHA MHAY, Kapampa Christiani BALANTAC
106041170010 F 05-13-2012 10 LUBAO PAMPANGA CRISANTO RLEN,CABUDO
LARIOZA ngan ty AN
ESPINOZA Y,
ALMIRON,
Kapampa Christiani BALANTAC BUSTOS,ROCE
106041170050 ALMIRON,NATASHA, BUSTOS F 06-07-2012 10 LUBAO PAMPANGA RONNIE
ngan ty AN L,CLAUDIO,
AUDITOR
AUDITOR,
AUDITOR,KEIZIAH DENISE, Kapampa Christiani BALANTAC PAULE,LESLY,
106041170012 F 12-05-2011 10 LUBAO PAMPANGA BERNALD
PAULE ngan ty AN MALLARI,
GARCIA

BAUTISTA, OCAMPO,SHAI
BAUTISTA,LORRAINE JADE, Kapampa Christiani BALANTAC
106041170051 F 02-16-2012 10 LUBAO PAMPANGA MARK LESTER RA
OCAMPO ngan ty AN
GANTANG JOY,URSABIA,

JIMENEZ,
Kapampa Christiani BALANTAC BRAGIL,MARIB
106041160044 JIMENEZ,MARY JOYCE, BRAGIL F 03-29-2011 11 LUBAO PAMPANGA WILSON PAULE
ngan ty AN EL,BALUYUT,
JR
MANIANGAP, GOM-
MANIANGAP,ZHYREL THIA, Kapampa Christiani BALANTAC
104912170064 F 09-25-2011 11 LUBAO PAMPANGA MARVIN OS,ROSELA,MA
GOM-OS ngan ty AN
GUEVARRA QUILING,
NOLIAS,
NOLIAS,JADYLINE SAMANTHA, Kapampa Christiani BALANTAC PAULE,DAISY,
106041170061 F 03-02-2012 10 LUBAO PAMPANGA FRISCO
PAULE ngan ty AN QUINTO,
NAVARRO JR

PAULE, MARCO BAUTISTA,MA

Kapampa Christiani BALANTAC
106041170057 PAULE,KEISHA MAE, BAUTISTA F 04-30-2012 10 LUBAO PAMPANGA EDWARD RICAR,GANTA
ngan ty AN
MALLARI NG,

PAULE, AUDITOR,MAR
PAULE,QUEEN ABCDEF, Kapampa Christiani BALANTAC
106041170058 F 02-19-2012 10 LUBAO PAMPANGA EMERSON Y
AUDITOR ngan ty AN
QUINTO ANN,GARCIA,
PAUSO,
Kapampa Christiani BALANTAC BUSTOS,MAYSI
106041160048 PAUSO,KIHZZA MAE, BUSTOS F 04-07-2011 11 LUBAO PAMPANGA ROMMIL
ngan ty AN E,TALIADA,
PINEDA
SACRAMENTO,
SACRAMENTO,KHRIZZTINE, Kapampa Christiani BALANTAC GODOYO,JASM
106041170026 F 04-07-2012 10 LUBAO PAMPANGA CRISTIAN
GODOYO ngan ty AN IN,REYES,
BALIGOD
TADEO,
Kapampa Christiani BALANTAC GANTANG,ELV
106041170062 TADEO,PRINCESS, GANTANG F 02-05-2012 10 LUBAO PAMPANGA PRECITO
ngan ty AN IRA,YUMUL,
GANTANG

12 <=== TOTAL FEMALE

26 <=== 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 Marietta S. Santos
Date MALE 12
Balik Aral B/A Name of school last attended & Year AIZA JIMENEZ BARTOLO (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 10
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 22
BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Thursday, September 21, 2023

 Face to Face

Face to Face

Face to Face

Face to Face

Face to Face

Face to Face

LE
Face to Face DATE:2022/08/
22

Face to Face

Face to Face

Face to Face

Face to Face

LE
Face to Face DATE:2022/08/
22

S. Santos

ead over Printed Name)

EoSY Date:

d thru LIS