School Form 1 (SF 1) School Register

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

Region VII Division NEGROS ORIENTAL District SIATON WEST II

School ID 120475

School Name PIO MACAHIG MEMORIAL SCHOOL School Year 2013-2014 Grade Level KINDER Section DAISY

AGE as of
1st Friday ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
of June
Contact
IP
NAME Sex BIRTH DATE BIRTH PLACE MOTHER Number
LRN (Specify RELIGION
(Last Name, First Name, Middle Name) (M/F) (mm/ dd/yy) ( Province) TONGUE (Parent
Ethnic Group)
(nos. of /Guardian)
House # / Father (1st name only
years as Mother (Maiden: 1st Name, Middle
Street/Sitio/ Barangay Municipality/ City Province if family name identical Name Relationship (Please refer to the legend on last page)
per last & Last Name)
Purok to learner)
birthday)

119939130631 ABRENICA, SAMBHER NASH FLORES CEBUANO DARO DUMAGUETE CITY

M 5/7/08 5 NEG.OR. N/A CATHOLIC DARO NEG.OR. ABRENICA, ADESSA CALLAO T/O WEST CITY CENTRAL
NINO CUEVAS FLORES SCHOOL

120475130179 CAFINO, AARON JECK SARENSE CEBUANO BONAWON SIATON

M 12/28/07 5 NEG.OR. N/A APOSTOLIC PUROK I NEG.OR. CAFINO, ALICE MACASUKIT
RICARDO SARENSE
RAMIREZ
120475130203 CALABROSO, ALLAIN DALE BALBUENA CEBUANO SEVENTH DAY BONAWON SIATON
M 7/24/08 4 NEG.OR. N/A ADVENTIST
MAITOM NEG.OR. CALABROSO, CRISTINE GO
TERRY BALBUENA
CONCILLES
120475130206 CARDOSA, KENT NINO RODA CEBUANO BONAWON SIATON
M 1/15/08 5 NEG.OR. N/A CATHOLIC LACSA NEG.OR. CARDOSA, MA. ROSA PAGON T/O FATIMA ELEM. SCHOOL
ANGELITO RODA
CAMPOREDO
NDO
120475130180 CULANAG, ARJAY GAVIOLA CEBUANO GILIGAON SIATON
M 2/17/08 5 NEG.OR. N/A CATHOLIC HAYUGAN NEG.OR. CULANAG, MARIE JOY
RONIE ROMANILLOS
GARCIA GAVIOLA
120475130186 DOMINARO, JAYDIN INDINO CEBUANO BONAWON SIATON
M 8/21/08 4 NEG.OR. N/A CATHOLIC TACLOBO NEG.OR. DOMINARO, JESSELA BUCTOLAN
JENNYFER INDINO
SANCHEZ
120475130195 CEBUANO
LU-ANG, JAMES MARK HUFANCIA
M 9/21/08 4 NEG.OR. N/A CATHOLIC MAMBOY-ON BONAWON SIATON
NEG.OR. LU-ANG, MARITES PRIMA
GILBERT HUFANCIA
CULAGBANG

120475130207 MONTON, PETER JAY BARREDO CEBUANO BONAWON SIATON

M 6/19/08 4 NEG.OR. N/A CATHOLIC PUROK II NEG.OR. MONTON, MA. JOY LAGRADILLA
PEDRO TIGAS BARREDO

120475130162 OLBIA, KLENT DAVE MORENO CEBUANO BONAWON SIATON

M 5/19/08 5 NEG.OR. N/A SEVENTH DAY
ADVENTIST
MAITOM NEG.OR. OLBIA, CRISTY FEL PALALLOS
DIONESIO MORENO
PALADAR
120475130205 PAJARES, JOHN PAUL PERNIA CEBUANO BONAWON SIATON
M 1/10/08 5 NEG.OR. N/A CATHOLIC LACSA NEG.OR. PAJARES, JESSICA ROLLOQUE
ARNOLD PERNIA
ONGKIT
120475130193 PIALAGO, JOHN ANROE PELIGRO CEBUANO BONAWON SIATON
M 3/3/08 5 NEG.OR. N/A CATHOLIC PUROK IV NEG.OR. PIALAGO, JENNILYN CALIBO
ANROE PELIGRO
VALENCIA
120475130163 RAMIREZ, JACOB PEDIDA CEBUANO BONAWON SIATON
M 9/15/07 NEG.OR. N/A CATHOLIC PUROK IV NEG.OR. RAMIREZ, GINA PEDIDA
RUBEN
CADUNGOG
5
120475130191 RETURBAR JR, CRISPOLO COMENIS CEBUANO BONAWON SIATON
M 9/27/08 4 NEG.OR. N/A CATHOLIC MALADPAD NEG.OR. RETURBAR, ALICIA RUBIO
CRISPOLO COMENIS
PALADAR
 AGE as of
1st Friday ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
of June
Contact
IP
NAME Sex BIRTH DATE BIRTH PLACE MOTHER Number
LRN (Specify RELIGION
(Last Name, First Name, Middle Name) (M/F) (mm/ dd/yy) ( Province) TONGUE (Parent
Ethnic Group)
(nos. of /Guardian)
House # / Father (1st name only
years as Mother (Maiden: 1st Name, Middle
Street/Sitio/ Barangay Municipality/ City Province if family name identical Name Relationship (Please refer to the legend on last page)
per last & Last Name)
Purok to learner)
birthday)

120475130198 SARADAT, VINCENT CLAVERIA CEBUANO BONAWON SIATON

M 1/17/08 5 NEG.OR. N/A CATHOLIC MAITOM NEG.OR. SARADAT, ALONA CARANION
EMILIO BASIG CLAVERIA

120475130161 SARANA, XIAN RAPHAEL WAMAR CEBUANO BONAWON SIATON

M 10/6/08 4 NEG.OR. N/A CATHOLIC PUROK II NEG.OR. SARANA, VIRALE PATROCINIO
RAFFIE WAMAR
TINDERO
120475130168 VILLEGAS, REMWEL JAPINAN CEBUANO BONAWON SIATON
M 5/24/08 5 NEG.OR. N/A CATHOLIC MAITOM NEG.OR. VILLEGAS, CHERALYN CARO
ROLAND JAPINAN
ASPARO
16-TOTAL MALE

120475130183 ALVARICO, ICY CARDANO CEBUANO BONAWON SIATON

F 4/22/08 5 NEG.OR. N/A CATHOLIC MAITOM NEG.OR. ALVARICO JR, LITA CONDE
ENRIQUE BALI CARDANO

120475130185 AMAT, ANNA MARIE LIMPANGOG CEBUANO BONAWON SIATON

F 5/26/08 5 NEG.OR. N/A CATHOLIC LACSA NEG.OR. AMAT, MARIA LANIE GERERO
ABRAHAM LIMPANGOG
BAGUIO
120475130144 LARGADO, FHENELYN SOLOMON CEBUANO SAN FRANCISCO SAN FRANCISCO SANTA CATALINA
F 4/15/08 5 NEG.OR. N/A CATHOLIC
NEG.OR. LARGADO JR, LOUELYN JIRTOS
FELIX NUIQUE SOLOMON

120475130132 PARTOSA, CHARME BALBUENA CEBUANO SEVENTH DAY BONAWON SIATON

F 3/11/08 5 NEG.OR. N/A ADVENTIST
MAITOM NEG.OR. PARTOSA, SHARON GO
JONATHAN BALBUENA
ALBONA
120475130247 RAMIREZ, ICY MAE CEBUANO BONAWON SIATON
F 4/20/08 5 NEG.OR. N/A CATHOLIC PUROK I NEG.OR. UNKNOWN CRISTINE T/O MALOH CENTRAL SCHOOL
BANAYBANAY
RAMIREZ
120475130143 RAPADA, JENNY LYN SORDILLA CEBUANO BONAWON SIATON
F 2/29/08 5 NEG.OR. N/A CATHOLIC MAITOM NEG.OR. RAPADA, GENEVA BALANSAG
RUDY SORDILLA
CLAVERIA
120475130138 SAMSON, PRINCESS ASHLEY LAMBAYAN
F 4/25/2008 5 NEG.OR. CEBUANO N/A CATHOLIC LACSA BONAWON SIATON
NEG.OR. SAMSON, DALE CARMELITA TUBALLA
MONTE LAJOT LAMBAYAN

120475130145 SOL, ROSE ANN CABRETE CEBUANO BONAWON SIATON SOL, RICH MOND
F 11/18/08 4 NEG.OR. N/A CATHOLIC LACSA NEG.OR. CULAGBANG
JELMARIE QUEBE
CABRETE
120475130184 YAYONG, MICHELLE BINONDO CEBUANO BONAWON SIATON
F 10/12/08 4 NEG.OR. N/A CATHOLIC LACSA NEG.OR. YAYONG, MARIBEL YUGTO
RENANTE
ESTIMOSO
BINONDO
9-TOTAL FEMALE

25-COMBINED

List and Code of Indicators under REMARK Column

Prepared by: Certified Correct:
Code Required Information Indicator Code Required Information BoSY EoSY
CCT Control/reference number & Effectivity
T/O Name of Public (P) Private (PR) School & EffectC CT Recipient CCT MALE 16 14
Date RACHELLE J. RAMIREZ ELLEN K. SELARDE
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
T/I Name of Public (P) Private (PR) School & EffectB alik-Aral B/A Name of school last attended & Year FEMALE 9 8

DRP Reason and Effectivity Date Learner With Dissabi LWD Specify
TOTAL 25 22
 AGE as of
1st Friday ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
of June
Contact
IP
NAME Sex BIRTH DATE BIRTH PLACE MOTHER Number
LRN (Specify RELIGION
(Last Name, First Name, Middle Name) (M/F) (mm/ dd/yy) ( Province) TONGUE (Parent
Ethnic Group)
(nos. of /Guardian)
House # / Father (1st name only
years as Mother (Maiden: 1st Name, Middle
Street/Sitio/ Barangay Municipality/ City Province if family name identical Name Relationship (Please refer to the legend on last page)
per last & Last Name)
Purok to learner)
birthday)

TOTAL 25 22
LE Reason (Enrollment beyond 1st Friday of June) Accelarated ACL Specify Level & Effectivity Data BoSY Date:6/3/2013 EoSYDate:3/28/2014 BoSY Date: EoSYDate: