School Form 1 (SF 1) School Register

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

School ID 307005 Region III Division Tarlac

Grade
School Name Sta. Juliana High School (O'Donnell HS Annex) School Year 2019 - 2020 Grade 10 Section MALUGUD
Level
GUARDIAN
AGE MOTHE ADDRESS PARENTS Contact
(if Not Parent) Number
as of

Sex (M/F)
R
NAME IP of
BIRTH DATE 1st TONGUE RELIGIO Father's Name Mother's
LRN (Last Name, First Name, Middle (Ethnic House #/ Parent
(mm/dd/yyyy) Frid (Grade N (Last Name, Maiden Name
Name) Group) Street/ Municipality Relationsh or
ay 1 to 3 Barangay Province First Name, (Last Name, Name
Sitio/ / City ip Guardia
June Only) Purok
Middle Name) First Name, n
Middle Name)

BALAGTAS,
BALAGTAS,ALEJANDRO, Sambal, Christia FRONDA,ANNA
106387090002 M 08-02-2003 15 Aeta POONBATO BOTOLAN ZAMBALES MAXIMO
FRONDA Botolan nity BELLE,MORA,
PABLO
BALAGTAS,JOMAR, Kapam Christia SANTA BALAGTAS, TAMONDONG,
106387090003 M 09-07-2003 15 Aeta CAPAS TARLAC
TAMONDONG pangan nity JULIANA JONARDO - GAY,-,

Kapam Kapamp SANTA BANAAG, BASA,NOIME,D

106389090004 BANAAG,LEONARD, BASA M 02-09-2004 15 Others CAPAS TARLAC
pangan angan JULIANA LEODIGARIO B ,

Kapam Kapamp Christia SANTA BONDOC, CADIANG,WIL

106389090008 BONDOC,JOHN REY, CADIANG M 12-29-2004 14 CAPAS TARLAC
pangan angan nity JULIANA REYNALDO P MA,,

CANDULE,SALVADOR, JR DELA Christia SAN PABLO CASTILLEJO CRUZ,ROSE,D

106858130109 M 03-05-1999 20 Filipino Aeta ZAMBALES
CRUZ nity (POB.) S ELA,

Kapam Christia SANTA CAPIRAL, IGAMIN,ANALE

106389090014 CAPIRAL,DUAN QUIEL, IGAMIN M 10-28-2003 15 Aeta CAPAS TARLAC
pangan nity JULIANA ANASTACIO E,,
CAPIZ,
Kapam Christia BALANGON,JA
106387120009 CAPIZ,JAY-AR, BALANGON M 08-15-2001 17 Aeta MARUGLU CAPAS TARLAC MERCANO
pangan nity NET,,
SANCHEZ

DELOS REYES,MELVIN, Kapam Kapamp Christia SANTA DELOS REYES, AQUINO,TERE

106389090027 M 03-05-2004 15 CAPAS TARLAC
AQUINO pangan angan nity JULIANA MELCHOR C SITA,,

DUNGCA,MARI
Kapam Kapamp Christia DUNGCA,
106387120012 DUNGCA,MARK RYAN, V M 08-08-2003 15 MARUGLU CAPAS TARLAC BETH,VICTORI
pangan angan nity ROMY
A,

GOMEZ, COSME,JACQU
Sambal, Christia
160515090017 GOMEZ,JOBERT, COSME M 08-10-1998 20 Aeta VILLAR BOTOLAN ZAMBALES ROBERT ELINE,TABILO
Botolan nity
DOLANDOLAN G,

Kapam Christia GRAY, RONALD

106382090026 GRAY,CHRISTIAN, VICTORIA M 07-15-2003 15 Aeta BUENO CAPAS TARLAC GRAY,LAILA,B,
pangan nity E
PANGILINAN,M
GUTIERREZ,JOMARI, Kapam Christia GUTIERREZ,
106383090130 M 06-30-2003 15 O'DONNELL CAPAS TARLAC ARICEL,CUARE
PANGILINAN pangan nity JOEL FAJARDO
SMA,

Kapam Kapamp SANTA KUBOTA, ESTRADA,SHE

106389090057 KUBOTA,ASKA, ESTRADA M 12-08-2003 15 Others CAPAS TARLAC
pangan angan JULIANA AKIRA KIM RILL,OLALIA,

CAINGAT,NATI
LUNDANG,ERLGENE KIM, Kapam Kapamp Christia SANTA LUNDANG,
106389090063 M 08-12-2003 15 CAPAS TARLAC VIDAD,CANDO
CAINGAT pangan angan nity JULIANA EDGARDO
,
MANUEL, CAUGUIRAN,R
Kapam Christia SANTA
106389090070 MANUEL,ALIE, CAUGUIRAN M 08-29-2000 18 Aeta CAPAS TARLAC ROMEO OTEZA,TAROS
pangan nity JULIANA
SALAZAR A,
 REMARKS

(Please refer
to the legend
on last page)

Pending TI
 MARCOLINO,
Kapam SANTA CARINO,GINA,
106389080062 MARCOLINO,SANGIE, CARIÑO M 06-06-2000 19 Aeta Others CAPAS TARLAC SAMUEL
pangan JULIANA DAYULA,
GUTIERREZ
TESTIGO,MA
Christia SANTO SAN JOSE MINDO JR,
105730090069 MINDO, III,RUPERTO, TESTIGO M 03-11-2004 15 Tagalog NUEVA ECIJA WILMALYN,BUI
nity NINO 3RD CITY RUPERTO
SEL,
CITY OF PATDU,
BALAGTAS,RO
106387090025 PATDU,JEROME, BALAGTAS M 12-23-2003 15 Tagalog Others AMUCAO TARLAC TARLAC BERNARDO
NALYN,GAWAT,
(Capital) SEBASTIAN
GOMEZ,
Kapam Kapamp Christia SANTA CAUGUIRAN,E
106389090094 RAMOS,TAMBI, CAUGUIRAN M 11-28-2003 15 CAPAS TARLAC PILARIO
pangan angan nity JULIANA VES,TARROZA,
GARCIA
MAYUYU,AURO
Kapam SANTA RAZON, CIRILO
106389090098 RAZON,MARK IVAN, MAYUYU M 03-16-2000 19 Aeta Others CAPAS TARLAC RA,GUTIERREZ
pangan JULIANA CAPITLY
,
Kapam Christia SANTA REYLA, RANDY DANCEL,MERC
106389090108 REYLA,JOHN DY, DANCEL M 01-30-2004 15 Aeta CAPAS TARLAC
pangan nity JULIANA A Y,F,

REYLA,JOHN HENDRICK, Kapam Kapamp Christia SANTA REYLA, ALBANO,LEON

106389090109 M 09-25-2003 15 CAPAS TARLAC
ALBANO pangan angan nity JULIANA CONRADO IDA,MARIANO,

Kapam Kapamp Christia SALAS, BERNIE GAWAT,ILUMIN

106387120032 SALAS,JHON LLOYD, GAWAT M 07-04-2003 15 MARUGLU CAPAS TARLAC
pangan angan nity M ADA,S,

Kapam Kapamp Christia SOLIMAN, WAJE,MA

106387090037 SOLIMAN,MARK, WAJE M 10-11-2003 15 MARUGLU CAPAS TARLAC
pangan angan nity MICHAEL C TERESA,R,
SUMAWANG,
Kapam Christia SANTA MORALES,MAR
106389090124 SUMAWANG,JAKE, MORALES M 11-19-2003 15 Aeta CAPAS TARLAC MERALDO
pangan nity JULIANA ICEL,GARCIA,
HERNANDO
TAMONDONG, CELESTINO,M
TAMONDONG,MATHEW Kapam Kapamp Christia SANTA
106389090125 M 12-19-2003 15 CAPAS TARLAC GENARO ARIFEL,CUERO
MIGUEL, CELESTINO pangan angan nity JULIANA
MATEO ,
Kapam Christia VALANTIN, CARINO,VIRGI
160016080042 VALANTIN,PETER, CARINO M 04-05-2000 19 Aeta CAPAS TARLAC
pangan nity JOEL BASA E,,

27 <=== TOTAL MALE

ALFONSO,
Kapam Christia SANTA YAMSON,EMILY
106390090005 ALFONSO,ELLA MAE, YAMSON F 02-03-2002 17 CAPAS TARLAC ROGER
pangan nity LUCIA ,IGNACIO,
CASUPANAN

Kapam SANTA ARANDIA, PELAYO,DONA,

160001090001 ARANDIA,LOURDES, PELAYO F 04-23-2000 19 Aeta Others CAPAS TARLAC
pangan JULIANA CASTI CABALI,

Kapam SANTA DELA CRUZ, OCAMPO,MANI

106389090023 DELA CRUZ,JELYN, OCAMPO F 11-09-2002 16 Aeta Others CAPAS TARLAC
pangan JULIANA FIGHTER LYN,,
DUNGCA,
Kapam Christia
106387090013 DUNGCA,DAVIE, VITUG F 03-17-2002 17 Aeta CAPAS TARLAC MAGNON VITUG,HELEN,,
pangan nity
VALDEZ
Kapam Christia SANTA MENDOZA, GALANG,MARI
106389090076 GALANG,VANGIE, - F 10-20-2003 15 CAPAS TARLAC
pangan nity JULIANA RICKY REYES BETH,,

GUTIERREZ, GALANG,CAN
Kapam Christia SANTA
106389090045 GUTIERREZ,CAMILLE, GALANG F 12-29-2003 15 CAPAS TARLAC ALBERTO DELARIA,SAR
pangan nity JULIANA
BAUTISTA MIENTO,

GUTIERREZ,
GUTIERREZ,CHRISTINE JOYCE, Kapam Kapamp Christia SANTA ESTABILLO,GL
106379090018 F 07-24-2003 15 CAPAS TARLAC ALVIN
ESTABILLO pangan angan nity JULIANA ORIA,PEREZ,
ESTRADA
INFANTE, PETCHALIN,MI
Kapam Kapamp Christia SANTA
106389090054 INFANTE,KRIZIA, PETCHALIN F 07-18-2003 15 CAPAS TARLAC MICHAEL CHELLE,CADIA
pangan angan nity JULIANA
JUANTA NG,
Pending TI

Pending TI
 JIMENEZ,
JIMENEZ,MARINA MAE, Kapam Christia SANTA BANAAG,TERE
106389090056 F 08-10-2004 14 CAPAS TARLAC JOSEFINO
BANAAG pangan nity JULIANA SITA,CALUGAY,
MEDINA
Kapam Kapamp Christia SANTA LABIANO, GUTIERREZ,JE
106389090058 LABIANO,AILA JOY, GUTIERREZ F 06-21-2004 14 CAPAS TARLAC
pangan angan nity JULIANA ALLAN R NIVIE,G,
LAHUT,JOY PAULINE, Christia LAHUT, SOLOMON,CO
104665130054 F 10-05-2002 16 Sambal Aeta PAG-ASA ORANI BATAAN
SOLOMON nity JULIANO RAZON,,
LIWANAG,
Kapam Kapamp Christia SANTA LIM,ELSA,BAN
106389090061 LIWANAG,KRISCELL, LIM F 09-14-2003 15 CAPAS TARLAC DONATO
pangan angan nity JULIANA AAG,
CARBUNGCO
LUNDANG,PRINCESS JOY, Kapam Kapamp Christia SANTA LUNDANG, INFANTE,JENNI
106389090067 F 11-26-2003 15 CAPAS TARLAC
INFANTE pangan angan nity JULIANA FREDIE A FER,A,
MALABANAN,
MALABANAN,CRIS TINA, Christia SANTA BALINGIT,IREE
106389120195 F 07-09-2002 16 Ilocano CAPAS TARLAC CRISANTO
BALINGIT nity JULIANA N,FRANCO,
MAGSIPOK
MALABANAN,
MALABANAN,ESCARLET, Christia SANTA SANTOS,NELLY
106389090069 F 01-31-2004 15 Ilocano Aeta CAPAS TARLAC JONATHAN
SANTOS nity JULIANA ,LOPEZ,
MAGSIPOK
MITHALICOP,
MITHALICOP,SOHAIMA, Kapam Kapamp SANTA INFANTE,LIEZE
106389090078 F 12-07-2004 14 Others CAPAS TARLAC HAMZA
INFANTE pangan angan JULIANA L,GANDO,
SULTAN
NOYNOY,
Kapam Kapamp Christia SANTA REGASA,JOCEL
106389090082 NOYNOY,JONALYN, REGASA F 11-19-2003 15 CAPAS TARLAC LEONARDO
pangan angan nity JULIANA YN,BIAG,
PURGANAN
Kapam Kapamp Christia SANTA PETCHALIN, YAMSON,LENY,
106389090090 PETCHALIN,JACKILYN, YAMSON F 11-13-2003 15 CAPAS TARLAC
pangan angan nity JULIANA JAYSON ,
RAMOS, PANGILINAN,L
RAMOS,ANGEL KATRINE, Kapam Kapamp Christia SANTA
106389090092 F 04-17-2004 15 CAPAS TARLAC MARINO ENI,CUARESM
PANGILINAN pangan angan nity JULIANA
PRETISTA III A,
Kapam Christia SANTA RAZON, RIVERA,LUCIA,
106389090095 RAZON,ANALYN, RIVERA F 08-04-2002 16 Aeta CAPAS TARLAC
pangan nity JULIANA ALBERTO C D,

Kapam SANTA REYES, JIMMY BRUNO,ROWE

106389090101 REYES,JACKILYN, BRUNO F 08-05-2003 15 Aeta Others CAPAS TARLAC
pangan JULIANA SALAZAR SR NA,PELACIO,

Kapam Christia SANTA GUTIERREZ,AL

106389090107 REYES,SUNSHINE, GUTIERREZ F 06-07-2003 16 Aeta CAPAS TARLAC REYES, RUBEN
pangan nity JULIANA ONA,,

22 <=== TOTAL FEMALE

49 <=== COMBINED

List and Code of Indicators under REMARKS column

Cod Cod Prepared by; Certified Correct:
Indicator Required Information Indicator Required Information REGISTERED BoSY EoSY
e e
Transfered Out T/O Name of Public (P) Private (PR) School & CCT Receipient CCT CCT Control/reference number & ROMELITO TIQUI LUGTU
Effectivity Date Effectivity Date MALE 27
Balik Aral B/A MELANIE SAGUN CAGANDE (Signature of School Head over Prin
Transfered In T/I Name of Public (P) Private (PR) School & Name of school last attended & Year Name)
(Signature of Adviser over Printed
Effectivity Date Learner With LW FEMALE 22 Name)
Disability D Specify
Dropped DRP Reason and Effectivity Date Accelerated BoSY Date: EoSY Date:
Late LE Reason (Enrollment beyond 1st Friday of ACL Specify Level & Effectivity Data TOTAL 49
Enrollment June) BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Sunday, September 1, 2019

TIQUI LUGTU

l Head over Printed

me)

EoSY Date:

d thru LIS