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School Form 1 School Register for Senior High School (S

School Name St. Joseph School of Baliuag Inc. School ID 418549 District Baliuag South Division Bu

Semester First Semester School Year 2019 - 2020 Grade Level Grade 12 Track and Strand

Section JADE Course (for TVL only) Computer System Servicing (NC II)

AGE COMPLETE ADDRESS PARENTS


as of

Sex (M/F)
NAME BIRTH DATE 1st Mother's Ma
LRN Religious Affilication
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy) Frida Father's Name (Last Name (La
House #/ Street/ Sitio/ Municipality/
y Purok
Barangay
City
Province Name, First Name, Name, Fir
June Middle Name) Name, Mid
Name)
DELA
SANTO
104750070050 DELA CRUZ,FRENCE RESTHY - M 10/20/2001 16 Christianity BALIUAG BULACAN RANCE, REYNALDO CRUZ,JOSEP
CRISTO
,-,
FERNANDEZ, CRUZ,KATHR
104793070034 FERNANDEZ,ARNEL JR CRUZ M 04/03/2001 17 Christianity TALAMPAS BUSTOS BULACAN
ARNEL BETOY SR CONCEPCIO

FLAMEÑO,
EDROSO,JAN
105026070015 FLAMEÑO,JOHN MARK EDROSO M 12/31/2001 16 Christianity TAAL PULILAN BULACAN MARCELO
ELA CRUZ,
BERNARDO

SANTO FRANCO,LOL
104750050055 FRANCO,JERICO RIVERA M 11/28/1998 19 Christianity BALIUAG BULACAN
CRISTO RIVERA,

GABRIEL,
SANTO RIVERA,DOL
104750050056 GABRIEL,AARON REYSTER RIVERA M 09/07/2000 17 Christianity BALIUAG BULACAN RONALDO
CRISTO S,BACTUL,
GREGORIO
FULLEROS,R
104758070045 HERA,CHRISTIAN FULLEROS M 12/21/2001 16 Christianity TARCAN BALIUAG BULACAN HERA, LINO
LLE,,
CRUZ,MARIA
SANTA LIZARONDO,
104757070118 LIZARONDO,RICARDO CARLOS CRUZ M 09/08/2002 15 Christianity BALIUAG BULACAN LILIBETH,GU
BARBARA RICHARD BENICO
REZ,

7 <=== TOTAL MALE

MAKINABAN CATACUTAN,
104753120319 CATACUTAN,MA. MAE PEARL - F 08/18/2001 16 Christianity BALIUAG BULACAN BORRA, RUBEN B
G WENA,AVEN

BAGONG KATIPUNAN, GUTIERREZ,


104737070113 KATIPUNAN,PATRICIA GUTIERREZ F 08/29/2001 16 Christianity BALIUAG BULACAN
NAYON EDUARDO J RIA,T,

SANTOS,MA
BAGONG
104999070047 SANTOS,MARIELLE DEL ROSARIO F 12/26/2001 16 Christianity PLARIDEL BULACAN LOURDEZ,D
SILANG
ROSARIO,

3 <=== TOTAL FEMALE

10 <=== 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
ol (SF1-SHS)

Bulacan Region Region III

Technical-Vocational-Livelihood Track

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

EDROSO,JANE,D
PARENT
ELA CRUZ,

FRANCO,LOLITA,
PARENT
RIVERA,

RIVERA,DOLORE
PARENT
S,BACTUL,

FULLEROS,ROSE
PARENT
LLE,,
CRUZ,MARIA
LILIBETH,GUTIER
REZ,

CATACUTAN,RO
WENA,AVEN,

GUTIERREZ,GLO
PARENT
RIA,T,

SANTOS,MARIA
LOURDEZ,DEL PARENT
ROSARIO,
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 7
Name of School, Date of 1st Attendance and Balik Aral B/A Name of school last attended & Year (Signat
Date of Last Attendance if Transferred Out
Transfered In T/I Learner With LWE Specify Exceptionality of the Learner FEMALE 3
Exceptionality Beginning of the Semester
Accelerated ACL Specify Level & Effectivity Date Date:
TOTAL 10
2019-06-17

Generated on: Tuesday, September 3, 2019


REARMA DE BELEN RAMOS

(Signature of Adviser over Printed Name)

ter End of the Semester Date:

2019-10-25